Why isn't my local pharmacy cheaper?
- Written by the Get It Prescribed editorial team
- Clinical review: Get It Prescribed clinical team
- Last reviewed: August 12, 2026
Quick Answer
Retail cash prices vary by store markup; telehealth uses flat per-unit pricing, but the two aren't always directly comparable.
Local pharmacy cash prices vary a lot by store, chain, and region, and they're often not directly comparable to Get It Prescribed's structure, which separates a flat $50 provider consultation fee from transparent per-unit medication pricing. Neither model is universally cheaper — it depends on the medication, your insurance status, and where you live — but understanding the pieces helps you compare accurately.
Why retail pharmacy prices vary so much
Cash prices at brick-and-mortar pharmacies reflect each store's own markup, local competition, and whether a medication is stocked in volume or ordered specially. Two pharmacies a few miles apart can price the same medication very differently, and prices for the same drug can also swing based on manufacturer, formulation, and package size. This is a well-documented reality of retail drug pricing and one reason "cheaper" is hard to answer in general terms.
What Get It Prescribed's pricing looks like instead
Rather than a single bundled price, costs here are broken into two transparent components:
| Component | Price | What it covers | |---|---|---| | Provider consultation | $50, one-time | Clinical evaluation, covers one or both medications | | Ivermectin 24mg scored tablet | $3.00 each | Set per unit, quantity determined by provider | | Mebendazole 222mg capsule | $3.50 each | Set per unit, quantity determined by provider |
Because pricing is per unit, your total scales with the quantity your provider determines is appropriate rather than with a flat prescription-fill fee. Full details are on the pricing page.
Where a local pharmacy might still be cheaper
If you already have a prescription and strong insurance coverage with a low co-pay, an in-network local pharmacy fill can cost less than paying cash for a telehealth consultation plus medication. Get It Prescribed does not bill insurance (see do you accept insurance), so if your insurance plan covers the medication well, that route may be less expensive for you.
Where the cost comparison shifts
The comparison changes once you account for the full path to getting a prescription in the first place: scheduling an in-person visit, any visit co-pay or cash fee, travel time, and a separate pharmacy trip once the prescription is sent. A telehealth consultation folds the provider review into one $50 fee and delivers medication to you if prescribed, without a separate office visit. Whether that's a better value depends on how much your time, travel, and convenience are worth to you, alongside the direct dollar comparison.
Availability also plays a role
Some local pharmacies don't stock certain medications or strengths and need to special-order them, which can add days of delay even after you have a prescription. That's a separate issue from price, but it affects the total time and effort of the "cheaper" pharmacy option. You can check current medication availability by state on the state availability page.
How to compare accurately
Before assuming one option is cheaper, compare the full total: consultation or office-visit cost, plus per-unit or per-fill medication cost, plus any travel or waiting time you'd spend. The pricing page and the ivermectin vs. mebendazole comparison lay out Get It Prescribed's exact numbers so you can weigh them against your local pharmacy's cash or co-pay price for the same medication and quantity.
Related questions
Does Get It Prescribed mark up medication compared to pharmacies?
Get It Prescribed publishes flat per-unit prices ($3.00 per ivermectin tablet, $3.50 per mebendazole capsule) on the pricing page, so you can compare them directly to any quote you get from a local pharmacy for the same strength and quantity.
Why do local pharmacy cash prices vary so much from store to store?
Each pharmacy sets its own cash price based on its costs, competition, and inventory practices, which is why the same medication can cost noticeably different amounts at different locations, even within the same city.
If my local pharmacy is cheaper, should I still use telehealth?
That depends on your priorities. If you already have a prescription and good insurance coverage, a local in-network fill may cost less. If you value the combined provider review and delivery in one flat process, the total cost comparison should include your time and travel, not just the medication price.
Does insurance change which option is cheaper?
Yes — Get It Prescribed is cash-pay and does not bill insurance, so if your insurance significantly lowers your local pharmacy co-pay, that route may cost less for you. See do you accept insurance for more on how that works.
Sources
- MedlinePlus: Ivermectin Drug Information — reference for FDA-approved use and dosing overview.
- MedlinePlus: Mebendazole Drug Information — reference for FDA-approved use and dosing overview.
- CDC: Telehealth Interventions to Improve Chronic Disease — background on cost and access tradeoffs in telehealth.
Related Questions
Related Guides
- How much does a telehealth consultation cost?A one-time $50 consultation fee covers provider review for one or both medications; medication is billed separ
- Do you accept insurance?No. Get It Prescribed is cash-pay only — insurance isn't billed for the $50 consultation fee or medication.
- Can I use HSA/FSA for telehealth prescriptions?Possibly — confirm with your plan administrator before you order, since eligibility rules vary and aren't guar
- More in Insurance & PricingBack to this category hub.
- Get Ivermectin from a licensed providerProvider-guided access to Ivermectin.
- Get Mebendazole from a licensed providerProvider-guided access to Mebendazole.
- Browse supplement optionsNutritional supplements to support your care plan.
- View consultation and medication pricingTransparent costs for consultations and prescriptions.
- See how the process worksAssessment, provider review, decision and delivery.
- Visit the FAQ & Learn hubAll patient questions and education.
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