Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual ...

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat migraines, multiple sclerosis, high cholesterol and more.

The changes come as pharmacy benefit managers face scrutiny for how they require doctors and patients to seek its approval for certain treatments and drugs.

Optum Rx announced on Wednesday that it will eliminate up to 25% of reauthorizations, initially focusing on 80 drugs. | Optum Rx announced on Wednesday that it will eliminate up to 25% of ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

Optum Rx's new cost-based program uses an internal algorithm that leverages multiple available industry data sources, such as ...

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager ...

“These changes are part of ongoing efforts to reduce total UnitedHealthcare prior authorization volume ... Medicare Advantage members sued Optum Home & Community in 2023, alleging that the ...

UnitedHealth Group's pharmacy benefit manager, Optum Rx, said on Wednesday it would ease requirements to get insurance ...

OptumRx will trim reauthorization requirements ... in cases of long-term safety concerns or potential dosing changes. "The prior authorization program, which I'm responsible for, always goes ...

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for approximately 80 prescription drugs in an effort to simplify access to ...