Fifty 410 review

What it is

Fifty 410 is the trade name of Aspen Aesthetics, LLC, which does business as Fifty 410 Health from an office on West Prosper Trail in Prosper, Texas. It describes itself as a telehealth platform that connects patients with licensed providers, and it says plainly that it doesn't compound, manufacture or dispense medication. Its provider network includes physicians and nurse practitioners, and an independent compounding pharmacy prepares and ships what they prescribe. The site lists two weight-loss products, compounded semaglutide and compounded tirzepatide. Hair-loss formulas and NAD+, sermorelin, glutathione and methylene blue appear as coming soon. The company claims more than 200,000 patients and shows a 4.8 Trustpilot rating from nearly 6,000 reviews, and it has an app on iPhone and Android. Support runs by email, weekdays 9 a.m. to 6 p.m. Central and Saturdays 10 a.m. to 4 p.m., with replies promised within 24 hours. It doesn't bill insurance.

How it works

You start with an online intake that the site says takes about five minutes and asks for no credit card. A licensed provider then completes your appointment through the secure patient portal, reviews your health history and decides whether either medication suits you. A prescription is never guaranteed, and the provider can ask for more information or suggest in-person care instead. If you're prescribed, you get a payment link, choose your pharmacy and supply length at that point, and the medication ships after you pay. Every program includes the provider consultation, follow-up through the portal and free overnight or two-day refrigerated shipping. A three-month program ships all at once rather than as monthly refills. Dose changes go through your provider, and you get written and video guidance on how to inject. The site doesn't say how often a provider checks in after the first visit, so ask before you buy a longer program.

Pricing transparency

Fifty 410 publishes its prices on a single pricing page. Compounded semaglutide is $199 for a one-month supply. Compounded tirzepatide is also $199 a month on its monthly program, and the site says all dosages are included at that price. Three-month tirzepatide programs are priced by dose tier: $399 for the starter program, $499 for the mid-dose program and $549 for the high-dose program, which work out to $133, $166 and $183 a month. Each price includes the medication, the provider consultation and shipping, with no membership or subscription fee. You aren't charged until a provider prescribes. After you pay, you can cancel for a full refund until the pharmacy starts compounding. Once compounding begins, there's no routine refund, and shipped medication can't be returned. Damaged, warm or incorrect shipments must be reported within 48 hours for a replacement, refund or credit. HSA and FSA cards, Afterpay and Affirm are accepted, along with major credit cards.

Branded vs compounded

Fifty 410's providers prescribe compounded semaglutide and compounded tirzepatide, both given as weekly injections and prepared by independent compounding pharmacies it doesn't name. Compounded drugs are not FDA-approved and haven't been reviewed by the FDA for safety, effectiveness or quality, which the site states on every pricing page. Brand-name Wegovy, Ozempic, Zepbound and Mounjaro aren't offered, and there's no oral option. On February 20, 2026, the FDA issued a warning letter to Aspen Aesthetics, doing business as Fifty 410, after reviewing its website. The letter said product images showing "Fifty 410" on the label suggested the company compounds the drugs when it doesn't, and that the phrase "clinically proven ingredients" implied FDA approval. A warning letter is a public record to weigh rather than a ban. The site displays a LegitScript seal.

Pros and watch-outs

The evidence behind what Fifty 410 prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• What the semaglutide weight-loss trials actually showed

  STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.

• Tirzepatide vs semaglutide for weight loss: what the trials actually support

  Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.

• Compounded vs branded GLP-1: regulatory status, sourcing and the evidence

  Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

How Fifty 410 compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Bodybuilding Health+

  GLP-1 alongside NAD⁺ and sermorelin from a fitness brand

  See Bodybuilding Health+ →
• Gala Health

  A guided, program-style GLP-1 weight-care experience

  See Gala Health →
• FormBlends

  Cash buyers who want a published price for every plan length, the same price at every dose and a choice between one-off and subscription billing

  See FormBlends →

More GLP-1 telehealth reviews: Lean Meds · Longevixx · Magnolia Regenerative Medicine · Mondae · NEUVÉ Health · Nex Gen Health Rx