Not always. It is always worth checking Drug Discount Card prices, but be sure to compare these discount prices to your Medicare plan's coverage cost or negotiated retail drug price and you may find your Medicare drug plan's price are lower than the drug prices offered with a drug discount card.
Bottom Line: You will often pay less for a drug when using your Medicare Part D plan coverage - even if you are paying 100% of the cost in the Initial Deductible (because your drug plan's negotiated retail price can be less than a Drug Discount Card's "discounted" or coupon price - see the example graphic below). You can view our
Q1Rx.com Drug Finder for an overview of your Medicare plan's average retail drug pricing.
As an example: Using the generic drug 20 mg Duloxetine HCL, you can see in our
Q1Rx.com Drug Finder example below that some Medicare Part D plan prices are less than the estimated drug discount card and some average Medicare Part D plan prices are far greater than the price using a drug discount card (- and don't forget: retail drug prices can change throughout the year).
So, as noted above, even if you are in your Initial Deductible and
responsible for 100% of the drug cost, your full drug cost with your
Part D plan (for example,
$18.26) is less than the estimated drug discount card price when using a Discount Card (
$25.20).
And naturally, if you were out of your Initial Deduction using this
same example (from 2018), you would only pay 25% of the $18.26 for a
prescription fill.
Question: Can I still get credit for my drug purchases even when not using my Part D drug plan?
Usually yes. After making a purchase, you can ask your Medicare
Part D plan about submitting the receipts toward your annual
out-of-pocket (
TrOOP) spending records. In that way, if your medication
needs change, and you need to purchase more expensive medications, your
previous formulary prescription drug purchases will count toward
exiting the
Initial Deductible.
Please note, in most cases, your Medicare Part D plan
will not reimburse
you for drug purchases made outside of the Medicare Part D plan, but
you can ask that the value (what you spent) for the formulary drugs is
recorded by your plan. (There are exceptional cases when your Part D
plan may reimburse you for non-Part D drug purchases such as when you
cannot find a network pharmacy to fill a prescription.)
For more information about submitting your receipts for formulary drug
purchased without your Medicare Part D plan, please contact your
Medicare Part D plan's Member Services using the toll-free telephone
number found on your Member ID card.