[MALE NARRATOR] Optum Rx® is proud to be the first comprehensive,
transparent pharmacy benefit manager.
But what is transparency?
Some equate transparency with just having visibility
into what prescription drugs cost.
We go much further, to promote transparency
by giving you access to a wide variety of information
well beyond drug pricing,
including how drugs are evaluated
and how formulary decisions are made.
With Optum Rx®, you can expect
simplified access to data such as contracting language,
fee structures, and pharmacy network changes,
the ability to drill down into data about individual drugs
and the factors impacting their utilization,
and access to multiple types of data
for auditing purposes.
We'll also furnish you with the tools and expertise
to better interpret and make decisions grounded in data.
Take, for example, clinical decisions.
One of the most important things for a plan sponsor to know
is which drugs their members are taking.
As new drugs enter the market,
they undergo a rigorous evidence-based review
from our Independent Pharmacy and Therapeutics Committee, P&T.
Comprised of independent physicians, pharmacists, and clinicians,
the P&T committee meets regularly
to consider the relevant data and scientific literature
for new and existing medications
and their potential place in therapy.
Optum Rx® clients are welcome to review P&T materials
to get an inside look at our clinical deliberations.
Transparency is also vital
to understanding how formularies are constructed.
Just because a drug is clinically appropriate
doesn't necessarily mean it's right for your plan.
This is where our clinical consultants
and formulary strategy advisors come in.
They will meet with you to review clinical recommendations
and cost modeling to help you decide
which medications best meet your unique needs.
Transparency is also paramount
when deciding how you will pay for these medications.
Our Costs Made Clear transparent pricing models
offer several different payment options,
each designed with transparency in mind.
These include 100% pass-through models,
cost-plus models, and reference-based model options,
each of which clearly shows what we pay,
what you pay and how.
Yet plant sponsors are not the only stakeholders
that benefit from transparency.
Members and care providers also need access to information
to make better informed decisions.
Our real-time benefit check tool, PreCheck MyScript®,
is embedded into a physician's existing prescribing workflow.
PreCheck MyScript® enables doctors
to check current prescription coverage and price
based on the member's benefit plan
and find possible medication alternatives when appropriate.
Access to real-time pricing data
also empowers members.
Our Price Edge comparison tool
compares direct-to-consumer prices with insurance pricing
to ensure members always get
the lowest available prescription drug price,
covered or not.
Given the complexity of pharmacy benefits,
we know a single tool or process
cannot provide sufficient transparency.
That's why we will continue to advance
our market-leading suite of transparency capabilities
to deliver greater insight and accountability for you.
Contact your Optum Rx® partner for more about
our comprehensive approach to transparency.