Fifty 410 review

J. Merrick · Pricing desk · read October 2026

Grade: BMinor gap
Month to month: $199/mo; compounded tirzepatide
Later price: +$66 a month; over the advertised price · the monthly tirzepatide program, all dosages included
FDA warning letter: Yes; February 2026

Graded on whether a price is published, checkable, and still true at month two — how we grade · how we verify prices

Fifty 410 charges $199 a month for compounded semaglutide or tirzepatide, month to month, at any dose. Tirzepatide drops to $133 to $183 a month on a three-month program.

What they advertise, what you pay

$133

the homepage's tirzepatide price

$199

the monthly tirzepatide program, all dosages included

+$66 a month

The $133 is the starting dose on a three-month program, $399 paid at once. Month to month it is $199.

Advertised $133, actually $199
Month-to-month price published
Coverage not verified

See current pricing at Fifty 410

The verdict

A real month-to-month price, no membership, and no charge until a provider prescribes. What it leaves out is who prescribes, which pharmacy fills it and which states it serves, and FDA sent it a warning letter in February 2026 over how its website presented its compounded drugs.

See Fifty 410's plans

Quick facts

Key facts

Semaglutide, month to month: $199, any dose
Tirzepatide, month to month: $199, all dosages included
Tirzepatide, 3 months: $133 to $183 a month by dose, paid at once
Membership: None
When you pay: Only after a provider prescribes
Pharmacy and prescribers: Not named
Refunds: Full until compounding starts, then none
FDA letter: February 2026, addressed to Fifty 410

How we grade →

Pros and cons

What we like

A public month-to-month price for both drugs, the same at any dose.
No membership or subscription fee; the visit and shipping are in the price.
No card needed to start, and no charge unless a provider prescribes.
Pricing pages show every program side by side, with the total for three-month plans.
Afterpay, Affirm and HSA or FSA cards are accepted.

What could be better

FDA sent it a warning letter in February 2026 over how its website presented its compounded drugs.
No pharmacy, prescriber group or state list is published.
The homepage shows the three-month starter price as tirzepatide's starting price without naming the plan.
No routine refund once the pharmacy starts compounding.
Three-month programs ship and are paid all at once.
Its peptides and hair-loss lines are listed but not yet sold.

What it is

An online clinic that sells two compounded GLP-1s, semaglutide and tirzepatide, as injections. It lists hair-loss formulas, NAD+, sermorelin, glutathione and methylene blue as coming soon, with a sign-up for updates rather than a price.

It says it is a platform and does not compound or ship medication. Licensed providers it does not name review your intake, and outside compounding pharmacies it also does not name prepare and ship the drug. There is no published state list.

The company is Aspen Aesthetics, LLC, doing business as Fifty 410 Health, in Prosper, Texas.

Every price we found at Fifty 410

Plan	Advertised	What you actually pay	The gap
Compounded semaglutide, monthlyOne-month supply, pay as you go; visit and refrigerated shipping included.	not published	$199	not comparable
Compounded tirzepatide, monthlyAll dosages included, no commitment.	not published	$199	not comparable
Compounded tirzepatide, 3 months, starting dosePaid at once and shipped at once.	$133	$399 total	not comparable
Compounded tirzepatide, 3 months, middle or higher doseA month each, $499 or $549 paid at once.	not published	$166 / $183	not comparable

Compare Fifty 410's current plans

What it actually costs at Fifty 410

Month to month: $199 for semaglutide or tirzepatide, a one-month supply at any dose, with the provider visit and refrigerated shipping included.

Its pricing pages show both drugs. Semaglutide comes only as the $199 monthly option. Tirzepatide is $199 monthly with all dosages included, or a three-month program paid at once and priced by dose: $399 at the starting dose ($133 a month), $499 at a middle dose ($166) and $549 at a higher dose ($183). There is no membership or subscription fee.

The homepage and the pricing index show the $133 three-month starter price as tirzepatide's "starting price". The GLP-1 page says it is a three-month program, but the homepage does not. If your dose is moving up, the three-month price at your dose is what to compare against $199.

You pay nothing until a provider prescribes; then you get a payment link. A paid order can be canceled for a full refund only until the pharmacy starts compounding, and after that there is no routine refund. A three-month program ships all at once, so all of it is committed. Read our guide to refunds and cancellation before you choose one.

Who it's wrong for

Anyone who wants to know the pharmacy or prescriber before paying. Neither is named.
Anyone who needs to confirm their state first. No state list is published.
Anyone who wants a brand-name GLP-1 or a peptide today. It sells compounded semaglutide and tirzepatide only; its peptides are listed as coming soon.
Anyone who weighs a seller's FDA warning letters. Fifty 410 received one in February 2026.

