NACo Prescription Discount Card Program

What It Is

The National Association of Counties (NACo) Prescription Discount Card program helps residents save money on their prescription medications any time their prescriptions are not covered by insurance.

The free cards are distributed in the sponsoring county and may be used at any participating retail pharmacy. County residents can also print a card from the Internet.

The discount card is not insurance.


Average savings are 24%; some discounts may be more, and some less, depending on the medication and quantity purchased. Cardholders may save on pet prescriptions also used to treat human conditions at participating pharmacies.

Who It Is For

The cards may be used by all county residents regardless of age, income or existing health coverage. There is no enrollment form, no membership fee and no restrictions or limits on frequency of use. Cardholders and their family members may use the card any time their prescriptions are not covered by insurance.

What It Costs

Unlike many other card programs, there is no enrollment cost or membership fee.

The cardholder pays the negotiated discount price or the pharmacy’s retail price, whichever is lower. The average discount is 24%.

Participating Pharmacies

More than 60,000 pharmacies nationwide accept the card including most chain pharmacies and many independent pharmacies.

Additional Benefits

The program has a safety feature that alerts pharmacists when one medication may have an interaction with another medication the cardholder is taking, if the prescriptions were obtained with the NACo Prescription Discount Card. The NACo Prescription Discount Card program is a useful option with Medicare Part D.

For example, the card can be used when a Medicare Part D plan doesn’t cover a medication.

About CVS Caremark

The program is administered by CVS Caremark, which has broad experience in managing prescription discount cards since 1992. CVS Caremark negotiates with pharmacies to offer a discount on their retail prices. Most pharmacies contract to participate because it draws customers to their stores.

To print an ID card that can be used immediately at a participating pharmacy, locate a pharmacy or access other program tools, visit the NACo Prescription Card website, or for more information call toll-free 877-321-2652. Get your card and start saving today!