
Resources
What in the NiHowdy
Navigating Health Concerns
NiHowdy 101
Understanding NiHowdy's Rebate System
Meowdy! (NiHowdy for Pet Prescriptions)
NiHowdy for Businesses
- Beyond Prescriptions: How NiHowdy Builds Comprehensive Employee Wellbeing
- Closing the Gaps: How NiHowdy Supports Employees When Health Plans Fall Short
- Do all health plans cover all prescription drugs?
- How Should I Approach This With My CEO/CFO: Strategic Value for HR Leaders
- Maximizing Prescription Savings: How NiHowdy Complements Your HSA/FSA Strategy
- Supporting Employees Through Transitions: How NiHowdy Provides Continuity in Healthcare
- Transforming Prescription Benefits into Strategic Reserves: A Guide for HR Leaders
The Future of NiHowdy and Healthcare
Drug Rebates Demystified: Why You’re Missing Out—And How NiHowdy Fixes It

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by Amar Lunagaria
Pharm.D • NiHowdy Founder
Prescription medications cost more in the U.S. than anywhere else in the world. A hidden reason? Drug rebates—discounts designed to lower prices—rarely make their way to the people who need them most: you. Here’s what’s wrong with the system and how NiHowdy is rewriting the rules.
Drug Rebates Demystified: Why You’re Missing Out—And How NiHowdy Fixes It
Prescription medications cost more in the U.S. than anywhere else in the world. A hidden reason? Drug rebates—discounts designed to lower prices—rarely make their way to the people who need them most: you. Here’s what’s wrong with the system and how NiHowdy is rewriting the rules.
What Are Drug Rebates?
Drug rebates are payments made by pharmaceutical manufacturers to middlemen like pharmacy benefit managers (PBMs) and insurers. In exchange, these middlemen agree to:
- Place the drug on insurance formularies (approved medication lists).
- Give the drug preferred status (lower copays for patients).
Think of it as a “bulk discount” for insurers. For example, a $500 medication might bring a $200 rebate to the insurer. But instead of passing that $200 to you, the system pockets it to offset costs elsewhere.
Why Don’t Consumers Get Rebates?
Rebates exist in a shadowy ecosystem where:
- PBMs Profit: They negotiate rebates but keep a cut as profit.
- Insurers Benefit: Use rebates to lower premiums (indirectly), not individual costs.
- You Pay More: List prices rise to offset rebates, hiking out-of-pocket expenses.
If you’re uninsured or paying cash, it’s worse: You pay the inflated price and get $0 in rebates.
NiHowdy’s Revolution: Rebates Belong to You
Founded by pharmacists who saw this injustice firsthand, NiHowdy flips the script:
- Rebates as Bitcoin Rewards:
- Every time you buy medication, we secure rebates from manufacturers.
- You get 5% back in Bitcoin—no insurance required.
- Why Bitcoin?
- Cash rebates lose value to inflation. Bitcoin grows over time, turning today’s $5 into tomorrow’s $50 (at historical growth rates).
- Goal: Your rewards outpace drug costs, achieving zero net cost prescriptions.
- No Middlemen, No Games:
- Unlike GoodRx or SingleCare, we don’t sell your data or charge hidden fees.
- Pharmacists designed this system to put money back in your pocket.
Real Impact: From $0 to $500+ in Savings
Meet Sarah, who pays $300/month for asthma inhalers:
- Without NiHowdy: $300 cash, $0 rebates.
- With NiHowdy: Pays $45, earns $15/month in Bitcoin.
- In 3 years: Her Bitcoin rewards cover 3+ months of meds.
Join the Revolution
Drug rebates shouldn’t fund corporate profits—they should fund your health. NiHowdy ensures:
- Transparency: See real-time prices and rewards upfront.
- Control: Use savings instantly or let Bitcoin grow.
- Justice: Rebates finally go where they belong; to you.
Next Steps:
- Search Your Medication
- Sign Up for Free → Earn Bitcoin on Every Refill
- Watch Your Savings Outpace Rising Drug Costs
NiHowdy is not insurance. Bitcoin rewards are subject to market fluctuations. Savings based on 2025 averages.