Fifty 410 vs FOLX Health
A detailed head-to-head comparison of Fifty 410 and FOLX Health — pricing, peptides, consultation models, and patient reviews.
At a Glance
RatingNo reviews
Starting PriceN/A
Peptides4
ConsultationAsync Telehealth
Lab TestingNo
Shipping2-6 business days
Pros
- No credit card required until after provider approval
- Multi-month supply ships all at once
- $99/mo equivalent on 3-month semaglutide plan
- Most detailed dose-specific tirzepatide pricing in the peer group
- Outstanding independent review record: 4.8/5 on Trustpilot across 4,381 reviews (the largest review sample in this group)
- No subscriptions, no auto-charges, no membership fees
Cons
- All prescription sales are final
- Binding arbitration clause and class-action waiver (Texas law)
- All medications are compounded
- Compounded GLP-1s face active FDA enforcement pressure; supply and legal landscape can change
- Some states require video/phone consultation before approval (adds friction for fully async-seeking patients)
- Monthly tirzepatide at $299/mo is not as competitively priced as the bundle options suggest
RatingNo reviews
Starting PriceN/A
Peptides2
ConsultationHybrid
Lab TestingYes
Shipping3-5 business days
Pros
- LGBTQ+-trained providers who understand how gender-affirming hormone therapy interacts with metabolic health and GLP-1 prescribing
- Culturally competent environment
- Combines gender-affirming care and weight management in a single platform, reducing the need to manage multiple providers
- Sexual health services (PrEP, STI treatment) available alongside weight management
- Asynchronous messaging option reduces friction for patients with variable schedules
- Founded specifically for LGBTQ+ patients, not a retrofit of a heteronormative platform
Cons
- Primarily cash-pay; insurance acceptance is limited, making it more expensive out-of-pocket than some competitors
- GLP-1 formulary should be verified given the 2025 compounded semaglutide regulatory changes
- Weight management is one service among many; patients seeking intensive, dedicated obesity medicine support may find more depth at weight-focused platforms
- State coverage variability affects availability of specific services, particularly hormone therapy
- The breadth of services means no single specialization is as deep as a condition-specific platform
Pros & Cons
Peptide Pricing Comparison
| Peptide | Fifty 410 | FOLX Health |
|---|---|---|
| NAD+ | Price unavailable | Not offered |
| Semaglutide | Price unavailable | Price unavailable |
| Sermorelin | Price unavailable | Not offered |
| Tirzepatide | Price unavailable | Price unavailable |
Frequently Asked Questions
Is Fifty 410 or FOLX Health better?
Fifty 410 offers 4 peptides and async telehealth consultations. FOLX Health offers 2 peptides and hybrid consultations. The best choice depends on which peptides you need, your budget, and preferred consultation model.
Which is cheaper, Fifty 410 or FOLX Health?
See the pricing table above for a detailed comparison.