OptumRx's Preferred Method for Prior Authorization RequestsOur electronic prior authorization (ePA) solution provides a safety net to ensure the right information needed for a determination gets to patients' health plans as fast as possible. Improving efficiencies without sacrificing the essentials
How it worksThree Easy steps to completing requests electronically
Want to learn more? Join a webinar. “ No hold times. We know PA requests are complex. That's why we have a team of experts and a variety of help resources to make requests faster and easier. LET’s GET STARTED
1 - CoverMyMeds Provider Survey, 2019 2 - Express Scripts data on file, 2019 OverviewAs an OptumRx provider, you know that certain medications require approval, or PA reviews are completed by clinical pharmacists and/or medical
doctors who base utilization OptumRx Prior Authorization GuidelinesThe OptumRx Pharmacy Utilization Management (UM) Program utilizes drug-specific prior
*Guidelines are specific to plans utilizing our standard drug lists only. Your patient’s ** OptumRx’s Senior Medical Director provides ongoing evaluation and quality assessment
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