A better pharmacy benefit experience
Transparency is more than a gesture. It’s delivering clear access to information — at every step — so that:
- You have more confidence in the benefit you’re providing.
- Members have more clarity on their medications’ cost and how to save.
- Providers have more control when prescribing.
Making pharmacy benefits easier to understand and use
100% rebate pass-through
We’re revamping payment models so that plan sponsors get the full value of the drug rebates negotiated with drug manufacturers. Under these new models, 100% of the rebate savings get passed directly to you.1
30-second prior authorizations (PAs)
PreCheck Prior Authorization, an industry-first innovation, transforms the PA experience by extracting real-time patient data from electronic medical records. This technology reduces approval time from 8.5 hours to under 30 seconds — while reducing administrative burden and protecting clinical rigor.2
Over $1 billion in annual member savings
Our digital tools give consumers and providers access to real-time medication costs, so they can choose the best option at the lowest cost. Those tools, along with proactive savings alerts and a new price-scanning tool at the pharmacy counter, generated $1 billion in savings opportunities in 2024.3
Independent drug reviews
Our independent Pharmacy and Therapeutics (P&T) Committee of clinicians, pharmacists and physicians provides an unbiased analysis to evaluate new drugs based on clinical criteria and health outcomes, not just cost.
Seamless benefit change
We guarantee a smooth transition, with 100% of client-satisfaction guarantees met for new clients.4 And once you are a client, Optum Rx® Benefit Central™ is your one-stop platform for efficient plan management and dynamic reporting to keep everything running smoothly.
The Optum Rx implementation process was extremely thorough. The team was professional and very good at their job. This was the smoothest transition we have ever gone through.
Senior Vice President of Benefits, large freight line employer group
Lowering GLP-1 drug prices by up to 60%
Pharmacy benefit managers have secured significant savings through pharma negotiations, such as reducing GLP-1 drug prices by roughly 60%.6 See how you can get the most from pricey new obesity drugs with Weight Engage.
Industry insights
![Are Your Pharmacy Benefits Working Hard Enough? [E-Book]](/content/dam/optum-dam/images/business/insights/Illo-data-screen-group-conversation-1080x720.png)
E-book
Pharmacy benefits should be transparent, affordable and easy to use. Get clear on your pharmacy benefit manager’s value with these 3 questions.
E-book
Pharmacy benefits should be clear and simple. Are they? In this latest e-book, see how true transparency drives better outcomes.
Podcast
Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.
Complementary solutions
Caring for pharmacy members
Lowering pharmacy benefit costs
Making pharmacy benefits more transparent
- Optum Rx has committed to pass through 100% of drug rebate discounts negotiated with pharmaceutical manufacturers to clients by Jan. 1, 2028.
- Optum Rx and Surescripts data. April–June 2024.
- UnitedHealth Group. 2024 Investor Conference.
- Optum Rx. Jan. 1, 2024 commercial client implementation data.
- Optum Rx. Internal analysis. January–September 2023.
- PCMA. Big Pharma Highlights How PBMs secure Significant Savings on Prescription Drugs. Published Aug. 12, 2024.