Pharmacy Coverage

When you enroll in a medical plan through United Healthcare (UHC), your prescription drug coverage will be provided by OptumRx.

You pay... Network OnlyBalanced ChoiceConsumer Health
Deductible Applies?NoNoSubject to medical deductible*
Retail Pharmacy Coverage (up to 30-day supply)
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In-networkIn-networkIn-network
Generic$5 copay$5 copay$5 copay
Preferred Brand$60 copay20%, $25 min/$60 max20%, $25 min/$60 max
Non-Preferred Brand$125 copay20%, $50 min/$120 max20%, $50 min/$120 max
Generic Specialty$50 copay$50 copay$50 copay
Brand Specialty$150 copay$150 copay$150 copay
Mail Order Coverage (up to 90-day supply)
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In-networkIn-networkIn-network
Generic$10 copay$10 copay$10 copay
Preferred Brand$120 copay20%, $50 min/$120 max20%, $50 min/$120 max
Non-Preferred Brand$250 copay20%, $100 min/$250 max20%, $100 min/$250 max
Generic Specialty$100 copay$100 copay$100 copay
Brand Specialty$300 copay$300 copay$300 copay

Send Medications Right to Your Home

OptumRx home delivery is a convenient, cost-effective and safe option for medications you take regularly. There are four ways to place a new home delivery order:

  1. By ePrescribe: Your doctor can send an electronic prescription
  2. Go online: Visit the website on your ID card
  3. By mobile app: Open the OptumRx app, which you can download from the App Store or on Google Play
  4. By phone: Call the toll-free number on your ID card

Specialty Medications

Optum Specialty Pharmacy provides resources and personalized support to help you manage your condition.

Search, Compare and Save

OptumRx provides tools to help you find the right drug and pricing options for you. Visit optumrx.com or use the OptumRx app.

This Benefits Website provides general information for our benefit eligible team members; however, more detailed information is available within the plan documents and legal contracts between our company and the insurance providers. In case of any discrepancy between this Benefits Website and the plan documents, the plan documents always govern and determine your exact benefits. In addition, the company reserves the right to modify or terminate any benefit plan at any time. Benefits are not a guarantee of employment.