The coupon cards are created for cash paying customers (paying retail) and...
The coupon cards are created for cash paying customers (paying retail) and the majority of these customers are uninsured or under insured. Pharmacy Benefit Management (PBMs) negotiate rates with the pharmacies via their own MAC lists and a simple AWP- percentage to get the discounted prices. Within the price the customer pays is the negotiate price + dispensing fee which pays the administration costs of managing the plan / marketing / etc. and can vary depending on the prescription drug and pharmacies.
This is a win-win situation because the pharmacy retain a new customer which may purchase other items as they browse through the store and becomes loyal. The patient wins because they pay a lower price than retail pricing.
The drug coupon card is absolutely free to consumers so there is no buying decision; the first time the card is used by consumers, they realize substantial savings and share the card's usefulness and savings with family and friends. Secondly, the number and frequency of medications tend to increase as the population and cardholders age. Thirdly, financially, distributors benefit each time the cardholder purchases a medication which then provides the distributors long term residual income. The larger the user's base, the bigger the long term rewards.
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