List of Optum RX Customers
Optum
11000 Optum Circle,
Eden Prairie, 55344, MN,
United States
Eden Prairie, 55344, MN,
United States
1 888-445-8745
Insurance
95000
$105.4B
Since 2010, our global team of researchers has been studying Optum RX customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Optum RX for Pharmacy Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Optum RX for Pharmacy Management include: Point32Health, a United States based Insurance organisation with 4000 employees and revenues of $9.40 billion, Carepartners Of Connecticut, a United States based Insurance organisation with 75 employees and revenues of $56.0 million, Ultimate Health, a United States based Insurance organisation with 50 employees and revenues of $10.0 million, New Jersey Division of Gaming Enforcement, a United States based Government organisation with 200 employees and revenues of $1.0 million and many others.
Contact us if you need a completed and verified list of companies using Optum RX, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Optum RX customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Carepartners Of Connecticut | Insurance | 75 | $56M | United States | Optum | Optum RX | Pharmacy Management | 2023 | n/a |
In 2023, Carepartners Of Connecticut transitioned its pharmacy benefit administration to Optum RX effective January 1, 2023. The deployment designated Optum RX as the primary Pharmacy Management application to support Carepartners Of Connecticut's Medicare and health plan pharmacy benefit administration.
The implementation focused on standard pharmacy benefit manager capabilities, including retail network access and integrated home delivery services delivered through Optum RX. Configuration work centered on benefit administration workflows that govern member eligibility, prescription routing to the retail network or home delivery, and processes to preserve continuity of active home delivery refills.
Operational coverage targeted Carepartners Of Connecticut's Medicare member population in the United States, with communications and conversion notices issued to members and brokers as part of the rollout. The program functionally aligned pharmacy benefit administration, PBM network access, and home delivery workflow orchestration under the Optum RX platform.
Governance and rollout activities emphasized member and broker notification and refill continuity controls, with the PBM conversion communicated as intended to improve member access to medications and continuity for existing home delivery refills. Optum RX was positioned to centralize Pharmacy Management for the plan, reducing fragmentation of retail and home delivery sourcing through a single PBM relationship.
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New Jersey Division of Gaming Enforcement | Government | 200 | $1M | United States | Optum | Optum RX | Pharmacy Management | 2018 | n/a |
In 2018, the New Jersey Division of Gaming Enforcement adopted Optum RX as part of the statewide New Jersey State Health Benefits Program PBM contract to administer prescription drug benefits for state employees and school employees. The implementation was effective January 1, 2018 and placed Optum RX into the Pharmacy Management layer supporting integrated retail, 90 day retail, specialty and mail order pharmacy services, reflecting an HR and employee benefits implementation across participating agencies.
Optum RX was configured to deliver core Pharmacy Management capabilities typical of a PBM, including claims adjudication, formulary management, specialty pharmacy oversight, mail order fulfillment and 90 day supply program administration. The deployment incorporated utilization management workflows and prior authorization processing to standardize benefit controls and enforce plan rules across covered members.
The procurement and award of the Optum RX contract were publicly litigated during the award process, and award documentation cited projected savings estimated at multi hundred million to $1.6B over the three year contract term. Operational scope covered statewide plan members under the State Health Benefits Program, centralizing PBM administration within HR benefits operations for state and school employee populations and standardizing pharmacy benefit governance across agencies.
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Point32Health | Insurance | 4000 | $9.4B | United States | Optum | Optum RX | Pharmacy Management | 2021 | n/a |
In 2021, Point32Health contracted Optum Rx for Pharmacy Management. The agreement went into effect on January 1, 2023, providing integrated pharmacy benefit management for Point32Health members across retail, specialty and home delivery pharmacy services in the United States.
Optum Rx was implemented to manage core Pharmacy Management functions including retail pharmacy network administration, specialty pharmacy workflows and home delivery fulfillment, alongside benefits administration capabilities consistent with a benefits and pharmacy implementation. The deployment reflects category-standard operational workflows such as formulary stewardship, claims adjudication workflows and member pharmacy benefit administration to support payer-side pharmacy operations.
Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan, and the contract scope covers membership across those entities. The three-year contract was reported by the parties to target aggregate pharmacy savings of roughly 12–16 percent over the contract term. Operational governance is organized at the payer level to align benefit design and pharmacy operations across the combined membership base.
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Ultimate Health | Insurance | 50 | $10M | United States | Optum | Optum RX | Pharmacy Management | 2017 | n/a |
In 2017, Ultimate Health implemented Optum RX as its core Pharmacy Management platform. The Optum RX deployment centralized pharmacy benefit administration for Ultimate Health, operating as a cloud oriented pharmacy benefit manager solution for a United States based, 50 employee insurer, and was provisioned to support both Medicare and commercial member populations.
Optum RX was configured to deliver standard Pharmacy Management capabilities including prescription claims adjudication, formulary management, prior authorization workflows, member billing and statement generation, and coordination with mail order and specialty pharmacy channels. The implementation emphasized workflow automation for claims processing and pharmacy reconciliation, and incorporated member cost lookup and customer service routing specific to pharmacy benefits.
Operational integrations include direct electronic connectivity to retail, mail order and specialty pharmacies so that members fill prescriptions without paying at point of sale when certain billing options are active. Optum RX issues monthly billing on behalf of Ultimate Health Plans for prescription charges while members continue to pay plan premiums to Ultimate Health. Beginning in 2025 the Medicare Prescription Payment Plan is available as a voluntary payment option, it works with members current Part D coverage and Optum RX will bill members monthly on behalf of Ultimate Health Plans instead of members paying pharmacies at the time of pickup, members are instructed to contact Optum Rx at 800-311-7517 to confirm drug costs before leaving the pharmacy.
Governance and member communications were adjusted to support voluntary enrollment in the Medicare Prescription Payment Plan, with documentation clarifying that there is no cost to participate and that participation may help manage monthly cash flow but does not lower overall drug costs. Members remain responsible for prescription charges even when billed monthly by Optum RX, and operational controls focus on billing accuracy, member outreach for enrollment decisions, and coordination with pharmacy networks to avoid point of sale charge duplication.
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FAQ - APPS RUN THE WORLD Optum RX Coverage
Optum RX is a Pharmacy Management solution from Optum.
Companies worldwide use Optum RX, from small firms to large enterprises across 21+ industries.
Organizations such as Point32Health, Carepartners Of Connecticut, Ultimate Health and New Jersey Division of Gaming Enforcement are recorded users of
Optum RX for Pharmacy Management.
Companies using Optum RX are most concentrated in Insurance and Government, with adoption spanning over 21 industries.
Companies using Optum RX are most concentrated in United States, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Optum RX across Americas, EMEA, and APAC.
Companies using Optum RX range from small businesses with 0-100 employees - 50%, to mid-sized firms with 101-1,000 employees - 25%, large organizations with 1,001-10,000 employees - 25%, and global enterprises with 10,000+ employees - 0%.
Customers of Optum RX include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.
Contact APPS RUN THE WORLD to access the full verified Optum RX customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Pharmacy Management.