What to confirm for a recurring hormone program
Ask Promise Pharmacy for written per-vial wholesale cost on each hormone formulation you prescribe, since TRT cypionate, estradiol, progesterone, and combination creams carry different economics. Crucially for a cadence program, confirm rate stability: is your wholesale rate fixed, or does it renegotiate at volume tiers or contract renewal? A rate that drifts upward after you have set patient program pricing erodes margin on patients you already committed to. Confirm vial size relative to dosing frequency so per-dose cost reflects how often patients inject or apply, and confirm whether multi-month supply changes the economics.
Because hormone patients are long-horizon, also confirm what happens at account renewal. If wholesale rates can change when you cross volume thresholds or renew terms, model the downside so a future increase does not quietly turn a profitable TRT program unprofitable. Recurring cadence makes rate predictability a first-class concern, not a footnote in onboarding.