Does Promise Pharmacy charge a software fee on top of drug cost?

No separate SaaS fee does not mean no ancillary cost. Two Promise accounts with the same headline wholesale semaglutide rate can cost differently if one clinic pays per-shipment cold-chain fees and the other has shipping bundled into its wholesale tier. Payment processing passed through on each transaction scales with spend. Rush compounding outside Promise's five-day standard window may carry an added charge. To compare Promise fairly, ask whether your wholesale rate is drug-only and document every non-drug line item, then compute total cost of ownership over a representative month — not just per-vial drug cost.

This is also where a low wholesale drug rate can mislead. An attractive per-vial wholesale number paired with unbundled shipping on high-volume GLP-1 programs raises effective cost per vial — especially when orders ship one patient at a time through the provider portal rather than batched.

Fizy Health structures platform economics as one disclosed facilitation fee on top of pass-through 503A drug cost shown on each catalog and cart line before checkout. There is no hidden software charge folded into the drug rate and no monthly subscription on the Free plan — total cost of ownership is visible drug cost plus the named fee, computable before you order.

That makes comparison straightforward. Add any Promise ancillary fees to its wholesale drug rate over a representative month, then set that total against visible per-vial 503A cost plus disclosed facilitation fee for the same SKUs and volume. Comparing total-to-total — not drug-rate-to-drug-rate — is the only way to see which model actually costs less to run, even when Promise has no separate software fee.