Understanding Copay Savings Cards for Medications

Prescription medications—especially brand-name drugs—can come with high out-of-pocket costs. One option that may help reduce these expenses is a copay savings card. Below is a clear overview of what these cards are, who can use them, and how they work.

What Is a Copay Savings Card?

A copay savings card is a program offered by a drug manufacturer to help lower a patient’s out-of-pocket cost for a specific brand-name medication. When used alongside eligible insurance, the card can reduce the amount a patient pays at the pharmacy.

Who Can Use Them?

Copay savings cards are generally available to patients who have commercial or private insurance.

They cannot be used by individuals covered under:

• Medicare

• Medicaid

• TRICARE

• Veterans Affairs (VA) programs

  
  

How Do They Work?

1. Your healthcare provider may give you a copay savings card for a brand-name medication, or you can find one through the manufacturer’s website.

2. You may need to check eligibility online or by calling the manufacturer.

3. The prescription is processed through your insurance first.

4. After insurance pays its portion, the copay savings card is applied to help reduce your remaining balance.

   
   

Important Things to Know

• Monthly limits: Each card has a maximum amount it will cover per month. For example, if your copay after insurance is $300 and the card’s monthly limit is $150, you would pay the remaining $150.

• Annual caps: Many programs set a yearly maximum on how much assistance the card can provide (for example, $2,000 per year).

• Expiration dates: Copay cards typically expire and may need to be renewed.

• Program rules vary: Limits, eligibility, and coverage amounts differ by medication and manufacturer.

Key Takeaways

If you are having difficulty paying for your medication:

• Contact your doctor to ask if a copay savings card is available for your brand-name prescription.

• Check the manufacturer’s website or call their assistance line to see if you qualify for a patient assistance program.

• Speak with your pharmacy—pharmacists often know about available savings options and alternative solutions.

  
  

Taking a few extra steps to explore these resources can make a meaningful difference in managing your medication costs.

Who can I contact for more help?

Shelly Davis, LPN

Prescription Assistance Case Manager

Northeast Missouri Health Council Administration Building

1416 Crown Drive, Kirksville, MO 63501

Phone: 660-627-5757, ext. 1021