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Optum Rx pharmacy benefits

Pharmacy benefits backed by data and insight

At Optum Rx®, we help members, providers and clients act with clarity and confidence — earlier and faster.

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.

Screenshots of the new Optum Rx Client Portal, Benefit Central

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

Female doctor wearing glasses and a stethoscope looking at a tablet

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

Smiling mother in a swimming pool with her daughter in a yellow floatie

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

Related healthcare insights

Automating the Prior Authorization Process

Article

Automating the prior authorization process

Discover our latest innovation to the PA process — PreCheck Prior Authorization — which reduces approval times, appeals and denials.

What’s Next for AI in Pharmacy: An Interview

Article

What’s next for AI in pharmacy?

Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.

Unpacking Recent Federal Actions on GLP-1 Medications

White paper

Unpacking recent federal actions on GLP-1s

Evolving federal policy on popular weight loss medications introduces additional cost and coverage uncertainties.

Drive pharmacy experiences with data and insight

Complementary solutions

Solution suite

Driving appropriate utilization of medications

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

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™

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

Benefit Central is your cloud-based, self-service platform designed to streamline plan management — because your time is important.

  1. Optum Rx and Surescripts data. April - June 2024.​
  2. 2025 analysis.​
  3. PSA’s BOB for 2025.