Why can't Medicare patients use GoodRx?

GoodRx Coupons and Medicare Part D cannot be used in conjunction. This is due to a federal government statute, also known as “anti-kickback”, that prohibits Medicare beneficiaries from using manufacturers or discount drug coupons with their drug plan.


Can I use GoodRx if I'm on Medicare?

While you can't use GoodRx in conjunction with any federal or state-funded programs like Medicare or Medicaid, you can use GoodRx as an alternative to your insurance, especially in situations when our prices are better than what Medicare may charge.

Why can't Medicare patients get discounts on drugs?

Within the pharmaceutical industry, the Anti-Kickback Statute made it a crime for pharmaceutical manufacturers to offer drug coupons to Medicare beneficiaries. This is because it became illegal to influence the purchase of any prescription drugs that Medicare could later reimburse.


Why do some pharmacies not accept GoodRx?

The most oft-cited reason is that GoodRx further reduces the profits independent pharmacies make through the fees they charge the pharmacy in processing claims. Still, some pharmacies will take GoodRx coupons even though they will lose money, banking on the potential for repeat business from a new customer.

What is the downside of GoodRx?

Over 783 users on the popular review site TrustPilot rate GoodRx a 3.5. While 80% of customers rate the popular discount card as excellent, another 14% rate the company as bad. The most common complaints seem to be related to customer service and discounts that change or are not honored at the pharmacy.


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



Who pays the difference when using GoodRx?

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.

Is anything better than GoodRx?

In terms of price, SingleCare beat out GoodRx with nearly every medication we searched for. Even if you were to pay for the GoodRx Gold subscription, SingleCare still often offers the lower price.

Does everyone accept GoodRx?

GoodRx coupons will help you pay less than the cash price for your prescription. They're free to use and are accepted virtually every U.S. pharmacy.


Can you use GoodRx when you have insurance?

3) Yes, you can use a discount even if you have insurance.

Prescription discounts, including those from GoodRx, can be a great option if you don't have health insurance, but if you do have insurance, you can always use a GoodRx discount instead of insurance if the cost is lower.

How do you know if you've been red flagged at a pharmacy?

Related Articles
  • Look into your medical history. ...
  • Go to a reputable pharmacy and ask for a dosage of your regular prescribed medication. ...
  • If the pharmacist denies you the medication, then you are Red Flagged, as they would have to consult an online system that tracks when your next dosage should be given.


What is the loophole in Medicare?

The Medicare Part D donut hole or coverage gap is the phase of Part D coverage after your initial coverage period. You enter the donut hole when your total drug costs—including what you and your plan have paid for your drugs—reaches a certain limit. In 2023, that limit is $4,660.


Can seniors use GoodRx?

GoodRx is one of our top picks for seniors looking to save money on their prescription medications. They offer a free discount savings card and a monthly subscription that's valid at more than 70,000 pharmacies nationwide.

How to get cheaper prescriptions on Medicare?

Other ways to lower your prescription drug costs:
  1. Join Medicare drug coverage (Part D): Compare Medicare drug plans to find a plan with lower drug costs. ...
  2. Ask your doctor if you can take a generic drug, or a cheaper brand-name drug (if one's available).
  3. Check costs for mail-order pharmacies.


What is the Medicare donut hole for 2023?

Once you and your plan have spent $4,660 on covered drugs in 2023, you're in the coverage gap. This amount may change each year. Also, people with Medicare who get Extra Help paying Part D costs won't enter the coverage gap.


Can you use discount cards with Medicare?

You can use your discount card on your prescriptions if it saves you more money than your Medicare Advantage plan. However, for those who have a Medicare Advantage plan without drug coverage, Rx coupons could be a great source of savings when visiting the pharmacy.

What is the best prescription drug plan for seniors?

Our picks: Top Medicare Part D plans for 2023
  • Best overall. Best overall: Aetna/SilverScript. Best overall: Aetna/SilverScript.
  • Easiest to use: AARP/UnitedHealthcare. Easiest to use: AARP/UnitedHealthcare.
  • Best for cheap plans: Wellcare. Best for cheap plans: Wellcare.


Is GoodRx better than Medicare Part D?

While GoodRX is not a replacement for your Medicare prescription drug plan, it may help you save money on some of your medications, especially those that aren't covered by Medicare. Occasionally we have even found that coupons from GoodRX that offer lower prices than the copay's in a Part D Drug plan!


How often does GoodRx beat insurance?

Not exactly. It may come as a surprise, but GoodRx coupons beat insurance a lot of the time. In fact, for the 100 most prescribed drugs, GoodRx users paid less than the average insurance copay 37% of the time, with savings up to 54%.

Do I need a new prescription to use GoodRx?

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 cheaper than insurance?

In many cases, paying for drugs with a GoodRx discount can be cheaper than paying with insurance.


How many times can I 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 is the monthly fee for GoodRx?

Go to gold.goodrx.com and click on “Start Your Free Trial Now” to create an account. Pick either an individual plan ($9.99 per month) or a family plan ($19.99 per month). Follow the instructions to activate your account.

Is GoodRx care trustworthy?

Over 5,000 reviews with an average 5-star rating

We're proud to say that we have over 5,000 reviews on the Apple App Store with an average 5-star rating, and our customers report quick, thorough, high-quality experiences.


How do you qualify for $144 back from Medicare?

How do I qualify for the giveback?
  • Are enrolled in Part A and Part B.
  • Do not rely on government or other assistance for your Part B premium.
  • Live in the zip code service area of a plan that offers this program.
  • Enroll in an MA plan that provides a giveback benefit.