Pharmacy Benefit Management

Our PBM program provides significant and favorable outcomes ​with customized care

Chart

Drive program performance with measurable outcomes

Medication Search

Identify utilization and cost control issues and high- and low-performing providers

Report

Identify and execute resolution management for issues

Documents

Follow national standards of care, such as ACOEM, ODG, CDC and APS

Optum pharmacy benefit management (PBM) is committed to doing what's right. This commitment has sparked innovations that decrease costs while increasing safety. Our services:

  • Make filling a prescription easier, with up to 98% retail network penetration
  • Reduce your administrative burden by capturing more prescriptions in-network
  • Mitigate potential high-risk, high-cost situations
  • Are backed by 24/7/365 service and accessible, hands-on leadership
  • Ensure safe and effective medication therapy for the injured worker

Our carefully crafted program is easily managed by a fully redundant and secure claims management platform. In addition, we provide injury-specific medication plans and formularies, as well as client-specific business rules. Ongoing communication keeps everything flowing.

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  • Network Access

  • Analytics and Informatics

  • Clinical Services

  • Exceptional Service