Get Optum Provider Network Participation Request Form 2015-2024

Many participants find OptumRx mail service to be a convenient, cost-effective and safe option for prescription medications they take regularly. Medications are delivered directly to your mailbox, meaning fewer trips to the pharmacy. You can receive up to a 90-day supply of medication, saving money on copays.

Check the status of your PA by signing into optumrx.com > Benefits and claims > Prior authorization or exception request. You will see the status of any active PAs in process. If your medication is approved, the PA is entered and coverage will be provided under your benefit.

How do I register on OptumRx.com? Enter the number on your health plan ID card. A. Don't have your ID card? Use your Social Security number and ZIP code. B. ... Choose a username and password. Enter an email address. Enter a phone number or choose security questions.

OPTUMRX PO BOX 509075 SAN DIEGO CA 92150-9075 RETURN ADDRESS 4 Payment and Shipping Information - do not send cash.

6800 W 115th St, Suite 600 Overland Park, KS 66211-9838 NCPDP: 1718634 Call 1-800-791-7658 – Provide a verbal prescription directly to an Optum Rx provider dedicated pharmacist. Fax 1-800-491-7997 – Send a complete prescription using the Physician Fax Form.

Optum Rx Prior Authorization Guidelines The ePA solution supports all forms of PA and formulary exception requests. Exclusions may include cost reduction requests such as tiering exception, copay waiver, and tier cost sharing. To submit these requests, please contact our PA department at 1-800-711-4555.

Tell us about wrong information on the pharmacy directory. Use the “Report Incorrect Information” link on the pharmacy detail page. NOTE: THIS FORM SHOULD BE USED SOLELY FOR REPORTING INCORRECT PHARMACY INFORMATION. ... Send an email to provider_directory_invalid@optum.com.

(OptumRx Mail Service) 6800 W 115th St, Suite 600 Overland Park, KS 66211-9838 NCPDP: 1718634 Call 1-800-791-7658 – Provide a verbal prescription directly to an Optum Rx provider dedicated pharmacist. Fax 1-800-491-7997 – Send a complete prescription using the Physician Fax Form.