Fifty 410
Fifty 410 (operated by Aspen Aesthetics LLC) is a telehealth platform offering compounded GLP-1 medications with two features that stand out in the market: no credit card required until after a provider approves your consultation, and the most detailed dose-specific tirzepatide pricing available among compounded providers. The platform also has a notably large independent review base — 4,381 Trustpilot reviews at 4.8/5 — making it more independently validated than most competitors in this space.
Overview
- Consultation Model
- Async Telehealth
- Headquarters
- United States
- Shipping
- 2-6 business days
- Lab Testing
- No
- Prescriber Info
- licensed provider approves them, and receive all medication for multi-month plans shipped at once.
Pros
- No credit card required until after provider approval
- Multi-month supply ships all at once
- $99/mo equivalent on 3-month semaglutide plan
- Most detailed dose-specific tirzepatide pricing in the peer group
- Outstanding independent review record: 4.8/5 on Trustpilot across 4,381 reviews (the largest review sample in this group)
- No subscriptions, no auto-charges, no membership fees
Cons
- All prescription sales are final
- Binding arbitration clause and class-action waiver (Texas law)
- All medications are compounded
- Compounded GLP-1s face active FDA enforcement pressure; supply and legal landscape can change
- Some states require video/phone consultation before approval (adds friction for fully async-seeking patients)
- Monthly tirzepatide at $299/mo is not as competitively priced as the bundle options suggest