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Pharmacy benefit insights

Stay informed with the latest pharmacy benefit trends, industry news, and Optum Rx innovations to transform your health care benefits.

Latest featured insights

Article

Smarter, simpler pharmacy support with AI: An expert interview

In our latest podcast episode, hear our AI experts explore how real-time AI insights help members make more informed pharmacy care decisions.

Article

Transforming the pharmacy member experience with AI

Our AI technology proactively identifies and solves issues – before members even realize there’s a problem.

Article

5 questions executives are asking about AI in pharmacy benefits

Discover the unique challenges and responsibilities of introducing AI into pharmacy benefit solutions.

Article

Building trust in AI: A responsible approach

At Optum Rx, we’re using AI responsibly — fairly, safely, ethically — to make health care easier and better for the people we serve.

Article

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.

Article

How AI in pharmacy is powering new innovations

From predicting drug trend to earlier fraud protection, see how we’re leveraging AI to improve operations for clients and members.

Report

A simpler GLP-1, plus big-market launches

This edition of Notable New Drugs includes another oral GLP-1, the first preventative treatment for COVID-19 and the most effective oral drug for plaque psoriasis.

Report

First once-weekly insulin for type 2 diabetes

This edition of Notable New Drugs includes first once-weekly insulin, new psoriatic arthritis treatment and first oral treatment for allergic reactions

Report

First oral GLP-1 drug for weight loss

Explore 3 new drugs for chronic conditions including obesity, severe asthma and hives (also known as urticaria).

Article

The GLP-1 revolution continues

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

White paper

Unpacking recent federal actions on GLP-1s

Evolving federal policy on popular weight loss medications introduces additional cost and coverage uncertainties.

Article

GLP-1s: Real-life wonder drugs?

Hundreds of clinical trials are vetting GLP-1s to treat everything from Alzheimer’s to arthritis. The question is: How will we afford it?

Article

Transforming the pharmacy member experience with AI

Our AI technology proactively identifies and solves issues – before members even realize there’s a problem.

Article

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.

Podcast

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

 All pharmacy benefit insights

Report

3 new drugs are coming for rare and chronic conditions

This edition of Notable New Drugs includes new treatments for high cholesterol, excessive daytime sleepiness and autoimmune disease that offer promising results and improved competition.
Video

How do pharmacy benefit managers work?

Hear how PBMs negotiate to deliver the lowest possible cost, benefiting plan sponsors and members alike.
White paper

4 myths: Carving out specialty pharmacy

We examine the impact of carve-out approaches, how these carve-outs work against patient experience and clinical value, and how the integrated Optum Rx approach works better for all stakeholders.
Article

3 strategies to control pharmacy spend

See the critical products our clients use to manage drug spend and improve outcomes.
Article

Insights on GLP-1s: Costs and coverage

Balancing the risks and the benefits of GLP-1 drugs.
Article

Pivotal momentum in women’s health benefits

From fertility to menopause, smarter women's health benefits drive retention, reduce costs and support evolving workforce needs.
Article

Biosimilars: Hard to make but lower costs

Biosimilars compete with expensive biologic drugs by offering the same safety and effectiveness, but at a lower cost.
Article

How to manage medication overload

Hear from a leader's perspective on how to manage polypharmacy.
Article

Small price hikes make for big drug prices

We know about the high prices for new drugs, but drug companies make most of their money from repeated small price increases on older drugs.
Video

Optum Rx customer obsession

Watch how one Optum Rx employee made the system work better for everyone.
Video

Creating a better pharmacy experience

We’re committed to a expertly designed member experience built on affordability, accessibility and compassionate support from knowledgeable benefit experts.
Article

Optum Rx is reinventing the PBM model

Fixed pricing, predictability and real-time visibility into medication costs are the core of the new Optum Rx PBM model.
Article

The impact of AI on today's pharmacy benefits

In our latest podcast, two AI experts discuss how Optum Rx is leveraging artificial intelligence while prioritizing privacy and security.
Article

Specialty drugs: Not just set and forget?

For optimizing specialty drug therapy, monitoring patients throughout their care is key to cost-effective use of high-cost drugs.
Article

5 questions executives are asking about AI in pharmacy benefits

Discover the unique challenges and responsibilities of introducing AI into pharmacy benefit solutions.
Article

Taking the paper out of member communications

Discover how digital communications can increase member engagement and lower the cost of care.
Podcast

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
White paper

Smart formulary management

Develop and manage formularies that bring clinical and financial value.
Article

Transforming the pharmacy member experience with AI

Our AI technology proactively identifies and solves issues – before members even realize there’s a problem.
Article

Top 5 ways Optum Rx is putting AI into action

See how we’re using AI to make pharmacy care faster, more personalized and proactive.
Article

Transform your pharmacy benefits with end-to-end transparency

Learn 8 ways that plan sponsors can benefit from a comprehensive approach to transparency and accountability.
White paper

Unpacking recent federal actions on GLP-1s

Evolving federal policy on popular weight loss medications introduces additional cost and coverage uncertainties.
Article

GLP-1s: Real-life wonder drugs?

