Pharmacy Benefits

OptumRx Participating Pharmacies

Please register and/or login to optumrx.com  to search for participating pharmacies.
Member portal information

OptumRx General Information

90-day prescriptions are available at retail (particpating pharmacies) and through mailorder
Formulary  
Home Delivery Flyer  
Online Tools Flyer
Mobile App Flyer
Manual/Direct Prescription Reimbursement Form

Step Therapy Information

OptumRx will communicate Step Therapy only to those select members who will require Step Therapy. OptumRx will send members who will require Step Therapy a targeted letter outlining which medication will require Step Therapy and next steps. Step Therapy typically impacts only a small percentage of members.  

Specialty Drug Program and Information

MBA VEBA’s prescription drug plan requires that certain specialty medications be purchased through the prescription drug plan through Optum Specialty Pharmacy. OptumRx will communicate specialty pharmacy details through a targeted/individualized member approach. For these specialty medications administered in the home, physician’s office or non-acute hospital setting, claims will be denied through Trustmark (which administrates the VEBA medical plan) and must be obtained through OptumRx. It is up to the employee to find out if their provider is ordering and administering one of these specialty medications. The provider or member can call 877-656-9604 for more information or to get started with OptumRx Specialty Pharmacy.  

 

OptumRx is MBA VEBA's pharmacy
benefit manager for 2022