What drives the wholesale rate you receive
Three inputs shape your Promise Pharmacy wholesale rate. First, the SKU mix — GLP-1 compounds, hormones, peptides, and aesthetics each carry different compounding economics because Promise compounds in-house. Second, expected volume, since Promise Pharmacy advertises volume discounts and wholesale tier pricing for practices above thresholds — but tier breakpoints are not published. Third, ancillary terms: whether shipping, cold-chain handling, or rush compounding are bundled into the wholesale drug rate or billed separately. Because none of these are on the public site, get per-vial cost in writing on your top three SKUs before you build patient pricing around the numbers.
Treat the onboarding pricing conversation as due diligence, not a formality. Ask whether your wholesale rate is fixed across refill cycles or renegotiated at volume tiers. Ask what happens if you add SKUs later — peptide-heavy clinics often expand formulary over time. A clear written rate sheet answers those questions; a verbal headline rate leaves landed cost undefined until your first invoice.