The line items to confirm in writing before you sign
Work through each category with Scripts and get the answer in writing, not in conversation. Shipping and handling: is it per order, per box, flat rate, or free above a threshold, and does cold-chain or expedited delivery add cost? Payment processing: is a card or ACH fee passed through on each transaction? Platform or software fee: is there a recurring access charge separate from drug cost, and if so is it monthly, per order, or percentage-based? Account minimums: is there a minimum order or monthly volume, and what happens to your rate or access if you miss it? Rush or expedited charges: what triggers them? Returns, cancellations, and reships: who absorbs the cost when an order is wrong, rejected, or temperature-compromised during transit?
Once you have those answers, rebuild your per-vial landed cost by spreading every applicable fee across the vials in a typical order. Scripts markets impressive drug-rate savings — a testimonial on the website cites 'cut medication costs by nearly 50%' — but that claim is about the drug line only. Your patient pricing and margin model should be built on the all-in number per vial delivered, not the headline portal rate. If a fee is variable, ask for the typical case so you plan, not just the best case.