← Well Fall 2022
New Pharmacy Benefit Manager – OptumRx
Good news! Tufts Health Plan will begin using OptumRx as our new pharmacy benefit manager (PBM), effective January 1, 2023. With this change, retail, specialty and mail order services will now be provided by OptumRx, offering access to over 67,000 national and community pharmacies, including CVS, as well as a state-of-the-art mail order program. Each Tufts Health Plan member (with pharmacy coverage) will receive a new ID card bearing the OptumRx logo before January 1, 2023, and our formularies with be available for your viewing in November.
We encourage you to access the OptumRx website via your Tufts Health Plan secure member account for seamless and direct access beginning on January 1, 2023. You can also download the OptumRx mobile app to:
- 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, and,
- Search for network pharmacies.
Your employer has been notified of this update and you will receive direct communications throughout the fall based on formulary changes, per our standard processes and notification requirements.
After January 1, 2023, you can download the OptumRx app or visit optumrx.com to register your account. You’ll need information from your new member ID card to sign up. Once registered, you can access your account to:
- 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, and,
- Search for network pharmacies.
For more information, log into mytuftshealthplan.com or call member services at the number on your member ID card.