Optum Rx
Pharmacy care services that deliver better health outcomes at lower costs.
Overview
Optum Rx, part of UnitedHealth Group, is one of the largest pharmacy benefit managers in the United States. It provides a full suite of services to health plans, employers, and government entities, including formulary development and management, claims processing, specialty pharmacy services, and home delivery. Their formulary management tools are a core part of their offering to control drug costs and promote clinically effective treatments.
✨ Key Features
- Formulary Development and Management
- Pharmacy Network Management
- Drug Utilization Review
- Specialty Pharmacy Services
- Mail Order Pharmacy
- Rebate Management
🎯 Key Differentiators
- Commitment to 100% rebate pass-through and transparency
- Integration with the broader Optum and UnitedHealth Group ecosystem
- Use of real-time data and insights for plan management
Unique Value: Offers a transparent PBM model that leverages its scale to negotiate significant rebates and passes 100% of them to clients, aiming to simplify and lower the net cost of pharmacy benefits.
🎯 Use Cases (3)
✅ Best For
- Serving as the PBM for millions of members across the US.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Standalone software for a small medical practice.
🏆 Alternatives
Compared to traditional PBM models that can be opaque, Optum Rx emphasizes transparency in pricing and rebates, giving plan sponsors clearer insight into their drug spend.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Live Chat
- ✓ Phone Support
- ✓ Dedicated Support (Client tier)
🔒 Compliance & Security
💰 Pricing
Free tier: NA
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