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Optum Rx pharmacy benefits

Aligned to scale with your pharmacy benefit needs

At Optum Rx®, our pharmacy benefit solutions support your priorities, not the other way around. We work towards them, together.

Scale that lowers costs, reduces risk & simplifies pharmacy care

We put our scale to work for you, using our buying power, clinical and operational expertise and technology investments to counter market volatility. Costs remain low, risk is reduced and everyone’s experience is simplified.​

Greater client cost-savings

We leverage our scale to negotiate on your behalf. The result is ~19% PMPM savings for highly managed clients.​1

More connected experiences

We’ve invested $3.5B to advance our capabilities and provide predictive trend modeling, real-time benefit tools, proactive clinical intervention and more to improve experiences for everyone we serve.

Prescribing made easier

Our pharmacists, clinicians, data scientists and service teams operationalize complex strategies, such as reducing prior authorization denials by 68%.2

Lower drug costs for members

We’re here to make the health system work better. Despite rising costs, Optum Rx members spend an average of $15 per prescription.3

A counterweight to market volatility

With significant market power across the drug supply chain, pharmaceutical manufacturers have sole discretion over medication pricing. That’s why it’s so important that we serve as the counterweight — and we are. Through negotiations, we’re lowering prescription drug prices and improving health outcomes:

  • For every $1 spent, pharmacy benefit managers (PBMs) reduce costs by $10.
  • Over the next 10 years, PBMs will help prevent 1 billion medication errors.
  • 9 in 10 employers are satisfied with their PBM.
  • We pass through 98% of the negotiated discounts and pharmacy rates to clients.

Related healthcare insights

The GLP-1 Revolution Continues

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The GLP-1 revolution continues

New pills and expanded indications are poised to alter the dynamics of GLP-1 costs and treatments.

Optum Rx: Relentless Prep, Strong 2026 Implementations

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Relentless preparation leads to a strong 2026 implementation

We delivered a seamless 1/1 transition for over 800 new clients with strong service, stable operations and improved member experiences.

What Plan Sponsors Need to Know About WAC Pricing Shifts

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What plan sponsors need to know about WAC pricing shifts

The move to Maximum Fair Prices for popular drugs will trigger new economic considerations for plan sponsors.

What’s Next for AI in Pharmacy: An Interview

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What’s next for AI in pharmacy?

Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.

The Big 4: Which Drug Classes Are Driving Spending?

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The big 4: Which drug classes are driving spending?

Rising pharmacy costs extend far beyond GLP-1s — inflammatory conditions and oncology therapies continue to drive significant spend.

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Get the most from these pricey new obesity drugs by choosing the right coverage strategy and helping your members build lifelong habits.

Solution suite

Pharmacy benefits backed by data and insight

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  • Employers
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  • Payers
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We help members, providers and clients act with clarity and confidence — earlier and faster.

See how we can help scale your pharmacy benefit needs

  1. 2025 analysis.​
  2. KLAS Research, 2024.
  3. 2024 analysis.​