Can you use GoodRx if you have Medicaid?
Asked by: Declan Hane | Last update: July 8, 2025Score: 4.3/5 (57 votes)
Why can't I use GoodRx with Medicaid?
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.
Can you go to any pharmacy with Medicaid?
If your pharmacy doesn't accept Medicaid, CHIP, or your health plan, call the number in your eligibility letter to find a pharmacy you can use. You can usually find this information on the state Medicaid or CHIP agency website too.
Why do pharmacies not like GoodRx?
Because this is known scam for drug abusers to get controlled substances at a lower price and sell them later on. More importantly goodrx in general is a scam. They take an estimated cost and simply mark it down. They pocket a part of switch fees that pharmacy pays. So overall on many drugs the pharmacy takes a hit.
Why can't you use GoodRx with Medicare?
Denied Medicaid Coverage? What to Do Next | Medicaid Unwinding | GoodRx
Can you use GoodRx if you have government insurance?
Yes, patients can use GoodRx instead of federal- or state-funded programs. However, GoodRx cannot be used together with federal- or state-funded programs to lower the medication copay or coinsurance.
Who stopped accepting GoodRx?
But throughout much of 2022, GoodRx was embroiled in a dispute with Kroger. The dispute became public in the spring of that year when Kroger suddenly stopped accepting GoodRx discounts.
What is the GoodRx scandal?
According to the FTC's complaint, GoodRx violated the FTC Act by sharing sensitive personal health information for years with advertising companies and platforms—contrary to its privacy promises—and failed to report these unauthorized disclosures as required by the Health Breach Notification Rule.
Can a pharmacy refuse to accept 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.
Who is cheaper than GoodRx?
Bottom Line. SingleCare and GoodRx make prescription drug prices more affordable for consumers. Both companies have identical aims, but SingleCare generally offers lower pricing and free delivery.
Why would Medicaid deny a prescription?
Errors in the prescription itself, missing information, or discrepancies between the prescribed medication and what Medicaid covers can all lead to a denial.
What does Medicaid not cover?
Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.
Does CVS work with Medicaid?
Yes, MinuteClinic takes most insurance plans, including Medicare and Medicaid. CVS Health, the parent company of MinuteClinic, has always worked to meet the needs of Medicare and Medicaid members. In fact, we've been a market leader in Medicare management since 2006.
What is the catch to GoodRx?
“Keep in mind you cannot use GoodRx and insurance at the same time,” the company's website says. Using a GoodRx coupon means you're doing a “cash” payment for your medications. (In this context, paying “cash” means you're paying out of pocket — without insurance.)
Who is eligible for GoodRx?
You can use GoodRx whether you have insurance, Medicare or no insurance coverage at all.
Can I use GoodRx card if I have insurance?
Yes, you can use a discount even if you have insurance
But if you do have insurance, you can always use a GoodRx discount instead of insurance if the cost is lower. Coupons can't be used to lower a copay, but you can ask your pharmacist to: Apply a coupon.
Does GoodRx take Medicaid?
You can use a GoodRx discount instead of your prescription insurance or Medicare if the cost is lower. However, GoodRx cannot be combined with your insurance or any federal or state-funded program such as Medicare or Medicaid. GoodRx is not insurance.
Can I use GoodRx if I'm on Medicare?
GoodRx can't be used in combination with Medicare, but it can be used in place of Medicare. You may want to consider using GoodRx instead of Medicare when Medicare doesn't cover your medication, when you won't reach your annual deductible, or when you're in the coverage gap phase (“donut hole”) of your Medicare plan.
Why not to use GoodRx?
But earlier this year, GoodRx was penalized by the Federal Trade Commission, or FTC, for disclosing patients' personal health information without their consent. And using GoodRx's discounts isn't always easy or predictable.
Does Walmart accept GoodRx?
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.
Can a pharmacy refuse to take GoodRx?
Participating pharmacies are contractually obligated to accept GoodRx coupons. If your pharmacist refuses to accept them, you can call GoodRx at (855) 268-2822.
Is there a class action lawsuit against GoodRx?
Shortly after the FTC settlement was announced, a class action lawsuit was filed in the U.S. District Court of the Northern District of California against GoodRx that made similar allegations to the FTC – that personal information was disclosed to third parties without users' knowledge or consent, when they had been ...
Did Walmart stop taking GoodRx?
While most U.S. pharmacies accept GoodRx discounts, there are a few exceptions to keep in mind: Walmart's new opioid policy – As of June 1st, 2018, Walmart will no longer accept any discounts for an opioid prescription. For more information on Walmart's policies regarding Opioid prescriptions click here.
How many times can you use GoodRx?
GoodRx coupons themselves do not expire; you are able to re-use the coupons as many times as you would like. However, we recommend you always obtain a new coupon from the website before refilling so you are receiving the most up to date price when you pick up your prescription.
Why is GoodRx being investigated?
The FTC's complaint details GoodRx's pervasive sharing of user data with third parties, including vendors and social media companies. We learn in the complaint that GoodRx, like many healthcare organizations, used Meta's Pixel software to track its users.