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PrescriPtion renewal Form - OptumRx

PrescriPtion renewal Form - OptumRx 2025

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The document is a Prescription Renewal Form used to renew mail service prescriptions that have expired or lack refills. Members must complete sections 1-3, while the prescribing physician fills out section 4. The form must be signed by the physician to be valid and can be submitted via fax or mail to OptumRx. It includes sections for delivery and payment information, filling instructions, and physician details.

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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.

How do I ask my doctor for a repeat prescription?

Contacting your GP surgery Ask your GP surgery how to let them know when you need your repeat prescription. When your prescription is ready you can pick it up in person, or your GP surgery may be able to send it to a pharmacy of your choice.

How do I refill my OptumRx prescription?

You can get an extra refill of your medication through home delivery or a retail pharmacy. Please go online to My Prescriptions at optumrx.com or call the number on the back of your ID card and use the IVR phone system to order the one-time supply.

Can I call the doctor to renew my prescription?

If individuals need further prescription refills, they may be able to call a doctor or contact the pharmacy to get them. They may also be able to get refills through online telehealth services after speaking with a provider virtually.

Can my doctor refuse to renew my prescription?

Doctors can lawfully refuse to refill a prescription under certain circumstances. Common reasons include: Safety concerns: The doctor believes the medication could be harmful or is no longer appropriate for the patient.

How to ask for prescription renewal?

Choose the Best Refill Option for You In person. Go to the pharmacy where you originally filled your prescription, request a refill, and either wait for it or come back to pick it later. By phone. Use the pharmacys phone number listed on your medicine label to call in your refill. Online. By mail.

What is the best way to renew a prescription?

If your doctor uses a service like MyChart, you should be able to send messages like refill requests online. Also, if you use a large pharmacy like Walgreens or CVS, you could probably request a refill through the pharmacy website as well.

PrescriPtion renewal Form - OptumRx 2025

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