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All issuesIssue №09Pru3 min read
The Pru Series

Cost-Plus,
Explained

How pru prices a vial. The wholesale cost, the markup, and exactly why each number is what it is.

A 3-minute read

Most telehealth brands tell you what their products cost. They do not tell you why. The price on the page is a single number with no breakdown, no source attribution, and no way to verify whether you are paying for medicine, advertising, or something else entirely.

pru is built differently. We publish the math. Every component of the price you pay is broken out, named, and explained. The pharmacy cost. The syringe kit. The shipping. The physician's consult. The platform overhead. The margin we keep. None of it is hidden, because none of it should be.

The formula

Pharmacy cost plus a flat fifteen percent margin. That is our entire pricing rule for members. Whatever the wholesale cost of the molecule and the supplies that come with it, we add a small markup to keep the lights on, and we tell you what every line item is. The fifteen percent is not a marketing number. It is the number that lets us pay engineers, clinicians, and customer support without hiding fees inside the price of medicine.

A worked example

Here is the math on a real prescription from the pru formulary. NAD+ injectable, ten milliliters at one thousand milligrams. The structure is the same for every peptide we offer. The numbers change with the molecule, the dose, and the supplies it requires.

Worked Example
How we get to $150.42
NAD+ injectable · 10 mL · 1,000 mg
Pharmacy cost
From the FDA-regulated 503A compounding pharmacy that prepares your peptide.
$64.00
Syringe kit
Sterile single-use injection kit, included with every injectable.
$5.00
Shipping
Cold-chain delivery direct to your door.
$20.00
Physician consult
Independent licensed M.D. who reviews your health profile and writes the prescription.
$20.00
Marketing & platform
A flat 20% to keep the lights on. Engineering, support, content, payroll.
$21.80
Cost basis
$130.80
pru margin
15% of cost. Our entire profit on the bottle.
+ $19.62
You pay
$150.42

Why we do it this way

Most telehealth brands quote one number. They cannot tell you what fraction of that number is the medicine, what fraction is the marketing, or what fraction is the founder's salary.

We chose the opposite approach. The breakdown is a feature, not a marketing trick. If our pharmacy cost goes up, your price goes up by the same dollar amount. If we negotiate a better wholesale rate, your price comes down. There is no surprise.

The same molecule, the difference is the markup
pru Member
$150
Cost-plus pricing, every line item published.
Industry Average
~$275
Single sticker price, no breakdown, no verification.
Industry comparison reflects publicly listed prices for compounded NAD+ across other U.S. telehealth brands. Pricing varies by brand, dose, and time.

The breakdown is a feature, not a marketing trick.

What membership covers

pru membership is fifty dollars a month. It is the only membership we sell, and it covers the things that recurring care actually requires.

The pru Membership
$50/month
  • Industry-low pricing on every prescribed peptide. Members pay our 15% margin instead of the typical industry markup. On most protocols, the savings on your first order alone exceed a full month of membership. Every order after that adds more savings.
  • Unlimited physician messaging during your active protocol. Direct line to your prescribing physician, no extra charge.
  • 25% off every future consult. Whether you are being prescribed something new or booking a synchronous follow-up to track progress, the member rate applies.
  • Priority refill coordination. We coordinate refill timing with your physician seven days before your current supply runs out, so there is no protocol gap.
  • The pru Brief, members' edition. Quarterly research digest, member case stories, and an early subscriber preview of new compounds we add to the catalog.

The principle

Cost-plus pricing is unusual in this industry. We think it should not be. The medicine you take should be priced the way every other professional service is priced: cost of materials, cost of labor, a stated margin, and an itemized bill. That is what trust looks like in healthcare. It is what we are committed to delivering.

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