Create your Optumrx Order Form from scratch

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Here's how it works

01. Start with a blank Optumrx Order Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Optumrx Order Form in seconds via email or a link. You can also download it, export it, or print it out.

Build Optumrx Order Form from the ground up by following these detailed guidelines

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Step 1: Get started with DocHub.

Start by creating a free DocHub account using any offered sign-up method. Just log in if you already have one.

Step 2: Sign up for a free 30-day trial.

Try out the complete set of DocHub's pro tools by signing up for a free 30-day trial of the Pro plan and proceed to craft your Optumrx Order Form.

Step 3: Create a new blank doc.

In your dashboard, click the New Document button > scroll down and hit Create Blank Document. You’ll be taken to the editor.

Step 4: Organize the document’s layout.

Use the Page Controls icon marked by the arrow to switch between different page views and layouts for more flexibility.

Step 5: Begin by adding fields to create the dynamic Optumrx Order Form.

Use the top toolbar to add document fields. Add and format text boxes, the signature block (if applicable), add photos, and other elements.

Step 6: Prepare and configure the incorporated fields.

Arrange the fillable areas you incorporated based on your preferred layout. Customize the size, font, and alignment to make sure the form is straightforward and polished.

Step 7: Finalize and share your template.

Save the finalized copy in DocHub or in platforms like Google Drive or Dropbox, or design a new Optumrx Order Form. Send out your form via email or get a public link to engage with more people.

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Build your Optumrx Order Form in minutes

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
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.
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. Drag the drop-down menu to the proper dosage. Choose the correct quantity.
Call 1-800-562-6223, TTY 711. Sign up for easy automatic refills* so you never run out of the medication you need. With our easy-to-use drug search tool, you can find the best medications and pricing options. Download the Optum Rx app to easily manage your medications, claims and orders from any mobile device.
Prescriptions: Most prescription orders are shipped via USPS First Class Mail.
On the top navigation, go to My profile and My caregiver access. Under My caregiver select Add a caregiver to manage my account and add your caregivers first name, last name, and email address. You will type the email address twice.
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Build your Optumrx Order Form in minutes

Start creating now

Related Q&A to Optumrx Order Form

You can submit your order via phone, mail, online or through the OptumRx App. Additionally, your physician can electronically submit your prescription to OptumRx. OptumRx fills your order and mails it to you within seven days of placing the order.
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.

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