Prescription Medications: Price Tips & Refills

USING INSURANCE:

Know which formulary tiers your medications are

Know the copay amount for each tier

  • Search your online Rx Drug Formulary: check for a link on your insurance card or Google search by knowing your insurance plan name/type
  • Pharmacist may also be able to provide an estimated cost
  • Insurance generally limits to 3-month supplies; some meds have a 1-month “quantity limit”
  • Self-pay might be cheaper!

SELF-PAY:

Enter medication name, dose and quantity for self-pay pricing of Rx generic meds from these sites

  • GoodRx  Fill at local pharmacies with a GoodRx coupon
  • Ro Pharmacy  Mail order of 3-, 6- and even 12-month supplies of several generics
  • CostPlusDrugs  Mark Cuban’s mail order pharmacy. 3-month supplies
  • DiRx  Mail order of 3-month supplies
  • WalMart $4 for 1-month, $10 for 3-month of select meds
  • Local small business pharmacy Ask for self-pay prices
  • rootsMD 6-month supplies for DPC members-only, see below

Wholesale Medications via rootsMD:

  • Ordered the 1st Monday of each month
  • Most are ready for pick-up ~1 week later
  • We order only what patients have requested and committed to:
    • patients agree to pay for the full quantity specified/requested
    • on-site supply guaranteed only if order request is made
  • Generally 6-month supplies, for chronic stable medications
  • If the wholesale options are on backorder, or if needing a Rx supply prior to on-site availability, Rx can be ordered to pharmacy (local or mail-order above)
  • PLAN AHEAD!  Notify rootsMD when you have 1 month supply remaining for medication(s) you’d like ordered for the next cycle

ALL REFILL REQUESTS from rootsMD:

  • Allow 3 business days for review
  • Note where the refill should be sent:
    • which exact local or mail-order pharmacy – OR – dispense from rootsMD
  • Specify requested supply amount (3mos, 6mos, etc)