The program is a public-private partnership between Sacramento County and Envision Pharmaceutical Services.  CEO Kevin Nagle says the cards are honored at 60 thousand pharmacies nationwide.

"It is not insurance.  But it is an opportunity for people to access discounts at what we've negotiated with those particular pharmacies."

Nagle says negotiating with such a large number of pharmacies allows his company to find significant savings.

"Seventy-five percent on an average that we negotiated off of generic rates blends out, between brand and generic medications to be somewhere in the area of about forty percent."

The Sac Best RX program has a 24 hour helpline and a pharmacy locator.