Is Promise Pharmacy pricing pass-through or marked up?

If a vendor says it sells at wholesale, ask how you can confirm the number. With Promise Pharmacy, request an itemized account summary that separates the wholesale drug rate from shipping, cold-chain handling, and any processing fees. If the rate comes back as a single blended per-vial number, you cannot independently audit the components — not necessarily because the rate is inflated, but because it is unverifiable from your side. Also confirm whether volume tier discounts are reflected in the rate you see on day one or only after you hit unpublished thresholds.

The point is not to assume bad faith. In-house 503A compounding at volume can genuinely produce competitive wholesale economics. The point is structural: a model where drug cost and fee show separately on each cart line lets you confirm the math, while a portal-gated wholesale rate asks you to trust the account-manager conversation until your first invoice proves it out.

Fizy Health is built around verifiable structure 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 from the fulfilling compounder and the platform fee is named, so you are not asked to trust a wholesale claim — you can read the components and add them up yourself before you order.

For a clinic, that turns the pricing question from a marketing line into a number. You can compare visible drug cost plus disclosed fee against any Promise Pharmacy wholesale rate on the same SKU, and see which actually delivers lower landed cost. Whichever model wins on your real SKUs is the right one — but only a visible structure lets you make that call before you commit to provider onboarding.