Fifty 410 vs Noom Med
$133/mo against $149/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 Noom Med costs $149, a difference of $16 a month or about $192 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. Noom Med is behaviour change alongside medication. 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.
What is actually being dispensed. Neither publishes which pharmacy compounds the medication, so ask both before you order and get the answer in writing.
Side by side
| Fifty 410 | Noom Med | |
|---|---|---|
| Advertised from | $133 | $149 |
| Membership on top | None | None |
| True monthly cost | $133 | $149 |
| Roughly, per year | $1,596 | $1,788 |
| Price includes medication | Yes | Yes, at microdoses |
| Names its pharmacy | Not published | Not published |
| Our score | 4.2 / 5 | 3.5 / 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 the two differ on record
They differ on 2 of the 7 things we track, and behave the same on the other 5. The differences are what the price gap is actually buying.
| Fifty 410 | Noom | |
|---|---|---|
| Month-to-month without prepaying a block | No | Yes |
| Medication included in the monthly price | Yes | No |
What each discloses: Fifty 410
- Compounded tirzepatide starter protocol at $133/month, sold as a $399 three-month block.
- High-dose tirzepatide protocol at $183/month, sold as a $549 three-month block.
- No membership, no subscription and no recurring charges — you buy a block outright.
- Provider consultation and free 1-2 day shipping included in the price.
- States it is a telehealth platform that does not compound or distribute medication itself, and that preparations come from FDA-registered 503A pharmacies.
- Publishes unusually detailed information on 503A standards, USP 797 sterility and batch testing.
- No payment taken unless a provider approves you.
Where it wins: Genuinely no subscription — you buy a block and nothing recurs. Watch for: The $133 is the starter protocol. Moving to the high-dose protocol takes it to $183/month, and both are prepaid three-month commitments.
What each discloses: Noom Med
- Noom Med listed from $149/month.
- Microdose GLP-1Rx programme listed from $79/month with medication included.
- Programme pairs low-dose medication with biomarker monitoring and coaching.
Where it wins: The coaching is the actual product here and it is well built. Watch for: A $79 microdose programme is not the same treatment as 10 mg tirzepatide. Check the dose before comparing on price.
Each one’s strengths
Fifty 410.
- Genuinely no subscription — you buy a block and nothing recurs.
- Among the lowest tirzepatide rates verified.
Noom Med.
- The coaching is the actual product here and it is well built.
- Medication is included in the microdose tier rather than billed separately.
How they score
| What we weigh | Weight | Fifty 410 | Noom |
|---|---|---|---|
| True monthly cost | 30% | 4.8 | 3.6 |
| Price honesty | 20% | 4.6 | 3.2 |
| Clinical support | 20% | 3.5 | 3.8 |
| Pharmacy sourcing | 15% | 4.2 | 3.3 |
| Cancelling | 15% | 3.3 | 3.6 |
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 to choose
- Pick Fifty 410 if cost is the binding constraint. Over a year the gap is about $192, which is real money for the same class of medication.
- Pick Noom Med if what it does better matters to you — the coaching is the actual product here and it is well built.
- 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. Noom Med earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Fifty 410 and Noom Med.
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.
- Noom Med tirzepatide review
Behaviour change alongside medication. What is actually dispensed, how the prescription works, and what the price really is — $149 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.