Fifty 410 vs Genesis Health
A detailed head-to-head comparison of Fifty 410 and Genesis 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
Rating★★★★☆ 4.0/5
Starting Price$176/mo
Peptides2
ConsultationAsync Telehealth
Lab TestingNo
Shipping3-5 business days
Pros
- Flat-rate pricing — no price increase as dosage titrates
- Free expedited shipping included
- Bundled pricing (consultation + medication + shipping)
- FSA/HSA eligible
Cons
- FDA warning letter (Feb 2026) for misleading marketing
- Very limited review history (~15-22 Trustpilot reviews)
- No insurance acceptance — entirely cash-pay
- States served not publicly disclosed
- No founding year or leadership team publicly identified
- Async-only: no video consultations, no dietitian, no lab work
Pros & Cons
Peptide Pricing Comparison
| Peptide | Fifty 410 | Genesis Health |
|---|---|---|
| NAD+ | Price unavailable | Not offered |
| Semaglutide | Price unavailable | $176/monthly |
| Sermorelin | Price unavailable | Not offered |
| Tirzepatide | Price unavailable | $176/monthly |
Frequently Asked Questions
Is Fifty 410 or Genesis Health better?
Fifty 410 offers 4 peptides and async telehealth consultations. Genesis Health offers 2 peptides with a 4/5 rating and async telehealth consultations. The best choice depends on which peptides you need, your budget, and preferred consultation model.
Which is cheaper, Fifty 410 or Genesis Health?
See the pricing table above for a detailed comparison.