Welcome to Optum Rx
Welcome to the Pharmacy Benefit Information Website for Omnicom Group Health and Welfare Benefit Plan Participants. Prescription drug coverage is being administered by OptumRx.
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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 your benefits plan sponsor, 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.
Drug pricing tool
Frequently asked questions:
What is a formulary?
A formulary is a list of the most commonly prescribed medications covered by your plan. The list includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA). Medications are listed by common categories or classes and placed in tiers that represent the cost you pay out of pocket. This makes it easier for you and your doctor to find other options to help you save money.
2024 Formulary
2025 Formulary
How often is the formulary updated?
Formulary changes typically take place twice per year. But changes that have a positive impact for you —such as new medications or cost savings — may occur at any time. You can log in to optumrx.com at any time to check your medication coverage and lower-cost options.
Who decides what medications are covered?
A group of doctors and pharmacists meets regularly to provide clinical reviews of all medications. Using this information, a committee of doctors and business leaders reviews overall health care value. They also decide coverage and tier status for all medications.
Why are certain medications not covered?
• We review medications based on their total value, effectiveness and safety, cost, and if there are other medications for the same or similar medical conditions. Certain medications may not be covered if similar options are available at a lower-cost.
• Examples include medications with the same active ingredients that work the same way, but one is much more expensive than the other. Sometimes the same product can be made by two or more manufacturers, but greatly vary in cost. In these instances, only the lower-cost product may be covered.
Need more information about your medication exclusion or formulary?
Online: You can look up prices for medications covered by your plan, find lower-cost options and view your benefits on this site.
By phone: Call 1-855-514-1369 to talk with us. We can answer any questions you have about your pharmacy benefit plan including lower-cost options.
Additional Information
Effective January 1, 2024, We will be making routine changes to the Formulary and tier of medications. OptumRx will mail you a letter if you are impacted by the changes and they will be available in your account once you register or log in. Additional resources to help you understand your prescription drug benefits.
Drug pricing
Google
Drug list tool
Pharmacy benefits website
Click here to register or sign in to your pharmacy benefits site to:
Example:
• Access your personal prescription information
• Find your lowest prescription cost
• Keep track of your health history
• Learn more about your drugs
• Manage all your prescriptions on a single dashboard
• Order mail order refills
• Search for participating pharmacies in your area and get driving directions and so much more.
After you have registered on the website, download the Mobile App by searching for OptumRx at either the Apple or Google Play Stores. On the App you can:
• Locate an in-network pharmacy
• Order refills and track home deliveries
• Search drug prices at multiple pharmacies
• Verify your coverage and access your ID card
• View your medicine cabinet and manage reminder