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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. 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.

  3. 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.

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

  5. hdform.optumrx.comHD Form

    Use the form below to enter the details of the prescription you’d like to transfer to Optum® Home Delivery Pharmacy.

  6. 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.

  7. welcome.optumrx.com › pthp › formsForms - OptumRx

    2024 PrimeTime Health Plan Plus, Classic, and Aultimate Prescription Drug Comparison (pdf)

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