The per-Rx math at refill-day volume
A clinic with ten weekly refills completes ten fax cover sheets or EMR transmissions. A clinic with fifty weekly refills completes fifty. Each involves looking up the patient, verifying the protocol, filling out or generating the Rx, and transmitting it to VLS. No step carries over from one patient to the next. Staff time grows one-for-one with patient count.
This is manageable when refill volume is low and the prescriber relationship with VLS pharmacists is the main value. It becomes the operational bottleneck for growth-stage GLP-1, BHRT, and weight-management programs where refill day can span dozens or hundreds of patients.