Accepted answer
Twelve months is 52 weekly administrations across 365 days, and on a four-week ladder from the bottom of the range about 5 steps — so roughly 20 of the 52 doses are escalation doses and 32 are at maintenance. Model it in that order and the routes become comparable: doses per year first, milligrams per dose second, cost per milligram third. Anything quoted per vial hides the second of those, which is the one that changes most between the first 20 doses and the last 32. Then add what each route charges that the other does not. A prescription route carries consultation and dispensing fees, spread across the 52 doses rather than paid once. A research route carries testing, shipping, and the material lost between them. Testing is the line most sheets omit. At one lot a quarter, a test-every-lot policy is 4 assays a year; at one lot a month it is 12. That difference is usually larger than any difference in price per milligram, and it is a policy you choose rather than a cost you are quoted. Put doses per year in the top row and derive everything under it, and the twelve-month totals compare on arithmetic instead of on presentation.
Start by listing every cost in the chain, since carriage, testing and wastage frequently exceed the difference in headline price.
Worked example. Supplier A: £60 for a 10 mg vial, content 96 per cent, so 9.6 mg for £60, or £6.25/mg before carriage. Supplier B: £52 for the same nominal vial, content 88 per cent, so 8.8 mg for £52, or £5.91/mg. B still wins here, but the gap has narrowed from thirteen per cent on the label to five per cent in reality.
Mechanically, carriage amortises across the order. Twenty-five pounds of carriage on one vial is £2.50/mg on a 10 mg vial; on ten vials it is £0.25/mg. That single term explains most of the case for larger, less frequent orders.
Syringe dead-space volumes are published per design, with fixed-needle insulin syringes under 5 microlitres and conventional luer designs at 35 microlitres or more.
Include carriage and testing as per-milligram terms. They dominate small orders.
edited 12 Jul 2025 by triple_agonist_q — expanded the table to cover the lower concentration
6I have kept every invoice and declaration, which I gather is the useful habit. – per_haugen 6 months ago 7Small correction: carriage amortises across the order, which changes small-order economics entirely. – rota_site 8 months ago add a comment