When clinic-agreement pricing breaks — replace it with pass-through

A clinic-agreement model sets your drug cost through a negotiation at onboarding. Olympia Pharmacy offers pricing through its DrScript portal and clinical liaison process — the per-vial rate arrives after you contact Olympia and complete onboarding, not at the point you are first evaluating the platform or quoting a patient. That can produce competitive rates for high-volume clinics with an established relationship, which is a real strength. The cost is timing and visibility: you do not see the number at the moment you are quoting a patient on semaglutide or tirzepatide, and re-checking a rate if volume or SKU mix changes means another conversation.

A pass-through model inverts that. With Fizy Health, the resolved 503A landed cost appears on each catalog and cart line before checkout, and the platform's margin is a disclosed facilitation fee at payment rather than an opaque per-vial spread. The drug cost is what the 503A pharmacy charges; the platform fee is stated separately. For a clinic quoting cash-pay GLP-1, peptide, or hormone patients daily, that means the price you quote and the price you pay are the same visible number — no markup layer obscured inside the vial cost, no waiting on a revised quote.

Replace a clinic-agreement model when the lack of upfront pricing actively slows your clinic. Common signals: you delay quoting a new patient because you are waiting on a rate confirmation; you cannot set cash-pay prices confidently because landed cost is not visible at point of sale; you suspect a per-vial spread but cannot separate drug cost from platform margin in your current invoices; or your SKU mix or volume has shifted and you are unsure whether your negotiated rate still reflects it without re-engaging sales.

Another signal is operational: if paid orders are rejected after checkout for SIG or licensure errors, the pricing question compounds with a validation gap. A pass-through platform like Fizy Health pairs visible per-vial cost with pre-submit cart validation — the same workflow that shows your per-vial margin also catches invalid SIGs, prescriber state mismatches, and stock gaps before you pay. If none of these signals apply — your Olympia Pharmacy rates are competitive and DrScript fits your daily cadence — a clinic-agreement model may still be the right fit. Replace it when the model, not the formulary, is the constraint.