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OptumRx is UnitedHealth Groups (NYSE: UNH) free-standing pharmacy care services business, managing more than one billion prescriptions annually. CVS Pharmacy, the retail division of CVS Health (NYSE: CVS), is Americas leading retail pharmacy, with more than 9,600 retail pharmacies across the nation.
With this commitment in mind, and to ensure affordability for our members, were transitioning our pharmacy benefit manager from CVS Caremark to OptumRx, effective January 1, 2022. This change affects all members who have prescription drug coverage through Fallon. Who is OptumRx?
OptumRx is your plans pharmacy services manager and is committed to helping you find cost-effective ways to get your medications. The PDL is a list of your plans covered medications.
You can fill this prescription at a Walmart/ Sams Club pharmacy or if your work locaton is more than five miles you may also purchase at an OptumRx network pharmacy at no cost to you.
OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners.
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OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners.
PillPack by Amazon Pharmacy is an in-network pharmacy with all major pharmacy benefit managers, including CVS Caremark, Express Scripts, Optum Rx, Prime Therapeutics, Humana Pharmacy Solutions, Cigna, Aetna, MedImpact, EnvisionRx, and CastiaRx.
Please note, in order to get coverage at no cost for preventive care medications and products (including over- the-counter) you will need a prescription from your doctor. Are all birth control products available at no cost? No, only the products on the list for your plan will be $0 under the pharmacy benefit.
They are now OptumRx. The change reflects its rebranding as an OptumTM company. Optum is a leading provider of integrated health services. This name change does not affect your plan benefits, your ID card, the pharmacies you can use, the drugs covered by your plan or the amount you pay for them.
OptumRx replaced CVS/Caremark on January 1, 2017 in administering prescription drug benefits for about 632,000 CalPERS members and their families. The following health plans feature OptumRx: PERS Gold PERS Platinum PPO plans (Basic and Medicare Supplement)

optumrx prescription reimbursement form