Top of the table: Bilt Palladium Card at 3.6¢ per dollar, against a $495 annual fee. Whether that beats a free card depends entirely on how much medical & pharmacy spending you actually put through it.
Medical & Pharmacy — every card we track
| # | Card | Rate | Value per $ | Annual fee | Notes |
|---|---|---|---|---|---|
| 1 | Bilt Palladium Card Bilt |
2× | 3.6¢ | $495 | — |
| 2 | Capital One Venture Capital One |
2× | 3.2¢ | $95 | — |
| 3 | Capital One Venture Business Capital One |
2× | 3.2¢ | $95 | — |
| 4 | Capital One Venture X Capital One |
2× | 3.2¢ | $395 | — |
| 5 | Capital One Venture X Business Capital One |
2× | 3.2¢ | $395 | — |
| 6 | Capital One Spark Cash Plus Capital One |
2% | 2¢ | $150 | — |
| 7 | Chase Ink Business Premier Chase |
2% | 2¢ | $195 | — |
| 8 | Citi Double Cash Citi |
2% | 2¢ | — | — |
| 9 | Bilt Blue Card Bilt / Wells Fargo |
1× | 1.8¢ | — | — |
| 10 | Bilt Obsidian Card Bilt |
1× | 1.8¢ | $95 | — |
| 11 | Chase Ink Business Preferred Chase |
1× | 1.8¢ | $95 | — |
| 12 | Chase Sapphire Preferred Chase |
1× | 1.8¢ | $95 | — |
| 13 | Chase Sapphire Reserve Chase |
1× | 1.8¢ | $795 | — |
| 14 | Chase Sapphire Reserve for Business Chase |
1× | 1.8¢ | $795 | — |
| 15 | Amex Business Gold American Express |
1× | 1.7¢ | $375 | — |
| 16 | Amex Business Platinum American Express |
1× | 1.7¢ | $895 | — |
| 17 | Amex Gold American Express |
1× | 1.7¢ | $325 | — |
| 18 | Amex Platinum American Express |
1× | 1.7¢ | $895 | — |
| 19 | World of Hyatt Chase / Hyatt |
1× | 1.7¢ | $95 | — |
| 20 | Chase Freedom Unlimited Chase |
1.5% | 1.5¢ | — | — |
| 21 | Chase Ink Business Unlimited Chase |
1.5% | 1.5¢ | — | — |
| 22 | Citi Strata Premier Citi |
1× | 1.5¢ | $95 | — |
| 23 | Hilton Honors Amex Surpass American Express / Hilton |
3× | 1.5¢ | $150 | — |
| 24 | Atmos Rewards Ascent Visa Signature Bank of America / Alaska |
1× | 1.4¢ | $95 | — |
| 25 | Marriott Bonvoy Boundless Chase / Marriott |
2× | 1.4¢ | $95 | — |
| 26 | Citi AAdvantage Platinum Select Citi / American Airlines |
1× | 1.3¢ | $99 | — |
| 27 | Southwest Rapid Rewards Plus Chase / Southwest |
1× | 1.3¢ | $99 | — |
| 28 | United Explorer Chase / United |
1× | 1.3¢ | $150 | — |
| 29 | Delta SkyMiles Gold Amex American Express / Delta |
1× | 1.2¢ | $150 | — |
| 30 | Amex Blue Cash Preferred American Express |
1% | 1¢ | $95 | — |
| 31 | Capital One SavorOne Capital One |
1% | 1¢ | $39 | — |
| 32 | Chase Ink Business Cash Chase |
1% | 1¢ | — | — |
| 33 | Discover it Cash Back Discover |
1% | 1¢ | — | — |
| 34 | Wells Fargo Autograph Wells Fargo |
1× | 1¢ | — | — |
Cents-per-dollar figures use our standard point valuations, not transfer-partner rates. Transferring to an airline or hotel partner at the right moment can beat these numbers; routine redemptions generally will not. We publish the conservative figure on purpose.
Caps matter more than the headline rate for anyone who spends seriously in a category: a 5× rate that stops after $1,500 of spend is a different product from an uncapped 3×. Both are shown above.
This is a curated catalogue of the cards we track, not every card on the market. Rates can change without notice; confirm with the issuer before applying.
Disclosure — some Apply links pay us. Some of the cards listed here carry a referral link and some do not; each card’s own page says which. Where one exists, applying through it earns a referral reward for MaxMyPoints or for someone here, at no cost to you, and the offer through it is sometimes better than the issuer’s public one. Rates here are read from each issuer’s own published page, and the audit ranks cards on published rates and your own spending, and never reads which cards carry a referral link. These pages carry no application links.