PriceMyMeds launching on April 25 to increase prescription drug affordability

Beginning April 25, 2024, we’re offering a new pharmacy program called PriceMyMeds to our commercial (group and individual) members. PriceMyMeds helps members save on prescription medications by automatically finding the best price for a prescription at nearby in-network pharmacies. 

This new benefit is a key part of our ongoing goal to better support our members in getting the care they need by making sure prescription drug costs are not a barrier to the care you provide.

How does PriceMyMeds work?

When a member’s prescription is filled at a pharmacy, PriceMyMeds automatically searches for and applies savings opportunities, when applicable. Members will also have access to the PriceMyMeds app, allowing them to sign up to receive alerts when greater savings opportunities are available at other pharmacies in the area. When members use the PriceMyMeds app to locate a better price at an alternative pharmacy, PriceMyMeds will provide instructions on how to 1) ask for a price match or 2) work with their pharmacist to complete a prescription transfer. 

Check out our provider manual for more details.

How is PriceMyMeds different from Price Assure?

Price Assure automatically incorporates discounts through GoodRx into drug pricing and applies it at the point of sale without anything being required of members. PriceMyMeds searches for all freely available discounts. A key difference is that Price Assure only applies to a small set of drugs. With PriceMyMeds, members can access savings through other discounts on a wide variety of drugs.

Members will be given the lowest possible price through either PriceMyMeds or Price Assure without any action needed on their part.

How is PriceMyMeds different from SaveOnSP?

SaveOnSP is only for select specialty medications and focuses on manufacturer assistance. PriceMyMeds finds freely available discounts on retail prescription drugs, without relying on manufacturer assistance.

Are any medications excluded from PriceMyMeds?

There are a few categories of drugs that are excluded from PriceMyMeds:

  • Any drug eligible for the SaveOnSP program, for eligible members
  • Non-formulary drugs
  • Certain brand drugs
  • All opioid drugs
  • Drugs available at $0 cost-share through the Affordable Care Act
  • Drugs available through a Priority Health commercial rider 
  • Certain specialty drugs (for select commercial groups)

How will members be notified about PriceMyMeds?

Members will receive an email or mailed notification with information about how to activate a free account and download the app. Once the app is downloaded, members can load medication lists into the app and immediately begin searching for discounts at all local in-network pharmacies.

How will this affect providers?

Occasionally, you’ll need to send the prescription to a new pharmacy if the member’s current pharmacy doesn’t accommodate transfers.

The main benefit is patients having better access to affordable medications, which is a win for everyone.