Welcome to Optum Rx
Welcome to your Pharmacy Benefits for UnitedHealthcare Individual & Family Affordable Care Act (ACA) Marketplace plans in Texas.
UnitedHealthcare works with Optum Rx, a focused, collaborative, and innovative leader in the pharmacy benefit management (PBM) industry. Every day, Optum Rx serves millions of people through a state-of-the-art home delivery pharmacy, specialty pharmacy, and a national network of community pharmacies. 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.
Price a Drug
You can price a drug to determine if it is covered and estimate your cost-sharing. Search by health plan categories: Gold, Silver or Bronze.
Formulary By Health Plan
2025 Plan year
For all plans in Texas:
Medication Search | English (pdf)
2024 Plan year
- If your plan name does NOT include "Standard", use the Essential Plus Prescription Drug List (6-tier):
Medication Search | English (pdf) | Spanish (pdf) - If your plan name is one of the following, use the Essential Plus Prescription Drug List (6-tier):
Medication Search | English (pdf) | Spanish (pdf)- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
- UHC Gold-A Standard ($0 Virtual Urgent Care + $0 PCP Visits, $0 Tier 2 Rx, $0 Insulin)
- UHC Gold-B Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
- UHC Gold-X Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
- For all other plans that include “Standard” in the plan name, use the QHP Standard Prescription Drug List (5-tier):
Medication Search | English (pdf) | Spanish (pdf)