What fees should I confirm before signing with Olympia Pharmacy?

Work through each of these with your Olympia clinical liaison and get the answer itemized in your quote — not in a verbal conversation. Shipping and handling: is it per order, per box, flat, or free above a threshold? Does cold-chain or same-day-dispatch add cost? Does the fee differ for patient-direct versus office-use 503B delivery? Payment processing: is a card or ACH processing fee passed to you on each transaction? DrScript portal or platform fee: is there a recurring access charge or per-Rx fee associated with the DrScript prescriber portal? Account minimums: is there a minimum order or monthly volume, and what happens if you miss it? Rush and expedited charges: what triggers them on top of the base shipping rate? Returns, cancellations, and reships: who absorbs the cost when an order is incorrect or rejected?

Once you have those answers, recompute your per-vial landed cost by spreading every applicable fee across the vials in a typical order. The headline drug rate almost always looks better than the all-in number; your patient pricing and margin model should be built on the all-in figure. If a fee is variable, ask for the typical case so you can plan rather than rely on the best case.

Fizy Health is in the same category but structures fees to be legible. It shows resolved per-vial 503A drug cost on each catalog and cart line before checkout, and discloses a single facilitation fee separately at payment. Drug cost passes through; the platform fee is named. That structure makes the checklist short, because the components are already on the screen rather than waiting in a clinical-liaison quote.

When you compare Olympia Pharmacy to a pass-through model, compare all-in to all-in. Add every confirmed Olympia Pharmacy fee — shipping, processing, portal, minimums — to its quoted drug rate over a representative month, then set that against the visible per-vial cost plus disclosed facilitation fee for the same SKU and volume. Whichever delivers the lower true landed cost on the drugs you actually order is the better deal, regardless of which headline rate looked lower first.