The traps to model before choosing multi-month
Three traps recur. Titration: if a patient on a multi-month semaglutide supply moves up a dose, the remaining lower-dose product may be unusable, so 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. Cash flow: multi-month buys tie up working capital and inventory risk that a monthly cadence does not. Against those, multi-month does offer real upside — fewer orders, less shipping per dose, and simpler refill operations — so the decision is a genuine trade-off, not a clear win.
To evaluate it on White Label Rx, ask for per-vial cost on both month and multi-month options for your top SKUs, then compute per-dose cost under a realistic completion rate rather than 100%. If you expect a meaningful share of patients to titrate or drop off, discount the multi-month savings accordingly. Only compare the adjusted per-dose numbers — that is where the trap shows up or disappears.