Medications can play an important role in maintaining your health.
UnitedHealthcare has teamed up with Optum Rx as your care provider to help you find out what medications are covered, check out ways to lower your costs, see how to fill your prescriptions, and more.
When it comes to coverage, keep in mind that some medications may have requirements before filling them. Also, if a medication doesn't fit your budget, it's a good idea to remember your doctor is here to help—talk to them about lower cost options.
The easiest way to find out if a prescription is covered is to check the Prescription Drug List (PDL) — which takes the most commonly prescribed medications and organizes them into cost tiers. For more on the PDL, see the Prescription Costs section.
Medications used to treat complex or rare conditions may need to be obtained from a specialty pharmacy. You may also be able to use our specialty pharmacy for ongoing support. Learn more by visiting Optum Specialty Pharmacy
The Prescription Drug List (PDL) takes medications and places them into tiers, arranging them from lowest to highest cost.
Lowest Cost
Mostly generic and some name-brand medications
Mid-range Cost
A mix of brand-name and generic medications
Higher Cost
A mix of brand-name and generic medications
Use the OptumRx Drug Pricing Tool to look up the estimated price of a medication based on pharmacies near you. This tool is only a guide, and the actual cost may vary. Estimated pricing is not specific to your benefit and is not available for all medications. The estimated pricing reflects 100% of the medication cost.
If your medication requires a prior authorization or is a step therapy medication, you will need to first scroll down to retail pharmacies and then click on the link for “view average retail price” to find the estimated cost.
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