Prescription Medication Price Tips for DPC Patients

Prescription Medication Price Tips for DPC Patients

USING INSURANCE:

Know which formulary tiers your medications are
  • 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 your medication name, dose and quantity for transparent self-pay pricing for Rx generic meds

  • GoodRxFill 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
  • 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
    • dispense from rootsMD
  • Specify requested supply amount (3mos, 6mos, etc)