844-403-1027 (2024)

FAQs

What is the phone number for OptumRx 844? ›

Please have the doctor or a qualified member of the office staff complete the next page(s) and fax the completed form to 1-844-403-1024. If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

For all other questions, call the OptumRx Prior Authorization Department at 1-800-711-4555.

Once your PA has been submitted and received, it usually takes 48 to 72 hours to process. If your PA request needs additional review, it may take longer. If your doctor submits a PA request electronically, they may receive approval within minutes of submitting the request.

Original Medicare rarely requires prior authorization. The government program covers medically necessary services without requiring you or your doctor to submit special forms in advance or even a referral to see a specialist.

Many people are receiving calls, primarily on their cell phones, from Optum RX, which they have not consented to receive. These are automated calls or robocalls, which violate the Telephone Consumer Protection Act (TCPA).

Who is OptumRx®? OptumRx is your CalPERS pharmacy benefit manager for Anthem, Health Net, Sharp, UnitedHealthcare, and Western Health Advantage. Our goal is to provide safe, easy and cost-effective ways for you to get the medication you need.

OptumRx® and CVS Pharmacy® make it easy for you to get your maintenance medications and may save you money. 1 The OptumRx CVS90 program allows you to get 90-day supplies of your medications at nearly 9,700 CVS Pharmacy locations or through OptumRx home delivery — the choice is yours.

(OptumRx Mail Service)

6800 W 115th St, Suite 600 Overland Park, KS 66211-9838 NCPDP: 1718634 Call 1-800-791-7658 – Provide a verbal prescription directly to an Optum Rx provider dedicated pharmacist.

Prescriptions: Most prescription orders are shipped via USPS First Class Mail. Once OptumRx receives your complete order for a new prescription, your medications should arrive within ten business days. Completed refill orders should arrive to your home in about seven business days.

For urgent or expedited requests please call 1-800-711-4555. This form may be used for non-urgent requests and faxed to 1-844-403-1027. Optum Rx has partnered with CoverMyMeds to receive prior authorization requests, saving you time and often delivering real-time determinations.

Whose number is 800 711 4555? ›

Submitting a PA request to OptumRx via phone or fax

above. For urgent requests, please call us at 1-800-711-4555.

If an override is available, there will be a Request Override button at the bottom of the claim card • Note: The option to request an override will not appear if the claim has any additional rejections other than refill too soon. If the option is not available, contact the Pharmacy Help Desk.

Starting in Q3 2023, UnitedHealthcare will eliminate nearly 20% of current prior authorizations for common procedures or prescriptions.

Yes, Medicare requires prior authorization before getting a colonoscopy procedure for preventative and diagnostic. Prior authorization is a process in which healthcare providers must obtain permission from Medicare before performing the procedure. For most services, Medicare does not require prior authorization.

Get the support you need — when you need it — from an expert. Call 1-855-427-4682 to get started with virtual visits. Live chat is available to get your account and medication questions answered quickly. Sign in to request a live chat with an expert.

OptumRx® is a full-service prescription drug benefit provider with a broad network of retail chain and independent pharmacies, Optum Specialty Pharmacy, and a mail service pharmacy through OptumRx home delivery.