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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

The AI-Driven Health Plan [White Paper]

White paper

The AI-driven health plan

This white paper offers expert perspectives on leveraging AI to optimize health plan operations efficiency, growth and member experiences.

A Lower‑Risk Approach to Community Engagement Verification

Article

A lower-risk approach to Community Engagement Verification (CEV)

In a recent demo of the Optum CEV solution, experts covered how states can address requirements under HR1.

AI in Action: Practical Use Cases for State Health Programs

Case study

AI in action: Practical use cases for state health programs

AI transforms state health programs by automating detection, strengthening oversight and driving impact. Get key insights from experts.