OptumRx is more than a PBM - it is a pharmacy care services company focused on connecting total condition spend and pharmacy’s impact across benefits.
Whether you’re looking for a standalone pharmacy benefit or a carved-in solution, we are making connections that help payers manage the total cost of the condition across benefits and help consumers navigate the system.
Data and Expertise
We have over 20 years of health care data and expertise to deliver insights and strategies to manage total spend across many vendors.
- Total health view
- Real-time pharmacy claims provides timely and relevant data
- 63% of health and savings opportunities driven by pharmacy
Every touch point is an opportunity for OptumRx to make a difference in health and spend, beyond pharmacy.
- 360˚ Opportunity Alert System across enterprise member touch points
- Up to 30 days faster engagement on health and savings opportunities
- Faster aligned engagement for time-critical opportunities
Our total health care approach is critical to manage costly specialty conditions and connect members to needed services.
- ONE team connecting member services, pharmacists, nurses, medical directors, and case managers
- ONE system sharing data, case notes, and expertise
- ONE experience increasing satisfaction and empowering to make better care decisions