Orderly Meds vs Fifty 410
Side-by-side comparison of Orderly Meds and Fifty 410 for compounded tirzepatide and semaglutide: advertised price vs true monthly cost, 12-month totals, membership, cancellation terms, medications offered and who each is best for.
The short version
- For compounded tirzepatide, Fifty 410's lowest 12-month all-in total is $2,046 versus $3,288 at Orderly Meds, a difference of $1,242 over a year. Month-to-month at a maintenance dose, Orderly Meds costs $299 and Fifty 410 costs $299.
- For compounded semaglutide, Orderly Meds's lowest 12-month all-in total is $1,788 versus $2,388 at Fifty 410, a difference of $600 over a year. Month-to-month at a maintenance dose, Orderly Meds costs $149 and Fifty 410 costs $199.
- Orderly is an all-in compounded provider whose current rates we are re-verifying.
- Fifty 410 competes on price; we rank it once its current rates are verified.
Head-to-head answers
- Which is cheaper over a year? Fifty 410 ($2,046 vs $3,288, $1,242 less) on 12-month all-in totals (verified / reported).
- Which is cheaper month-to-month at maintenance doses? Fifty 410 ($299 vs $299).
- Which has no membership fee? Orderly Meds: none. Fifty 410: none.
- Which uses which pharmacy? Orderly Meds: PerfectRx / PerfectionRx, ProRx, Casa, Pharmacy Hub, SmartPharmaRx. Fifty 410: ProRx, BPI / The Pharmacy Hub.
- Which is better at the maintenance dose? Orderly Meds: same price at every dose. Fifty 410: price rises with dose.
- Which requires a video visit? Orderly Meds: asynchronous. Fifty 410: not captured.
- Which accepts insurance? Orderly Meds: cash-pay. Fifty 410: cash-pay.
- Which has better cancellation terms? Orderly Meds: Cancel anytime. Fifty 410: Cancel anytime.
- Which is better for switching at an established dose? Orderly Meds: flat pricing and a month-to-month plan mean the current dose is neither penalized nor locked in.
Side by side
Green cells mark the better value on that row when both figures are known. * provisional score: pricing not yet directly verified.
Pricing in words
Orderly Meds charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). The first 2 months are an introductory $149 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,288 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
Fifty 410 charges $299 per month on a month-to-month plan, and $166 per month at the starting dose, rising to $183 per month at higher doses for compounded tirzepatide (injection). The first 3 months are an introductory $133 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $166 and the lowest 12-month total is $2,046 (3-month plan). Because pricing rises with dose, the 12-month figure uses our 3 + 9 titration model (three months at the starting price, nine at the maintenance price). Prices last checked August 25, 2026; status: verified.
Orderly Meds charges $149 per month on a month-to-month plan for compounded semaglutide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $149 and the lowest 12-month total is $1,788 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
Fifty 410 charges $199 per month on a month-to-month plan for compounded semaglutide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $199 and the lowest 12-month total is $2,388 (month-to-month plan). Because pricing rises with dose, the 12-month figure uses our 3 + 9 titration model (three months at the starting price, nine at the maintenance price). Prices last checked August 25, 2026; status: verified.
Choose Orderly Meds if
Patients comparing all-in compounded plans who want oral and injectable options from one provider.
- Offers both compounded semaglutide and tirzepatide, including oral forms
- All-in pricing without a separate membership
- Prepay discounts available
Choose Fifty 410 if
Price-focused patients comparing low-cost compounded plans.
- Packages include consultation, support and free overnight or two-day shipping
- Pricing by total milligrams is unusually transparent about what a package actually covers at each dose
What to weigh against each
Orderly Meds: Pricing pending verification and has changed since the shortages ended. Pharmacy partners and state coverage not yet verified.
Fifty 410: Effective monthly cost rises with dose: $133 (starter) to $166 (10 mg) to $183 (15 mg) per month equivalent. Three-month packages must be matched to the dose; a 144 mg package does not cover 12.5 mg weekly for twelve weeks.
How to read this comparison
Both providers were scored with the same rubric and the same cost model. Rankings never use the advertised monthly price on its own, because a low first-month number can hide a membership fee or a dose-based increase. Where a provider's price has not been directly checked against its own site, we say so and do not rank it on cost. Compounded tirzepatide and semaglutide are not FDA-approved; the only FDA-approved products are Zepbound, Mounjaro, Wegovy, Ozempic and Rybelsus. See the methodology and important safety information.
Frequently asked questions
Is Orderly Meds cheaper than Fifty 410?
For compounded tirzepatide, Fifty 410's lowest 12-month all-in total is $2,046 versus $3,288 at Orderly Meds, a difference of $1,242 over a year. Month-to-month at a maintenance dose, Orderly Meds costs $299 and Fifty 410 costs $299.
Does Orderly Meds or Fifty 410 charge a membership fee?
Orderly Meds: no separate membership fee. Fifty 410: no separate membership fee.
Which is better for tirzepatide, Orderly Meds or Fifty 410?
Orderly Meds offers tirzepatide; Fifty 410 offers tirzepatide. Orderly is an all-in compounded provider whose current rates we are re-verifying. Fifty 410 competes on price; we rank it once its current rates are verified.