Optumrx Order Forms
Improve your organization's transparency with Optumrx Order Forms. Select and adjust forms to ensure your workflows stay on the right track.
Create a new Optumrx Order Form

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Commonly Asked Questions about Optumrx Order Forms
Can you use OptumRx at any pharmacy?
You have access to the OptumRx home delivery pharmacy and a large network of retail pharmacies, including large national chains and many local pharmacies. To locate network pharmacies in your area, use the OptumRx app.
Does OptumRx automatically refill prescriptions?
When you sign up, we will automatically refill and ship medications right to your door. Its easy, convenient and there is no cost to participate.
Can I use Walgreens with OptumRx?
Your pharmacy network For most medications you take regularly (maintenance medications), you must use the OptumRx home delivery pharmacy or a Walgreens pharmacy for 90-day supplies.
Does OptumRx transfer prescriptions?
Most home delivery prescriptions with remaining refills will automatically transfer. Prescriptions for certain medications will not transfer. Examples include controlled substances and prescriptions that have expired. In these cases, youll need a new prescription from your doctor.
How do I order mail order drugs from OptumRx?
Call us at 1-800-562-6223, TTY 711, anytime 24 hours a day, 7 days a week. You can also visit OptumRx.com or download the Optum Rx mobile app from Apple App store or Google PlayTM store for your mobile phone. You can also set up phone text and email notices for order updates and shipping status.
How does OptumRx deliver prescriptions?
Here are the standard shipping options and delivery times. Prescriptions: Most prescription orders are shipped via USPS First Class Mail. Once OptumRx receives your complete order for a new prescription, your medications should arrive within ten business days.
How do I add a new prescription to OptumRx?
When you log into optumrx.com the first time, click on the blue New prescription button under At a glance or find the large + above Request a prescription and click on the +. Type a drug name in the box and click on the spyglass.
How do I get started with OptumRx?
Registration at optumrx.com takes just a few minutes. To set up a HealthSafe ID, enter your health plan number. If you dont have your ID card, enter your Social Security number and ZIP code. Choose a username and password. Enter your email address. Enter your phone number or choose your security questions.