What drives cash-pay landed cost on Wells
Landed cost from Wells includes the per-vial compounded drug cost and shipping. Wells does not publish a public per-vial price list, and per-Rx pricing becomes visible in WellsPx3 after an order is placed. The practical approach for cash-pay clinics is to confirm pricing with Wells at account setup or through account representative conversations, then use those confirmed rates to set patient program prices. Shipping is a separate line from Wells, so the true landed cost is drug plus shipping — both confirmed after the order is placed in WellsPx3.
Predictability matters as much as the headline rate in a cash-pay model. When pricing is confirmed per order rather than shown pre-catalog, the clinic's margin depends on rates staying stable across refill cycles. The economic evaluation of Wells is less about whether rates are competitive and more about how consistently per-Rx pricing holds over time and whether the single-compounder relationship covers the full formulary.