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Optum Specialty Pharmacy for providers

We make patient referrals, enrollment processes and online prescriptions easy for providers.

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Patients: please visit our specialty patient page to access your portal

How Optum Specialty Pharmacy helps you and your patients

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:

Accessibility

With over 2000 payer relationships and broad medication access, we can support your patients nationwide.

Advocacy

We’re here to support patients any time they need us, with compassionate care and a simple experience.

Affordability

Optum Saving IQ™ delivered $823.5M1 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

Prior authorization

Help manage costs, control misuse and protect patient safety to ensure the best possible therapeutic outcomes with prior authorizations (PA).

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Provider portal

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.

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Office-based scheduling forms

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.

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Specialty 101

Take a behind the scenes look at how specialty pharmacies differ from traditional retail pharmacies.

Optum Centers of Excellence

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.

Oncology

The Optum® Specialty Pharmacy Oncology Center of Excellence provides in-depth care so your practice can focus on one thing, the patient.

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Neurology

The Optum Neurology Center of Excellence provides tools to facilitate effective communication so you can spend more time with your patients.

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Specialty and Infusion Drug List

Use our search tool to find medications that Optum Specialty Pharmacy and/or Optum Infusion Pharmacy can provide or facilitate access to.

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How we help

 

Enrollment forms

E-prescribe using the information below, and we will route to one of our pharmacies to be filled:

1050 Patrol Road
Jeffersonville, IN 47130

NPI: 1083045140
NCPDP: 1564930

CoverMyMeds

Contact Optum Specialty Pharmacy

Find everything you need in one place:

  • View prior authorization status, initiate appeals and see denial history
  • Track prescription status and referral activities with enhanced dashboard views
  • Easily search for patient medication lists, allergy information, diagnosis codes and insurance information
  • Access more features coming soon to streamline your process
     

Learn more about the portal

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As an approved 340B partner, we help your resources reach more eligible patients and provide more comprehensive services.

Spend less time on paperwork and more time providing great care with secure EMR sharing and automated prior authorizations.

EMR Share

EMR Task

We use the Optum Savings IQ platform to connect patients with financial resources to help them pay for and start their therapy without delay. Savings IQ automatically helps find all available aid, including:

  • Foundation assistance and grants offered by nonprofit organizations or foundations that support people with specific health conditions
  • Manufacturer copay cards that help reduce or eliminate out-of-pocket costs
  • Manufacturer vouchers or free trials
  • State- or manufacturer-sponsored free drug programs, depending on each manufacturer’s approval requirements and application process

 

Optum delivered $916 million in copay card and foundation financial assistance to patients in 2022.

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Patients can find support from clinicians and patient care coordinators on their personalized online portal. They can also schedule a virtual visit and connect with other patients on Optum® Connections, a platform featuring advice from clinical experts and testimonials from real patients.

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Schedule My Fill

Our infusion services include:

  • Nationwide infusion pharmacy support with a patient-first focus
  • Smooth insurance process and convenient logistics
  • Hands-on pharmacists, personalized nursing and clinical expertise
  • Nationwide home infusion nursing support and conveniently located infusion suites
  • Customized patient education, programs and support

 

Learn more about Optum Infusion Pharmacy.

More resources for you

Our appeals team helps patients

Our appeals team’s efforts have helped overturn eight out of 10 coverage denials.3

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Specialty 101

Discover how specialty pharmacies help patients live healthier lives.

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Financial Assistance

Connect patients with financial resources to start therapy undelayed.

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Outlook on Oncology

Explore the advances and changing dynamics of oncology care.

Learn more

 

 

 

  1. Optum Specialty Pharmacy. Optum Exchange financial assistance book of business. 2023.
  2. Impact of Optum Savings IQ on Patient Outcomes, January 2023- March 2024.
  3. 2020 Optum Specialty Pharmacy internal analysis
  4. Optum Specialty Pharmacy Tableau Optum Rx Alternative Payer Dashboard