Know your coverage and costs
Last updated on September 1, 2023
Discover ways to save
If you are looking for opportunities to save on your medication, we’re here to help. From choosing generics to changing quantities, there are many ways to lower your prescription drug costs. Visit our Savings Center or use our Drug Pricing Tool to find the best price.
Search for savings
Search for your medication. We’ll bring the savings opportunities to you.
Optum Rx Drug Pricing Tool
Our Drug Pricing Tool helps you identify the cost of your current medication.
Search by drug name
Enter a medication into the search bar and search to find pricing.
Search your medication
Select a medication from Your current prescriptions and search to find pricing.
Priority pricing
We can help you find the lowest prices through Optum® Home Delivery or at a pharmacy near you.
Compare and save
Medication costs vary from pharmacy to pharmacy. Scroll through our priority pricing to find the lowest cost for brand-name and generic drugs.
See what’s covered
Knowing if your plan will pay for a medication can help you manage your overall spending on prescription drugs.
What is a covered medication?
When your plan pays for all or part of a medication.
How do I know if a medication is covered?
Enter your medication into our Drug Pricing Tool.
Not covered by insurance
A red box labeled drug not covered means that your insurance will not pay for that medication.
Note: While your plan may not cover a brand-name medication, it may pay for the generic version of that drug.
Covered by insurance
A blue box labeled Copay notice means that your plan will pay for that medication. Sometimes, your plan will pay full price. Other times, you may have to pay a copay.
Your prescription drug list
A prescription drug list includes most medications that your plan will cover. These lists help prescribers and their patients choose cost-effective medication that can treat a health condition.
Search list: Enter a medication to see if it’s on your plan’s prescription drug list.
Your current prescriptions: If a prescriber has submitted a prescription to Optum Rx, it will appear below the search bar. Select a medication to learn more about it.
Search A–Z or by therapeutic class: To look up a medication, search alphabetically or browse by therapeutic class.
Frequently asked questions
A prescription drug list does not include all medication that is available. Optum Rx regularly reviews medication for safety, effectiveness and cost. When appropriate, we add or remove medication from our prescription drug lists. We also change our lists when a company launches a new drug or recalls one due to safety issues.
Contact your prescriber to discuss your options. They can submit a prior authorization for your current medication or change your prescription to an alternative medication.
Tracking requests
Once submitted, you can track the status of your prior authorization request from your dashboard.
Review criteria
When making recommendations, the review committee considers the safety, effectiveness and cost of a medication. They look at several resources, including:
- U.S. Food and Drug Administration (FDA) approved uses
- Medication instruction labels
- Accepted or published clinical recommendations
Request outcomes
Once we have completed our review, we will let you and your prescriber know if we have approved or denied your request.
Approval: Once the request is approved, you can fill your prescription at your preferred pharmacy.
Denial: If your request is denied, you or your provider may select an alternative medication or file an appeal for reconsideration.
Appeal: You can resubmit your request or choose from other options we share with you during cancellation.
Sign in to Optum Rx
Manage your account
Access individual, dependent or family health information.
Understand your medication
Get coverage and prescription drug information.
Update your prescribers
Ensure your prescriber details are up to date.