Welcome to Optum Rx
Optum Rx is the pharmacy benefit manager for HealthFlex. OptumRx is a leader in the pharmacy benefit management (PBM) industry. Every day, we serve millions of people, including HealthFlex participants.
Your pharmacy network
The pharmacy network through Optum Rx and HealthFlex includes access to thousands of retail locations, including large, national chains and many community pharmacies. For most medications you take regularly (maintenance medications), you must use the OptumRx home delivery pharmacy or a Walgreens pharmacy for 90-day supplies.
Your prescription drug benefits
Optum Rx is here to provide you with information you can use during the HealthFlex Annual Election process to help you understand your plan options, so that you can save time and money when your benefits plan starts. The Prescription drug list allows you to see which medications and alternatives are covered by HealthFlex and the Drug pricing tool allows you to estimate the cost of your medications under different HealthFlex plan options.
Please note that Prescription Drug List are updated as of January 1st and July 1st of each year. These changes may not be reflected currently. The same medications are covered under all HealthFlex plans with the same rules for prior authorization. You may pay a different amount for your medications under different plans.
Use the Drug Pricing Tool to search for a drug to compare costs under different HealthFlex prescription plans. This drug pricing tool will lead you through a few steps to help you get the right pricing information. To obtain the 90 days supply price at Walgreens please use "Choose a quantity" and "Choose days supply" to change to "Custom amount" Days supply for Retail to 90. Compare your medications under different plan options that you are considering for your coverage.
Plan Highlights
View the 2025 HealthFlex pharmacy plan benefits through Wespath at the below plan benefit link:
Additional Information
A formulary booklet includes a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as tiers. It includes both brand and generic prescription medications. Where differences between this formulary and your benefit plan exist, the benefit plan documents rule. This may not be a complete list of medications that are covered by your plan. Please review your benefit plan for full details. Medications may change on this list, move to a different tier or be excluded from coverage on January 1 or July 1 of each year.
Optum Rx HDHP Preventive Drugs List includes medications for which deductible will not apply under plans that include a deductible (e.g. HSA plans). This means you’ll pay your copayment/coinsurance for these medications, whether you have met the deductible or not. This list is should be used as a reference and may not include all medications. The list also may change every year.
2025 Premium Standard Formulary Booklet
2025 OptumRx HDHP Preventive Drug List