Special 2021-2022 Update: Prescription Drug Program
We have recently added step therapy and prior authorization to our prescription drug program in an effort to reduce student costs and promote safe prescription use. Please review the following FAQ for more information about these new additions and how they will affect your plan.
As a UnitedHealthcare member, you have access to a comprehensive and quality pharmacy benefit provided through the UnitedHealthcare Pharmacy Benefit Program. UnitedHealthcare uses OptumRx. (www.optumrx.com) for certain pharmacy benefit services including your mail order benefit.
Make Informed Decisions
When selecting a medication, you and your doctor should consult the UnitedHealthcare Prescription Drug List (PDL). The PDL includes most brand and generic medications approved by the FDA. Medications may be placed on different “tiers” based on their overall value, with Tier 1 being the most affordable tier option. Click below to download and review the current Prescription Drug List:
To determine if a medication is covered by your pharmacy benefit, its tier level, and available lower cost alternatives log in to My Account.
After you log into My Account, you can access:
- Payment, pricing, and coverage information about most prescription medications
- Information about lower cost medication alternatives,
- A list of participating retail pharmacies by ZIP code, and
- Your prescription history
Choose a pharmacy that’s in the network
To get the most from your pharmacy benefit, you should use a participating retail pharmacy. There are over 60,000 retail pharmacies in our network, including both chain and independent stores located across the United States.
Use the Pharmacy Locator to find a participating retail pharmacy.
If you had to pay out of pocket for a prescription and need to receive a reimbursement please download the prescription claim form:
Filling prescriptions at pharmacies outside our network will increase your cost.
To get prescription drug information please call 1-855-828-7716.
Access the OptumRx Member FAQ for more information. Mail order benefits included only when applicable in your policy brochure.