Fifty 410 vs Coby Health
$133/mo against $239/mo for tirzepatide. Which is worth it, and for whom.
Updated 2026-09-18
Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.
Both sell tirzepatide. Fifty 410 costs $133 a month and Coby Health costs $239, a difference of $106 a month or about $1,272 a year. What matters more is whether the two are dispensing the same category of product at all.
Fifty 410 is prepaid blocks with no subscription. Coby Health is multi-month value with supplies included. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though it usually is once you have established that both dispense the same thing.
Side by side
| Fifty 410 | Coby Health | |
|---|---|---|
| Advertised from | $133 | $179 |
| Membership on top | None | None |
| True monthly cost | $133 | $239 |
| Roughly, per year | $1,596 | $2,868 |
| Price includes medication | Yes | Yes |
| Names its pharmacy | Not published | Not published |
| Our score | 4.2 / 5 | 3.6 / 5 |
Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.
Where Fifty 410 wins
- Genuinely no subscription — you buy a block and nothing recurs.
- Among the lowest tirzepatide rates verified.
- Unusually detailed public explanation of 503A standards and batch testing.
- No payment taken until a provider approves you.
The $133 is the starter protocol. Moving to the high-dose protocol takes it to $183/month, and both are prepaid three-month commitments.
Where Coby Health wins
- Injection supplies are included rather than something you source yourself.
- Monthly plan is genuinely cancel-anytime.
- Unusually clear on its own pages that the product is not FDA-approved.
The $179 figure is a multi-month rate. Month-to-month is $239.
How they score
| What we weigh | Weight | Fifty 410 | Coby |
|---|---|---|---|
| True monthly cost | 30% | 4.8 | 3.7 |
| Price honesty | 20% | 4.6 | 3.6 |
| Clinical support | 20% | 3.5 | 3.3 |
| Pharmacy sourcing | 15% | 4.2 | 3.4 |
| Cancelling | 15% | 3.3 | 3.7 |
Fifty 410 scores higher overall at 4.2 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.
Which should you pick?
- Pick Fifty 410 if cost is the binding constraint. Over a year the gap is about $1,272, which is real money for the same class of medication.
- Pick Coby Health if what it does better matters to you — injection supplies are included rather than something you source yourself.
- Ask both which pharmacy compounds the medication and whether it is a 503A or 503B facility. Neither publishes it.
The verdict
On price alone, Fifty 410 at $133 a month is the more defensible choice on arithmetic alone. Coby Health earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Fifty 410 and Coby Health.
How they sit against everyone else
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $199 | 4.5 |
| Trimi Lowest flat price with named pharmacies | Compounded | $125 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $125 | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | Compounded | $133 | 4.2 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $278 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $239 | 3.6 |
| Hims & Hers Widest range of formats | Compounded | $238 +$39 fee | 3.5 |
| Ro Branded medication with insurance help | FDA-approved brand | $448 +$149 fee | 3.5 |
| Zealthy Low-cost entry with insurance routing | Compounded | $216 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 3.5 |
Read next
- Fifty 410 tirzepatide review
Prepaid blocks with no subscription. What is actually dispensed, how the prescription works, and what the price really is — $133 a month.
- Coby Health tirzepatide review
Multi-month value with supplies included. What is actually dispensed, how the prescription works, and what the price really is — $239 a month.
- How to spot a bad seller
The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.
- The twelve-month cost
Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.
- Tirzepatide programmes compared
21 programmes side by side — what each dispenses, under what authority, and what it really costs.