How do Strive Pharmacy shipping and handling fees work?

Ask pricing@strivepharmacy.com specific, written questions. Is shipping a flat fee, a per-box fee, or weight-based? Does cold-chain or expedited delivery carry an added charge on GLP-1 injections, and on which products? Is there free or reduced shipping above an order threshold, and what is it? Who pays to reship if a package is delayed, damaged, or temperature-compromised? And when you order multiple patient lines, does each shipment carry its own fee or can orders batch?

Once you have the structure, convert it to a per-vial figure for a typical order. A flat shipping fee is cheap per vial on a large batch and expensive per vial on a single line, so the same fee can help or hurt depending on how you order. If your workflow is many small orders through Strive's prescriber portal, shipping can quietly become one of your larger cost components — which is an argument for batching refills where your ops model allows it.

Fizy Health shows resolved per-vial 503A drug cost on each catalog and cart line before checkout and discloses its facilitation fee separately at payment, so the cost components are visible before you commit rather than emerging on an invoice. Building the whole refill day in one clinic cart also reduces the per-vial drag of fixed costs, because a batched order spreads any flat charges across more vials.

When you compare, normalize on delivered per-vial cost. Add Strive Pharmacy's confirmed shipping and handling to its agreed drug rate, divide by the vials in a representative order, and compare that to the visible per-vial cost plus disclosed fee for the same SKU. Comparing delivered-to-delivered keeps shipping from hiding the real difference between the two models.