Fifty 410 Review

Fifty 410 in one paragraph

At Fifty 410, a month of compounded semaglutide or compounded tirzepatide costs $199, pay as you go, with cheaper-per-month tirzepatide programs if you buy three months at once. The unusual part is the order of payment: you complete the intake and the provider appointment without a card, and you are asked to pay only if a prescription is written. The operator is Aspen Aesthetics, LLC, of Prosper, Texas, which received an FDA warning letter in February 2026 over how it marketed these drugs.

What you get

The pricing page says every program includes a licensed provider consultation, the compounded medication, provider follow-up through the patient portal, and free overnight or 2-day shipping in refrigerated packaging. There are no membership or subscription fees. Both drugs are given as a weekly injection under the skin, and the site provides written and video injection guidance.

• Semaglutide: one option, a one-month supply on a pay-as-you-go basis
• Tirzepatide, monthly: a one-month supply that covers all dosages
• Tirzepatide, three months: Starter, Mid Dose and High Dose programs, paid up front and shipped at once
• Payment: credit cards, FSA/HSA cards where your plan allows, Afterpay and Affirm

Pricing, and what changes at refill

Month to month, both drugs cost $199, and the monthly tirzepatide plan is the same price at every dose. There is no subscription, so a refill is simply a new purchase at the price listed that day.

The three-month tirzepatide programs work differently. They are priced by dose level, with the Starter program cheapest and the High Dose program most expensive, and each is paid in full before the supply ships. Divided by three, every one of them costs less per month than the monthly plan, which is why the pricing page leads tirzepatide with a lower "starting price" than $199. That lower figure is an average of an up-front payment, not a monthly bill. The trade-off is cash up front and no refund once the pharmacy starts compounding all three months.

Semaglutide has no multi-month option, so its price is $199 every month at any dose.

How signing up works

• 1. Online intake. Health history, medications and goals. No credit card is needed.
• 2. Provider appointment. A licensed provider completes your appointment through the patient portal and decides whether a listed option fits. A prescription is never guaranteed.
• 3. Payment link. Only if a prescription is issued, you get a secure link, choose your pharmacy and supply length, and pay.
• 4. Pharmacy and shipping. An independent compounding pharmacy prepares the medication and ships it refrigerated, with directions on the label.

Because you choose the program after the prescription, you see the exact price before any money moves. That is the opposite of the pay-first checkout most compounded sellers use.

Pharmacy and clinicians

Fifty 410 calls itself a telehealth platform and says it does not compound, make or distribute medication. Its terms say prescriptions are filled by independently licensed compounding pharmacies under Section 503A of federal law, the kind overseen by a state pharmacy board rather than registered with FDA as a 503B facility. Those pharmacies go unnamed on the site, and so do the clinicians and their licenses. The refund policy mentions that you select a pharmacy when you pay, so ask which ones are offered for your state.

The FDA warning letter

In February 2026 the FDA sent Aspen Aesthetics, doing business as Fifty 410, a warning letter about false or misleading claims in the marketing of its compounded semaglutide and tirzepatide. Its pricing and program pages carry a safety box: neither compounded drug has FDA approval, and the agency has not checked either one for safety, effectiveness or quality. Even where the molecule matches the brand, compounded semaglutide differs from Ozempic and Wegovy in formulation, concentration and dose ladder. Read the letter itself and decide how much weight to give it. It is typical of the FDA's GLP-1 warning letters, most of which concern what sellers said rather than what pharmacies made.

States

Fifty 410 says its 4-week semaglutide and tirzepatide programs are available in all 50 states. Its 8-week tirzepatide program is not offered in Alabama, Arkansas, California, Hawaii, Kansas, Massachusetts, Michigan, Minnesota or Mississippi. Its terms add that you must be in a state where its affiliated providers are licensed when you consult, and the intake is free.

Cancellation and refunds

• Before payment: nothing to refund, because nothing was charged
• After payment, before compounding: full refund
• After compounding begins: no routine refund
• After shipping: no return or refund, except for a verified wrong, damaged, lost or warm shipment, reported within 48 hours of delivery

The pharmacy's order status decides when compounding has started, and a cancellation counts only when Fifty 410 confirms it arrived before then. With a three-month program, that leaves very little time to change your mind, so set these rules against other GLP-1 sellers' cancellation and refund policies before you commit to one.

Support

Customer support is by email, Monday to Friday 9 a.m. to 6 p.m. Central and Saturday 10 a.m. to 4 p.m., with replies promised within 24 hours. Medical questions go to your provider through the patient portal. There is also a Fifty 410 app. There is no published phone line.

What Fifty 410 does not tell you

• Which compounding pharmacies it uses
• Who its clinicians are and where they are licensed
• Whether insurance will reimburse you; it does not bill insurance directly

Who it suits, and who should look elsewhere

It suits someone who does not want to pay until a provider has said yes, and who likes seeing the exact program price before handing over a card. It also suits a tirzepatide patient ready to commit to three months and pay for them at once.

Look elsewhere if a recent FDA warning letter is a deal-breaker, if you want brand-name medication or insurance billing, or if you want to know your pharmacy and clinician before you start. A seller with a lower month-to-month price may also suit a semaglutide patient better, since $199 is the only semaglutide option here. Our scoring methodology shows how these factors are weighed.

Bottom line

Fifty 410 is $199 a month for either drug, with no card until a prescription exists and a full refund until compounding begins. Weigh that against a February 2026 FDA warning letter and a site that names neither its pharmacies nor its clinicians.

Bodybuilding Health+ ($179/month) and Belle Health ($199/month) sit closest to Fifty 410 in what they charge and what they dispense.