Try home delivery from OptumRx.
With OptumRx®, your copay could be as low as
for many medications.
$0 copay may be restricted to particular tiers, preferred medications, or home delivery prescriptions
during the initial coverage phase and may not apply during the coverage gap or catastrophic stage.
How it works.
Order up to a 3-month supply of your maintenance
medications — ones you take regularly — from OptumRx.
OptumRx fills your order, and sends it to you.
Your medication arrives within 4 to 7 days.
The beneﬁts of home delivery.
Save a trip to the pharmacy.
Talk to a pharmacist when you
have medication questions.
Set up medication reminders.
Four easy ways to set up home delivery:
ePrescribe. Ask your doctor to send an
electronic prescription to OptumRx.
Online. Log in to optumrx.com and follow the instructions.
Phone. Call OptumRx anytime at 1-888-658-0539, TTY 711.
Service can help you get started.
Mail. Complete this order form and mail it to:
OptumRx, P.O. Box 2975, Mission, KS 66201.
This information is not a complete description of benefits. Contact the plan for more information. Limitations,
copayments and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on
January 1 of each year.
You are not required to use OptumRx home delivery for a <90-/100->day day supply of your maintenance
medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent
directly from your doctor to OptumRx before it can be filled. Refill orders should arrive in about four business
days and new prescriptions should arrive within seven business days from the date OptumRx® receives the
completed order. Contact OptumRx anytime at 1-888-658-0539, TTY 711.
Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a
Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with
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Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.
Administrative services provided by UnitedHealthcare Insurance Company, UnitedHealthcare Services, Inc.
or their affiliates. Health Plan coverage provided by or through a UnitedHealthcare company. OptumRx is an
affiliate of UnitedHealthcare Insurance Company.
OptumRx is a subsidiary of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are
trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective
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