How Optum Rx pharmacy benefits better serve you
You need — and expect — pharmacy benefit solutions built around your priorities and supported by clarity, guidance and control. At Optum Rx®, that’s exactly what we do. With us, you can expect:
- An Open Book approach — decisions you can see and trust from the start.
- Aligned scale — buying power and technology investment that work for you.
- Action backed by data and insight — with advanced analytics, artificial intelligence (AI) and expert support.
Together, these commitments create a partnership that doesn’t just perform — it adapts, explains and leads through what’s next.
Smarter benefits with AI and advanced tech
As the leader in advanced technology and the responsible use of AI, we’re supercharging the pharmacy benefit experience and driving meaningful results.
Guiding and designing your pharmacy benefit solutions
You shouldn’t have to choose between what’s best for your employees and your bottom line. We partner with you using data and intelligent technology, clinical expertise and deep industry experience to help guide and design your pharmacy benefits to meet your needs.
Aligned to scale with your pharmacy benefit needs
Our pharmacy benefit solutions are aligned to your priorities, not the other way around. We work towards them, together.
Controlling specialty drug costs
The cost and complexity of specialty drugs requires a solution that provides care without compromise. The outcome is a better experience and lower costs.
Driving pharmacy innovations
You need simple, intelligent and adaptive solutions for your pharmacy benefit plan – fueled by the power of Optum.
Open Book: Delivering transparent pharmacy benefits
Transparency is how we operate on a daily basis, from independent clinical decisions to pass-through economics and real-time clarity at the point of care.
Pharmacy Benefit Management for Health Plans
We help health plans customize networks, plan designs and formulary options, redefining quality with our expertise and claims processing technology.
Pharmacy benefits backed by data and insight
We help members, providers and clients act with clarity and confidence — earlier and faster.
Pharmacy Solutions for Workers' Comp and Auto No-Fault
We expertly handle the nuances of workers' comp and auto claims to lower costs, apply our unique clinical expertise, and provide a better experience for you, your staff, and the claimants you support.
What happens when pharmacy benefits are built differently
We're transforming pharmacy benefits to deliver real clarity, real savings and real results.
Delivering better value for our plan sponsors
You know your members best — and we’re here to help you support them. Together, we’ll find the right solutions to ease rising drug costs and improve health outcomes. And we'll tailor them to your plan’s unique pharmacy needs.
What's a pharmacy benefit manager?
Pharmacy benefit managers (or PBMs) serve plan sponsors by offering prescription medication benefits to their members. As a PBM, Optum Rx acts as a liaison between plan sponsors and manufacturers, pharmacies and health insurance companies. We negotiate drug prices and rebates, helping to lower the cost of prescription drugs.
PMBs also offer value-added services, such as:
- Plan strategy, clinical expertise and regulatory advocacy
- Cost-management solutions to reduce drug spend
- Disease management support
Our goal: superior clinical outcomes, made easier.
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