- 0.5x
- 0.8x
- 1x
- 1.2x
- 1.5x
- 2x
Every year, as a member-owned, not-for-profit cooperative, National CooperativeRx has the privilege of returning value directly to the people who make our mission possible: our members. This annual distribution is a fundamental part of who we are.
The Cooperative Difference
Too often, National CooperativeRx is grouped under the broad label of “coalition” or “collective,” but the cooperative model is fundamentally different. Cooperatives are built on shared ownership, democratic control, and equitable benefits.
We exist to serve our members—not to generate profit for external shareholders. This year’s $22.8 million member distribution is a testament to that commitment. It demonstrates the real financial value of our 100% pass-through of rebate true-up, audit recoveries, patronage dividends, and retired equity.
The following report breaks down the 2025 distributions.
Rebate True-Up: Rebate money collected over and above the quarterly rebate guarantees. Our aggressive contract with CVS Caremark ensures 100% of rebates are returned to members. Members who experienced rebate returns over the guarantee in 2023 share the attributable overperformance dollars in 2025.
Audit Recoveries: The Cooperative hires a third party to conduct an independent audit to ensure the terms of our contract are met. We do this for 100% of claims, for all members, with all recoveries going back to plan sponsors. Audit recoveries are being paid from 2021 and 2022. The process of closing out 2021 and securing collections from the 2022 audit took longer than normal. This delayed the start of the 2023 and 2024 audits; however, both audits will be conducted simultaneously, and we are optimistic they will be completed in a timely manner.
Patronage Dividends: Excess money after operating costs. Declared by member Board of Directors after review of financial audits. Patronage dividends from 2024 are being paid in 2025.
Retired Equity: A portion of patronage dividends held in the Cooperative’s reserves. These dollars are retired by our Board of Directors after review of financial audits and assessment of proper reserves. Members of National CooperativeRx in 2019 and 2020 will receive their attributable retired equity in 2025.
In addition to these payments, members may be entitled to credits from CVS Caremark per the terms of our member agreement. Approximately $300,000 was distributed through offset of the CVS Caremark invoice. This additional value is not included in our overall distribution report.
We appreciate the ongoing support and trust from our members and partners, which make achievements like this possible. Together, we continue to build a cooperative that delivers real value and shared success.
If you have any questions, please do not hesitate to reach out to your National CooperativeRx Account Representative.
