Optum Rx
Optum Rx is the pharmacy benefit management business of Optum, a UnitedHealth Group company, and one of the three largest PBMs in the U.S., serving roughly 61-62 million people. It historically operates a traditional, scale-based model with negotiated pricing guarantees, its own home delivery and specialty pharmacies, and mail and specialty networks; in 2026 it announced a transparent, fee-based pharmacy care model with monthly per-member fees and a commitment to pass through 100% of manufacturer rebates to clients by January 1, 2028.
- Minimum enrolled
- Not published
- Maximum enrolled
- No published maximum
- Availability
- All states
- Last updated
- 2026-09-08
At a glance
- •Pricing model: traditional negotiated guarantees; transitioning to fee-based per-member pricing with 100% rebate pass-through by 2028
- •Rebates: 100% pass-through committed to all clients by January 1, 2028
- •Ownership: UnitedHealth Group (Optum)
- •Typical clients: large employers, health plans, state and public sector plans, coalitions
- •Specialty pharmacy: owned specialty and home delivery pharmacies; mail and specialty networks
- •Scale: about 61-62 million people served
Contact
As published by the vendor on 2026-09-08. Reply to your finder results email if you would rather we make the introduction.
Sources
- Optum Rx — Pharmacy Benefit Solutions (business.optum.com) · accessed 2026-09-08
- UnitedHealth Group newsroom — Optum Rx transparent pharmacy care model (May 11, 2026) · accessed 2026-09-08
- Employers Health coalition — Optum Rx supporter page · accessed 2026-09-08
Data reflects what Optum Rx publishes as of 2026-09-08. Availability, minimums and terms change without notice. Verify with the vendor before binding.
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