What are Co-Pays and How Do They Work

You head to the pharmacy to pick up your prescription and find out you have a $25.00 co-pay. But, didn’t you give the pharmacy your insurance card to cover the cost of your medication? Let’s discuss co-pays and exactly what they mean to you. 

A copay is the amount you pay when you get a prescription filled using insurance. This could mean a fixed copay (for example, $10 for a generic drug or $50 for a brand-name drug) or a percentage (for example, 20 percent of the total cost of a medication). The co-pay amount is directly related to your specific insurance plan and is outlined in your plan terms. Unlike what most people think, the pharmacy has no discretion over your co-pay. 

As a pharmacy, we input your insurance information into our system and process the medication using your insurance. In a few seconds, the system prints out the co-pay associated with your plan and we fill the prescription. 

A common misconception is that the co-pay can vary depending on where the medication is filled (i.e. it’s cheaper to fill at CVS vs. CaryRx). This is not true. The co-pay will stay the same at any pharmacy. 

And as always, at CaryRx, we have the same co-pay as anywhere else and free delivery. So if wasting time at the pharmacy isn’t your thing, we’re here to help.


Published: September 24, 2019