Why can't you use GoodRx with Medicare?
Asked by: Murl Marks | Last update: November 27, 2025Score: 4.4/5 (31 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.
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.
Can GoodRx Save You on Medicare? The Truth About Prescription Coupons...
Is GoodRx better than Medicare Part D?
GoodRx cash prices are not always cheaper than Medicare Part D copays, but they can be. GoodRx is a great resource for finding the most affordable price on many prescriptions. It is especially helpful if you have just been prescribed a new medication or your plan has changed its pricing.
How do you qualify for $144 back from Medicare?
- Be enrolled Original Medicare (Parts A and B)
- Pay your own Part B premium.
- Live in the service area of a plan that offers a Part B giveback.
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.
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 ...
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 is the best prescription discount program?
SingleCare is our top pick for prescription discount cards thanks to their simple price-comparison tool and discounts on telemedicine and other health-care services.
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 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.
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.
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.
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.
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 not to use GoodRx?
GoodRx's “not-so-good privacy practices” made it the first-ever company penalized for violating the FTC's Health Breach Notification Rule, according to a post by senior attorney Lesley Fair on the agency's business blog.
Did CVS stop taking GoodRx?
GoodRx is accepted at more than 70,000 pharmacies nationwide — including major chains like CVS, Rite Aid, Costco, VONS, and Albertsons!
Does everyone pay $170 for Medicare?
If you don't get premium-free Part A, you pay up to $518 each month. If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($185 in 2025).
How to get $800 back from Medicare Part B?
Medicare Part A and Part B know they can get up to $800 back
All the member has to do is provide proof that they pay Medicare Part B premiums. Each eligible active or retired member on a contract with Medicare Part A and Part B, including covered spouses, can get their own $800 reimbursement.
How much money can you have in the bank if you're on Medicare?
eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.