Member asks the price. Coordinator opens a spreadsheet. Leadership still does not know landed COGS.
That is the GLP-1 quoting gap weight-loss and telehealth ops teams describe when they set cash-pay membership tiers from a pharmacy sales PDF instead of the number they will actually pay at checkout.
You are not bad at sales. You are quoting from rows that were never built for member pricing.
This guide gives coordinators a six-step workflow to quote GLP-1 patients from real per-vial landed cost, a worksheet table ops teams use before they reset tiers, and links to deeper pricing guides when partner comparisons get messy.
Who this is for
This article is for pharmacy coordinators, ops leads, and founder-led weight-loss clinics that quote cash-pay members on compounded GLP-1 programs through 503A partners.
You are not the audience if you are a patient shopping for the lowest monthly injection price or a clinician asking about titration protocols. This is coordinator-side commercial ops content only. It is not medical advice and does not cover dosing, candidacy, or prescribing.
The scene coordinators describe
On discovery calls with scaled GLP-1 programs, the same margin friction shows up before anyone mentions software:
- Leadership needs a member price by Friday.
- Coordinators have three partner quotes on different supply durations.
- Catalog shows base vial price; shipping and processing appear later.
- Finance asks whether the quote includes platform markup inside the drug line.
I need to see cost before I quote patients.
That is a per-vial landed-cost workflow problem, not a dosing question.
What quoting from real per-vial cost means
Quoting GLP-1 patients with real per-vial cost means your member or membership price starts from landed clinic COGS for the exact medication, strength, concentration, and approximate days of supply you order, then adds program fees and target margin on top.
Real per-vial cost is not:
- The lowest number on a pharmacy sales sheet
- A patient-facing GoodRx or brand retail benchmark
- Base medication price before facilitation, processing, and shipping
Real per-vial cost is the estimated landed total your clinic pays for one vial through delivery, visible before you authorize checkout.
For the full COGS definition on semaglutide lines, see landed cost per vial. For supply-duration normalization, see month vs two-month compound pricing. For multi-partner charts, see five rows every comparison needs.
Coordinator quote worksheet
Build one row per titration step you actively quote. Use illustrative numbers to show structure, not live market prices.
| Row | Starter titration (example) | Mid titration (example) |
|---|---|---|
| Medication | Semaglutide compounded | Semaglutide compounded |
| Strength / concentration | 2.5 mg/mL | 5 mg/mL |
| Approximate days of supply | 28 days | 28 days |
| Landed cost per vial (COGS) | $214 | $248 |
| Target medication margin (clinic policy) | 35% | 35% |
| Medication component of member quote | $289 | $335 |
| Program fee (care, labs, coaching) | $149 | $149 |
| Member quote (medication + program) | $438 | $484 |
| Source of landed cost | Catalog + cart before checkout | Same SKU, re-checked quarterly |
Read the landed cost per vial row twice. Everything below it is clinic policy math. Everything above member quote quality depends on that row being real.
If you cannot fill landed cost from systems your coordinators use daily, you are guessing in front of members.
Six steps to quote GLP-1 patients with real per-vial cost
Step 1: Lock the SKU you actually order
Match medication name, strength, concentration, and approximate days of supply to what providers prescribe and what your formulary stocks.
A quote built on the wrong titration step or a two-month vial when you bill monthly will drift every refill cycle. Supply-duration rules live in the month vs two-month guide.
Step 2: Pull landed cost per vial before you open the membership sheet
Coordinators should source landed cost from the same place they will place orders:
- Browse the SKU in your medication catalog
- Add a test line to cart for the same strength and supply duration
- Review drug cost plus disclosed fees at clinic checkout
Pass-through pricing means the vial line is not padded with opaque markup. If your platform hides fees until after payment, your member quote is already wrong.
Step 3: Separate medication COGS from program fees
Members often pay one number. Ops should still model two:
- Medication COGS (landed per-vial cost normalized to how you bill)
- Program fee (visits, labs, messaging, coaching)
Bundling is fine for marketing. Blending the rows in your internal worksheet is how clinics lose margin when pharmacy invoices move.
Step 4: Apply margin policy to medication COGS only
Target margin belongs on landed medication cost, not on program fees you already priced for care delivery.
Medication component = landed cost per vial × (1 + target margin)Run margin per titration step if your formulary spans multiple strengths. One blended “GLP-1 margin” across every step hides loss leaders.
Step 5: Document the quote source
Every member tier or per-fill quote should trace to:
- FIZY SKU or internal formulary code
- Approximate days of supply
- Landed cost snapshot date
- Coordinator or ops owner who verified the row
When leadership asks why a tier changed, you answer from documentation, not memory.
Step 6: Re-check landed cost on trigger events
Re-run steps 2 through 5 when you:
- Add or switch a 503A partner
- Change vial size or supply duration
- See facilitation, processing, or shipping move at checkout
- Advance which titration steps you stock for new starts
Quarterly calendar reviews catch silent drift even when formulary codes stay the same.
Five mistakes that break GLP-1 member quotes
1. Quoting from base medication price.
Processing and shipping still hit at checkout. See the fee rows in landed cost per vial.
2. Mixing one-month COGS with two-month member billing.
Normalize supply duration before you quote. The five-row chart guide forces days of supply onto every partner column.
3. Using patient retail benchmarks as COGS.
GoodRx bands and brand vial news are not your clinic invoice. Coordinators quote from 503A landed cost, not consumer coupon sites.
4. Padding program fees to hide unknown pharmacy cost.
Works until a competitor quotes tighter or an invoice proves the pad was too thin.
5. Skipping re-checks after portal “price updates.”
Some platforms move markup inside the vial line without changing the SKU label. Re-pull landed cost in catalog before you broadcast new member pricing.
Questions coordinators should ask before publishing a quote
Add these to internal SOPs and vendor demos:
- Is this landed cost for one vial at our current titration step?
- What approximate days of supply does this row represent?
- Where do facilitation, processing, and shipping appear: catalog, cart, or invoice only?
- Is medication pass-through or does platform markup sit inside the drug line?
- Does catalog price match checkout for the same SKU this week?
If you cannot answer on one screen, delay the member quote until ops verifies the row.
Where Fizy Health fits (honest framing)
Fizy Health is built for clinics that already use 503A compounders and need one ordering layer with economics visible before you commit.
Pass-through pricing shows resolved per-vial 503A cost in the medication catalog. Checkout separates drug cost from disclosed facilitation before card authorization, so the worksheet above matches what coordinators see before they quote members.
Weight-loss-specific context lives on the weight-loss clinic ops page. Use the sibling guides when comparisons get harder: landed cost per vial, month vs two-month supply, and five rows every chart needs.
We will tell you straight if pass-through economics do not beat your current all-in cost. Do not switch for a blog post.
Bottom line
You cannot defend GLP-1 member pricing without real per-vial landed cost at the strength and supply duration you actually order.
Lock the SKU, pull landed COGS from catalog and cart, separate program fees, apply margin to medication cost only, document the source, and re-check when partners or fees move.
Quote patients from numbers you trust before checkout, not invoice archaeology after the vial ships.