Pharmacy benefits

Designed to make medications more affordable and accessible, pharmacy benefits from UnitedHealthcare are critical to lowering costs for your clients and improving health outcomes for their employees.

Delivering advantages for everyone — and results for your clients

Helping to lower costs for employees and their families

From streamlined prior authorizations to digital pricing tools to strategic Prescription Drug List (PDL) design, we're working to make prescription drugs more affordable and increase adherence.

Providing decision support for providers and pharmacists

We provide critical decision support at the point of care to help lower costs and ensure that the right drugs are used in a patient's care plan.

Designed to deliver a simpler experience

A common medical and pharmacy data platform is designed to deliver a simpler plan experience for clients, as well as lower their costs on both the pharmacy and medical side.

Pharmacy strategies built to help achieve better outcomes

Our strategic approach to PDL management, site of care redirection, medication sourcing and more helps deliver pharmacy benefits built to lower costs, streamline experiences and improve adherence.

Improving adherence and lowering costs

PreCheck MyScript® is designed to make it easier for physicians to access each patient's specific PDL and cost information, as well as identify lower cost alternatives and any prior authorization requirements — saving members an average of $225 per script.1

Managing high-cost specialty medications

With site of care redirection and specialty virtual visits, we help employees better understand their medications — and deliver 30% to 50% savings per infusion when shifted to a nonhospital setting.2

Confronting the opioid epidemic

Our multi-dimensional approach has resulted in 95% compliance with "first-fill" opioid scripts with a 7-day or fewer supply3 and a 27% reduction in total opioid prescriptions.4

Share with your clients

See how pharmacy and medical benefits provide visibility into employee utilization and outcomes.

Controlling costs through medical and pharmacy integration

See how an integrated approach to medical and pharmacy benefits helps streamline member experience, improve health and lower costs.

Footnotes

  1. OptumRx Analysis of full year 2019 trial claim and production claim data. Jan. 2019–Dec. 2019 based on 5.2 million members, >230,000 providers and 37.8 million transactions using PreCheck MyScript.
  2. Optum Specialty Pharmacy 2018 internal analysis.
  3. OptumLabs: CY 2016 commercial managed care medical and pharmacy claims data.
  4. Results are based on 3rd/4th quarter 2016 vs. July 2018 client data and short-acting opioid script volume and do not represent a guarantee of results.