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

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager announced Thursday. The company said it will shift to a cost-based model ...

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

Amid growing legislative pressures and industry debates, pharmacy benefit managers (PBMs) are exploring new strategies to ...

Optum Rx will align payment models more closely to the costs pharmacies may face due to manufacturing pricing actions effective immediately and with full implementation by January ...

UnitedHealth's Optum Rx pharmacy benefit manager unit made peace offerings to independent pharmacies and patients this week. PBM watchers viewed the offerings with interest. Some have welcomed the ...

UnitedHealth Group’s UNH Optum Rx recently announced a major step toward modernizing pharmacy payments, a decision that could strengthen its market position and financial outlook. By adopting a ...

March 20, 2025--(BUSINESS WIRE)--Rising prices set by pharmaceutical companies are causing pharmacies across the United States to pay more for many drugs, impacting their ability to maintain high ...

UnitedHealth’s (NYSE:UNH) pharmacy benefit manager, Optum Rx, announced Thursday the launch of cost-based payment models to support its non-affiliated network pharmacies. The company said cost ...

Optum Rx is shifting to a new pharmacy reimbursement model that should result in pharmacies being paid more for brand-name drugs and less for generics. It’s the latest move from a major drug ...

March 20, 2025--(BUSINESS WIRE)--Rising prices set by pharmaceutical companies are causing pharmacies across the United States to pay more for many drugs, impacting their ability to maintain ...