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Prescription Drugs

UnitedHealthcare

Through UHC, Optum, administers your pharmacy benefits. You’ll get this coverage automatically when you enroll in any of Rendr’s medical plans.

In-network pharmacies

There are over 75,000 pharmacies, including national chains (e.g., Costco, CVS, Target, and Walgreens) and independent retailers, across the United States in the Optum network. The list changes from time to time, so call Optum’s Rx Member Services at 1-866-414-1959 to confirm if your pharmacy is in-network.

Mail order pharmacy

Use the mail-order pharmacy Optum Rx Home Delivery to receive a 90-day supply of your maintenance medication for three times the regular copay. Prescriptions can be filled by:

  • Sign up using myuhc.com or with the United Healthcare App.
  • Ask your doctor to send an electronic prescription to Optum Rx.
  • Call the number on your member ID card.

Specialty medication

Under your plan, you’ll utilize Optum Specialty Pharmacy for your specialty drug needs. You can reach Optum Specialty Pharmacy for enrollment assistance by calling 855-427-4682. Prescribers can visit https://specialty.optumrx.com/ and fill out the appropriate forms for the department.

What is a Formulary?

A drug formulary is a list of prescription drugs covered by your medical plan. Most prescription drug formularies separate the medications they cover into four drug categories, or “tiers.” These groupings range from the least expensive to the most expensive cost to you. “Preferred Brand” drugs generally cost you less than “Non-Preferred Brand” drugs.

Get the Most from Your Coverage

To get the most out of your prescription drug coverage, note where your prescriptions fall within your plan’s drug formulary tiers and ask your doctor for advice. Generic drugs are usually the lowest-cost option. Generics are required by the Food and Drug Administration (FDA) to perform the same as brand-name drug equivalents.

You can use the drug lookup tool to check medication coverage: myuhc.com or call Member Services at 1-866-414-1959.

Get the Most from Your Coverage

To get the most out of your prescription drug coverage, note where your prescriptions fall within your plan’s drug formulary tiers and ask your doctor for advice. Generic drugs are usually the lowest-cost option. Generics are required by the Food and Drug Administration (FDA) to perform the same as brand-name drug equivalents.

You can use the drug lookup tool to check medication coverage: myuhc.com or call Member Services at 1-866-414-1959.

Your Benefits

Telehealth
Medical

Videos

Rx

Resources

Specialty Medications Flyer
Specialty Medication List
Pharmacy Drug List
Digital Registration
Pharmacy Home Delivery Flyer
Transition of Care Rx Flyer
Pharmacy Clinical Manual
Transition of Care Flyer
Pharmacy Using Benefit Brochure
   PPO $0 Plan PPO $1,000 Plan  HSA $2,000 Plan 
Plan Benefits In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network
Prescription Drug
Deductible		 Not Applicable Not Applicable Combined with Medical
Retail (30-day supply)
Generic / Tier 1 $15 copay Ded/40% $15 copay Ded/40% Ded. then
$15 copay		 Ded/40%
Brand (Formulary/
Preferred) / Tier 2		 $35 copay Ded/40% $35 copay Ded/40% Ded. then
$35 copay		 Ded/40%
Brand (Non-Formulary/
Non-preferred/
Specialty) / Tier 3		 $75 copay Ded/40% $75 copay Ded/40% Ded. then
$75 copay		 Ded/40%
Mail Order (90-day supply)
Generic / Tier 1 $30 copay Not Covered $30 copay Not Covered Ded. then
$30 copay		 Not Covered
Brand (Formulary/
Preferred) / Tier 2		 $70 copay Not Covered $70 copay Not Covered Ded. then
$70 copay		 Not Covered
Brand (Non-Formulary/
Non-preferred /
Specialty) / Tier 3		 $150 copay Not Covered $150 copay Not Covered Ded. then
$150 copay		 Not Covered