OptumRx mail service and specialty pharmacy transition January 1

Mail service pharmacy

Beginning January 1, 2017, OptumRx® Home Delivery Pharmacy will be the mail service pharmacy for participants enrolled in HealthSelectSM of Texas Prescription Drug Program and Consumer Directed HealthSelectSM Prescription Drug Program.

Beginning in January, most mail service prescriptions currently being filled through Caremark’s mail service pharmacy with remaining refills will automatically transfer to OptumRx. Prescriptions for certain medications such as narcotic pain medication or sleep agents and expired prescriptions cannot be transferred. In these cases, participants will need to get a new prescription.

OptumRx will send a letter in January, 2017 to participants who use the mail service pharmacy to inform them that their prescriptions have successfully transferred to OptumRx Home Delivery Pharmacy. The letter will include any steps participants may need to take to continue receiving their medications through the mail.  By law, personal financial information including credit card information cannot transfer to OptumRx. Participants must provide their payment information to OptumRx before prescriptions can be filled. They can do this by setting up their account with OptumRx on or after January 1, 2017, by visiting and selecting Manage My Prescriptions.

Specialty pharmacy

Beginning January 1, 2017, BriovaRx ®, the OptumRx specialty pharmacy, will be an option for participants who take specialty medications. Specialty medications are typically drugs used to treat rare or complex conditions such as Hepatitis C, multiple sclerosis, rheumatoid arthritis, cancer, etc. Specialty drugs are typically injected or infused, are high cost, and may have special delivery or storage requirements.

Prescriptions for specialty medication will not automatically transfer to BriovaRx in January.

Participants may choose to have their specialty medication(s) transferred to BriovaRx after January 1, 2017. If they want to continue using their current specialty pharmacy, they can contact OptumRx customer care at the number below to confirm that their medication can be filled through their current pharmacy.

Advise your employees to visit and click on:

  • Locate a Pharmacy tofind in-network pharmacies
  • Drug Pricing Toolto make sure their specialty drug is covered by OptumRx and to get an estimate of the cost

For more information, participants can call a customer care representative toll-free at (866) 336-9371 (TTY 711). Representatives can answer both medical and prescription questions.

Source: ERS News About Your Benefits (December 2016)


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