Same way AARP gets discounts for its members, Insurance companies pay less than self-pay, and Unions get better wages: collective bargaining.
Say GoodRx wants to offer a discount on aspirin. They go to Bayer and say “hey, we represent a million customers. If we can promise that 500,000 of them will buy Bayer aspirin instead of store brand generic, will you give us a discount?” Bayer thinks for a minute and replies “our analytics team has found that only 33% of consumers will spend more for our brand vs generic. If you can guarantee 20% increase, we’ll give you 15% off.” (Or whatever the real numbers are, I made those percentages up for demonstration purposes.)
GoodRx is essentially selling customer loyalty to pharmaceutical companies. Guaranteed, albeit reduced, returns vs the uncertainty of typical marketing.
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