Titration-aware questions to ask before you quote patients
GLP-1 cost is not one number; it moves with the protocol. Patients typically start low and titrate up, and different doses can mean different vial sizes or concentrations with different wholesale costs. Ask VSDH for written per-vial wholesale across the dose ladder you actually prescribe, not just a starting dose. Ask whether multi-month vials change per-dose economics, whether cold-chain shipping is bundled or per shipment, and whether revenue share applies on top of wholesale at every titration step.
Connect it to patient pricing: if you sell semaglutide as a monthly program, margin depends on cost at each ladder step weighted by how many patients sit at each dose. A partner rate that only covers the intro dose leaves the profitable part of the curve undefined once your cohort matures past the starting vial.