Fifty 410 semaglutide cost & review
By Sofia Mendez, Patient Education EditorPublished
Compounded semaglutide with no membership and no card until you are prescribed.
On this page
Is Fifty 410 worth it? The short answer
Our verdict
Fifty 410 suits you if you hate subscriptions. You pay one order at a time, and only after a provider says yes. The refund window is short, though: it closes the moment the pharmacy starts compounding. If you might change your mind, cancel before then. Ask whether the price changes as your dose rises before you reorder.
- Good for: You want to see a provider's decision before you hand over a card
- Look elsewhere if: You want to know which pharmacy compounds your medication
Fifty 410 at a glance
Price, as published
$199/mo
$199 for a one-month supply of compounded semaglutide, pay as you go, with the provider consultation, follow-up through the portal and free refrigerated overnight or two-day shipping included.
Full pricing details
There is no membership or subscription, and you pay only after a provider prescribes, by a payment link. Compounded tirzepatide is listed from $133 a month on a three-month program ($399 total) and $183 a month at the higher dose tier ($549 total). Afterpay, Affirm and FSA/HSA cards are accepted.
Pricing model
Varies by dose or plan
Consult
Included
Labs
Not required
Dietitian
Not included
Pharmacy
Not named
Medication
Compounded
Who makes your medication
Pharmacy not named
Fifty 410 doesn't name the pharmacy that makes its medication, so ask before you pay.
Where this comes from →Fifty 410 and the FDA
FDA warning letter
The FDA issued a warning letter to Aspen Aesthetics dba Fifty 410 in February 2026. It is on the public record in the FDA's warning-letter database, which we link rather than summarize. FDA warning-letter database ↗
What it does well, and what to watch
What we like
- No card to start: you pay only after a provider prescribes
- No membership or subscription, so nothing renews on its own
- Consultation, portal follow-up and refrigerated overnight or two-day shipping are inside the price
- A full refund if you cancel after paying but before compounding begins
What to watch
- No pharmacy is named: it says only that independent compounding pharmacies prepare the medication
- Once compounding begins there is no routine cancellation or refund, and a cancellation counts only once Fifty 410 confirms it
- The semaglutide page lists one monthly figure without saying whether it changes at higher doses, so ask before you step up
- It does not bill insurance
Who Fifty 410 suits, and who should look elsewhere
A good fit if
- You want to see a provider's decision before you hand over a card
- You would rather reorder yourself than manage a subscription
- You want the provider visit and cold shipping in one figure
Look elsewhere if
- You want to know which pharmacy compounds your medication
- You want insurance billed for you
- You want a long window to change your mind after paying
How Fifty 410 works, start to finish
Fifty 410 is run by Aspen Aesthetics, LLC, dba Fifty 410 Health, a telehealth platform that says it does not compound, make or distribute medication.
More about how it works
You complete an online intake with no card, a licensed provider reviews it in an appointment through the patient portal, and only if a prescription is issued are you sent a payment link. Independent compounding pharmacies, which it does not name, prepare compounded semaglutide or tirzepatide and ship it refrigerated. Each program's medication ships at once after payment. It does not bill insurance.
- Fill in the online intake about your health and goals; it takes a few minutes, with no card.
- A licensed provider reviews you in an appointment through the secure patient portal.
- If you are prescribed, you get a payment link and see the price before paying.
- An independent pharmacy compounds your order and ships it refrigerated, overnight or in two days.
- Your whole program ships at once, so there is no monthly refill wait.
What Fifty 410 includes in the price
- A one-month supply of compounded semaglutide
- A licensed provider consultation
- Follow-up with your provider through the portal
- Free overnight or two-day shipping
- Refrigerated packaging
If you want to cancel or get a refund
Nothing renews, because each program is bought once. Cancel after paying but before compounding begins and you get a full refund. Once compounding starts, or the order ships, there is no routine refund.
Questions people ask about Fifty 410
Do I need a credit card to start with Fifty 410?
No. The intake and provider appointment are free to start. You are sent a payment link only if a provider issues a prescription.
Is Fifty 410 a subscription?
No. There is no membership or subscription. You buy each program directly, see the price before paying, and reorder when you need more.
Can I get my money back from Fifty 410?
Yes, in full, if you cancel after paying but before the pharmacy starts compounding. After that there is no routine refund, except for a wrong, damaged or lost shipment.
Does Fifty 410 take insurance?
No. It does not bill insurance. It takes cards, Afterpay, Affirm and FSA or HSA cards at checkout.
If Fifty 410 isn't the right fit
Close to Fifty 410, but each does better on the thing Fifty 410 does least well.
Steadier pricing
Sprout Health
PartnerSame price at every dose, so your bill doesn't climb as you step up.
$149 per 4 weeks
FDA warning letter · September 2025States its pharmacy type
HealthRX
PartnerSays what kind of pharmacy makes it, which Fifty 410 doesn't.
$165/mo
More care included
Found
PartnerClinician visits and dietitian support come in the price.
$289 per 4 weeks
Partners pay us a commission if you start care through our link. How we make money
Before you pay for anything
Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as Wegovy or Ozempic. Go into your visit with real numbers and these reads:
How Fifty 410 stacks up against the others
Two minutes of comparing could save you money, or confirm Fifty 410 is the right pick.
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