Among the 12% of generic prescription fills with savings, we did not observe any cost savings for patients with Medicaid health insurance. We estimated the potential out-of-pocket cost savings for individuals based on their health insurance type in 2019. Of all prescription fills, 5.5% of fills for individuals with Medicare insurance; 9.9%, with military insurance (Veterans Administration or TRICARE); 7.1%, with private insurance; and 28.9%, with no insurance had savings.