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The differences that change the bill—and the fit.

Highest overallLowest published start

Fifty410

People who want a clear three-month total and are comfortable receiving the full multi-month supply upfront.

73/100

Overall score

89/100

Transparency

Published ongoing total
From $133/mo for the three-month tirzepatide starter program
Membership
No subscription required; pay only if approved
Medication
Tirzepatide $399 starter, $499 mid-dose, or $549 high-dose for three months; semaglutide $199 monthly
Commitment
Three-month tirzepatide purchase; semaglutide has a monthly option
Medication model
Compounded injections in prepaid programs
Clinical support
Provider consultation, ongoing support, medication, refrigerated packaging, and shipping
Independent reputation
Trustpilot4.8/55,534 company reviews ↗
Community survey
Summer 2026 · Tier 2 ↗

Before you enroll

  • Three-month tirzepatide programs are paid upfront
  • All medication ships at once, and pharmacy packaging or vial configuration can vary
  • BBB evidence materially conflicts with the much larger Trustpilot score
Read the Fifty410 review