- New solution scans and compares direct-to-consumer pricing with insurance pricing to give members the best available price
- Prescription drug purchases automatically included in members’ deductibles to maximize their benefits
Compared to most direct-to-consumer prescription drug prices, Optum Rx already offers a lower price nearly 90% of the time and Price Edge ensures a competitive consumer price on generic drugs with every transaction. Price Edge scans available prices and automatically provides the lowest available pricing to the member. If there is a lower cost to the member outside of their insurance benefit, Price Edge automatically applies that price.
Unlike other direct-to-consumer pharmacy solutions or cash market pricing, transactions initiated through Price Edge count toward the member’s deductible and out-of-pocket maximum. Plan sponsors also do not incur additional administrative fees for implementing Price Edge and their members automatically access the tool within their plan at no cost. Additionally, by capturing all transactions within the member benefit, Price Edge maintains continuity of safety protocols and safeguards against contraindications between medications.
“Providing people affordable access to prescription drugs is at the heart of everything we do, and Price Edge ensures our members get the best price and peace of mind that their medications count toward out-of-pocket spending,” said Jon Mahrt, chief operating officer and pharmacy benefits manager president, Optum Rx. “We will continue to empower clients and consumers with innovative solutions that simplify pharmacy benefits, make pricing more transparent and ensure cost savings are easily accessible.”
It is the latest in a suite of products and tools designed to improve the pharmacy experience for consumers and health care professionals. For example, PreCheck MyScript offers health care providers real-time information on a patient’s pharmacy benefits and formulary to help identify the right drug to prescribe, obtain any prior authorizations and see the drug costs. Solutions including MyScript Finder and Proactive Savings Alerts allow consumers, clients and providers to get the information they want and need to make informed decisions about their care – including real-time prior authorization, point-of-sale rebates, and notifications on savings opportunities.
About Optum Rx
Optum Rx is a pharmacy care business providing people with more affordable access to prescription medications and therapies. This strategy has proven to lower costs for clients and members, improve quality of care and enhance the member experience. Powered by deep clinical expertise and integrated data and analytics, our full-spectrum pharmacy services simplify how consumers, clients and partners navigate the pharmacy space to deliver improved experiences, better health outcomes and a lower total cost of care. Optum Rx is part of Optum, a leading information and technology-enabled health services business dedicated to helping make the health system work better for everyone. For more information, visit optum.com/optumrx or follow @OptumRx on Twitter.