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PharmacyLive pass-through vs markup

Is PharmacyLive pricing pass-through or markup?

PharmacyLive is portal software for compounders, not a clinic pricing engine. The per-vial price you see in a PharmacyLive portal is whatever your compounding pharmacy configured in that deployment. PharmacyLive does not publish whether those rates are raw 503A cost, cost plus margin, or bundled with shipping. Clinics cannot independently verify pass-through economics without a written breakdown from the pharmacy. Fizy Health, by contrast, shows resolved 503A per-vial cost on each line with a separately disclosed facilitation fee at checkout.

This page explains the difference between pharmacy-set portal rates and visible pass-through pricing, and what to ask before you build patient programs on opaque numbers.

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What does pass-through mean in a PharmacyLive context?

Pass-through pricing means the buyer can see the underlying 503A drug cost and any platform fee as separate, auditable lines before payment. In a PharmacyLive portal, clinics see a single catalog price per SKU set by the deploying pharmacy. PharmacyLive's roadmap lists Pricing and Billing tools for pharmacy operations as coming soon, but today clinics have no corporate transparency layer that proves a rate is raw compounder cost versus pharmacy margin. True pass-through requires your compounder to itemize cost components in writing, not just display a portal price.

How to verify whether your portal rate is pass-through

Ask your pharmacy rep three questions in writing: what is the raw compounding cost per vial for your top SKUs, what fees sit on top, and whether shipping is embedded or billed separately. Ask whether the displayed portal price changes when their wholesale input cost changes, or only when they renegotiate your account. Without answers, you are trusting a single number in a white-label UI.

Markup is not always malicious. Pharmacies may bundle cold-chain handling, payment processing, and account management into one line. The clinic risk is opacity: you cannot quote patients confidently or compare compounders if you do not know what is inside the number.

What visible pass-through looks like on the clinic side

Fizy Health separates drug economics from platform economics on every catalog and cart line. Resolved per-vial 503A cost appears before checkout, and a facilitation fee is disclosed at payment. You can model margin on semaglutide and tirzepatide from components you see, not from a pharmacy-configured headline rate.

That matters when you use multiple 503A partners. Pass-through visibility across partners lets ops compare landed cost per SKU without logging into three different PharmacyLive deployments with three opaque price books.

Trust your pharmacy's portal price — or see pass-through components?

PharmacyLive fits if

PharmacyLive

Your compounder's portal rates are transparent enough for your ops team.

  • You only order from one compounding pharmacy and they provide written cost breakdowns on request.
  • You are fine with a single catalog price per SKU without separate drug and fee lines in the portal.
  • You do not need to compare pass-through economics across multiple compounders in one view.
Consider Fizy Health if

Fizy Health

You want per-vial 503A cost and platform fee visible before checkout.

  • You quote cash-pay patients and need auditable COGS components, not one opaque portal line.
  • You route orders across multiple 503A partners and compare landed cost per SKU in one catalog.
  • You want pass-through drug pricing with a named facilitation fee at payment.
If you choose Fizy Health

Pass-through economics clinics can audit.

PharmacyLive portal prices are pharmacy-set. Fizy Health shows 503A cost and facilitation fee separately.

See all features
Keep evaluating PharmacyLive pricing

Related transparency pages.

See the full PharmacyLive pricing guide
FAQ

Pass-through and markup questions about PharmacyLive.

  • Model

    Does PharmacyLive guarantee pass-through drug pricing?

    PharmacyLive sells portal software to pharmacies. Per-vial rates displayed to clinics are configured by each deploying pharmacy, and pharmacylive.com does not publish a pass-through guarantee for clinic buyers.

  • Verification

    How do I know if my portal price includes markup?

    Ask your compounder for a written breakdown of compounding cost, shipping, and any margin or processing fees per vial on your top SKUs.

  • Roadmap

    Will PharmacyLive add pass-through billing tools?

    PharmacyLive lists Pricing and Billing for pharmacy operations as coming soon on its prescriber portal page. Clinics should verify current transparency with their compounder today.

  • Comparison

    How does Fizy Health define pass-through?

    Fizy Health shows resolved per-vial 503A cost on catalog and cart lines before checkout, with a separately disclosed facilitation fee at payment.

  • Multi-pharmacy

    Can pass-through rates differ between PharmacyLive portals?

    Yes. Each pharmacy configures its own catalog prices. Two compounders on PharmacyLive may show different economics for the same SKU with no consolidated pass-through view.

  • Margin

    Why does pass-through matter for cash-pay clinics?

    Patient program margin depends on COGS you can plan. Opaque portal prices make it harder to quote GLP-1 and hormone programs before consults.

Sources reviewed June 2026

  • PharmacyLive public website and prescriber portal page (pharmacylive.com), reviewed June 2026.
  • Fizy Health platform capabilities reflect the live product.
Evaluate with real numbers

See pass-through per-vial cost before you quote patients.

Compare 503A economics with a named facilitation fee on your top SKUs. Free to start.

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