Head-to-head dispatch
Fifty 410 vs Queen RX
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Fifty 410 is a direct-to-consumer weight-loss telehealth service offering personalized compounded semaglutide and tirzepatide prescribed by licensed providers and prepared by FDA-registered 503A and 503B.
$99/mo (all doses, compounded) sema · $133/mo (starting dose, compounded) tirz · Verified July 25, 2026
Marked down on: Does not bill insurance directly
FDAWarning letter issued to Aspen Aesthetics dba Fifty 410 in February 2026. See the FDA warning-letter database.
Desk Score
Queen RX offers compounded GLP-1 treatment (semaglutide, tirzepatide, liraglutide) at $299/quarter (~$100/mo).
$100/mo (quarterly plan, compounded) sema · Verified July 20, 2026
Marked down on: No LegitScript or PCAB accreditation
Queen RX takes this head-to-head with the higher Desk Score, 74/100 (C) against 62/100 (C) for Fifty 410. Fifty 410 still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Fifty 410
62/100
C
Queen RX
74/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Fifty 410 | Queen RX |
|---|---|---|
| Semaglutide | $99/mo (all doses, compounded) | $100/mo (quarterly plan, compounded) |
| Tirzepatide | $133/mo (starting dose, compounded) | Not listed on Queen RX's site (checked July 20, 2026) |
| Coverage | Not listed on Fifty 410's site (checked July 25, 2026) | 45 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Budget-focused buyers wanting transparent no-membership compounded GLP-1 pricing. | Budget-conscious patients seeking low-cost compounded GLP-1. |
| Desk Score | 62/100C | 74/100C |
The verdict
Desk pick — Queen RXQueen RX takes this head-to-head with the higher Desk Score, 74/100 (C) against 62/100 (C) for Fifty 410. Fifty 410 still holds its ground where its strengths line up with yours.
Choose Fifty 410 if…
Budget-focused buyers wanting transparent no-membership compounded GLP-1 pricing.
$99/mo (all doses, compounded) sema · $133/mo (starting dose, compounded) tirz
FDAWarning letter issued to Aspen Aesthetics dba Fifty 410 in February 2026. See the FDA warning-letter database.
Choose Queen RX if…
Budget-conscious patients seeking low-cost compounded GLP-1.
$100/mo (quarterly plan, compounded) sema · 45 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Fifty 410 · Queen RX.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs Fifty 410
- CoreAge Rx vs Queen RX
- Fifty 410 vs Sunlight
- Queen RX vs Sunlight
- Fifty 410 vs NewSelf
- EverSlim vs Queen RX
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.