Does Scripts mark up drug pricing?

Once inside the portal, request an itemized breakdown that separates the 503A drug cost from any platform, facilitation, shipping, or processing fee. Scripts calls its rates 'transparent pricing' inside the portal — if that transparency means line-item separation between drug cost and fees, you can confirm the no-markup claim directly. If the portal rate comes back as a single blended per-vial number with no itemization, the no-markup claim is unfalsifiable from your side — not necessarily false, but unverifiable. Also ask whether the portal rate is the partner pharmacy's cost passed straight through, or a negotiated network rate that includes Scripts's economics in a way not labeled as markup.

The point is not to assume bad faith. Scripts's aggregate network model can genuinely lower drug cost — the company cites a clinic testimonial of 'cutting medication costs by nearly 50%.' The point is that 'no markup' is a structure question: a model where you can see drug cost and fee separately lets you confirm the claim, while a blended portal number asks you to believe it.

Fizy Health is built around that structure. It shows resolved per-vial 503A drug cost on each catalog and cart line before checkout, and discloses a single facilitation fee separately at payment. Drug cost passes through and the fee is named — visible before you sign up, not after a vetting gate. You are not asked to trust a no-markup claim; you can read the components and add them up yourself.

For a clinic, that turns the pass-through question from a marketing line into a number. You can compare a visible drug cost plus disclosed fee against any Scripts portal rate on the same SKU, and see which actually delivers lower landed cost on your real SKUs. Whichever model wins on your drugs is the right one — but only a visible structure lets you make that call before you complete onboarding.