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  1. Complete an order form and mail it with your written prescription(s) to Optum Home Delivery Pharmacy. Prescription order form (PDF) (743.42 KB) For more information about Optum Home Delivery Pharmacy, visit the Optum Rx Education Center .

  2. Mail this completed order form with your new prescription(s) to Optum Rx, P.O. Box 2975, Mission, KS 66201. Do not staple or tape prescriptions to the order form.

  3. Optum® Home Delivery Pharmacy is a full service mail order pharmacy with the convenience of delivering medications directly to your home. Benefits include free standard shipping, 24/7 pharmacist access and more.

  4. welcome.optumrx.com › seniorcareplus › formsForms - OptumRx

    Optum Rx Form Downloads. Optum® Home Delivery mail-order form – English (pdf) Optum® Home Delivery mail-order form – Spanish (pdf) Claim form – Commercial (pdf) Claim form – Medicare Part D (pdf) Step Therapy Exemption Form (pdf) Prior Authorization Request Form including Fax Number (pdf) Tools. Pricing and coverage tool.

  5. Order prescriptions, get drug pricing information, pay your bill, locate a pharmacy, manage your health information and more. Optum Rx can help.

  6. Optum® Home Delivery Pharmacy is a full service mail order pharmacy with the convenience of delivering medications directly to your home. Benefits include free standard shipping, 24/7 pharmacist access and more.

  7. Get your medications delivered at a low price, safely and conveniently. Refill and manage your prescriptions online, too.

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