Alternatives to Fifty 410

A flat $239/mo semaglutide, $399/mo tirzepatide, no-video intake with free overnight shipping — but it's only live in 23 states, and most big population centers aren't on the list.

A flat $179 for either molecule with a genuinely gentle microdosing tier — a reasonable, all-doses-included partner if you can live with a yearly plan and a pharmacy it doesn't name.

Compounded semaglutide at $69 a month and tirzepatide at $119, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. Both figures are advertised against struck-through list prices of $299 and $399 under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.

A one-product shop — compounded tirzepatide microdosing only, $89 the first month then $199/mo all-in, no live video visit described anywhere in the flow, and unusually candid on-site that the trial evidence for microdosing specifically is thin — but there's no semaglutide option at all, and no individual physician, pharmacy, or state list named anywhere on the site checked.

You cannot budget this one in advance, and that is a deliberate feature rather than an oversight. RxPepsDirect charges a flat $39 per visit for the provider review and the script; the medication is billed straight to you by Optimal Balance Pharmacy at wholesale with no markup — "typical pharmacy bill: $25 to $200" — plus $15 for FedEx overnight. No subscription, no tiers, no membership, and one visit covers up to three peptides. The trade is transparency of margin against certainty of total.

You cannot cost a year here, and that is the finding. The subscription is knowable — $99 a month, or $899 up front for twelve, which is $75 a month — and it buys a Chicago clinical team across six named states. The medication is prescribed and then priced somewhere the site never publishes, so every annual figure you can build has an unknown addend in it.

A no-membership-fee, quarterly-billed program — $167/mo semaglutide, $267/mo tirzepatide — bundling a GLP-1 fitness app, meal plans, and 1-on-1 nutrition coaching that most compounded-only competitors don't offer. It also publishes its own named comparison against Ro, Mochi Health, TrimRx, and Hims, an unusually direct move for this category.

Budget this one as a visit, not a prescription. "$39 for most visits, and $69 for weight loss consultations" is the whole of its published pricing; no medication cost appears anywhere. It is a primary-care telehealth practice covering seventy-odd conditions across seventeen states, with same-day appointments Monday to Saturday — useful, but not a GLP-1 program.

A 3-month starter-bundle model — $99/mo semaglutide, $133/mo tirzepatide, medication plus shipping, consult and an injection kit included — serving all 50 states with no membership fees.