Optum Rx to deliver lower cost, value added pharmacy services to members in Harvard Pilgrim’s and Tufts Health Plan’s service markets
(CANTON, Mass./EDEN PRAIRIE, Minn.) September 9, 2021 — Point32Health, the not-for-profit health care parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced it has entered into a new, multi-year agreement with Optum Rx to provide integrated Pharmacy Benefit Management (PBM) solutions that will enhance services and deliver improved pricing for Harvard Pilgrim and Tufts Health Plan members.
Effective January 1, 2023, Optum Rx’s integrated health and wellness service model will provide pharmacy benefit offerings for Point32Health. Optum Rx will support convenient and affordable access to prescription medications to Harvard Pilgrim and Tufts Health Plan members through a comprehensive retail, specialty and home delivery pharmacy network. The new agreement is expected to generate aggregate pharmacy savings for Commercial, Direct and Medicare customers of between 12%-16%* over the course of the three-year contract.
“Point32Health is committed to delivering on its promise of improving access to high-quality, affordable health care and investing in programs and services that guide our members to better health outcomes and wellness,” said Cain Hayes, CEO of Point32Health. “We are doing just that in working with Optum Rx – an industry leader with an innovative focus on pharmacy care services and managing costs. We look forward to collaborating with them to ensure our members have the most competitive prescription drug benefits program available and that our Tufts Health Plan members experience a smooth transition to Optum Rx.”
The new collaboration between Point32Health and Optum Rx further broadens the long-term strategic relationships Harvard Pilgrim and Tufts Health Plan have had with Optum. Optum Rx has been successfully serving Harvard Pilgrim members since January 1, 2020, and will work closely with Tufts Health Plan’s current pharmacy benefit partner, CVS Caremark, to ensure a smooth transition for January 1, 2023.
“We are honored to collaborate with Point32Health to provide enhanced pharmacy care services to Harvard Pilgrim and Tufts Health Plan members while reducing costs,” said Heather Cianfrocco, CEO of Optum Rx. “Optum Rx is committed to delivering exceptional pharmacy experiences to all members through our integrated services model. Our comprehensive retail, specialty and home delivery pharmacy network is designed to help improve access and outcomes, and lower prescription drug costs.”
Point32Health’s Pharmacy Services Department will continue to manage its prescription drug program, including decisions about which drugs are included in its formularies and the specialty pharmacy program offering.