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Fifty 410 vs Willow

$133/mo against $399/mo for tirzepatide. Which is worth it, and for whom.

Illustration of two objects on a balance scale

Updated 2026-09-18


Both sell tirzepatide. Fifty 410 costs $133 a month and Willow costs $399, a difference of $266 a month or about $3,192 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. Willow is straightforward single-price plans. 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 410Willow
Product categoryCompounded — not FDA-approvedCompounded — not FDA-approved
Pharmacy named publiclyNoNo
Price includes the medicationYesYes
Billed monthly$133$399

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.

What each discloses: Fifty 410

  • 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.
  • 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: Willow

    Where it wins: A single price with no membership arithmetic. Watch for: There is little published detail on how dose changes are handled. Ask before committing.

    Each one’s strengths

    Fifty 410.

    • Genuinely no subscription — you buy a block and nothing recurs.
    • Among the lowest tirzepatide rates verified.

    Willow.

    • A single price with no membership arithmetic.

    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

    Decide on category first and price second. If one of these dispenses an FDA-approved product and the other a compounded preparation, you are not comparing like with like at any price. Where both are compounded, the pharmacy disclosure row is the next thing to weigh.

    The verdict

    On price alone, Fifty 410 at $133 a month is the more defensible choice on arithmetic alone. Willow earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Fifty 410 and Willow.

    How they sit against everyone else

    Dispensed byProductPer monthScore
    Coreage Rx
    Best overall on true monthly cost
    Compounded$1994.5
    SuperHealthy Rx
    Public offer; not independently scored
    Compounded$135Not scored
    Likeness Rx
    Public offer; not independently scored
    Compounded$199Not scored
    Trimi
    Lowest flat price with named pharmacies
    Compounded$1254.6
    PlexusDx
    Pharmacy transparency and genetic testing
    Compounded$1894.4
    Ozari Health
    Lowest advertised semaglutide price
    Compounded$1254.4
    Fifty 410
    Prepaid blocks with no subscription
    Compounded$1334.2
    Ivím Health
    Unlimited clinician access
    Compounded$1994
    Mochi Health
    Insurance concierge support
    Compounded$278
    +$79 fee
    3.6
    Coby Health
    Multi-month value with supplies included
    Compounded$2393.6
    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

    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.

    • Willow tirzepatide review

      Straightforward single-price plans. What is actually dispensed, how the prescription works, and what the price really is — $399 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

      23 programmes side by side — what each dispenses, under what authority, and what it really costs.

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