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Pharmacy benefit management (PBM)

Our goal is to help plan sponsors and employees achieve better health outcomes and lower overall costs through Optum Rx pharmacy benefits.

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. 

Solution suite

Lowering pharmacy benefit costs

Best for:
  • Health systems and hospitals
  • Payers
  • Employers
  • Brokers and consultants
  • State governments

Your employees deserve access to low-cost medications. You deserve solutions that make it easy to lower drug spend. We can help deliver both.

Solution suite

Driving pharmacy innovations

Best for:
  • Payers
  • Health systems and hospitals
  • Brokers and consultants
  • State governments

You need simple, intelligent and adaptive solutions for your pharmacy benefit plan – fueled by the power of Optum.

Solution suite

Making pharmacy benefits more transparent

Best for:
  • Health systems and hospitals
  • Payers
  • Employers
  • Brokers and consultants
  • State governments

As the first comprehensive, transparent PBM, we support actionable, verifiable information that helps you understand how your pharmacy dollars are being spent.

Solution suite

Controlling specialty drug costs

Best for:
  • Employers
  • State governments

The cost and complexity of specialty drugs requires a solution that provides care without compromise. The outcome is a better experience and lower costs.

Solution suite

Caring for pharmacy members

Best for:
  • Health systems and hospitals
  • Executives
  • Payers
  • Employers
  • Brokers and consultants
  • State governments

We promise to deliver simple ways for your employees to get the medications they depend on.

Solution suite

Pharmacy Benefit Management for Health Plans

Best for:
  • Payers

We help health plans customize networks, plan designs and formulary options, redefining quality with our expertise and claims processing technology.

Solution suite

Pharmacy Solutions for Workers' Comp and Auto No-Fault

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

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.

Solution suite

Transforming pharmacy benefits to drive results

Best for:
  • Health systems and hospitals
  • Payers
  • Employers
  • Brokers and consultants
  • State governments

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

Better plan value on blue background

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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