Αποτελέσματα Αναζήτησης
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.
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 .
Claim form – Medicare Part D (pdf) Step Therapy Exemption Form (pdf) Prior Authorization Request Form including Fax Number (pdf) Tools. Pricing and coverage tool. Find a network pharmacy. Prescription Drug List.
Mail this completed order form with your new prescription(s) to OptumRx, P.O. Box 2975, Mission, KS 66201. DO NOT STAPLE OR TAPE PRESCRIPTIONS TO THE ORDER FORM.
Client Documents. 2024 PrimeTime Health Plan Plus, Classic, and Aultimate Prescription Drug Comparison (pdf) 2022 PrimeTime Health Plan Plus, Classic, and Aultimate Prescription Drug Comparison (pdf) Tools. Pricing and coverage tool. Find a network pharmacy.
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.
New Prescription Mail-In Order Form. Notes to Pharmacy: 4 Payment and shipping information — do not send cash. Standard delivery is included at no charge. Most prescription orders arrive about 7 days from the date your completed order is received. If clarification of your order is required, delivery may take longer.
