How does Strive Pharmacy pricing work?

Clinic agreement pricing means the rate is assembled from inputs you do not fully see up front. The biggest input is Strive's compounding cost for each medication, which varies by drug, strength, dosage form, and vial size. Strive compounds what you prescribe — injections, troches, topicals, and combination formulations across weight management, hormones, peptides, and longevity categories listed on its provider services page. On top of compounding cost sit operational charges such as shipping and handling, which Strive does not publish and which patient complaints have cited as separate line items on hormone orders.

Because the number arrives after provider onboarding, your evaluation has to be question-driven. Email pricing@strivepharmacy.com or work through your clinic liaison and ask for written per-vial cost on your top three SKUs — typically semaglutide, tirzepatide, and your highest-volume hormone or peptide. Ask whether that price holds across refill cycles, whether shipping is included, and whether 60- or 90-day supplies change per-dose economics, since Strive's FAQ notes longer day supplies can reduce cost.

Fizy Health takes the opposite approach for clinics that order across multiple 503A partners. Instead of a negotiated agreement you receive after onboarding with one compounder, it shows resolved per-vial 503A cost on each catalog and cart line before checkout, with a separately disclosed facilitation fee at payment. The drug cost passes through and the platform fee is named, so the landed number is visible the same day you sign up — no email to pricing@ required to see a price.

That difference matters most when you quote cash-pay patients. If you set patient pricing on semaglutide or tirzepatide, you need to know your per-vial cost before the consult, not after a clinic agreement. A pass-through model lets you build margin from a number you can see; an agreement-only model asks you to commit before the number is confirmed.