Can I use GoodRx if I am on Medicare?

Asked by: Dr. Dusty O'Conner IV  |  Last update: May 27, 2023
Score: 4.1/5 (70 votes)

While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge.

Does everyone qualify for GoodRx?

GoodRx is free for consumers, and we do not require that you create an account to search for prices and receive discounts.

Can a pharmacy refuse to take GoodRx?

Are pharmacies required to accept GoodRx coupons? Participating pharmacies are required to accept GoodRx through contracts with their pharmacy benefit managers (PBMs). An exception is for controlled medications. Accepting a GoodRx coupon for a controlled medication is always at the discretion of the pharmacist.

What is the catch with GoodRx?

GoodRx promotes itself as a company that allows you to compare drug prices and find coupons at over 60,000 pharmacies across the country. Sounds great right? Well, unfortunately there is a catch. GoodRx only works if you are paying without insurance, which is how less than 5% of prescriptions are paid for.

Is GoodRx better than Medicare Part D?

GoodRx can also help you save on over-the-counter medications and vaccines. GoodRx prices are lower than your Medicare copay. In some cases — but not all — GoodRx may offer a cheaper price than what you'd pay under Medicare. You won't reach your annual deductible.

Can I Use GoodRx on Medicare

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What is the monthly fee for GoodRx?

How much is a GoodRx Gold membership? GoodRx Gold is free for 30 days, after which you'll pay $9.99 per month for individuals. For families, choose our $19.99 per month plan and add up to 5 family members, including pets. GoodRx Gold is an excellent way to save for any family that takes multiple prescriptions.

Can I use a GoodRx coupon at a different pharmacy?

When you search GoodRx for your medication, you'll see all of the pharmacies on the drug price page. Participating pharmacies are contractually obligated to accept GoodRx coupons. If your pharmacist refuses to accept them, you can call GoodRx at (855) 268-2822.

Can I use a prescription discount card with Medicare Part D?

The short answer is no. If you're on a Medicare prescription drug plan, you won't be able to use drug discount coupons. In this article, we'll explore the rules regarding drug discounts with Medicare, when to use coupons instead of your Medicare plan, and other ways to save money on your prescription drugs.

Can seniors use GoodRx?

While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge. Here's how it works.

What is the Medicare discount card?

The Medicare Prescription Drug Discount Card Program will enable Medicare beneficiaries to obtain discounts of 10 to 25 percent on prescription drugs.

Why are my prescriptions so expensive with Medicare?

Another reason some prescriptions may cost more than others under Medicare Part D is that brand-name drugs typically cost more than generic drugs. And specialty drugs used to treat certain health conditions may be especially expensive.

Can you use GoodRx on top of insurance?

Keep in mind that you cannot use GoodRx and insurance at the same time. However, you can use GoodRx instead of insurance or government-funded programs, such as Medicare or Medicaid, to pay for your prescription medications. GoodRx is not insurance.

Why are GoodRx prices so low?

PBMs typically require pharmacies to accept discount cards to remain in the PBM's pharmacy network. That's why a consumer without insurance saves money by having access to a PBM's network rate, which is lower than the cash price. GoodRx provides a convenient and user-friendly interface for finding these PBM rates.

Can you use GoodRx at Walmart?

GoodRx discounts are still accepted at Walmart and Sam's Club. If you have issues using a GoodRx discount at a Walmart or Sam's Club, please have the pharmacist call 1-866-921-7286. Thanks!

What is the difference between GoodRx and GoodRx gold?

GoodRx vs. GoodRx Gold: What's the difference? Just like GoodRx, GoodRx Gold gives you access to drugs at discounted prices at popular pharmacies in your area. The big difference between GoodRx and GoodRx Gold is that you have to pay a membership fee to use GoodRx Gold.

Will GoodRx prices go up in 2022?

The GoodRx research team has found that 2022 prices for 669 drugs have increased by an average of 5% so far this month.

Why do pharmacies hate GoodRx?

“Pharmacies hate GoodRx's system since they lose money from the potential profit, they would have made from cash paying customers and then also lose money when they pay a fee for selling to a patient who might have used their pharmacy anyway,” says Dr. Fein.

What pharmacy is cheapest to fill prescriptions?

In our survey of prescription drug prices, stand-alone CVS pharmacies and those inside Target stores narrowly edged out Walmart and undercut the other major drugstores by more than $600.

Do I need Part D if I use GoodRx?

GoodRx is a discount drug program that searches for the lowest price prescription drugs in your area. They also offer manufacturer drug discount coupons when available. GoodRx is not prescription drug insurance and does not replace your Medicare Part D prescription drug plan.

How accurate is GoodRx?

GoodRx says the prices listed on the app are “generally very accurate.” However, you can call 1-855-268-2822 to speak with customer support if there's a price dispute at checkout. This is important: Do not pay for your prescription, go home and then contact GoodRx.

Is Medicare Part D required?

Is Medicare Part D Mandatory? It is not mandatory to enroll into a Medicare Part D Prescription Drug Plan.

What is the max out-of-pocket for Medicare Part D?

The out-of-pocket spending threshold is increasing from $6,550 to $7,050 (equivalent to $10,690 in total drug spending in 2022, up from $10,048 in 2021).

What drugs are not covered by Medicare Part D?

Medicare does not cover:
  • Drugs used to treat anorexia, weight loss, or weight gain. ...
  • Fertility drugs.
  • Drugs used for cosmetic purposes or hair growth. ...
  • Drugs that are only for the relief of cold or cough symptoms.
  • Drugs used to treat erectile dysfunction.

Can I use SingleCare if I'm on Medicare?

Can you use SingleCare with Medicare? Anyone can use SingleCare's free drug coupons, even if you receive drug coverage through Medicare Advantage or Medicare Part D.

What is a Medicare Plus plan?

The Medicare Plus Card offers discounts on prescription drugs, dental, vision and hearing care. To use the card, you must find a pharmacy, dentist, eye doctor or hearing doctor who will accept the card and apply the discount to your appointment or product.