Does GoodRx count as insurance?

Asked by: Lou Tromp  |  Last update: October 31, 2022
Score: 4.6/5 (43 votes)

GoodRx is not insurance. If you find a better price on GoodRx than what your coverage offers, ask the pharmacist to use the coupon and process the transaction as a “cash” payment instead. They will use the codes on the GoodRx coupon to find your new price.

Can you use GoodRx without having insurance?

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.

Does using GoodRx count towards deductible?

Using GoodRx to contribute to your deductible

If you purchase a medication with a GoodRx coupon and the drug is covered by your insurance, you can submit your receipt to your insurer and count that towards your deductible.

Does GoodRx count as prescription?

Get a prescription.

You don't need a prescription to buy these products, but you do need a prescription to receive the GoodRx discount. Healthcare providers often write prescriptions for these products. Just call your doctor's office and have them call or fax in the prescription to your pharmacy.

Is GoodRx part of Medicare?

You can't use GoodRx and Medicare together. But you can use GoodRx as an alternative to Medicare. You may want to use GoodRx instead of Medicare in certain situations, such as when Medicare doesn't cover your medication, the GoodRx price is cheaper than your Medicare copay, or you won't reach your annual deductible.

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How does GoodRx make money on prescriptions?

GoodRX makes part of its revenue by collecting fees from the pharmacy benefits managers, or PBMs, it works with when consumers present their GoodRx coupon at the pharmacy.

How much does GoodRx cost per month?

GoodRx Gold is a monthly membership program that provides dramatic discounts on prescription drugs and healthcare services for you and your family. For $9.99/month, GoodRx Gold membership provides exclusive access to low drug prices for individuals.

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.

Why is GoodRx so cheap?

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.

How many times can you use GoodRx?

Unlike manufacturer copay cards, GoodRx coupons have no eligibility requirements, no activation step, and no restrictions on how many times the coupon can be used.

What happens when you use GoodRx?

When you use a GoodRx coupon or discount, you're choosing to pay the cash price rather than the insurance price for your medication. Payments with GoodRx are considered “out-of-network” expenses. Some insurers may reimburse you for this cost or apply your payment against your deductible.

Is GoodRx really free?

GoodRx gathers current prices and discounts to help you find the lowest cost pharmacy for your prescriptions. GoodRx is 100% free. No registration required.

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!

Who runs GoodRx?

The Santa Monica, California-based startup was founded in September 2011 by Trevor Bezdek and former Facebook executives Doug Hirsch and Scott Marlette. Marlette was one of the first 20 employees at Facebook and built Facebook's photo application.

Why does GoodRx have different prices?

GoodRx uses claims data to show prices for the manufacturer that is most commonly dispensed in your area and at your pharmacy chain. Different manufacturers may have different prices depending on the pharmacy benefit manager (PBM).

How credible is GoodRx?

The GoodRx mobile app has average 4.8 star ratings on both the iTunes and Google Play stores, with over half a million reviews combined. GoodRx is also the number one medical app on iTunes. In addition, our customers often share their experiences on social media platforms and online forums.

Can I use GoodRx instead of insurance Reddit?

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.

What is a competitor to GoodRx?

WellRx. WellRx or ScriptSave WellRx as it is also known as is one of the best GoodRx alternatives that's available in the United States, as well as Guam and Puerto Rico.

Is GoodRx gold considered insurance?

GoodRx operates on the same principle in a different way. First, GoodRx is NOT an insurance product. It is a company that has made its business model based on finding you the best possible price for your medications. It can be used by anyone, anywhere.

Is GoodRx Gold membership worth it?

It depends on your needs. GoodRx Gold does provide better discounts, but comes at a monthly cost. If you have a prescription that falls into its “top 1000” prescription drugs, then you could save big each time you use it at the pharmacy.

What is the story behind GoodRx?

In 2010, Doug tried to fill an alarmingly expensive prescription from a doctor, and decided to shop around for a lower price. He quickly realized that Americans lacked a one-stop destination for prescription discounts and prices. That experience was the spark that started GoodRx.

Is AAA GoodRx better than regular GoodRx?

Even if you have health insurance to pay for your prescriptions, insurance co-pays are often higher than the discounts provided by GoodRx. AAA members can save up to 85% on prescriptions with GoodRx.

Does Costco accept GoodRx?

More than 70,000 pharmacies in the United States — including major chains like Costco, Kroger, Walmart, CVS, Rite Aid and Walgreens — will accept GoodRx.