Compounded semaglutide
Fifty 410 review
Semaglutide at Fifty 410 comes one way: a pay-as-you-go month for $199, with the dose included whatever it is. You aren't charged until a provider prescribes. Each purchase stands alone, so nothing renews behind your back.
Is it right for you?
Worth a look if
- You want to see a prescription before paying anything.
- You like reordering by hand each month instead of carrying an automatic plan.
- Splitting the cost with Afterpay or Affirm would help.
Skip it if
- You'd want a prepaid discount for committing to several months. Fifty 410 sells semaglutide only by the month.
- The FDA warning letter Fifty 410's operator received in February 2026 is a dealbreaker for you.
What's included
One $199 purchase buys a 1-month supply of compounded semaglutide, a licensed provider consultation and follow-up in the portal. Overnight or 2-day shipping in refrigerated packaging costs nothing extra. Fifty 410 says the price carries no membership or hidden fees.
Fifty 410 runs the platform and doesn't compound anything. Independent compounding pharmacies prepare and ship the medication. Payment happens after your consultation, through a secure link where you choose the pharmacy.
From sign-up to refills
- Complete the online intake about your health and goals, with no card on file.
- A licensed provider reviews it in the patient portal. You may be asked for more information or pointed to in-person care.
- With a prescription issued, a payment link arrives. Pick the pharmacy, then pay $199 for the month.
- The pharmacy ships your order chilled, and tracking follows once it's on the way.
- Order again for each new month. Nothing is charged automatically.
What's good, what isn't
What's good
- Fifty 410 charges nothing until a licensed provider has issued a prescription.
- The $199 semaglutide month includes every dosage, with free overnight or 2-day shipping.
- No subscription means Fifty 410 never bills a second month you didn't order.
What isn't
- Fifty 410's operator received an FDA warning letter in February 2026 about misleading claims.
- Once the pharmacy begins compounding, Fifty 410 offers no routine refund.
- Consultation and lab charges, once performed, aren't refunded under Fifty 410's policy unless billed in error.
Read these terms first
- The compounding cutoff
- You can cancel for a full refund after paying only until the pharmacy starts compounding. The pharmacy's order status decides that moment, not you.
- Damaged or warm shipments
- Report a warm, leaking or damaged package within 48 hours of delivery, with photos. Don't use it until the pharmacy responds.
- Regulatory history
- The FDA's February 2026 warning letter went to Aspen Aesthetics, doing business as Fifty 410, over false or misleading claims and misbranding.
- FDA warning letter
- FDA sent Fifty 410 a warning letter in February 2026. Read what it covers.
Price
Fifty 410 costs $199 a month for compounded semaglutide.
How we got $199
The arithmeticOne month = 30.4375 days
Fifty 410 advertises
Read on Fifty 410's own site
$199.00
The card is charged $199.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$199.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$54median $199$325+
178 cheaper · 47%161 dearer · 42%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Fifty 410$199
Another 173 sellers are cheaper than Fifty 410. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $199 a monthour figure, not re-checked
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
FDA has written to this seller
In , FDA sent warning letter 721481 to Aspen Aesthetics dba Fifty 410 (Prosper, TX). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names fifty410.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Common questions about Fifty 410
- Is Fifty 410 legit for semaglutide?
- Fifty 410 is a telehealth platform. Licensed providers decide on prescriptions and independent compounding pharmacies fill them. Compounded semaglutide isn't Wegovy or Ozempic and has no FDA approval. The company received an FDA warning letter in February 2026.
- How much does Fifty 410 semaglutide cost?
- $199 for a one-month supply at any dose, shipping included. That's the only semaglutide option listed. Fifty 410's month-to-month tirzepatide is $199.
- Does Fifty 410 accept insurance?
- Fifty 410 doesn't bill insurance directly. Cards, Afterpay, Affirm and FSA or HSA funds are accepted.
- How do I cancel a Fifty 410 order?
- Email support right after paying. A cancellation received before compounding starts gets a full refund; after that, the order goes ahead.