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Retail vs. Copay Prescription Costs

It’s often cheaper to pay a pharmacy’s retail drug price than your insurance plan’s copay. Pharmacies (per the PBM’s instructions) often charge customers their plan’s copay amount, even when it’s above the pharmacy’s retail price. This is called a Zero Balance Due Claim in the industry, but it should be redefined as PBMs’ “Dirty Little Secret!”

To learn more about the retail vs. copay issue, check out the following articles:

Getting to know the myRxMedSaver® app

This diagram will walk you through the app screens, showing how to set your preferred pharmacy, use the Rx Card and more.

flowchart