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OptumRx Provider Manual

This manual is regularly updated with general announcements.

A guide for network pharmacy providers

Review policies and procedures in accordance with participating pharmacy provider network agreements, including:

  • Term definitions
  • Contact information
  • Member identification (ID) cards
  • Processing claims
  • BIN information
  • Medicare product information and guidelines
  • Compliance; fraud, waste and abuse (FWA); general training and audits
  • Pharmacy network participation requirements

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