What fees should I check before signing with Promise Pharmacy?

Work through each of these with your Promise account manager and get the answer in your agreement, not in conversation. Shipping and handling: is it per order, per patient shipment, flat, or included in the wholesale drug rate — and does cold-chain add cost on GLP-1 lines? Payment processing: is a card or ACH fee passed to you on each transaction? Rush or expedited compounding: what triggers an added charge outside the standard five-day fulfillment window? Account minimums: is there a minimum order or monthly volume for wholesale tier pricing, and what happens if you miss it? Returns, cancellations, and reships: who absorbs cost when an order is wrong, delayed, or temperature-compromised?

Once you have those answers, recompute per-vial landed cost by spreading every applicable fee across the vials in a typical order. The headline wholesale 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, not just the best case.

Fizy Health structures fees to be legible when you order across assigned 503A partners. 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 an account agreement.

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