The traps to model before choosing multi-month
Three traps recur across compounded medication programs. Titration: if a patient on a multi-month semaglutide supply moves up a dose, the remaining lower-dose product may be unusable, and the discount you booked is offset by waste. Drop-off: cash-pay patients churn, and a multi-month supply paid or stocked ahead is a loss if the patient stops before completing it. Cash flow: multi-month buys tie up working capital and inventory risk that a monthly cadence avoids. Against those risks, multi-month does offer real upside — fewer orders, lower shipping drag per dose, and simpler refill logistics — so this is a genuine trade-off, not a clear win for either option.
To evaluate it for Wells Pharmacy Network, contact Wells before committing to a cadence and ask for per-Rx estimates on both monthly and multi-month options for your highest-volume SKUs. Then compute per-dose cost under your realistic expected completion rate — not 100%. If a meaningful share of your patients will titrate or drop off before completing a multi-month supply, discount the apparent savings accordingly and compare only the adjusted per-dose figures.