Q - How will my other prescription drug assistance program work with my Medicare prescription drug coverage??
A - Non-Medicare Drug Discount Card
You may use a discount card or other pharmacy discount during your deductible period or while in the coverage gap. In some cases, a network pharmacy may accept a discount card or offer another cash price discount so that
you can pay less for a prescription than your plan's negotiated price. This is considered a one-time "lower cash" or special price. If you are able to obtain a cash discount to pay an amount that's lower than your plan's
price, you will need to send your receipt to your Medicare drug plan. This ensures that your plan will count the amount you paid towards your out-of-pocket costs.
Example (One-time "lower cash" or special price)
You are in the coverage gap, so you have to pay for the total amount of your prescription. The plan usually charges $100 (its negotiated price) for the drug you need.
By using a discount card, you could get that drug for $95. If you use your Medicare drug plan card, you will pay $100. If you don't use your Medicare drug plan card
and use the pharmacy's savings card, you will pay $95. You can take advantage of the lower price, and send your receipt to your drug plan. Your plan will count the
$95 toward your total out-of-pocket costs and total drug spending under the plan.
Q - Is there a cost for the card?
A - There is no cost for the Prescription Discount Card.
Q - Who can use the card?
A - The card is valid for the cardholder and their entire family.
Q - Can I use the card if I already have a prescription benefit program?
A - Yes. However, you cannot use the card in conjunction with another prescription benefit card. You can either use your prescription benefit card or your Prescription Discount Card.
Q - Is the price listed on the Pharmacy Locator Tool the discounted price?
A - Yes
Q - What is the average discount?
A - The discounts vary by type of prescription drug and by pharmacy.
Q - Why does the pharmacy give a discount?
A - The pharmacies offer a discount in a highly competitive marketplace in exchange for your patronage.
Q - How does my sponsoring organization benefit from my use of the card?
A - A small portion of the amount paid for each prescription purchased goes to the sponsoring organization.
Q - When is the card effective?
A - The effective date is immediate upon receipt.
Q - Are there less expensive drugs available?
A - Ask your physician or pharmacist if a generic equivalent drug is available.
|