2025 VPP Benefit Guide

Pharmacy  RxBenefits with Optum Rx

Pharmacy with RxBenefits

Administered by OptumRx

Function

OptumRx

RxBenefits

Manages pharmacy benefits for health plans and employers

Optimizes pharmacy benefits for employers and their employees

Role

Negotiates discounts with pharmacies, develops formularies, processes claims

Provides member services, helps members find lower- cost alternatives, assists with transitions of care

Services

Lower prescription drug costs for health plans and employers

Greater discounts, enhanced access, and improved member services for employers and their employees

Benefits

Manages pharmacy benefits for health plans and employers

Optimizes pharmacy benefits for employers and their employees

Role

As part of your NEW pharmacy benefits plan, you will receive: • New pharmacy ID card • Prescription Drug Coverage Statement • Friendly, high-touch service from RxBenefits ’ professional Member Services Team • Commitment to issue resolution Access to My RxBenefits (NEW)

For Questions or Concerns

Members can contact RxBenefits Member Services 800.334.8134 Monday through Friday 7:00 a.m. – 8:00 p.m. Central

View pharmacy benefits coverage

Download and email ID cards

• View 18 months of pharmacy claims (including claims for eligible dependents) • Establish and manage communications preferences • Access to online PA status (if they have Enhanced Protect and if RxB is the reviewer) Access to OptumRx.com • Review medication tiers, drug pricing, local pharmacies, plan details, and ways to maximize benefits • New Members will need to make an account

customercare@rxbenefits.com

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