Immunology condition support you can rely on
The Optum® Immunology Center of Excellence can help you provide the precise care your patients need while simultaneously removing obstacles. Our in-depth support and attention allows you and your practice to focus on what matters most — patient care. With the sharpening focus on value-based care, providers need a new set of tools to help deliver better patient outcomes.
Our teams consists of pharmacists, technicians, account managers, and prior authorization (PA) and appeal experts. We’ll send you patient updates as well as monitor and follow up on patient-specific therapy goals ranging from treatment outcomes and side effect management to quality-of-life measures.
Key benefits
See all the ways we can make your life easier as a provider.
Adherence support
We provide tools, including a text adherence program and Optum® Schedule My Fill, to help your patients follow their care plan. Patients using the Schedule My Fill program achieved 100% medication adherence and persistence.1
Financial assistance
Optum Savings IQ™ connects patients with resources — foundation assistance, grants and copay cards — to help them pay for their therapy. Our financial assistance team helped save patients $823.5 million in 2023, and our annual goal is $1 billion this year.2
Dedicated support team
Our team of clinicians and patient care coordinators conduct first-fill consults, offer benefits checks, test claims, provide prior authorization and appeals support and perform welcome calls to enhance turnaround times and prevent care management gaps.
Digital provider solutions
The Optum Specialty Pharmacy provider portal is a secure, web-based pharmacy portal that gives you access to detailed patient information that makes it easier to prescribe specialty medications. The average wait time is 23 seconds to connect with a clinician via chat in our provider portal.3
Ways to prescribe
E-prescribe in one of the following ways, and we will route to one of our pharmacies to be filled:
1050 Patrol Road
Jeffersonville, IN 47130
NPI: 1083045140
NCPDP: 1564930
Fax: 1-877-342-4596
Call: 1-855-427-4682
Support resources for you and your patients
Technology-enabled adherence programs, including a text adherence program and Optum® Schedule My Fill, help your patients follow their care plan to improve patient outcomes. The average adherence rate is 89.1% for immunology patients.4
Find everything you need in one place:
- View prior authorization status, initiate appeals and see denial history.
- Track prescription status and referral activities with enhanced dashboard views.
- Easily search for patient medication lists, allergy information, diagnosis codes and insurance information.
- Access more features coming soon to streamline your process.
Optum Savings IQ™ enables our frontline teams to connect patients with available financial resources to help pay for their medication without them having to ask. This includes filling out the forms your practice needs to help speed up the process.
Optum Specialty Pharmacy is here to help you understand these FDA-approved treatments, including their formulary status and interchangeability. We offer clinical support to help you make the most informed treatment recommendations for your patients.
Biosimilars are medications that are made from natural and living sources such as animal and plant cells, and can be made of sugars, proteins, living cells, tissues or a combination of these.5
Biosimilars:
- Are highly similar to an existing biologic drug (sometimes called the reference product).
- Come in the same doses as the original biologic.
- Provide the same FDA-approved treatment benefits and have the same potential side effects as the original biologic.5
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- Optum Specialty Pharmacy. Impact of Schedule My Fill on medication adherence and persistence among patients. April 1–December 2023.
- Optum Specialty Pharmacy. Optum Exchange financial assistance book of business. 2023.
- Optum internal analysis. January–September 2023.
- Optum Specialty Pharmacy, book of business adherence data, 2023.
- FDA patient materials. March 2022.