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Grade C

Fifty 410 review

Written by Elena Voss, Metabolic Health Editor

Elena Voss is a mother writing for mothers, not a treating clinician, and holds no medical license. Prices and terms come from the company's own published pages. This is background reading, not medical advice.

Start with the regulatory record, because it is about this website. In February 2026 the FDA issued a warning letter to Aspen Aesthetics dba Fifty 410 over false or misleading claims concerning the compounded semaglutide and tirzepatide products offered on Fifty 410's website. On price, read the tiles twice: "$133/month" sits beside "$399 total (3 months)", so it is a prepaid quarter divided by three rather than a monthly rate you can start and stop. The higher tier is $549 for three months, or $183 a month on the same arithmetic. Semaglutide is named throughout but carries no separate price, and the site does not say which states it serves.

$133/mo, but only as a prepaid 3-month package

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Fifty 410 at a glance

Semaglutide
No separate price published
Tirzepatide
$133/mo, but only as a prepaid 3-month package
Coverage
Not stated on the site
Brand-name
Compounded only

How we scored Fifty 410

Every factor comes from Fifty 410's own published pricing, disclosures and oversight, and the six combine into the 26/100 Metabolic-Fit Score on our weighted six-factor framework. Commissions don't change a provider's score.

True monthly cost30/100 · Weak

Cost is unpredictable or sits at the premium end.

Postpartum & breastfeeding guidance18/100 · Weak

No postpartum or breastfeeding framing — a generic weight program.

PCOS & hormonal fit20/100 · Weak

Thin on the hormonal picture that drives many mothers' weight.

Ongoing support38/100 · Weak

Support is thin once the prescription ships.

Clinical oversight & labs30/100 · Weak

Oversight and lab support fall short of the best on our list — the review below says exactly where.

Cancellation fairness22/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

How we checked this review

The FDA wrote to its operator in February 2026 about false or misleading claims for the compounded semaglutide and tirzepatide sold on this website. On pricing, the "$133/month" figure is a prepaid three-month package of $399 rather than a monthly rate, the higher tier is $549 for three months, and semaglutide carries no published price of its own.

Before you sign up

What Fifty 410's public site and signup page show before you hand over any details.

Worth knowing

  • The intake runs on IntakeQ rather than on the provider's own software
  • A monthly price is visible on the public homepage before any intake — you do not have to hand over information to see a number

Pricing

MedicationPricePlan
Compounded tirzepatide$133Starter, 3-month prepaidTile reads "$133/month" beside "$399 total (3 months)" — 399 divided by 3, paid up front.
Compounded tirzepatide$183High dose, 3-month prepaid"$183/month" beside "$549 total (3 months)".

Swipe the table to see plan details →

Many HSA and FSA plans cover GLP-1 telehealth — check yours. These figures are what Fifty 410's own site disclosed at last review; this market re-prices often, so confirm the current number at the source.

What we like

  • Prices are at least published as package totals as well as per-month equivalents
  • Names its compounding route as FDA-registered 503A and 503B pharmacies
  • No membership or subscription fee on top, by its own FAQ
  • "No credit card required. You only pay if approved."

The caveats

  • It carries an FDA warning letter, issued to its operator in February 2026, over false or misleading claims about the compounded semaglutide and tirzepatide sold on this website
  • "$133/month" is a prepaid three-month package at $399 — there is no month-to-month rate published
  • Semaglutide is advertised throughout but has no published price of its own
  • It does not say which states it serves
  • No cancellation policy is published

Read the FDA letter before weighing the package discount

FDA issued warning letter 721481 to Aspen Aesthetics dba Fifty 410 concerning false or misleading claims for compounded semaglutide and tirzepatide offered on Fifty 410's website. The letter identifies the website and a matching company email, making the connection more specific than a similar business name. This is a material disclosure for someone assessing the service. It should remain part of the decision alongside the medication, care model and financial terms, rather than being obscured by an inexpensive monthly-equivalent headline.

