Head-to-head · WeighScore
Enara Health vs Fifty 410
The verdict
Fifty 410 takes it — 71.3/100 to 65.3/100.
Fifty 410 grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. 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…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Enara Health | Fifty 410 |
|---|---|---|
| WeighScore | 65.3/100 | 71.3/100 |
| Grade | C | C |
| Scorecard rank | #221 | #94 |
| Semaglutide | Not disclosed | $99/mo (all doses, compounded) |
| Tirzepatide | Not disclosed | $133/mo (starting dose, compounded) |
| Coverage | 6 states | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #221 · C
Strengths
- Prescribes FDA-approved branded GLP-1s (Wegovy, Zepbound) not compounded
- Insurance-based with prior-auth coverage for over 65% of members
- Board-certified obesity-medicine physicians
- Comprehensive program: dietitian, coaching, metabolic and genetic testing
- Established since 2015 with clinical track record
Where it loses points
- Available in only six states via partner clinics
- Requires in-network insurance; not a flat cash-pay option
- Not a pure-telehealth nationwide service
- Out-of-pocket cost varies by insurance coverage
- No compounded budget alternative for the uninsured
Graded #94 · C
Strengths
- Transparent public pricing from 99 dollars per month for semaglutide
- No membership or subscription; pay only for what you need
- Compounded by FDA-registered 503A and 503B pharmacies
- Fast 24 to 48 hour provider review
- Free one to two day shipping
Where it loses points
- Does not bill insurance directly
- Compounded GLP-1 is not an FDA-approved finished drug
- Specific clinician credentials are not publicly disclosed
- Served-states list is not published on the site
- No branded GLP-1 options
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.