Meet Our New Pharmacy Benefit Manager — OptumRx
Beginning January 1, 2023, Tufts Health Plan will work with OptumRx as our new pharmacy benefit manager (PBM).
What does that mean for you?
Improved access to pharmacy services: With more than 67,000 pharmacies nationwide, including CVS, OptumRx’s broad retail, specialty and home delivery pharmacy network means your medications are available wherever and whenever you need them.
Innovative digital tools: A set of innovative, easy-to-use online tools will help you manage your prescriptions, look up specific medications, review pricing options, and set up or manage your home delivery service.
24-hour support: Your health doesn’t take days off. With OptumRx, you have 24/7 support for any questions or concerns about your medications.
State-of-the-art mail-order program: With the convenience of OptumRx home delivery, the medications you take regularly can be delivered right to your door. Getting your medications has never been easier.
Before January 1, 2023
Tufts Health Plan members who have our pharmacy coverage will receive a new ID card bearing the OptumRx logo.
January 1 and beyond
Starting January 1, log in to your Tufts Health Plan secure member account for seamless and direct access to the OptumRx portal. Register with OptumRx to:
- Get started with mail order
- View information on your current prescriptions
- Search the cost of current and new medications at pharmacies near you
- View a summary of prescription claims you’ve filed and how much you paid
- Search for network pharmacies
You’ll need information from your new member ID card to sign up. You can also use the OptumRx mobile app once you’ve registered your account.
For more information, please call the Member Services number listed on your member ID card.
Looking to find a network pharmacy near you, see what drugs your plan covers, or use the Drug Pricing Tool? Click on your 2023 drug coverage tier below to get started. Check with your employer to determine which pharmacy program your plan uses.