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Grade C

Fifty 410 review

The regulatory record comes first here because it is about this website: in February 2026 the FDA wrote to Aspen Aesthetics, trading as Fifty 410, over false or misleading claims concerning the compounded semaglutide and tirzepatide sold on its website. On price, the month-to-month rate is $199 for either compounded semaglutide or tirzepatide, with all tirzepatide doses included. The "$133/month" on the homepage is a different thing: a three-month tirzepatide program paid as $399 up front, with mid and high tiers at $499 and $549. The site does not say which states it covers.

$199/mo
Flat price · every dose
Consult Medication
See plans at Fifty 410
  • Six-factor Editors' Rating
  • Source-based review
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By Margaux Ellery, Editor-in-Chiefa mother on the MetabolicMoms desk, not a treating clinician

This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.

Fifty 410 at a glance

Semaglutide
$199/mo
Tirzepatide
$199/mo
Coverage
Not stated on the site
Brand-name
Compounded only

How we scored Fifty 410

Each score comes out of Fifty 410's published pricing, disclosures and oversight, and the six combine into the 34/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.

Pricing transparency44/100 · Weak

The headline rate obscures a plan requirement or a hidden step-up.

Family-budget value42/100 · Weak

Cost is unpredictable, premium, or hides behind a plan commitment.

Fits around motherhood26/100 · Weak

Little here is shaped around a mother's week or her life stage.

Ongoing support & titration34/100 · Weak

Support is thin once the prescription ships.

Clinical oversight & labs30/100 · Weak

Oversight and lab support fall short of the best we track — the review below says exactly where.

Flexibility to pause or cancel22/100 · Weak

Leaving costs you — notice windows, minimum terms or fees you don't get back.

How we verified this review

Primary source
The company's own site

Prices26: $199 a month, month to month, for either compounded semaglutide or tirzepatide. The FDA wrote to its operator in February 2026 about false or misleading claims for the compounded semaglutide and tirzepatide sold on this website. Its "$133/month" is a prepaid three-month tirzepatide package of $399 rather than a monthly rate, with mid and high tiers at $499 and $549 for three months.

Before you sign up

We opened Fifty 410's signup and stopped at the first screen that asked for personal details, so we can't tell you what comes after it. Here's what's worth knowing before you start.

These signup observations are from . The flow and offers may have changed; use the current pricing and terms in this review.

Worth knowing

  • Signup and care run through IntakeQ, a third-party telehealth platform, rather than the brand's own system
  • A monthly price is visible on the public homepage before any intake — you do not have to hand over information to see a number
  • Intake is hosted by IntakeQ, so the form you fill in is not on Fifty 410's own site

Pricing

MedicationPricePlan
Compounded semaglutide$199Monthly program"Monthly · Pay as you go · $199/month · $199 total" — a one-month supply, no contract.
Compounded tirzepatide$199Monthly program, all doses"Monthly Program · $199/month · $199 total · All dosages included" — month to month, no commitment.
Compounded tirzepatide$133Starter, 3-month prepaid"$133/month" sits beside "$399 total" — 399 divided by 3, paid up front.
Compounded tirzepatide$166Mid dose, 3-month prepaid"$166/month" beside "$499 total".
Compounded tirzepatide$183High dose, 3-month prepaid"$183/month" beside "$549 total".

Swipe the table to see plan details →

GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from Fifty 410's public disclosures at last review and change often; confirm the current number on Fifty 410's own site.

What we like

  • Publishes package totals alongside the per-month equivalents rather than only the smaller number
  • A month-to-month option at $199 for either drug, and the tirzepatide monthly plan includes all doses
  • No membership or subscription fee on top, by its own FAQ
  • "No credit card required. Payment is requested only if a provider issues a prescription."

The caveats

  • It carries an FDA warning letter from February 2026 about false or misleading claims for the compounded semaglutide and tirzepatide sold on this website
  • The "$133/month" on the homepage is a prepaid three-month tirzepatide package at $399 — the month-to-month rate is $199
  • No refund once the pharmacy begins compounding your order, by its own refund policy
  • It does not say which states it serves
  • Compounded only - no FDA-approved Wegovy, Ozempic, Zepbound or Mounjaro

Fifty 410 in short

Expect to pay around $199/month with Fifty 410, close to the typical price. In our scoring it does best on price transparency and worst on flexibility to pause or cancel.

