OptumRx
Your School’s Student Health Insurance Plan uses OptumRx Pharmacy Management.
How do I find a participating pharmacy?
OptumRx pharmacy network includes national retail pharmacy chains as well as local independent pharmacies. To locate a participating pharmacy, call OptumRx at 1-800-880-1188 or visit online:
How do I find a listing of covered prescription drugs?
To view the OptumRx formulary, register for an account. Click the “Register” button and follow the instructions.
How do I fill my prescription at a pharmacy?
To pay only a co-payment for prescriptions, they must be filled at an OptumRx participating pharmacy. Show your ID card when filling a prescription to be charged the applicable co-payments for your prescription drug program. If a prescriptions needs to be filled prior to receiving your ID card, you can pay for the prescription and seek reimbursement by completing a Pharmacy Reimbursement Form and submitting it with the pharmacy receipt.
How can I submit a claim for a prescription paid for out-of-pocket?
Once registered for an OptumRx Account, download the appropriate claim form.
Is Mail Order Service available?
Mail Order Service may be available by logging into your OptumRx account.
The Mail Order program is not available within 45 days of the policy terminating. Please consult with your provider to have your monthly prescriptions filled at your local retail pharmacy. The Mail Order program will be available again for the new policy year.