What does Tailor Made Compounding pricing mean for a clinic P&L?

You can plan the structure: which SKUs drive volume, expected refill cadence, and the patient price points your market supports. What you cannot plan up front with Tailor Made Compounding is the COGS number itself, because per-vial rates are not public. That gap matters most for high-volume GLP-1 programs, where a small per-vial difference multiplied across hundreds of monthly refills swings the bottom line. Before margin depends on it, ask your account manager for written per-vial cost on your top three SKUs and confirm whether the rate is fixed or subject to change at renewal.

Also clarify how ancillary costs hit the P&L. Tailor Made ships via UPS only and bills as a cash-based pharmacy. If shipping, signature delivery, or card processing are billed separately from the drug rate, the quoted per-vial number understates true landed cost. Build your margin model on the all-in number per vial delivered, not the headline rate.

Fizy Health inverts the planning problem for clinics that order through its assigned 503A partners. It shows resolved per-vial 503A cost on each catalog and cart line before checkout, with a separately disclosed facilitation fee at payment. For a P&L, that means COGS is a number you can read before you commit, so you can set patient pricing and project gross margin from day one instead of after portal approval.

Building the whole refill day in one cart reinforces the model: each line shows its cost, so you can see total COGS for a batch and the margin it implies before you submit a single payment. Owners who manage to a target gross margin get a faster, cleaner loop — see cost, set price, confirm spread — without waiting on an account manager to fill in the most important line on the page.