Compounded tirzepatide
Fifty 410 review
Fifty 410 asks for no card until a provider has written you a prescription. Its month-to-month tirzepatide program is $199, with all dosages included and free refrigerated shipping. Three-month programs start lower, at $133 a month on the Starter plan, but you pay the full three months at once.
Who it suits
Good fit if
- You want a provider's decision before you hand over any payment details.
- You'd rather buy one month at a time than sign up for a subscription.
- You plan to use Afterpay, Affirm or an HSA or FSA card.
Look elsewhere if
- The FDA's February 2026 warning letter to Fifty 410's operating company gives you pause.
- You want to cancel after the pharmacy has started compounding. From that point there's no routine refund.
What you get
The Monthly Tirzepatide Program costs $199 for a month of compounded tirzepatide at any dose. It includes a licensed provider consultation, follow-up through the patient portal and free overnight or 2-day shipping. There's no membership and no subscription.
The 3-Month Programs are priced by dose. The Starter Program works out to $133 a month, while the Mid and High Dose programs cost more, and all three ship the full supply at once. Fifty 410 is a telehealth platform only. Independent compounding pharmacies prepare the medication, and you choose the pharmacy when you pay.
How it works
- Fill in the online health form. Fifty 410 says it takes about five minutes and needs no credit card.
- A licensed provider completes your appointment through the patient portal and decides whether tirzepatide is appropriate.
- If you're prescribed, Fifty 410 sends a payment link. You pick your pharmacy and supply length and pay then.
- The pharmacy compounds and ships the order in refrigerated packaging. Tracking comes to the contact details on the order.
- When the month runs out, you buy again. Nothing renews automatically.
Pros and cons
Pros
- The Monthly Tirzepatide Program lists $199 with all dosages included, so a higher dose costs the same.
- Fifty 410 collects payment only after a provider issues a prescription.
- Afterpay, Affirm and FSA or HSA cards are all accepted at checkout.
Cons
- The FDA sent Fifty 410's operator a warning letter in February 2026 over misleading claims and misbranding.
- Once the pharmacy starts compounding, Fifty 410's refund policy allows no routine cancellation.
- The lower $133 monthly figure requires paying for three months of the Starter Program up front.
Check before you pay
- When a refund is still possible
- A cancellation after payment is refunded in full only if Fifty 410 confirms it arrived before compounding began. After that, refunds cover only damaged, incorrect, lost or unfilled orders.
- Monthly or three-month
- The pricing page opens on the 3-Month Programs tab. Switch to Monthly if you want the $199 month-to-month plan.
- FDA warning letter
- In February 2026 the FDA issued a warning letter to Aspen Aesthetics, which does business as Fifty 410, about false or misleading claims and misbranding.
- FDA warning letter
- FDA sent Fifty 410 a warning letter in February 2026. Read what it covers.
Price
Fifty 410 costs $199 a month for compounded tirzepatide. It advertises $133.
How we got $199
The arithmeticOne month = 30.4375 days
Fifty 410 advertises
Read on Fifty 410's own site
$133.00
The card is charged $199.00, not $133.00
The advertised figure is not the amount that leaves the account.
+ $66.00
And it is charged once a calendar month
+ $0.00
A real month$199.00
A real month costs $66.00 more than the figure advertised.
Where it sits, and what costs less
$86median $269$434+
65 cheaper · 18%288 dearer · 79%
The most expensive 10 sellers charge between $434 and $649 a month.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- Fifty 410$199
Another 60 sellers are cheaper than Fifty 410. The whole cheapest list →
Fifty 410 against other sellers
Side by side on what each one bills over a calendar month.
- Fifty 410 vs Care Clinics — $126 a month apart.
- Fifty 410 vs Collective — $113 a month apart.
- Fifty 410 vs Teleios Health — $100 a month apart.
- Fifty 410 vs RxPepsDirect — $99 a month apart.
- Fifty 410 vs FMmeds — $89 a month apart.
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $199 a monthour figure, not re-checked
Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.
FDA has written to this seller
In , FDA sent warning letter 721481 to Aspen Aesthetics dba Fifty 410 (Prosper, TX). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names fifty410.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Fifty 410 questions
- Is Fifty 410 legit?
- Fifty 410 is a telehealth platform that connects you with licensed providers; independent compounding pharmacies make the medication. Its tirzepatide is compounded, so it isn't Zepbound or Mounjaro and isn't FDA-approved. The FDA sent the company a warning letter in February 2026.
- How much is Fifty 410 tirzepatide per month?
- $199 on the Monthly program, at any dose, with shipping included. Three-month programs start at $133 a month for the Starter dose, paid in one charge. Semaglutide at Fifty 410 is $199 a month.
- Does Fifty 410 take insurance?
- No. Fifty 410 doesn't bill insurance. You can pay by card, Afterpay, Affirm, or an FSA or HSA card.
- Can you cancel Fifty 410?
- There's no subscription to cancel, since each program is a one-time purchase. An order can be canceled for a full refund after payment but only until compounding begins.