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No subscription, published refund policy, free refrigerated shipping
Also searched as: Fifty410
$133/mo
Compounded
Cash-pay
August 30, 2026
Fifty 410 does three things almost nobody else in this category does: it publishes a real refund policy, it includes free overnight or two-day refrigerated shipping, and it charges no membership or subscription at all.
Compounded tirzepatide starts at $133 a month ($399 for a three-month plan) and compounded semaglutide at $199 a month. There is no platform fee layered on top, and the company states you pay only if a licensed provider approves you.
The shipping point is worth dwelling on. Fifty 410's own FAQ notes that overnight or two-day refrigerated pharmaceutical shipping typically costs $50 to $75 per shipment — a cost most competitors either pass on or quietly absorb by shipping slower. Including it free at a $133 price point is a genuine differentiator.
Fifty 410 dispenses compounded semaglutide and tirzepatide. Compounded drugs are not FDA-approved and the FDA does not evaluate them for safety, effectiveness or quality.
A free online assessment the company says takes about five minutes, reviewed by a licensed provider. Fifty 410 states you pay only if approved.
Adults meeting standard GLP-1 criteria, assessed by the reviewing provider. Medical evaluation is required.
Licensed providers review the assessment and prescribe. The consultation is included rather than billed separately.
Not publicly listed as a standard requirement.
Compounding pharmacies. Specific partners are not publicly named.
Free overnight or two-day refrigerated shipping, included in the price. Fifty 410 notes this normally costs $50-$75 per shipment.
Provider support through the platform. Fifty 410 maintains a public Trustpilot profile.
None. Fifty 410 states no membership or subscription is required, and that you pay only if approved by a licensed provider.
The published plan price covers medication, the provider evaluation and refrigerated shipping.
No subscription to cancel. Three-month plans are paid upfront; see the refund policy below for how cancellation is handled.
Genuinely unusual for this category — Fifty 410 publishes a refund policy with clear tiers: a full 100% refund after payment but before compounding begins, and no refund once the medication has shipped from the pharmacy. That is more transparency than almost any competitor we have reviewed.
Not accepted. Compounded GLP-1s are not FDA-approved and are not insurance-eligible.
Reimbursement for compounded medication is uncertain. Confirm with your plan administrator before purchase.
Pricing in this review reflects what Fifty 410 and named third-party sources published as of August 30, 2026. Telehealth pricing changes frequently — confirm the current figure at checkout before you buy.
People who want low all-in compounded pricing without a subscription, and who value knowing the refund terms before paying. The free refrigerated shipping makes the effective price better than the headline suggests.
As with every compounded provider, the FDA has ended the shortage-based compounding allowances and proposed excluding semaglutide and tirzepatide from the 503B bulks list, so continued availability is not guaranteed. The no-refund-after-shipping rule is fair but absolute.
Compounded tirzepatide starts at $133 a month, with a three-month plan at $399 total. Compounded semaglutide is $199 a month. There is no membership or subscription fee, and free overnight or two-day refrigerated shipping is included.
Yes, and it publishes the terms — which is unusual here. You get a full 100% refund after payment but before compounding begins. Once the medication has shipped from the pharmacy there are no refunds. That is a reasonable policy for a compounded drug, and knowing it upfront is better than the silence most competitors offer.
No. The company states no membership or subscription is required, and that you pay only if a licensed provider approves you.
Yes, and it is refrigerated overnight or two-day shipping. Fifty 410's own FAQ notes this kind of shipping typically costs $50 to $75 per shipment, so including it materially improves the effective price.
No. Fifty 410 dispenses compounded semaglutide and tirzepatide, which are not FDA-approved. The FDA does not evaluate compounded drugs for safety, effectiveness or quality.
Every pricing and policy claim on this page traces back to one of these sources, checked on August 30, 2026.
$399 total for a three-month plan
Free refrigerated shipping included
No membership or subscription required
Overnight or 2-day refrigerated, normally a $50-$75 cost
Verified August 30, 2026. Prices change often — confirm before purchase.
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This review is for informational purposes only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with serious potential side effects and are not appropriate for everyone. Always consult a qualified healthcare provider before starting, changing, or stopping any medication. Compounded medications are not FDA-approved. The FDA does not evaluate compounded products for safety, effectiveness, or quality. Individual results vary. This page contains affiliate links, and we may earn compensation if you use them.
Date reviewed: August 30, 2026