Why can t you use GoodRx with Medicare?
Asked by: Jay Jakubowski MD | Last update: July 2, 2025Score: 4.2/5 (14 votes)
Can a Medicare patient use GoodRx?
Resources like GoodRx provide discounts on medications separate from insurance. So even if you have Medicare, you can use GoodRx coupons.
Why can't Medicare patients get discounts on drugs?
The Anti-Kickback Statute
It's illegal for pharmaceutical companies to offer discounts for medications that you purchase through Medicare due to the Social Security Amendments of 1972. Included in those amendments is the Anti-Kickback Statute (AKS).
Why should I not use 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.
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.
Can GoodRx Save You on Medicare? The Truth About Prescription Coupons...
Can a pharmacy refuse to honor 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.
Why don't pharmacies 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 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 ...
Does Walmart not take 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.
How many times can I use GoodRx for the same prescription?
GoodRx coupons represent prices provided by PBMs. 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 is the new Medicare rule for 2025?
Medicare Part D cap of $2,000
Beginning January 1, 2025, people with Part D plans through traditional Medicare and Medicare Advantage plans with prescription drug coverage won't pay more than $2,000 over the calendar year in out-of-pocket costs for their prescription medications.
What is the $2000 cap on Medicare drugs?
13 Federal Update: Medicare's $2,000 Cap on Prescription Drug Costs Takes Effect. On Jan. 1, 2025, a new out-of-pocket cap on drug costs went into effect for Medicare Part D patients. The new cap is set at $2,000 per year for all prescriptions covered by Part D plans.
What 10 drugs will be reduced by Medicare?
- Eliquis.
- Jardiance.
- Xarelto.
- Januvia.
- Farxiga.
- Entresto.
- Enbrel.
- Imbruvica.
Why can't I access GoodRx?
You will need to call your cell phone provider (e.g. Verizon, T-mobile, ATT, etc) and ask them to unblock 3rd party messaging providers. Not sure if your service provider is blocking our access? You can try investigating by sending the standard opt-in text message (HELP / START) to the GoodRx short code line (466379).
How to save money on prescriptions on Medicare?
- Join Medicare drug coverage (Part D): ...
- Ask your doctor if you can take a generic drug, or a cheaper brand-name drug (if one's available).
- Check costs for mail-order pharmacies. ...
- Learn if the Medicare Prescription Payment Plan might be able to help you manage your costs.
Who qualifies to use GoodRx?
You can use GoodRx whether you have insurance, Medicare or no insurance coverage at all.
What's the catch in using GoodRx?
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.
How does GoodRx work with 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.
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 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 ...
Why is GoodRx dropping?
Summary. Downgrading GoodRx to a sell rating on recent decline fundamentals. GoodRx's revenue growth is decelerating, with significant reliance on retail partnerships and cyclical transactional revenue, making it a risky investment.
Is anything 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.
Can a pharmacy refuse to accept 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.
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.