Skip to main content

Pharmacy benefit management (PBM)

Our goal is to help plan sponsors and employees achieve better health outcomes and lower overall costs through Optum Rx pharmacy benefits.


Why choose Optum Rx pharmacy benefits?

We go beyond what a traditional pharmacy benefit manager offers. Connected with the power of Optum, we are uniquely positioned with differentiated capabilities to address your biggest challenges. There are more than 200,000 people focused on fundamentally transforming how health care is accessed, delivered and paid for. Our role at Optum Rx® is to help you provide the best and most affordable pharmacy benefit plan — that’s Pharmacy Care. Optum-ized.

What we deliver

We drive value for both you and your members by focusing on three areas:


Access to affordable medications is something everyone deserves. You deserve solutions that make it easy to lower drug spend. We can help you do both.


You need simple, intelligent, and adaptive solutions. We use the right combination of data and clinical expertise to redefine what health care can be.


We are leading the industry by delivering clear choices, transparent pricing and simplified pharmacy benefit for everyone we serve.


What you can expect from your PBM

You shouldn’t have to choose between what’s best for your employees and your bottom line. We partner with you using data and intelligent technology, clinical expertise and deep industry experience to help guide and design your pharmacy benefits to meet your needs. Our services include:

Safe and affordable access

Ensuring members have access to the medications they need – when and where they need it.

Specialty drug management

Supporting chronic and complex patients across both medical and pharmacy benefits.

Clinical programs to improve outcomes

Controlling drug costs without compromising care.

Optimized home delivery

Providing an easy and cost-effective way to get medications at home.

Lowest net cost approach

Leveraging a transparent, evidence-based approach to drug procurement and pharmaceutical manufacturer negotiations.

Regulatory advocacy and compliance

Monitoring and acting to influence legislation that would impact pharmacy benefits for our clients.

Advance health equity

Using data to identify health disparities and address them.

Monitor market trends

Keeping a pulse on the drug pipeline and reporting on the most critical developments.

They live up to the commitments they make and genuinely have the best interest of the plan and members at heart.

Large Employer Group


Optum Specialty Medication Management

The cost and complexity of specialty drugs requires a solution that provides care without compromise. The outcome is a better experience and lower costs.

Man and woman reviewing benefit costs on tablet.

Helping to lower pharmacy benefit costs

Let’s work together to achieve better clinical outcomes and pharmacy savings for everyone. Learn more about our pharmacy benefits and prescription drug solutions for: