Which is better, Medicare Part D or GoodRx?

Asked by: Jay Lakin  |  Last update: May 6, 2025
Score: 5/5 (19 votes)

Key takeaways: 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. GoodRx's prescription drug prices are frequently cheaper than Medicare copays.

What is the disadvantage of GoodRx?

Predictability. GoodRx's prices “fluctuate frequently — daily, weekly or monthly” the company's website says. So it might be hard to predict what you'll pay and where you'll have to go for your medications from month to month.

What is the average cost of Medicare Part D for seniors?

The average estimated monthly Part D plan premium in 2025 is $46.50. Other factors can affect the cost of Part D including monthly premium, yearly deductible and copayments. High-income earners may pay a surcharge known as the “income-related monthly adjustment amount” (IRMAA).

What is a preferred pharmacy in Medicare Part D?

If your plan has “preferred in-network pharmacies,” they may save you money on your out-of-pocket drug costs (like a copayment or coinsurance) because they have agreed to charge less than other pharmacies in your plan's network.

What pharmacies do not accept GoodRx?

GoodRx Gold is accepted at thousands of pharmacies across the country, including CVS, Rite Aid, Costco, VONS, Publix, and Albertsons. See the full list here. GoodRx Gold is currently not accepted at Rite-Aid, Sam's Club, Walgreens, or Walmart.

GoodRX vs. Medicare Part D | Which Should You Get?

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Why can t you use GoodRx with Medicare?

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.

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.

Is GoodRx a good alternative to Medicare Part D?

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.

Is Medicare Part D worthwhile?

No, Medicare Part D isn't a requirement. However, many people find that enrolling in a Part D plan is worth the investment. Your health can be unpredictable, so while you may not need many (or any) prescription drugs now, you may need them in the future.

How do I pick a Part D plan?

Take your list to the Medicare Plan Finder at Medicare.gov. It can show you which Part D drug plans are available in your area and which of those plans cover your drugs. (You can also use the Plan Finder each year to check your current Part D plan and see if better options are available.)

What is the most popular Part D drug plan?

The best Medicare Part D provider is Aetna. It has top ratings from the Centers for Medicare & Medicaid Services and affordable premiums. Other great providers include Wellcare and UnitedHealthcare.

Does everyone pay $170 for Medicare?

Understanding the costs of original Medicare can help you choose the right coverage options. Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

What happens if I refuse Medicare Part D?

If you don't sign up for a Part D plan when you are first eligible to do so, and you decide later you want to sign up, you will be required to pay a late enrollment penalty equal to 1% of the national average premium amount for every month you didn't have coverage as good as the standard Part D benefit.

What is the GoodRx controversy?

The telehealth and prescription drug discount provider, GoodRx, recently agreed to pay $25 million to settle class action claims originating from the company's unauthorized disclosure of consumers' personal health information, according to recent filings with the U.S. District Court for the Northern District of ...

Why is GoodRx charging me $9.99 a month?

Unless you have a discounted Membership Fee, you will be charged $9.99 for the Individual Membership or $19.99 for the Family Membership for each monthly Membership Cycle, or $89 for the Individual Membership and $179 for the Family Membership for each annual Membership Cycle prior to or at the beginning of each ...

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.

What are the disadvantages of Medicare Part D?

Disadvantages of Medicare Part D Prescription Drug plans include:
  • Need to anticipate your prescription drug needs for the year: Part D plans differ in the types of drugs they cover. ...
  • Plans differ from insurer to insurer: Part D plans must offer a minimum amount of coverage per Medicare, but otherwise plans can differ.

What is the $2000 limit for Medicare Part D?

Thanks to the Inflation Reduction Act, in 2025 annual out-of-pocket costs will be capped at $2,000 for people with Medicare Part D.

How can GoodRx be cheaper than my insurance?

By using GoodRx in place of your insurance, you're paying for the cash price of a medication, rather than the insurance price. While a medication may be cheaper this way, the fact of the matter is you're still not using your insurance—which you already pay for.

What is the donut hole in Medicare Part D?

Medicare drug plans previously had a coverage gap (also called the "donut hole"). The donut hole was a temporary limit on what the drug plan would cover for drugs. Now all Medicare plans include a $2,000 cap on what you pay out-of-pocket for prescription drugs covered by your plan.

Can pharmacies 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 GoodRx's biggest competitor?

  • The top GoodRx competitors are.
  • Blink Health.
  • SingleCare.
  • RxSaver.
  • WellRx.
  • Optum Perks.
  • Express Scripts.
  • MedImpact.

Is Walmart no longer accepting 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.