Network resources
Join the Optum Rx network
Network participation request form
Take the first steps towards impactful collaboration by joining the Optum Rx pharmacy network. We look forward to partnering with you to optimize healthcare for all.
Access digital tools
Pharmacy eServices registration
When you register for Pharmacy eServices, you’ll get access to digital tools to assist patients. You can also:
- View patient claims history and eligibility information, including Rx BIN, Rx PCN and Rx Group details
- Perform real-time refill too soon overrides for vaccination, lost or stolen medication, mail order delay, and long-term care facility admit/discharge
- View claims status and details of approved, denied, and pending claims
- Check Prior Authorizations
- Search for drug pricing and alternative medication options specific to the patient’s formulary
Pharmacy portal sign-in
Here’s how to register for a One Healthcare ID to use the Optum Rx Pharmacy Portal:
- Go to https://professionals.optumrx.com
- Under Pharmacy Sign In, click on Register for a One Healthcare ID
- Select Create a One Healthcare ID
- Provide the required information, and select I Agree
Health equity products
Depending upon market availability.
Resource Bridge
Addresses the social determinants of health affecting Optum Rx members and aims to connect underserved members with local community resources.
Bridge to Wellness
Provides high-touch medication services that closes gaps in care, promotes medication adherence and improves health outcomes. This product partners with Community Pharmacy Enhanced Services Network (CPESN) USA.
Independent Pharmacy Strategy
Depends on market availability. Only available in certain markets at this time.
Enhanced reimbursement and payment predictability
Still receiving paper checks? Receive your payments faster by eliminating mailing-time lags and sign up for EFT today. Utilize the 835 electronic remittance form to receive detailed listings of claim activity. Reference the Optum Rx PLB codes and increase the ease of reconciliation.
Related healthcare insights
On-demand webinar
Watch this on-demand webinar for expert insights on AI capabilities, business challenges and robust governance in healthcare.
Article
Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.
Article
Optum won the 2023 North American Enabling Technology Leadership Award.
Product information and resources
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Download guide
PDF
Guide
Pharmacy provider manual
Our provider claims guide offers our network providers key information and support in submitting claims.