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What a Specialty Pharmacy Can Do for Pharma Manufacturers

Not all pharmacies are created equal. Optum Specialty Pharmacy combines targeted expertise and agility with Optum's deep resources, tailoring care for better outcomes and positioning pharma for success.

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Aligned to help take on pharma’s biggest challenges

1 in 10 U.S. specialty patients trust Optum Specialty Pharmacy with their care. Our portfolio of customized specialty solutions can help you create the greatest access to the right patients – quickly, consistently, and confidently.

  • Integrated pharmacies – Enabling specialized end-to-end support that can be scaled and tailored to meet your changing needs
  • Franchise framework – Expertise supporting key therapeutic nuances today, with the agility to customize and evolve for the future, powered by cross-enterprise connectivity
  • Centers of Excellence – Condition-specific clinical and operational models to advance affordability, access and care for all patients

Enhance your success with Optum

Optum Savings IQ™

Our technology solution automatically connects patients to all available financial resources, proactively helping them overcome the cost hurdle.

  • 89% fewer order cancellations due to financial reasons1
  • 60% reduction in patient out-of-pocket costs2
  • $5 average patient copay2

Schedule My Fill

Designed for established patients, our first-to-market solution makes it possible to schedule refills for a full year, helping avoid delays, minimize hassle, and boost adherence. 

  • 100% medication adherence for participants3
  • 9.6 patient ease of use rating4

Prior authorization support

Our appeals team successfully overturns more than 8 of 10 prior authorization denials, helping ensure patients can access the medications they need.5

  • More than 2 days faster to obtain supporting documentation for prior authorizations6
  • Orders are ready for shipment 4.5 days sooner6

Custom clinical programs

Meet your specific product and patient population needs with tailored solutions that improve access, affordability and adherence.

  • 55 more days on therapy with custom adherence texting7
  • 2 more fills for patients using smart devices8
  • 14% reduction in relapses for multiple sclerosis patients9
  • 90% adherence rate for oral oncology patients10

Optum Centers of Excellence

Optum® Centers of Excellence provide expert clinical care and customized services for many conditions and therapies.

Cardiopulmonary Center of Excellence

Innovative programs and in-depth support help you deliver precise care for patients with asthma, cystic fibrosis and more.
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Gastroenterology Center of Excellence

Clinical expertise from pharmacists and a devoted provider support team, all with years of experience working with gastroenterology conditions.
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Immunology Center of Excellence

Gain access to therapy-specific tools and resources to get your patients with immunology conditions started on therapy quickly and efficiently.
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Neurology Center of Excellence

When you work with the Optum Neurology Center of Excellence, we provide helpful resources so you can spend more time with your patients.
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Oncology Center of Excellence

We offer the clinical expertise and in-depth, customized care that you need so your practice can focus on one thing – the patient.
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Get in touch with our team today

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Sources

  1. Optum COE Cancel Reason Code data, 4/2023–1/2024.
  2. Optum Specialty Pharmacy, Financial Assistance Dashboard. Available claims only, 1/1/2024–5/31/2024.
  3. Impact of Schedule My Fill on medication adherence and persistence among patients at Optum Specialty Pharmacy, April 1–December 2023.
  4. Optum Specialty Pharmacy pilot survey results 2023. Based on 1 to 10 scale.
  5. Optum Specialty Pharmacy book of business appeals data, 2023.
  6. Using EMR Task, Optum Specialty Pharmacy, EMR Task Dashboard. Aug 2023- May 2024.
  7. Apr 1, 2020–Sept 30, 2021 program results.
  8. Optum Specialty Pharmacy smart device user analysis. Book of business. July 1, 2020-June 30, 2022.
  9. Optum Specialty Pharmacy, Annual Neurology Clinical Management Review, Jan 1- Dec 31, 2023.
  10. 2023 oral oncology adherence data.