Fifty 410 vs MDLive
A detailed head-to-head comparison of Fifty 410 and MDLive — 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 TestingNo
Shipping3-5 business days
Pros
- All 50 states
- Insurance integration is deep: most employer plans include MDLive, reducing or eliminating out-of-pocket costs
- Backed by Evernorth/Cigna
- Covers primary care, urgent care, dermatology, and behavioral health in one platform
- On-demand availability for urgent visits
- Video visits provide real-time interaction; not async-only care
Cons
- Not a GLP-1 specialist: patients seeking structured weight loss programs, dedicated titration coaching, or compounded semaglutide should look at specialist platforms
- Pricing is opaque for cash-pay patients; strongly optimized for the insured population
- Individual access (without employer benefits) is less seamless than using it through your employer plan
- No weight loss program structure comparable to Found, Calibrate, or Sequence
- No labs ordered or drawn through the platform (patients need to go to external lab)
Pros & Cons
Peptide Pricing Comparison
| Peptide | Fifty 410 | MDLive |
|---|---|---|
| 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 MDLive better?
Fifty 410 offers 4 peptides and async telehealth consultations. MDLive 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 MDLive?
See the pricing table above for a detailed comparison.