Does Strive Pharmacy charge a software fee on top of drug cost?

On Strive Pharmacy, your cost is the compounded medication rate negotiated through pricing@strivepharmacy.com, plus potentially separate shipping, handling, and day-supply charges that may not be in the headline drug rate. There is no published monthly platform fee because Strive's prescriber portal is part of the pharmacy relationship, not a standalone SaaS product. That simplifies the fee stack — drug plus logistics — but it also means your drug rate is agreement-gated and not visible on strivepharmacy.com before onboarding.

Do not confuse 'no software fee' with 'fully transparent pricing.' Strive's economics can still be opaque if shipping, day-supply cadence, and handling sit outside the per-vial rate you quote patients on. Build total cost of ownership from the all-in delivered number, not the drug line alone.

Fizy Health passes through per-vial 503A drug cost shown on each catalog and cart line before checkout, and discloses a single facilitation fee separately at payment. There is no hidden software charge folded into the drug rate — the ops layer fee is explicit. For clinics that order across multiple assigned 503A partners, that structure buys batch checkout, cart validation, per-line audit, and multi-pharmacy routing in one session.

A fair comparison adds Strive's all-in drug plus logistics cost against Fizy Health's visible drug cost plus disclosed facilitation fee on the same SKUs over a representative month. Strive may win on drug rate alone for clinics that only ever order Strive SKUs. Fizy Health wins when you need cost visible before the consult, batch refills across partners, or validation before pay — even though it carries a named ops fee Strive does not publish because Strive is not that layer.