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OptumRx Delaware Provider Information

In-Network Similarly Situated Pharmacy Maximum Allowable Cost (MAC) Claim Reprocessing

Resources

  • XLSX

     

    Mac List Changes

    Download

  • PDF

     

    OptumRx MAC Reverse and Reprocess Request Submission Guidelines

    Download

  • XLSX

     

    OptumRx MAC Reverse and Reprocess Request Form

    Download

Additional MAC Appeal information can be found in the OptumRx Provider Manual and OptumRX MAC Appeal Submission Guide.

For assistance with MAC Appeals and claim reprocessing requests, please email OptumRx MAC Appeals department at MAC@Optum.com.

For assistance with all other questions, including MAC Pricing and Appeals, please refer to the OptumRx Provider Manual for additional contact information.

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