Hundreds of clinical trials are vetting GLP-1s to treat everything from Alzheimer’s to arthritis. The question is: How will we afford it?
Article

Is your PBM delivering the best value? 4 key questions to ask

See if your PBM is giving you the tools and guidance you need to balance savings with improved outcomes.
Report

First oral GLP-1 drug for weight loss

Explore 3 new drugs for chronic conditions including obesity, severe asthma and hives (also known as urticaria).
Video

Delivering better value for our plan sponsors

We partner with you to determine which solutions – designed to ease rising drug costs and support better health outcomes – best match your pharmacy needs.
Article

Pharmacy benefit management solutions, built for you

Clear pricing. Aligned scale. Actionable insights — helping you make smarter decisions, faster.
Report

First once-weekly insulin for type 2 diabetes

This edition of Notable New Drugs includes first once-weekly insulin, new psoriatic arthritis treatment and first oral treatment for allergic reactions
Article

Beyond visibility: What real transparency looks like in pharmacy benefits

Transparency isn't a product; it's a mindset. See how Optum Rx provides clear visibility into pricing, clinical care and more.
Article

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.
Article

Aging workforce and the impact on drug spend

An estimated 23% of the workforce will be over age 65 by 2050 – but what does that mean for my drug plan?
Article

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.
Article

How AI in pharmacy is powering new innovations

From predicting drug trend to earlier fraud protection, see how we’re leveraging AI to improve operations for clients and members.
Article

Is your pharmacy benefit manager delivering value?

The 5 key questions you should ask to make sure your pharmacy benefit manager (PBM) is able to promote value, drive innovation and improve health outcomes.
Article

How plan sponsors can stay ahead of the latest drug cost trends

A transparent fee-based model, real-time tools, and integrated pharmacy care help plan sponsors achieve affordability, predictability and better member outcomes.
Article

3 ways to beat vaccine fatigue

Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.
Article

The facts about pharmacy benefit managers

There are many misconceptions of pharmacy benefit managers (PBMs) and their services. Here are the facts.
Article

5 lessons from a year in flux

From tariffs to GLP-1s and AI, see which pharmacy topics led the conversation — and why they still matter going into 2026.
Article

3 key forces shaping the future of pharmacy

These emerging trends will help define the road ahead.
Article

1-stop PBM or multiple vendors?

Pros and cons to consider before distributing your PBM services among multiple vendors
Article

Managing the high cost of cancer drugs

Breakthrough cancer drugs offer better outcomes – but soaring costs pose challenges for affordability.
On-demand webinar

Addressing pharmacy issues that matter to you

From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.
Article

Alternative funding: Real savings or problems?

See how much "free" drugs will actually cost you.
Article

Building the PBM of the future

The solutions plan sponsors need today to tackle the pharmacy challenges of tomorrow.
Article

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.
Video

Creating connections through partnership

Hear from an Optum Rx client on how we're partnering together for everyone we serve.
Article

Automating the prior authorization process

Discover our latest innovation to the PA process — PreCheck Prior Authorization — which reduces approval times, appeals and denials.
Article

New pharmacy benefit solutions to help bend the cost curve

In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.
Case study

A seamless pharmacy benefit change?

We guarantee it. And it's easier than you think.
Article

How to eliminate prescription waste

Achieve savings by targeting expensive, low-value drugs.
Video

A young patient’s hemophilia story

See how Optum Rx helped change a patient’s life with access to life-altering medicines.
Video

How Optum Rx goes further to promote transparency

We’re redefining pharmacy benefit management with full transparency. Explore how our platform delivers unmatched access to detailed data and insights.
Article

Navigating 3 new pharmacy regulations in 2026

From GLP-1s to vaccines to tariffs, government policies will touch every area of pharmacy services this year.
E-book

Get immediate savings on specialty drugs

Specialty drug spend is a “top threat” to employer-provided benefits. Discover sustainable savings with your existing Optum Rx plan.
Report

A simpler GLP-1, plus big-market launches

This edition of Notable New Drugs includes another oral GLP-1, the first preventative treatment for COVID-19 and the most effective oral drug for plaque psoriasis.
Article

Building trust in AI: A responsible approach

At Optum Rx, we’re using AI responsibly — fairly, safely, ethically — to make health care easier and better for the people we serve.
Article

Blockbuster drug patent expirations in 2026 and what they mean

These billion-dollar drugs are set to lose their exclusivity. But good things happen when generics and biosimilars are allowed to compete with costly brand-name drugs.
Article

Psychedelics: Promising but controversial

Psychedelic medicines show promise, but experts say infrustructure, insurance buy-in and trained providers are the real hurdles.
Article

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.
Case study

Fighting fraud, waste and abuse in pharmacy

How one plan sponsor realized more than $128,000 in savings and recoveries in one year.
Article

Pharmacy benefit managers add value lower costs

PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.
Article

Protecting refrigerated medications

Optum Rx ships temperature-sensitive medications in carefully designed packaging to ensure protection from both the heat and the cold.
Article

The GLP-1 revolution continues

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

How to protect access and manage GLP-1 costs

GLP-1 drugs can successfully help people control their weight, but much is riding on whether we can afford them.
Article

Alzheimer's treatment: Time for a level-set?

See success rates, risks and costs of the new Alzheimer’s treatments.
Article

Smarter, simpler pharmacy support with AI: An expert interview

In our latest podcast episode, hear our AI experts explore how real-time AI insights help members make more informed pharmacy care decisions.