06. Membership & Members
Membership & Members
An annual commitment, billed monthly, built around quarterly blood work, and a value exchange that has to work for the member and for the pharmacy owner who lets us in the door.
Membership Model
Annual commitment, billed monthly. Quarterly blood work only pays back across a full year, and month-to-month members churn before the second draw.
| Tier | Price | Includes |
|---|---|---|
| Core | ~$79/mo | Quarterly panel, HARP scores, plan, async pharmacist, member pricing |
| Plus | ~$149/mo | Adds quarterly dietitian session, expanded panel |
| Complete | ~$299/mo | Adds in-house prescriber access: hormones, GLP-1s, compounded topicals |
Mechanics to get right:
- “Member pricing,” never “discounts.” Discounts train people to wait for sales and imply an inflated list price. Member pricing is Costco logic; the membership pays for itself. Mito Health runs this openly, with member supplement pricing offsetting 50–75% of the fee.
- Itemize clinical services separately for HSA/FSA. Panels and consults are generally eligible; supplements aren’t. Correct invoicing gives the member an effective 25–40% reduction in pre-tax dollars, a bigger lever than any discount.
- Salary all clinicians. Never commission on product. Publish the policy. The cheapest possible defense against the central criticism of this model, and referring physicians check.
What the Member Gets
- Quarterly measurement instead of an annual physical that measures nothing
- A plan built on their own data, not a quiz
- A pharmacist, dietitian, and prescriber who know their name and their medication list
- Prescription, dispensing, and monitoring in one building; no referral out
- Verified products at member pricing; no Amazon roulette
- One place instead of six
What the Pharmacy Owner Gets
This slide unlocks our deal flow. It matters as much as the investor economics.
- A new revenue line entirely outside PBM reimbursement
- Recurring monthly revenue against a business that is currently transactional and shrinking
- Their core dispensing business preserved and better run, not dismantled
- Operational improvement: purchasing scale, technology, staffing support, back office
- Reason for patients to walk in four additional times per year
- Clinical services and prescribing capability without building it themselves
- Meaningful rollover equity and a second exit at platform scale