How Optum pharmacy benefits bring value
- 98% average in-network capture maximizes discounts and controls pharmacy costs
- 15% average home delivery penetration reduces missed doses, accelerates recovery and lowers total claim costs
- 95% availability of a pharmacy within 2 miles of each injured worker enables faster access to medications
- 99.99% accuracy for medications shipped through our mail order facilities reduces clinical risk1
- 18% average annual savings through our formulary approach lowers pharmacy spend while maintaining quality care
- 55% reduction in opioid use promotes safer recoveries and minimizes long-term claim exposure2
Comprehensive coverage and measurable savings
- Advanced clinical programs and predictive analytics
- Comprehensive national and regional coverage
- Customizable solutions tailored by state
- Evidence-based formulary management
- High network penetration and measurable savings
- Ongoing data validation and quality assurance
- Real-time decision support through our VitalPoint® portal
- Seamless, intuitive workflows for claims teams
- Specialized clinical and account management teams
We’re committed to helping people heal and your business succeed
Contact us for a free, detailed analysis to discover how Optum can maximize your savings.
Other workers’ compensation solutions we offer
Ancillary services
Our ancillary services are promptly provided to meet your needs. We deliver compassionate, clinically guided support. That means injured workers recover sooner — and you save time and money.
Medical bill review
Take control of medical costs. Our medical bill review, Clinical & Coding Logic and TrueCourse solutions give you the tools to manage payments with confidence.
PPO networks
Our PPO networks bring it all together. Procura™, Optum OneNet® and trusted affiliates deliver nationwide coverage with state-specific care.
- Based on 300,000 prescriptions
- Based on 2020-2025 pharmacy claims data