Search

Benefits

Pharmacy Benefits

Pharmacy benefits are provided by OptumRx, United Medical Resources’ pharmacy service provider.

You can find details about most prescription drug benefits by looking at your plan’s Prescription Drug List (PDL), also called a Formulary. The PDL is a list of medications and how they’re covered by your plan. If you have a prescription for a certain kind of medication, you can look it up in your PDL to see how it’s covered.

GoodRx is a free prescription discount service that helps you save money on medications.

Finding Your Prescription Drug List (PDL)

1. Sign in to your health plan account.

2. Look under pharmacy and prescription coverage information.

How to Fill Your Prescriptions

Your prescription benefits provide you the choice to fill your prescriptions at a participating network pharmacy or with home delivery by mail.

Find a Network Pharmacy

Choosing a network pharmacy may help you save on costs. You can view a list of pharmacies for your plan by signing in to your health plan account. If you don’t use a participating network pharmacy, you may have to pay the full retail price for your prescriptions.

Set Up Home Delivery by Mail

You can avoid monthly trips to the pharmacy and you may save money by enrolling in OptumRx’s home delivery program. You may be able to order up to a 3-month supply of medication you regularly take — and there’s usually no charge for standard shipping within the U.S. You can enroll in just a few steps when you sign in to your medical plan account or call the number on your member ID card.

Managing Your Medications

You can use the United Medical Resources app to help manage your medications. You can use the app to:

  • Set up and refill home delivery orders
  • Track your prescription history
  • Find network pharmacies
  • Compare medication prices
GoodRX

Formulary

Formulary can help you choose the most cost-effective medication while considering all rules that may apply.

2024 Premium Standard Formulary

OptumRx offers members coverage through a large network of retail chain and independent pharmacies, as well as through its mail service pharmacy known as OptumRx Home Delivery and the Optum Specialty Pharmacy.

Copays and deductibles vary depending on the medical plan you select, the type of medicine prescribed, the length of the prescription, and whether you purchase at a network pharmacy or through OptumRx Home Delivery.

When your doctor prescribes medication, look at your list and talk about the cost. You can ask about a lower cost alternative if the drug your doctor chooses is too expensive or isn’t covered. At times, a similar, or generic version of the drug can work just as well.