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Your Health

Make the most of your healthcare benefits by understanding your coverage options, taking advantage of available resources and making informed benefit choices during Open Enrollment and throughout the year.

Prescription Drug Coverage

Your medical plan includes prescription drug coverage, administered by OptumRx®. Keep in mind that you’ll pay less at the pharmacy when you stay in the OptumRx network. You can also save money by exploring lower-cost alternatives, such as generic medications, or by signing up for our mail-order program for medications you take regularly to manage a health condition.

Pharmacy Benefits: OptumRx

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CMP*

Consumer Choice Plans**

 

Retail
(30 days)

Mail Order
(90 days)

Retail
(30 days)

Mail Order
(90 days)

Preventive Medications

Generic (Tier 1)

0%

0%

0%

0%

Brand Formulary
(Tier 2)

$35 Min./$150 Max.

$87.50 Min./$375 Max.

20%

20%

Non-Formulary (Tier 3), and Specialty

$60 Min./$150 Max.

$150 Min./$375 Max.

20%

20%

Other Medications

Generic (Tier 1)

$10 Min./$150 Max.

$25 Min./$375 Max.

20%

10%

Brand Formulary
(Tier 2)

$35 Min./$150 Max.

$87.50 Min./$375 Max.

20%

10%

Non-Formulary (Tier 3), and Specialty

$60 Min./$150 Max.

$150 Min./$375 Max.

20%

10%

* Under CMP, there is a 25% coinsurance, which is subject to the minimums and maximums listed.
** All medications under the Consumer Choice plans are subject to the deductible prior to the application of coinsurance except for preventive medications.

Questions?

For more information or to find a network pharmacy near you, visit myuhc.com or call a UnitedHealthcare Advocate at 1-844-210-5456.

myuhc.com