How can I find a network pharmacy?

You can find a list of network pharmacies on OptumRx.com or by using the mobile app.

• 1. Go to Pharmacies and Prescriptions to search for a provider list in your area.

You can also call the phone number on your health plan ID card to talk to us.

How do I find what prescription medications are covered by my plan?

You can find prescription medications coverage information for your plan by logging in to OptumRx.com.

1. Go to Pharmacies and Prescriptions - Prescription Drug List (PDL) to see a list of medications covered under your plan.

2. You can also search for a specific prescription medication to find out if it’s covered or what you’ll have to pay out-of-pocket.

How do I know how much my prescription medication will cost?

When you switch to a new plan, your prescription coverage may change. To help make sure you get the medications you need, check to see if they’re covered at OptumRx.com — or in the mobile app. There, you can also look for details on how to keep getting the same medication or switching to a lower-cost option.

Why could my medication cost change?

We’re always looking for the safest, most effective and lower cost medication to include with your health plans.

You can use a resource called a prescription drug list (PDL) to check your coverage. It shows you the medications that are covered by your plan. It may also help you understand plan requirements that may affect your coverage for a medication.

Your PDL is broken into cost levels called tiers. Choosing medications in lower tiers may save you money. You can talk with your doctor about your PDL and discuss lower cost options to help you find prescriptions that may work with your budget.

Log in to OptumRx.com and go to Pharmacies and Prescriptions to review the PDL for your plan option.

This page was updated on June 16, 2020.