Get Optum Oncology - Enrollment Form 2020-2025

Who is OptumRx®? OptumRx is your CalPERS pharmacy benefit manager for Anthem, Health Net, Sharp, UnitedHealthcare, and Western Health Advantage. Our goal is to provide safe, easy and cost-effective ways for you to get the medication you need.

Prior authorization (PA) requires your doctor to tell us why you are taking a medication to determine if it will be covered under your pharmacy benefit. Some medications must be reviewed because they may: Only be approved or effective for safely treating specific conditions.

OptumRx offers specialty medication support through Optum® Specialty Pharmacy. Optum Specialty Pharmacy provides resources and personalized support to help you with your condition. What is a specialty medication?

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

Request a new prescription When you log into optumrx.com the first time, click on the blue “New prescription” button under “At a glance” or find the large “+” above “Request a prescription” and click on the “+.” Type a drug name in the box and click on the spyglass. Drag the drop-down menu to the proper dosage.

OptumRx is an affiliate of UnitedHealthcare Insurance Company.

Call 1-800-791-7658 Provide a verbal prescription directly to Optum Rx pharmacists dedicated to our health care providers.

Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

You may log on to optumrx.com to see if drug pricing information is available before enclosing payment. Once shipped, medications may not be returned for a refund or adjustment. Mail this completed order form with your new prescription(s) to OptumRx, P.O. Box 509075, San Diego, CA 92150.

Learn more at optum.com. How long does it take for a prior authorization to be approved or denied? Once your PA has been submitted and received, it usually takes up to 24 hours to process. If your PA request needs additional review, it may take longer.

Your doctor can send an electronic prescription. Register at optumrx.com. Bring in your prescriptions or empty prescription bottles and the pharmacist will do the rest. Call your local CVS Pharmacy and a pharmacy staff member will help you.

Call 1-800-791-7658 Provide a verbal prescription directly to Optum Rx pharmacists dedicated to our health care providers.

Who is OptumRx®? OptumRx is your CalPERS pharmacy benefit manager for Anthem, Health Net, Sharp, UnitedHealthcare, and Western Health Advantage. Our goal is to provide safe, easy and cost-effective ways for you to get the medication you need.

Prior authorization (PA) requires your doctor to tell us why you are taking a medication to determine if it will be covered under your pharmacy benefit. Some medications must be reviewed because they may: Only be approved or effective for safely treating specific conditions.

OptumRx offers specialty medication support through Optum® Specialty Pharmacy. Optum Specialty Pharmacy provides resources and personalized support to help you with your condition. What is a specialty medication?

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

Request a new prescription When you log into optumrx.com the first time, click on the blue “New prescription” button under “At a glance” or find the large “+” above “Request a prescription” and click on the “+.” Type a drug name in the box and click on the spyglass. Drag the drop-down menu to the proper dosage.

OptumRx is an affiliate of UnitedHealthcare Insurance Company.

Call 1-800-791-7658 Provide a verbal prescription directly to Optum Rx pharmacists dedicated to our health care providers.

Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

You may log on to optumrx.com to see if drug pricing information is available before enclosing payment. Once shipped, medications may not be returned for a refund or adjustment. Mail this completed order form with your new prescription(s) to OptumRx, P.O. Box 509075, San Diego, CA 92150.

Learn more at optum.com. How long does it take for a prior authorization to be approved or denied? Once your PA has been submitted and received, it usually takes up to 24 hours to process. If your PA request needs additional review, it may take longer.

Your doctor can send an electronic prescription. Register at optumrx.com. Bring in your prescriptions or empty prescription bottles and the pharmacist will do the rest. Call your local CVS Pharmacy and a pharmacy staff member will help you.