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OptumRx pharmacy care services

A better path to affordable benefits

As a pharmacy benefit manager (PBM), our goal is to improve the affordability of health care and prescription drugs for both plan sponsors and members.

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Manage your prescriptions and refills

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CUSTOMER SUPPORT
Contact information for OptumRx members

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Designing a better member experience

We serve 250,000 people each day, so that's 250,000 times we have a member on the other line, we're interacting with them personally. We're not just thinking about somebody who has a pharmacy medication. They also have a medical condition. We think about that whole person. Pharmacy is the biggest touch point to health care. And so we're obsessed around how do we make medications as affordable as possible for consumers so they can get healthy. Pharmacy is really retail. It's a personal experience that you can touch and feel on a retail basis often with lots of interactions. And so you've got to have a really different perspective of how you make that experience simple, seamless, and smart. And that's what we're focused on. And so it's both the design around all the touch points in health care, whether you're talking to somebody on the phone, interacting with digitally. We bring all the data together. The pharmacy data, the medical data, the behavioral data, in real time and give that to our care provider who is actually interacting with them, so that we can actually create the best outcomes from a personal perspective, from a health perspective, and from a cost standpoint. We have the right culture and the people and the capabilities. Each element of that is the diversity that takes to bring all those resources together to serve the health care system. 

 

This is not something that we're going to do, to the health care system, we're going to partner with the various constituencies across health care to make it better.

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Who is OptumRx?

As a pharmacy care services company, OptumRx® goes beyond traditional pharmacy benefit management. Connecting billions of data points, we empower doctors to make informed decisions. We tackle trends and pinpoint solutions for our plan sponsors. And we work every day to simplify the system.

Pharmacy is a fast-moving, ever-changing environment. View the latest news and industry trends below.

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Thought leadership and solutions

Pharmacy is a fast-moving, ever-changing environment. View the latest news, industry trends and OptumRx innovations below.

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SOLUTIONS

Optum Specialty Medication Management

Learn how to control costs without compromising specialty care.

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WHITE PAPER

Carving out specialty pharmacy

Read the four risks in separating specialty pharmacy from your overall pharmacy benefit.

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OptumRx partners

Helping to navigate the health care landscape

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Solutions for health plans

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Are you a pharmacy benefits consultant? 

Solutions for consultants and brokers

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Are you a third-party administrator (TPA)? 

Solutions for TPA partners

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Creating connections through partnership

Clients rely on us to not only provide expertise and cost-effective benefits, but to do so in a compassionate way. Hear from one of our clients, Kelly Wittich at Westpath Benefits and Investments, and OptumRx Sr. Vice President of Clinical Consulting, Scott Draeger, on how we’re partnering together for everyone we serve.

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Hemo Client Testimonial Detailed Transcript

[Optum Logo]

[Health care is about people… and helping those people navigate health care. It’s also about keeping costs down. At Optum, our compassion, clinical expertise and a shared mission help our clients manage both.]

[KELLY WITTICH - Westpath Benefits and Investments]

At Wespath, one of the things we try really hard to do in the health benefits area, is to provide tools to our participants to help them navigate, to help them make smart decisions. And we rely heavily on our vendor partners to be able to provide those tools.

[SCOTT DRAEGER – Sr. Vice President of Clinical Consulting, OptumRx]

Everybody's struggling today with how to pay for healthcare. And so one of the value items I think we can bring as an organization, is helping people navigate that healthcare system a little bit easier.

KELLY WITTICH: Part of the value that I think OptumRx brings to our plan is that they help bring that expertise--that pharmacy expertise.

[Expertise that helps deliver cost-effective benefits.]

Medications are probably one of the highest drivers of increased costs for healthcare, and it's certainly one of the growing costs for our health plan. And so we rely on the expertise from OptumRx and their clinicians and their ability to use data to really help us.

[Expertise that goes beyond data]

SCOTT DRAEGER: Optum's access to data...Our ability to drive positive outcomes through connected care, is really unrivaled in the industry. That being said, I think it goes beyond data. Our teams understand that behind the data, there's real people, there's real families.

KELLY WITTICH: I often put myself in the shoes of my participants and say how is this benefit working for them at this challenging time in their life? And so partnering with OptumRx has been part of allowing us to care for our folks in that way.

[Compassion for people]

SCOTT DRAEGER: I just believe in Optum's mission. I'm a pharmacist, right? I went to school to help people. There are really caring people here and it just excites me when I look at how we're incorporating technology but how we're still focusing on that member experience, that individual.

KELLY WITTICH: Every single one of our members deserves the personal care when they need it. It's critical to be fair and to be a good steward. It's thrilling and a huge sigh of relief when you know that all the things that are put in place, that they end up making peoples' lives better.

 

[Optum Logo]

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We are providing support and resources to help people stay up to date on coronavirus disease 2019 (COVID-19).

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