What Fifty 410 actually costs

  • Compounded semaglutide — Monthly program: $199/mo
  • Compounded tirzepatide — Monthly program, all doses: $199/mo
  • Compounded tirzepatide — Starter, 3-month prepaid: $133/mo
  • Compounded tirzepatide — Mid dose, 3-month prepaid: $166/mo
  • Compounded tirzepatide — High dose, 3-month prepaid: $183/mo

That's close to the roughly $196/month most providers we've reviewed charge. A full year at the regular rate comes to roughly $2,388. A prepaid plan lowers the monthly equivalent to about $133 — worth it only if you're sure you'll stay. It charges one price at every dose — stepping up doesn't change the bill.

The price covers the clinician consult and the medication.

The medications Fifty 410 prescribes

Fifty 410 prescribes semaglutide and tirzepatide — the two GLP-1 medications with the strongest evidence. If insulin resistance is part of your story (PCOS, a history of gestational diabetes), tirzepatide is often the better fit, and you won't need a new provider to try it. The medication is compounded by a licensed pharmacy rather than an FDA-approved brand pen — cheaper, but not reviewed by the FDA as a finished product.

Getting started

Fifty 410 doesn't publish which states it serves, so check yours before you start the intake. You can see the price before you share any health history, so comparing it takes minutes, not an evening.

Similar providers

If you're weighing Fifty 410, these are priced nearby:

  • Vyvron — $199/4 wks, semaglutide and tirzepatide, same price at every dose
  • SynergyRx — $199/mo, semaglutide and tirzepatide, same price at every dose, brand-name pens available
  • Willow — $299/mo, semaglutide and tirzepatide

Where Fifty 410 fits — and where it doesn't — for mothers

Worth a look if…

  • You'd like the option to move to tirzepatide (or back) without changing providers.
  • You want to see the price before you share any health information.

Probably not for you if…

  • You'd only consider Wegovy or Zepbound themselves, not a compounded version.
  • A clean regulatory record is a dealbreaker — it has an FDA warning letter, covered in the cons above.
  • You need to know up front whether it treats patients in your state — it doesn't publish a state list.
  • You'd like a prescriber to talk through pregnancy, breastfeeding or trying-to-conceive timing first — CoreAge Rx, a featured partner, is one to compare for that.

Can you trust it?

Read the FDA warning letter noted in the cons before you sign up. Before you start, ask which licensed pharmacy compounds your medication and what the formulation contains. Our Editors' Rating methodology explains how we score oversight.

For mothers, pregnancy plans and breastfeeding deserve a separate clinical discussion. Weight-loss treatment is not recommended during pregnancy, while breastfeeding advice depends on the medicine and formulation. Ask your clinician to assess your treatment needs and your infant’s circumstances.

Before you pay, ask

  • Do you treat patients in my state?
  • If I get pregnant or start trying, how do I pause, and will I be charged meanwhile?

Our take

Fifty 410 can still be the right choice, but go in with the FDA warning letter in mind. If you're still choosing, compare it with CoreAge Rx, a featured partner.

The bottom line for mothers

Best for: Very few people, and none before reading the FDA letter — then someone who wants one $199 monthly price for either drug, or who is content to prepay three months of tirzepatide at once.

Alternatives to Fifty 410

These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.

  • CoreAge RxFeatured partner

    The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.

    Visit CoreAge Rx
  • Compounded semaglutide at $165/mo and tirzepatide at $214/mo month to month, dropping to $97 and $177 on a 12-month plan — and the one program on our list that names pregnancy and breastfeeding in its own exclusion list rather than staying silent on it.

    Visit HealthRX
  • A flat $249/mo semaglutide, $299/mo tirzepatide after a $99 first month, with an option most of the providers we list skips: a sublingual tablet instead of a weekly shot — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.

    Visit SkinnyRx

Providers like Fifty 410

Keep comparing Fifty 410

Fifty 410, answered

How much does Fifty 410 cost?
When we last checked, the lowest eligible ongoing compounded price at Fifty 410 worked out to an estimated $199 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.
Is Fifty 410 safe to use while breastfeeding?
Discuss breastfeeding with your prescriber before starting treatment through Fifty 410. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.
Does Fifty 410 offer both semaglutide and tirzepatide?
Fifty 410 discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.
Where does Fifty 410 rank for mothers?
Fifty 410 takes 34/100 in our Editors' Rating, placing it #339. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.

Pricing, states and verification reflect Fifty 410's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.

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