Less friction, more confidence & better pharmacy experiences
Everyone uses their pharmacy benefits at some point. And too often, the experience is overly complicated. We’ve designed ours to work differently from the start. By connecting insight, technology and expertise across the pharmacy benefit, fewer things fall through the cracks. Clients and members benefit from a more predictable, coordinated experience powered by intelligence embedded directly into systems and workflows.
Guidance you can trust. Decisions you can stand behind. Outcomes that move healthcare forward for everyone.
Smarter decisions, powered by advanced analytics & expert guidance
Automation alone doesn’t build confidence. What matters is delivering the right insights at the right time so people can act on them.
Smarter plan management
Benefit plan builds in minutes
Optum Rx Benefit Central™ is your one-stop-shop for benefit management. Flexible configurations adapt to your needs, simplifying administration and accelerating turnaround times.
Faster decisions, fewer delays
Prior authorization approvals in under 30 seconds
Our industry-first innovation, PreCheck Prior Authorization expedites prior authorizations, decreasing turnaround times to under 30 seconds.1 With PreCheck MyScript®, members can save an average of $194, and clients save $393 per switched medication.2
Automated price visibility
Real-time cost savings for members
With MyScript Finder™, members can see medication cost information, including the lowest-cost option prior to their prescription being filled. Members who switch their medication save an average of over $90.
Price Edge automatically offers market-competitive medication pricing, saving members an average of over $60.2
Proactive risk management
AI-enabled fraud detection returns dollars to clients
Our AI-powered insights identify risk earlier, so teams can act sooner and prevent issues before they escalate. The result is $2M recovered per client on average in fraud, waste and abuse.2
A better member experience – built into every decision
We embed intelligence directly into the moments that matter, helping members access medications faster, avoid surprises and pay less without extra steps or delays.
Eliminating up to 25% of reauthorizations
We’re eliminating up to 25% of reauthorizations — more than 10% of overall pharmacy prior authorizations — to simplify access to prescription drugs.
Prior auth approvals in under 30 seconds
PreCheck Prior Authorization, an industry-first innovation, reduces the turnaround time to less than 30 seconds.1
Real-time prescribing details for doctors
PreCheck MyScript gives doctors real-time, plan-specific medication details at the point of prescribing, saving members $194 on average.2
Medication savings alerts for members
Proactive Savings Alerts identify savings opportunities and alert members directly, saving them $46 on average per 30-day script.3
Analytics and expert pharmacy benefit insight FAQ
At Optum Rx, From Insight to Action means turning data into decision-ready guidance that helps clients, providers and members act with confidence earlier and faster. We move beyond static reports to embed intelligence directly into workflows, so insights don’t just explain what happened, they guide what to do next.
Optum Rx is different because we combine advanced analytics, AI and expert clinical and service teams to:
- Surface risks early
- Recommend actions proactively
- Adapt support as conditions change
This helps clients stay ahead. Most pharmacy benefit managers (PBMs) deliver insights after the fact. Optum Rx delivers guidance in motion.
We embed intelligence directly into the systems clients already use. Through platforms like Optum Rx Benefit CentralTM and Optum Assistant, complex pharmacy, financial and clinical data is translated into clear guidance that’s easy to act on, easy to measure and easy to maintain.
Optum Rx Benefit CentralTM is our digital command center for your pharmacy benefits that streamlines plan builds, diagnostics and ongoing management. It does this by integrating advanced analytics with guided workflows, which:
- Allow benefit designs to be built in minutes
- Quickly adjust as priorities or market dynamics change
We reduce friction with tools like PreCheck Prior Authorization, PreCheck MyScript® and Price Edge. They help to:
- Eliminate delays
- Reduce friction points
- Surface lower‑cost alternatives early
- Minimize barriers
- Improve the experience for everyone
With MyScript Finder™, members can see medication cost information including the lowest-cost option prior to their prescription being filled.
The result is:
- $194 member savings for every prescription switched in the doctor’s office using PreCheck MyScript2
- $90+ average member savings online with MyScript Finder.2
- $60+ average member savings automatically applied with Price Edge, with a total of over $273M saved in 2025.2
Optum Rx uses AI‑powered plan diagnostics, AI‑enabled fraud, waste and abuse detection, and proactive adherence interventions to identify early signals that others miss. This allows clients to act before issues escalate.
Our AI-powered audits have resulted in an average of $2M recovered in fraud, waste and abuse per client.2
At Optum Rx, our AI enhances expert judgement instead of replacing it. Advanced analytics surfaces patterns and risks earlier while experienced clinical, service and operational teams apply context and oversight to guide and ensure appropriate action. The result is smarter decisions grounded in both technology and human expertise.
Members experience fewer surprises and less disruption. By proactively identifying savings, simplifying access and reducing friction — such as removing 25% of unnecessary reauthorizations — Optum Rx helps members manage their prescriptions with clarity and confidence. The reduction in reauthorization totals more than 10% of overall pharmacy prior authorizations.
Additionally, our AI automatically predicts and proactively resolves possible member issues, eliminating 80% of potential call escalations.2
When insight leads directly to action, waste and inefficiency are reduced. Automated savings programs like Price Edge, Proactive Savings Alerts and guided decision‑making help lower costs while supporting adherence and appropriate care. Ultimately, this ensures affordability improvements don’t come at the expense of member experience or outcomes.
Last year, a total of $67M was saved for clients with Proactive Savings Alerts. Members save $46 on average.2
From Insight to Action is an operating model. Tools like Optum Rx Benefit Central™, MyScript Finder™ and Optum Assistant bring it to life, but the value comes from how our analytics, workflows and expert support work together to deliver guidance you can trust and decisions you can stand behind.
Pharmacy decisions happen in real time, amid rising costs and evolving clinical needs. Optum Rx helps clients move with confidence by delivering insight designed for action — not just information — so risks are addressed earlier, decisions are clearer and outcomes improve for everyone we serve.
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Complementary solutions
Solution suite
Driving appropriate utilization of medications
We are committed to helping members stay adherent to medications while addressing the industry challenges that prevent them from doing so.
Solution suite
Optum Rx Benefit Central™
Benefit Central is your cloud-based, self-service platform designed to streamline plan management — because your time is important.
- Optum Rx and Surescripts data. April - June 2024.
- 2025 analysis.
- PSA’s BOB for 2025.