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🔧 OptumRx / Optum Specialty Pharmacy

OptumRx / Optum Specialty Pharmacy

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Overview

Optum, part of UnitedHealth Group, is a massive health services and innovation company. Its OptumRx division is a leading Pharmacy Benefit Manager (PBM) and includes Optum Specialty Pharmacy. Like its main competitors, it operates a vertically integrated model, managing drug benefits and providing dispensing and clinical services for millions of members. They use their vast data resources and integrated care capabilities to manage specialty drug therapies, aiming to control costs and improve patient outcomes.

✨ Key Features

  • Pharmacy Benefit Management (PBM)
  • Specialty pharmacy dispensing and clinical support
  • Infusion services
  • Integrated data analytics for population health
  • Care management programs

🎯 Key Differentiators

  • Deep integration with UnitedHealth Group's insurance and provider services (Optum Health).
  • Extensive data and analytics capabilities derived from a massive member base.
  • Broad portfolio of health services beyond just pharmacy.

Unique Value: Leverages the power of an integrated health system (payer, provider, pharmacy) to manage specialty drug care with a holistic view of the patient.

🎯 Use Cases (4)

Managing pharmacy benefits for employers and health plans Dispensing specialty medications to patients Providing clinical support for complex conditions Integrating medical and pharmacy data for better care management

✅ Best For

  • A market leader in pharmacy benefits management and specialty pharmacy services in the U.S.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Any organization looking to buy a software license. This is a service provider, not a software vendor.

🏆 Alternatives

Cigna Evernorth CVS Caremark

As a service provider, it offers an all-in-one solution for benefits management and dispensing, which is fundamentally different from a purchasable software tool.

💻 Platforms

Web Mobile

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Phone Support
  • ✓ Dedicated Support (Members/Clients tier)

🔒 Compliance & Security

✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit OptumRx / Optum Specialty Pharmacy Website →