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Operations and technology

Pharmacy technology solutions

Our comprehensive solutions support the entire pharmacy claims life cycle, with unparalleled data and insights to optimize pharmacy operations. 

Achieve efficient operations, cost control and consumer engagement

Pharmacy technology solutions from Optum drive real-time, point-of-sale actions with robust analytics to reveal insights into all areas of pharmacy business to improve margins, reduce costs and streamline operations.

We provide efficient drug dispensing, optimized revenues, and reduced direct and indirect remuneration fees (DIR) to ensure clinical and operational compliance and enhance patient engagement and loyalty.

We help you monitor business operations, minimize risk and support health and wellness initiatives to simplify store operations analysis and reporting. This includes network solutions, revenue cycle management and software solutions to improve dispensing, inventory management and consumer engagement.

Explore our pharmacy technology solutions  

Solution suite

Pharmacy Management Software Solutions

Best for:
  • Health systems and hospitals
  • Manufacturers
  • Payers

A solution suite that helps promote patient clinical interventions such as medication adherence, to build engagement and loyalty.

Solution suite

Pharmacy Network Solutions

Best for:
  • Health systems and hospitals
  • Manufacturers
  • Providers

A claims-management tools that help pharmacies expedite claims editing, submission and adjudication.

Service

Pharmacy business intelligence solutions

Best for:
  • Health systems and hospitals
  • Payers

Data management and analysis tools that let pharmacies analyze store performance in real time.

Solution suite

Pharmacy Revenue Cycle and Billing Solutions

Best for:
  • Health systems and hospitals

A suite of medical claims billing and revenue cycle management solutions that help pharmacies boost revenue.

Software

Network connectivity

Best for:
  • Executives
  • Health systems and hospitals
  • Providers
  • State governments

Enhance connectivity and streamline EDI transactions for health care providers, health plans and pharmacies through our nationwide network.

Industry insights

What Health Plans Need to Know About Provider Usage of AI

Article

What health plans need to know about provider usage of AI

Uncover the 4 major ways providers are leveraging AI and how this trend is changing payment integrity for health plans.

How Mature Is Your Health Plan's Payment Integrity Program?

Article

How mature is your health plan's payment integrity program?

Discover the five levels of maturity and practical tips to strengthen your plan's performance.

Beyond Payment Integrity: An AI-Driven Approach to Affordability

Article

Beyond payment integrity: An AI-driven approach to affordability

Medical costs are rising, and health plans need solutions. See how an AI-driven, enterprise-wide approach may be the key to affordability.