TRT-specific questions for your VSDH agreement
Ask for written per-vial wholesale on every hormone SKU and concentration you prescribe — testosterone cypionate, enanthate, estradiol, progesterone, and ancillary medications. Confirm whether rates are locked for your contract term or subject to renegotiation. TRT patients stay on protocol for years; a rate that moves quarterly breaks the margin model you sold them on day one.
Ask how shipping works on recurring TRT refills: per shipment, bundled into wholesale, or scaled by order frequency. Ask whether batching multiple TRT patients in one clinic session changes shipping economics — VSDH's branded pharmacy manages fulfillment, but billing rules are agreement-specific. Confirm revenue share applies the same way on month twelve as month one.