We make patient referrals, enrollment processes and online prescriptions easy for providers.
Patients: please visit our specialty patient page to access your portal
We’re here for you and your patients from the start, with services, programs and support that offer quick access to medication while managing costs. This allows you and your patients to focus on treatment, not obstacles, because three priorities guide our care:
With over 2000 payer relationships and broad medication access, we can support your patients nationwide.
We’re here to support patients any time they need us, with compassionate care and a simple experience.
Optum Saving IQ™ delivered $823.5M 1 in financial assistance in 2023 to help patients start their therapy without delay, with an average copay of just $5 per fill after financial assistance. 2
Help manage costs, control misuse and protect patient safety to ensure the best possible therapeutic outcomes with prior authorizations (PA).
Streamline your workflow and save valuable time with the Optum® Specialty Provider Portal. This is a secure, web-based pharmacy portal that gives you access to detailed information about your patients and their medications. To learn more, click here.
Submit a request to have specialty medications delivered to a single office location for the provider to administer or instruct patients about the medication.*
*Continue to use your current fax/phone process for reordering the following medications: Berinert, Cerezyme, Cinryze, Extavia, Fabrazyme, Kalbitor, Kanuma, Lemtrada, Palforzia, Siliq, Soliris, Sublocade, Synagis, Tysabri, Ultomiris.
Take a behind the scenes look at how specialty pharmacies differ from traditional retail pharmacies.
Here's a look behind the scenes to show how our specialty pharmacy helps address specific requirements for specialty patients and creates a treatment plan based on their needs. When we receive the referral for the prescription, we load images of the information you send into our system, create a patient profile and verify the prescription. Next, we verify patient benefits. This involves identifying the appropriate medical or pharmacy benefit, adjudicating the claim, determining out-of-pocket cost and if rejected, determining next steps. For example, if a prior authorization is required, the PA form is completed, sent to the prescriber for review and submitted. Additionally, in the event of denials, we exclusively offer a team of nurses, along with clinicians and administrative experts to coordinate the appeals process from start to finish. So you don't have to. Then if the patient can't afford the medication, we identify if they're eligible for co-pay assistance and help with third-party foundation grants. We then create the care plan, calling your patient to setup shipment we'll leave a message if the patient needs to call us back. These steps help ensure patients get the specialty medications they need when they need them.
The Optum® Centers of Excellence offer the clinical expertise and enhanced services to offer more customized patient care and provider services. We support many additional conditions and therapies, to learn more contact us.
The Optum® Specialty Pharmacy Oncology Center of Excellence provides in-depth care so your practice can focus on one thing, the patient.
The Optum Neurology Center of Excellence provides tools to facilitate effective communication so you can spend more time with your patients.
Use our search tool to find medications that Optum Specialty Pharmacy and/or Optum Infusion Pharmacy can provide or facilitate access to.
