The three layers that make up VSDH economics
VSDH pricing is not a single line item. The first layer is platform software: public press releases describe a fixed annual licensing fee plus revenue share on booking revenue and pharmacy orders for white-label partners. The second layer is pharmacy wholesale: compounded medications flow through VSDH's branded pharmacy network, and partner-facing catalog pricing is visible only after login — not on the public product pages. The third layer, for operators on VSDHOne, adds state-specific licenses and per-order platform fees on top of the telehealth and fulfillment stack.
Because none of these layers publish dollar amounts on vsdigitalhealth.com, two clinics ordering the same semaglutide strength may pay different all-in costs depending on their agreement tier, revenue-share percentage, and whether shipping and fulfillment are bundled into the wholesale rate or billed separately. Your evaluation has to be question-driven: ask for written per-vial wholesale on your top SKUs, the revenue-share basis (gross vs net, bookings vs pharmacy only), and what the annual license covers versus what triggers additional fees.