Pharmacy Benefit Manager
OptumRx
OptumRx is UnitedHealth Group's PBM. Manages prescription benefits for UnitedHealthcare members + many large employer + Medicare clients.
Parent
UnitedHealth Group
US claims share
~22%
What this PBM does
Processes UHC prescription claims, runs Optum Specialty Pharmacy + BriovaRx for specialty drugs. Often the entity issuing rejections on UHC member scripts.
Common complaints
- Specialty pharmacy steering to BriovaRx
- Formulary tier 4 placement of specialty drugs
Frequently asked questions
What is OptumRx?
Processes UHC prescription claims, runs Optum Specialty Pharmacy + BriovaRx for specialty drugs. Often the entity issuing rejections on UHC member scripts.
Common patient complaints?
Specialty pharmacy steering to BriovaRx; Formulary tier 4 placement of specialty drugs.
Other PBMs
Contact: hello@approvalhelp.com