Why choose Optum Rx pharmacy benefits?
We’re transforming pharmacy benefit management — creating transparent, simplified and more affordable access to medications, whether you need care, provide care, or pay for care. Our team of over 200,000 dedicated people are committed to reimagining healthcare, ensuring you receive the best possible service and support. Together, we can achieve better health outcomes and build a transparent, sustainable plan — ensuring medications are accessible and affordable, for everyone. That’s the power of partnership with Optum Rx.
What is a pharmacy benefit manager?
PBMs, like Optum Rx, play a crucial role in the health care system and serve plan sponsors by offering prescription drug benefits to their members. We act as intermediaries between plan sponsors and pharmaceutical manufacturers, pharmacies and health insurance plan companies. We negotiate drug prices and rebates, helping to lower the cost of prescription drugs for plan sponsors and their members.
Pharmacy benefit managers also offer value-added services such as:
- Strategic plan guidance, clinical expertise and regulatory advocacy
- Optimized cost management solutions to reduce drug spend
- Disease management support
The ultimate goal is to deliver superior clinical outcomes through a simplified experience.
What you can expect from your PBM
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.
Lowering pharmacy benefit costs
Your employees deserve access to low-cost medications. You deserve solutions that make it easy to lower drug spend. We can help deliver both.
Driving pharmacy innovations
You need simple, intelligent and adaptive solutions for your pharmacy benefit plan – fueled by the power of Optum.
Making pharmacy benefits more transparent
As the first comprehensive, transparent PBM, we support actionable, verifiable information that helps you understand how your pharmacy dollars are being spent.
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.
Caring for pharmacy members
We promise to deliver simple ways for your employees to get the medications they depend on.
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 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.
Transforming pharmacy benefits to drive results
As the first PBM to deliver broad transparency, we’re making benefits simpler and more affordable for everyone we serve.
They live up to the commitments they make and genuinely have the best interest of the plan and members at heart.
Large Employer Group
Delivering better value for our plan sponsors
You know your members best — and we’re here to help you support them. Together, we’ll identify the right solutions to ease rising drug costs and improve health outcomes, tailored to your plan’s unique pharmacy needs.
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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.