The symptom: you cannot quote the patient on real landed cost
The pricing transparency problem shows up when a patient is ready to start semaglutide or tirzepatide and you still do not know your all-in per-vial cost. RxFul publishes monthly platform tiers on rxful.com, but those tiers gate catalog breadth — GLP-only on the free plan, full formulary from $997/mo — and Silver adds volume-based fulfillment pricing. The monthly fee is visible; the landed drug cost you need for margin may not be until you are inside the product.
For owners, the opacity makes cash-pay program planning a moving target. If per-vial 503A cost is bundled into tiered SaaS and volume fulfillment, building predictable patient pricing means working from estimates rather than numbers you can see in catalog and cart before checkout.