What to ask your pharmacy about volume tiers
Request a written tier table: per-vial cost at your current monthly volume, the next threshold, and the rate at two times your projected GLP-1 volume. Ask whether tiers apply per SKU or across the whole account, and whether a missed month resets your tier. Ask if shipping and cold-chain fees change at volume or stay flat per shipment.
Connect tiers to patient program economics. A volume discount on semaglutide that only kicks in at 300 vials per month may not help a clinic launching a new weight-loss line. Model margin at your actual first-quarter volume, not the tier your rep highlights on a slide.