Provider Review · Updated November 2026
Fifty 410 Review 2026: Simple Compounded GLP-1 Pricing
As of Nov 4, 2026, Fifty 410's homepage lists compounded semaglutide and compounded tirzepatide at $199 per 4 weeks each, plus an 8-week tirzepatide program at $299 total ($149.50 per 4 weeks). There is no membership fee. On Trustpilot the company showed a 4.7 TrustScore from 6,732 reviews on Nov 4, 2026.
Quick Facts
| Detail | Fifty 410 |
|---|---|
| Price | $199 per 4 weeks (semaglutide or tirzepatide), $299 for 8 weeks of tirzepatide |
| Medications | Compounded semaglutide, compounded tirzepatide |
| What’s Included | Medication, provider consultation, shipping |
| States Served | 4-week programs in all 50 states. 8-week program not in AL, AR, CA, HI, KS, MA, MI, MN, MS |
| Insurance | Not mentioned on the site. Afterpay and Affirm accepted. HSA/FSA may apply |
| Trustpilot | 4.7 from 6,732 reviews (checked Nov 4, 2026) |
What Is Fifty 410?
Fifty 410 is a telehealth platform that sells compounded GLP-1 programs. Its FAQ says it does not make or ship medication itself. Compounded versions are made by independent compounding pharmacies. The site did not name those pharmacies when I checked on Nov 4, 2026.
Compounded semaglutide and tirzepatide are not FDA-approved drugs. The FDA has not reviewed them for safety, effectiveness or quality, and it has received adverse event reports tied to them, according to its page on concerns with unapproved GLP-1 drugs. The FDA also declared the national shortages over: tirzepatide on December 19, 2024 and semaglutide on February 21, 2025, per its compounding policy update. Ask your prescriber and the pharmacy how a compounded product is made and tested before you start.
The homepage shows a LegitScript seal. LegitScript certification checks regulatory compliance. It does not test the medication.
How It Works
- Online intake. You answer questions about your health history, medications and goals.
- Provider review. The FAQ says providers usually review intakes within 24 to 48 hours. Completing the intake does not guarantee a prescription.
- Pay and ship. Medication ships after payment. The homepage lists free overnight or 2-day refrigerated shipping.
- Ongoing questions. Medical questions go to your provider through the patient portal. Order and billing questions go to support by email.
Pricing: What It Actually Costs
Prices below are from the Fifty 410 homepage as of Nov 4, 2026.
| Program | Price |
|---|---|
| Semaglutide, 4 weeks | $199 total |
| Tirzepatide, 4 weeks | $199 total |
| Tirzepatide, 8 weeks | $299 total ($149.50 per 4 weeks average) |
The FAQ says “The price you see includes medication, provider consultation and shipping,” with no subscription or membership fee.
The site no longer shows the 3-month plans or the $99 and $166 prices this review listed earlier in 2026.
Tirzepatide and semaglutide at the same $199 price is unusual. For context, in the SURMOUNT-5 trial brand-name tirzepatide produced a 20.2% average weight loss versus 13.7% for brand-name semaglutide at 72 weeks (NEJM, 2025). Those results come from FDA-approved products and do not transfer automatically to compounded versions.
For a pricing comparison across providers, see our cheapest GLP-1 guide.
Refund Policy
The refund policy gives a full refund if you cancel after payment but before the pharmacy starts compounding. After compounding starts, routine cancellations are not available. Once medication ships, it is not eligible for a routine return or refund, except for verified incorrect, damaged, lost or compromised shipments. Report damage within 48 hours of delivery.
The policy does not spell out how a partly used 8-week program is refunded. Ask before you buy.
Pros and Cons
What I Like
- One flat price for semaglutide or tirzepatide
- No membership fee, and the price includes the consultation and shipping
- Clear written refund policy
- Large Trustpilot review count (4.7 from 6,732 reviews on Nov 4, 2026)
What Could Be Better
- Compounded medication only, with no FDA-approved brand option listed
- Pharmacies are not named on the site
- The cheapest program is not available in nine states, including California
- Little information about the medical team on the site
Ready to explore Fifty 410?
Check Fifty 410 Prices →Who Is Fifty 410 Best For?
Fifty 410 fits patients who:
- Want a low, flat cash price for compounded GLP-1 medication
- Want tirzepatide without paying more than for semaglutide
- Are comfortable with compounded medication after talking it through with a prescriber
It is probably not the right fit if you want an FDA-approved brand medication, insurance billing, or a program with coaching and lab work built in.
The Bottom Line
Fifty 410 keeps pricing simple: $199 per 4 weeks for either drug, or $299 for 8 weeks of tirzepatide where available. The refund terms are written down, which many competitors skip. The tradeoffs are compounded-only medication and unnamed pharmacies. If you want a larger program with brand-name options, compare Ro or Hims, or browse our full provider directory.
FAQ
Is Fifty 410 legitimate?
Fifty 410 displays a LegitScript seal on its homepage and showed a 4.7 Trustpilot score from 6,732 reviews on Nov 4, 2026. It is a telehealth platform that uses independent compounding pharmacies, which it does not name on its site.
How much does Fifty 410 cost?
As of Nov 4, 2026, compounded semaglutide and compounded tirzepatide each cost $199 per 4 weeks. An 8-week tirzepatide program costs $299 total in most states. The price includes medication, consultation and shipping.
Does Fifty 410 accept insurance?
The site does not mention insurance. It accepts Afterpay and Affirm, and says purchases may be eligible for HSA or FSA payment.
What pharmacies does Fifty 410 use?
The FAQ says medications are made by independent compounding pharmacies. It did not name them on Nov 4, 2026.
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What we checked
This AI-assisted public-source desk check reviewed Fifty 410’s homepage, FAQ and refund policy, its Trustpilot page, FDA compounding and shortage pages, and the SURMOUNT-5 trial publication on November 4, 2026. We did not complete signup, pay for treatment, test delivery or support, or independently verify clinician and pharmacy credentials. Prices and policies change, so confirm them with the provider or your prescriber before you act.