Is BoomRx multi-month pricing actually cheaper?

Three traps recur. Titration: if a patient on multi-month semaglutide moves up a dose, remaining lower-dose product may be unusable. Drop-off: cash-pay patients churn, and multi-month supply paid ahead is a loss if the patient stops. Shipping: BoomRx's $30 flat fee is per patient order — multi-month supply in one order pays one $30 fee, which improves per-dose shipping economics, but only if the patient actually uses the full supply. Against those, multi-month offers real upside: fewer orders, less admin, and better shipping spread per dose when extended beyond-use dating supports the duration.

To evaluate on BoomRx, ask for per-vial cost on both month and multi-month options for your top SKUs, confirm which formulations qualify for extended beyond-use dating, then compute per-dose cost under a realistic completion rate rather than 100%. If you expect meaningful titration or drop-off, discount the multi-month savings accordingly.

Fizy Health shows resolved per-vial 503A cost on each catalog and cart line before checkout, with a disclosed facilitation fee at payment. That lets you order month-by-month without committing to multi-month economics you cannot verify up front, and re-check cost on every refill as patients titrate or change protocols. Batch the refill day in one clinic cart so you still get operational efficiency without locking into multi-month supply.

Compare adjusted per-dose numbers, not headline discounts. Get BoomRx month and multi-month per-vial cost plus $30 shipping per patient order, adjust for expected waste and titration, and set that against visible pass-through per-vial cost on the same SKU. The option with lower true per-dose landed cost under your real adherence model wins.