An agile partnership you can count on
It starts with decisions you can see and trust. Leveraging our scale and investments, we deliver predictable outcomes and expert guidance you can count on – aligned to your organization’s goals and built to reduce risk, complexity and cost. That means:
- You have confidence in the pharmacy benefits you’re delivering, backed by decisions you can understand and explain.
- Your members have clarity into their medication costs, coverage, and opportunities to save – without surprises along the way.
- Their providers have decision‑ready insight at the point of prescribing, with greater control and less administrative burden.
Pharmacy benefits designed for the real world
Pharmacy benefits work better when cost, coverage and decisions are clear upfront – not uncovered after the fact.
Open book
We show our work
Every decision, every point of contact, every experience is clear. You see formulary, pricing, and utilization selections. Doctors see net cost, coverage and alternatives before prescribing. Members see real costs and saving opportunities upfront. The result is no surprises.
Decisions made in real-time
30-second prior authorizations (PAs)
PreCheck Prior Authorization, an industry-first innovation, automates the PA experience. By using real-time EMR data, it cuts approval time from 8.5 hours to under 30 seconds – reducing administrative burden without compromising clinical integrity.1
Aligned to your members
$15 avg. cost per prescription
At Optum Rx, savings isn’t a feature; it’s the whole point. Our pharmacy benefits keep your members ahead – despite rising drug costs. With access to real-time medication costs and comparisons, members have clearer options upfront, so they can choose the best option at the lowest cost. The result is:
- $15 avg. cost per prescription.2
- $1B in savings opportunities.3
Aligned to you
~19% PMPM savings for highly managed clients
At Optum Rx, we don’t just cut costs. We bend the curve. Clients who fully leverage our integrated formulary and utilization management programs see 19% per member per month (PMPM) savings.4
Smarter pharmacy benefits
Saving members ~3 million calls last year
Some plans react. At Optum Rx, your plan already knew. Our AI and advanced technology capabilities proactively predict and resolve potential member issues while connecting members to the right resources upfront. The result is:
- ~3 million calls saved in 2025.4
- 80% of potential member call escalations prevented.4
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%.5 See how you can get the most from pricey new obesity drugs with Weight Engage.
Industry insights
Article
We delivered a seamless 1/1 transition for over 800 new clients with strong service, stable operations and improved member experiences.
Article
The move to Maximum Fair Prices for popular drugs will trigger new economic considerations for plan sponsors.
Article
Two AI experts share insights on how we’re using AI and advanced technology to improve everything from trend prediction to member services.
Complementary solutions
Solution suite
Aligned to scale with your pharmacy benefit needs
Our pharmacy benefit solutions are aligned to your priorities, not the other way around. We work towards them, together.
Solution suite
Open Book: Delivering transparent pharmacy benefits
Transparency is how we operate on a daily basis, from independent clinical decisions to pass-through economics and real-time clarity at the point of care.
Solution suite
Pharmacy benefits backed by data and insight
We help members, providers and clients act with clarity and confidence — earlier and faster.
- Optum Rx and Surescripts data. April - June 2024.
- 2024 analysis.
- UnitedHealth Group. 2024 Investor Conference.
- 2025 analysis.
- PCMA. Big Pharma Highlights How PBMs secure Significant Savings on Prescription Drugs. Published Aug. 12, 2024.