How do Promise Pharmacy shipping and handling fees work?

Ask your account manager specific, written questions. Is shipping a flat fee, a per-patient-shipment fee, or included in your wholesale drug rate? Does cold-chain or expedited delivery carry an added charge, and on which product categories? Is there free or reduced shipping above an order threshold? Who pays to reship if a package is delayed, damaged, or temperature-compromised — Promise's FAQ describes patient-care coordination on shipping issues but not who absorbs cost. And how does shipping interact with Promise's five-day compounding window versus the homepage's next-day shipping claim — are those different timelines with different charges?

Once you have the structure, convert it to a per-vial figure for a typical order. A flat shipping fee is cheap per vial on a large batch and expensive per vial on a single patient shipment, so your ordering pattern strongly affects delivered economics. If your workflow is many one-patient-at-a-time portal orders, shipping can quietly become one of your larger cost components — which is an argument for batching refills where your workflow allows.

Fizy Health shows resolved per-vial 503A drug cost on each catalog and cart line before checkout and discloses its facilitation fee separately at payment, so cost components are visible before you commit. Building the whole refill day in one clinic cart spreads any fixed charges across more vials in a single payment, which improves delivered per-vial economics when shipping scales per order rather than per vial.

When you compare, normalize on delivered per-vial cost. Add Promise Pharmacy's confirmed shipping and handling to its wholesale drug rate, divide by the vials in a representative order, and compare that to visible per-vial cost plus disclosed facilitation fee for the same SKU. Comparing delivered-to-delivered keeps shipping from hiding the real difference between portal-gated wholesale and pass-through checkout.