Welcome to Optum Rx
Basic/Commercial Home Delivery Maintenance Program
Reproductive and Preventive Health Pharmacy Benefits
Optum Rx is pleased to be your Pharmacy Benefit Manager (PBM) providing prescription benefits for the CalPERS health plans listed below.
Our PBM services include:
- Administration of the Retail Pharmacy Network and Home Delivery Programs
- Delivery of Specialty Pharmacy products, including injectable Medications
- Clinical pharmacist consultation
- Clinical collaboration with your physician to ensure you receive optimal total healthcare
We look forward to helping you on a path to better health.
Your pharmacy network
The pharmacy network includes access to thousands of retail locations, including large, national chains and many community pharmacies. For medications you take regularly, you can also use the OptumRx home delivery pharmacy.
Your prescription drug benefits
Working with CalPERS, OptumRx provides convenient and flexible options for the prescription drugs you and your family may need. We are here to guide you through the open enrollment process and to help you understand your plan options, so that you can save time and money when your benefits plan starts.
Formulary drug list
Pricing and coverage tool
Health Care Reform (PDF)*
Basic Plan Vaccines FAQ (PDF)
Medicare Part D vs B Vaccines coverage guide
Get more information about Covid-19 test Kits, including reimbursement:
Basic and Medicare
Evidence of Coverage
2025 Optum Rx Outpatient Prescription Drug Benefit Plan for Selected HMO Basic Evidence of Coverage
2025 PERS Gold Medicare Part D Prescription Drug Plan Evidence of Coverage
2025 PERS Platinum Medicare Part D Prescription Drug Plan Evidence of Coverage
2025 PERS Anthem Medicare Part D Prescription Drug Plan Evidence of Coverage
Deterra Kit Information
OptumRx promotes ways to safely dispose of your medications at no charge to you. Check with your local pharmacy kiosk or call the number on the back of your Plan ID card 24 hours a day, seven days a week to request a free Deterra Kit.
Introducing Deterra
Deterra Drug Deactivation System
Deterra is the Solution
Deterra FAQ
Contact Us
Basic Members: 1-855-505-8110
Medicare Part D Members: 1-855-505-8106
Members needing TTY service: please dial 711
Formularies
2025 Basic Plan Abridged PPO Formulary
2025 Basic Plan Comprehensive PPO Formulary
2025 Basic Plan Abridged HMO Formulary
2025 Basic Plan Comprehensive HMO Formulary
2025 PERS Gold Medicare Part D Prescription Drug Plan Abridged Formulary
2025 PERS Gold Medicare Part D Prescription Drug Comprehensive Formulary
2025 PERS Platinum Medicare Part D Prescription Drug Plan Abridged Formulary
2025 PERS Platinum Medicare Part D Prescription Drug Comprehensive Formulary
2025 Anthem Medicare Preferred Part D Prescription Drug Plan Abridged Formulary
2025 Anthem Medicare Preferred Part D Prescription Drug Comprehensive Formulary
* The Medicare Part D Prescription Drug Plan (PDP), is sponsored by CalPERS, administered by OptumRx, and offered in conjunction with the Anthem Medicare Preferred medical plan.
