Point32Health Selects OptumRx as Pharmacy Benefit Manager (PBM)

All products

October 01, 2021  

Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has selected OptumRx as the PBM for all products, effective January 1, 2023. The multi-year agreement will provide PBM solutions that will enhance services and deliver improved pricing for Harvard Pilgrim and Tufts Health Plan members.

Effective January 1, 2023, OptumRx’s integrated health and wellness service model will provide pharmacy benefit offerings for Point32Health. OptumRx will support convenient and affordable access to prescription medications to Harvard Pilgrim and Tufts Health Plan members through a comprehensive retail, specialty and mail-order pharmacy network.

The new collaboration between Point32Health and OptumRx further broadens the long-term strategic relationships Harvard Pilgrim and Tufts Health Plan have had with Optum. Note: Harvard Pilgrim successfully migrated to OptumRx on January 1, 2020.

Point32Health will continue to manage its own pharmacy program, including drug formularies, the development of utilization management criteria and the appeals function.

For more information, refer to the press release and online FAQs. Harvard Pilgrim and Tufts Health Plan will update the FAQs as new information is available, so be sure to check back regularly. Also, refer to future issues of Provider Update for additional updates.