Pharmacy Information for UHC
Provider: Optum Rx
Prescription Drug List
Prescription drug lists are provided to help you understand information about the most commonly prescribed medications. It includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA). Medications are listed by common categories or classes and placed in tiers that represent the cost you pay out-of-pocket. They are then listed in alphabetical order.
Optum RX Pharmacy Reimbursement Form
Complete and return this form when you have purchased a covered prescribed prescription drug at retail cost and are seeking reimbursement. Submit this form with the original prescription label receipt(s).