OptumRx Pharmacy Benefits

OptumRx acts as the Pharmacy Benefit Manager for most of CalPERS health plans.

The following health plans feature OptumRx:

  • Anthem Blue Cross Traditional HMO, Select HMO, and Medicare Preferred (PPO)
  • Health Net Salud y Más
  • PERS Gold and PERS Platinum PPO plans (Basic and Medicare Supplement)
  • Sharp Health Plan Performance Plus
  • UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony
  • Western Health Advantage HMO

The following plans are not administered by OptumRx:

  • Blue Shield of California (Access+ HMO, Trio HMO, EPO, and Blue Shield Medicare PPO)
  • Sharp Direct Advantage
  • Kaiser Permanente
  • UnitedHealthcare Group Medicare Advantage

Members can take advantage of OptumRx benefits including:

  • Home delivery pharmacy program. Receive up to a three-month supply on maintenance medication for two copayments.
  • Access to large national chain and local pharmacies.
  • Online account management.

For more information, visit the OptumRx website.