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CalPERS - Prescription BenefitsChristina Fountain – Business Analyst Consultant/Communications
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Who is OptumRx?
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OptumRx is your CalPERS pharmacy benefitsmanager for all the CalPERS health plans,except for Kaiser or Blue Shield
Our goal is to provide safe, easy and cost-effective ways for you to get he mediation youneed.
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Select90 Saver programOverview
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Select90 Saver Available for non-Medicare plan members
Allows a 90-day supply of maintenance medications
Offers savings opportunities
Convenience
The choice is yours!
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Select90 Saver program
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 5
Select90 Network How to Fill Prescriptions
CLICK CALL MAIL VISIT CALL
SCAN
E-PRESCRIBING AVAILABLE IN BOTH SETTINGS
Easily convert to 90-day supply prescriptions• Provider e-prescribes new prescription to OptumRx, Walgreens or a participating retail
pharmacy• Home delivery and retail pharmacists can reach out for a new 90-day prescription
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Prescription Copays -For Anthem, Health Net, Sharp, United Healthcare, and Western Health Advantage plans
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx website Demonstration
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Dedicated and customized for CalPERS
optumrx.com/calpers
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteCapabilities
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Capabilities• Find a network pharmacy• Drug pricing tool• Formulary drug list
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFind a network pharmacy
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Find a network pharmacy – search tool• Select your plan • Enter pharmacy by name or by location using
zip code, city and state or address• Option to enter preferred mile radius • Location detection ability• Select Filters and advanced search
to filter by retail pharmacy delivery, 24-hour access, and more
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFind a network pharmacy
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Find a network pharmacy• Results displayed
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFormulary Drug List tool
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFormulary Drug List tool
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFormulary Drug List tool
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx websiteFormulary Drug List tool
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Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Prior Authorization
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Prior Authorization (PA) • On certain drugs, the doctor’s office will need to submit a PA request for payment.• OptumRx home delivery customer service or the retail pharmacist will notify the
doctor that a PA is needed.• Approved PAs may be good for future refills. The duration of the PA is communicated
to both the doctor and the consumer.
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
OptumRx Mobile App
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Manage your prescription on the go
Download the OptumRx App from either GooglePlay or the Apple App Store
Open the app and register as an OptumRx member
Once registered, you will be able to view your prescriptionhistory, find drug prices and lower cost options, or locatea network pharmacy. You can also refill or renew a home delivery medication, check delivery status and more.
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.
Questions?
Thank you.For questions on your OptumRx pharmacy benefits, please Visit www.optumrx.com/calpers Call a customer care representative
toll-free 24/7 at 1-855-505-8110 (TTY 711)
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