What drives the rate you are quoted
Three inputs generally shape a Strive Pharmacy clinic agreement. First, the SKU mix — Semaglutide/Glycine/B12, Tirzepatide/Glycine/B12, testosterone cypionate, sermorelin, NAD+, and the rest of Strive's broad provider formulary each carry different compounding economics. Second, expected volume and refill cadence, since Strive's FAQ notes that 60- or 90-day supplies can reduce cost compared to shorter fills. Third, the ancillary cost structure: whether shipping, handling, and day-supply charges are bundled into the drug rate or billed separately. Because none of these are published, the same medication can be quoted differently to different clinics, which is why a written, itemized agreement matters more than a verbal headline rate.
Treat the agreement as a negotiation, not a take-it-or-leave-it. Ask pricing@strivepharmacy.com for per-vial cost in writing on your top three SKUs, ask whether that rate is fixed or renegotiated as volume grows, and ask what is included versus billed separately. A clear agreement answers all three; a vague one leaves landed cost undefined until your first invoice from billing@strivepharmacy.com.