Do prescriptions cost the same at all pharmacies with insurance?

Asked by: Dr. Stefan Jacobson  |  Last update: June 1, 2025
Score: 4.4/5 (49 votes)

Separately, your out-of-pocket cost may be different depending on the pharmacy you get your prescription filled at. That's because your insurance company may have a preferred pharmacy network. Your final out-of-pocket cost will depend on the pharmacy you choose as well as the copay or coinsurance required by your plan.

Do different pharmacies have different prices with insurance?

Prices differ, based on their markup, the brand of the medication, and how much you order. Your insurance plan may require you to use its "preferred" pharmacy. That's a pharmacy your insurance company has an agreement with. If you use this pharmacy, you may have a lower copay for medications.

Why does my prescription cost more with insurance?

Despite the other answers, they can charge you more for an Rx with insurance. It is that pesky little thing called a deductible. If you have a deductible, that will be added to the standard charge. Using an Rx discount card won't apply to your deductible, so the deductible is always there until it is paid.

Do pharmacies matter for insurance?

pharmacies to serve you in your plan. Even if you've been going to the same pharmacy for a long time, these contracted relationships can change at any point. If your pharmacy becomes out-of-network you may have to pay for the medication and submit a claim yourself or visit a network pharmacy to get your medication.

Is Walgreens or CVS cheaper for prescriptions?

Prescriptions: CVS is often cheaper than Walgreens.

CVS claims that over 85% of their prescriptions cost under $10 after insurance.

How pharmacy benefit managers influence drug pricing

41 related questions found

Which pharmacy has the lowest prices?

In the Consumer Reports survey, Costco had the best prices for a brick-and-mortar store, while the online mail-order pharmacy Healthwarehouse.com had the lowest overall pricing. The report found the two highest-priced national retailers were CVS Health and K-Mart for the common medications they checked.

Why is my prescription cheaper at another pharmacy?

Because prices are negotiated, some pharmacies pay different prices for the same drug. This is part of why medications may cost different between Walmart, Walgreens, and CVS, for example.

What is the best pharmacy to use for prescriptions?

Following Good Neighbor Pharmacy, which ranked highest among brick-and-mortar chain drug store pharmacies for a seventh consecutive year, with a score of 793, is Health Mart (770), which ranks second, and Rite Aid Pharmacy, which ranks third (680).

Can I use any pharmacy with my insurance?

Can I go to my regular pharmacy to get my medication? Just like different health plans cover different medications, different health plans allow you to get your medications from different pharmacies (called “in-network pharmacies”).

Why do pharmacies not like 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 do I do if my prescription is too expensive?

These tips may help minimize your prescription drug costs.
  1. Choose a network pharmacy. ...
  2. Check into home delivery options. ...
  3. Order online. ...
  4. Use discount programs. ...
  5. Ask for generics when you can. ...
  6. Switch to a different form of the same drug. ...
  7. Ask for a 90-day supply. ...
  8. Reach out to assistance programs.

Are all prescriptions the same price?

Prescription charges are for each item not each prescription. For example, if your prescription has 3 medicines on it you will have to pay the prescription charge 3 times. Some items are always free, including contraception and medicines prescribed for hospital inpatients.

How can I lower my prescription costs?

D., shares strategies to consider with your provider and pharmacist that may make your medications more affordable and accessible.
  • Use Generic Instead of Brand Name Medications. ...
  • Ask About Medication Options. ...
  • Compare Different Pharmacies. ...
  • Take Advantage of Coupon Savings. ...
  • Learn About Patient Assistance Programs.

Is it OK to use different pharmacies?

Here are some of the potential negative effects of using multiple pharmacies: Duplication of Medications: Using multiple pharmacies can lead to a duplication of medications, as patients may not remember all the medications they are taking or may not communicate effectively with each pharmacy.

Why are independent pharmacies cheaper?

Chain pharmacies do not necessarily support the economy of the town or city where they are located. Support the economic health of your city or community by choosing a local pharmacy. Pricing Differences: Many independent, local pharmacies have a lower profit margin, allowing them to offer lower prices when needed.

Do insurance companies have preferred pharmacies?

Some plans have a standard and a preferred network of pharmacies. You may pay a higher out-of-pocket cost at a standard network pharmacy than at a preferred network pharmacy. Not all plans have a preferred pharmacy network. So make sure your plan has the best pharmacy based on the drugs you take.

How to find out how much a prescription will cost without insurance?

RxSaver is designed to be used without insurance, or in place of your insurance. By typing your medication into the search bar on the RxSaver website, or mobile app, you'll see how much your medication will cost. If the coupon price beats your insurance copay, simply use the coupon instead of your insurance.

Can I use GoodRx with insurance?

However, GoodRx cannot be combined with your insurance or any federal or state-funded program such as Medicare or Medicaid. GoodRx is not insurance. If you choose to use a GoodRx coupon or your GoodRx Gold membership, it's important to ask the pharmacist not to run your prescription through your insurance or Medicare.

Does it matter what pharmacy I use?

While independents land at the top of our ratings because of their customer service and speediness at filling prescriptions, that's not all you should consider when choosing a pharmacy. Other factors include cost, convenience, and the services offered.

Do prescriptions cost more at different pharmacies?

Pharmacies generally make much higher profit margins on generic drugs. That's because there are many manufacturers producing the same medication. The cost of these generic versions is much lower for pharmacies and allows more room for price fluctuation between pharmacies.

Does GoodRx work at every pharmacy?

GoodRx now shows prices and discounts for Marsh Drugs in Indiana and Ohio, Bayshore Pharmacy in New Jersey, and more local pharmacies. Keep in mind that GoodRx discounts will work at virtually every pharmacy in the US.

Is Walmart prescriptions cheaper than Walgreens?

Wal-Mart almost always offers the best prices on drugs. However, if you have insurance or use a discount drug card then price is not really an issue. Walgreens I always felt was much higher priced not only on drugs but practically every thing in the store.

Why is my medication so expensive with insurance?

Consumers may also pay more if they are covered by plans that require them to pay a set co-payment, no matter the cash price. In some of those cases, the insurers require the pharmacies to send them the difference between what they collect from the consumer and what the insurers have agreed to reimburse the pharmacies.

How do pharmacies get paid by insurance plans?

After a prescription is received, a pharmacy transmits an electronic claim with the patient's benefits to the PBM. Once the claim meets the terms defined by the health plan, the PBM returns the claim to the pharmacy that reflects the contractual agreements for payment and reimbursement.

When should I switch pharmacies?

There are a lot of reasons that you may need to switch to a new pharmacy, like a move, convenience or a change to your health insurance. Take some time to search your health plan's network of pharmacies and shop around to find the lowest price for your prescriptions at a pharmacy near you.