Compounded tirzepatide
Fifty 410 vs RxPepsDirect
Quick answer
RxPepsDirect costs $100 a real month and Fifty 410 costs $199 — a difference of $99 a month, or $1,183 a year. Both figures are computed from what each seller actually charges and how often, not from the price on its landing page.
Checked in . Both sellers are re-checked on the same schedule; a price either side changes after that date will not be reflected here until the next check.
Fifty 410 or RxPepsDirect?
RxPepsDirect is the cheaper way to start, at $100 a month against $199 for Fifty 410, but the order flips at the top dose: there Fifty 410 costs $199 and RxPepsDirect $306. RxPepsDirect's figure includes a monthly fee of $55 that Fifty 410 does not charge. RxPepsDirect names 28 states; Fifty 410 does not say where it ships. Fifty 410 received an FDA warning letter in February 2026; RxPepsDirect has none on record.
What each one bills
| Fifty 410 | RxPepsDirect | |
|---|---|---|
| True monthly cost | $199 | $100 |
| Advertised as | $133 | — |
| Charged | every calendar month | every 30 days |
| Each charge | $199 | $45 |
| Price basis | the same at every dose | a starting-dose price that climbs |
| Mandatory recurring fee | none found | $55 a month |
| States it names | not published | 28 states |
| FDA warning letter | yes | none on record |
Where they actually differ
- They bill on different clocks. Fifty 410 charges every calendar month and RxPepsDirect charges every 30 days. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- One price holds and the other climbs. Fifty 410’s price is the same at every dose; RxPepsDirect’s is a starting-dose price that climbs. See what titration does to an advertised figure.
- Only one carries a mandatory recurring fee. RxPepsDirect: $55 a month. 360 of 382 sellers charge nothing like it.
- What they advertise is not what they bill. Fifty 410 advertises $133 and bills $199.
How we know
Both figures were read on the seller’s own site and recomputed over a 30.4375-day calendar month from the charge and the billing period it covers. Neither is a seller’s own “/mo”. The full working for each — the charge, the period, the arithmetic and the date it was read — is on its own page: Fifty 410 and RxPepsDirect. The method is set out in how we verify.
To compare any two sellers in the index rather than these two, use the comparison tool.