How does Promise Pharmacy pricing work?

Wholesale provider pricing means the per-vial number is set by Promise Pharmacy as the compounder — not negotiated across a network of separate pharmacies. The biggest inputs are the SKU (semaglutide, tirzepatide, testosterone, NAD+, and so on), the strength and vial size, and your order volume. Promise Pharmacy markets volume-based wholesale tiers and a dedicated Wholesale Program for high-volume practices; better rates are implied as volume grows, but tier breakpoints are not published, so the curve is something you confirm with your account manager rather than read on the site.

Because the number arrives after onboarding, evaluation has to be question-driven. Ask for written per-vial cost on your top three SKUs — typically semaglutide, tirzepatide, and your highest-volume hormone or peptide — and ask whether that rate holds across refill cycles or moves at volume tiers. Ask what is included versus billed separately — shipping, cold-chain handling, rush charges — so the quoted line reflects true landed cost, not a drug-only starting point.

Fizy Health takes a different approach when you order through more than one 503A partner. Instead of wholesale rates you see only after credential verification and an account-manager conversation, it shows resolved per-vial 503A cost on each catalog and cart line before checkout, with a separately disclosed facilitation fee at payment. Drug cost passes through and the platform fee is named, so the landed number is visible the same day you sign up — no sales call required to see a price.

That difference matters most when you quote cash-pay patients. If you set patient pricing on semaglutide or tirzepatide, you need to know your per-vial cost before the consult, not after portal onboarding. A pass-through model lets you build margin from a number you can see; a portal-gated wholesale model asks you to commit before the number is confirmed — or to evaluate Promise alone while routing other SKUs elsewhere.