How Fifty 410 works

An online intake
About five minutes on your health history, medications and goals. No card needed.
A provider appointment
A licensed provider completes your appointment through the patient portal and decides whether a listed option fits.
A payment link
If you are prescribed, you review the program and price and pay by link. Nothing is charged before this.
A pharmacy ships it
An outside compounding pharmacy prepares it and ships it free, overnight or two-day, in refrigerated packaging.
Refills by form
No subscription renews on its own; a refill starts with a short form.

Medications available

Compounded semaglutideCompounded
$199 a month
Injection. Monthly only.
Compounded tirzepatideCompounded
$199 a month
Injection. $133 to $183 a month on a three-month program, by dose.

Is Fifty 410 legit?

Fifty 410 is operated by Aspen Aesthetics, LLC, doing business as Fifty 410 Health, 1630 W Prosper Trail, Suite 620, Prosper, Texas 75078, according to its terms of use.

FDA warning letter February 20, 2026 — about its website's compounded semaglutide and tirzepatide: product photos with "Fifty 410" on the label, which FDA said suggested it compounded the drugs, and a "clinically proven ingredients" claim that FDA said implied FDA approval. Read the letter →

Pharmacy, prescribers and safety checks

Legal entityAspen Aesthetics, LLC, doing business as Fifty 410 Health
AddressProsper, Texas
PrescribersLicensed providers, not named
PharmacyOutside compounding pharmacies, not named
States servedNo list published
Drug formCompounded only; no brand-name GLP-1
Governing lawTexas, with individual arbitration and a 30-day opt-out
RefundsFull before compounding starts; none after

Common questions

How much does Fifty 410 cost per month?

Month to month, compounded semaglutide and tirzepatide are each $199 at any dose, with the provider visit and shipping included. Tirzepatide also comes as a three-month program at $399, $499 or $549 by dose, which works out to $133 to $183 a month.

Is the $133 a month tirzepatide price real?

Yes, for the starting dose on a three-month program paid at once, $399 in total. Paying month to month costs $199, and higher doses cost more on the three-month program.

Does Fifty 410 charge a membership fee?

No. There is no membership or subscription fee. You pay for the program you choose, and only after a provider prescribes.

Can I get a refund from Fifty 410?

Only before the pharmacy starts compounding your order. After that there is no routine refund, except for a damaged, wrong or lost shipment reported within 48 hours, or an order the pharmacy cannot fill.

Does Fifty 410 sell NAD+ or sermorelin?

Not yet. Its site lists NAD+, sermorelin, glutathione and methylene blue as coming soon, with a sign-up for updates and no price.

Has Fifty 410 had an FDA warning letter?

Yes. On February 20, 2026, FDA sent a warning letter to Aspen Aesthetics dba Fifty 410 about its website: product photos with "Fifty 410" on the label, which FDA said suggested it compounded the drugs, and a "clinically proven ingredients" claim. Its product images now say Fifty 410 is not the compounder.

Who runs Fifty 410?

Its terms name Aspen Aesthetics, LLC, doing business as Fifty 410 Health, at 1630 W Prosper Trail in Prosper, Texas. It does not name its providers or pharmacies.

Why we gave Fifty 410 a B

Read the full grading rationale

Its pricing pages give a real month-to-month price, $199 for compounded semaglutide or tirzepatide at any dose, with the visit and shipping included and no membership. The $133 tirzepatide headline is a three-month starter-dose program paid up front. It holds at B because no pharmacy, prescriber group or state list is published, and nothing is refundable once the pharmacy starts compounding.

Read the evidence

How we reviewed Fifty 410

We read Fifty 410's homepage, GLP-1 and pricing pages, FAQ, about page, terms and refund policy.

Every price here is quoted from its own pricing pages; payment is requested only after a provider prescribes, so the signup has no price screen.

Where each price comes from

Semaglutide page
MONTHLY OPTION Monthly Pay as you go $199/month $199 total Compounded Semaglutide 1-month supply shipped Licensed provider consultation Provider follow-up through the portal Free overnight/2-day shipping Refrigerated packaging
Tirzepatide page
Monthly Tirzepatide Program Flexible month-to-month Tirzepatide with no commitment Monthly Program Tirzepatide $199/month $199 total Compounded Tirzepatide All dosages included Licensed provider consultation Provider follow-up through the portal Free overnight/2-day shipping