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Company Overview of OptumRx, Inc.

Company Overview

OptumRx, Inc., doing business as Prescription Solutions by OptumRx, offers pharmacy benefit management services. It operates a network of mail service pharmacies and community pharmacies in California and Kansas. The company manages prescription drug benefits of commercial, Medicare, government health plans, and employers and unions. It also offers ProtectRx, an aggregate stop loss insurance product that is offered in agreement with OptumRx to health plan sponsors. The company serves managed care organizations, employers, unions/Taft Hartley trust funds, and consultants. OptumRx, Inc. was formerly known as Rx Solutions Inc. and changed its name to OptumRx, Inc. in January 2012. The company w...

2300 Main Street

Irvine, CA 92614

United States

Founded in 1990





Key Executives for OptumRx, Inc.

Chief Medical Officer
Chief Medical Officer and Senior Vice President
Senior Vice President of Mail Service and Specialty Operations
Vice President of Government Affairs & Pharmacy Policy
Compensation as of Fiscal Year 2013.

OptumRx, Inc. Key Developments

Orexo Enters an Exclusive Reimbursement Agreement with UnitedHealth Group and OptumRx for Zubsolv

Orexo AB announced a multi-year agreement with UnitedHealth Group and OptumRx providing preferred coverage and reimbursement of ZUBSOLV. Under the agreement, ZUBSOLV will be given preferred, Tier 2 brand status on UnitedHealth Group commercial employer and individual formularies managed by OptumRx for the maintenance treatment of opioid dependence through June 30, 2014. Beginning on July 1, 2014 ZUBSOLV will become the only buprenorphine/naloxone combination product on all of UnitedHealth's closed and highly managed health plan formularies, inclusive of all brand and generic formulations.

OptumRx Announces Expansion in Oklahoma City

OptumRx announced an expansion in Oklahoma City, where employees will serve the health care needs of millions of Americans. The company will hire Pharmacists and Pharmacy Technicians in addition to customer service advocates and a variety of positions involving training and quality management. The company expects the facility to be fully staffed by the end of this year to help ensure OptumRx is prepared to serve UnitedHealthcare employer and individual health plan participants. The Oklahoma City facility manages mail service order intake and customer service in support of the company and UnitedHealth Group's pharmaceutical, insurance and health and wellness programs from Jan. 1, 2012 through the end of this year, the company will have created more than 135 new jobs in Oklahoma City.

OptumRx, Inc. Announces the Launch of ProtectRx

OptumRx, Inc. has launched a new product designed to help keep pharmacy benefit costs predictable for clients. ProtectRx is an aggregate stop loss (ASL) insurance product that is being offered in addition to a standard PBM agreement with OptumRx to health plan sponsors. As prescription drug costs continue to rise, many self-insured clients are seeking options to mitigate the financial risk and volatility of drug costs. ProtectRx ASL insurance, which is offered as a supplement to a standard OptumRx PBM agreement, caps client liability for total pharmacy benefit costs for a full policy year. This special coverage reimburses companies if annual pharmacy benefit costs exceed a designated level, which is calculated based on the client's unique pharmacy plan, claims history, member demographics and other factors. ProtectRx delivers savings protection, predicted spend levels and insight on drug claims using a drug calculation model on top of OptumRx's drug monitoring and disbursement programs. The client pays a monthly premium for the ASL policy in addition to payments made under the standard PBM agreement. The policy must be renewed annually. The new product is being rolled out nationwide for a Jan. 1, 2013, effective date.

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