A warning letter describes the agency's findings and required response; it does not establish that every later order has the same problem or supply a current clinical assessment of an individual patient. The useful next question is how the company explains the cited marketing and the actual preparation now proposed. Ask which clinical practice and pharmacy are responsible, what information supports the prescription and how the patient can obtain the applicable product details. A general claim about a registered pharmacy does not erase the letter or make compounded medication FDA-approved.

The advertised monthly amount is a prepaid quarter

Fifty 410's tirzepatide Starter tile pairs $133 a month with a $399 total for three months. The higher-dose tier pairs $183 with $549 for three months. Both are full-term packages divided by three, rather than flexible monthly payments at the lower amounts. A prospective patient should compare $399 or $549 as the purchase commitment and ask exactly how much medication is dispensed, how shipments are arranged and whether the same terms apply when the prescription changes.

Semaglutide appears in the company's treatment descriptions without a separate public price. Neither tirzepatide package should be assigned to it simply because both drugs are named on the website. A general starting figure elsewhere on the page likewise does not resolve the product-specific gap. Obtain one quote for the intended molecule, formulation and supply, with the complete amount due and any renewal authorization. A clear package division is useful financial information, but it cannot answer which prescription a particular buyer will receive.

Approval before payment leaves later obligations unresolved

The FAQ says no membership or subscription is required and that payment occurs only if approved. Those statements describe the opening purchase sequence; they do not promise a refund if treatment later changes or a patient chooses to stop after dispensing. No clear public cancellation policy is established. Before buying a quarter, ask what happens to unused medication, unshipped supplies and money already paid, and whether a future order requires a fresh authorization. A prepaid package can create financial exposure even without a separate membership charge.

The service also does not publish a state list. Confirm local prescribing and dispensing eligibility before completing intake, especially if a move or extended trip is expected during the purchased term. Women seeking postpartum, breastfeeding or PCOS care need to discuss the clinician's actual scope rather than infer specialization from a GLP-1 menu. Fifty 410 can only be meaningfully evaluated with its regulatory disclosure intact, the full package commitment visible and its care partners identified. The low equivalent is one part of that decision, not an adequate answer to the unresolved clinical and financial questions.

The bottom line for mothers

Best for: Honestly, almost nobody without reading the FDA letter first — and then only someone comfortable prepaying a quarter up front.

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

    CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.

    Visit CoreAge Rx
  • Compounded injections with free coaching and no membership — a fair budget pick if a 12-month plan suits you, since the 'from $119' price needs one and the month-to-month price shows only at checkout.

    Visit Oak
  • A $99 first month for either injection, with the ongoing price shown only at checkout, and a real non-injection option most providers we review skip: sublingual tablets for both molecules — 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?
Fifty 410 does not establish a comparable recurring monthly medication rate. Published pricing: No separate price published for semaglutide; $133/mo, but only as a prepaid 3-month package for tirzepatide. Ask for the complete charge, supply period and renewal terms before committing.
Is Fifty 410 safe to use while breastfeeding?
None of these drugs is established as safe in pregnancy, so stopping before you try to conceive is the usual plan. For breastfeeding, the Zepbound and Mounjaro labels report little or no data on the drug in breast milk and ask you and your clinician to weigh the benefits of breastfeeding against your need for the medicine. Compounded versions carry no label of their own; ask the prescriber directly how they handle nursing patients. Fifty 410 is not an exception to any of that — settle the timing with your own clinician.
Does Fifty 410 offer both semaglutide and tirzepatide?
Yes — Fifty 410 offers both molecules. Tirzepatide's dual GIP/GLP-1 action is often preferred where insulin resistance drives weight, which matters for PCOS and after gestational diabetes.
How does Fifty 410 score for mothers?
Fifty 410 scores 26/100 on our Metabolic-Fit Score, a weighted read of six things mothers actually have to care about. 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 Metabolic-Fit Score 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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