Pharmacy benefit managers

OptumRx

Phone, published email, fax, addresses and the next step for your office.

13 contact routesNo directory research calls placed

portal

Current Nevada Medicaid pharmacy resources

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Nevada

Mailing address

Not researched for this route

Use the current Nevada Medicaid pharmacy resources and member-plan instructions. The government pharmacy archive directs current information to Prime Therapeutics State Government Solutions. Nevada Medicaid Fee-for-Service transitioned to Magellan Medicaid Administration effective July 1, 2022; current Prime Nevada documents publish the supported PA route separately. The accessible FA-59 Optum form is dated May 11, 2017 and lists historical 855-455-3311 / 855-455-3303; these values are withheld from current routing. This does not establish disconnection and is not based on Optum’s general fax-retirement notice. Do not apply FFS routing to managed-care pharmacy benefits without checking the plan.

pharmacy prior auth

Peoples Health Part D — prescriber coverage-determination requests

Official page read
Phone800-711-4555Published hours

Not published in this record

Product, plan and location

medicare part d
Louisiana

Mailing address
Optum Rx Prior Authorization Department PO Box 25183 Santa Ana, CA 92799

Peoples Health Part D coverage-determination requests; the page permits members and providers to request a determination.

Peoples Health’s current coverage-decisions page explicitly directs doctors/providers to Optum Rx at 800-711-4555 for Part D coverage-determination requests. Louisiana plan scope is supported by its October 2025 fact sheet; no nationwide plan availability inferred. The current plan page does not publish hours for this PA number, so the former 7 a.m.–midnight/Saturday hours are withheld. Optum’s general PA webpage separately publishes weekday Pacific hours, which are not promoted as Peoples Health-specific hours. No current plan-specific submission fax was established; the former third-party fax is not restored.

View source ↗ · Source checked 2026-10-22 · Source published 2026-10-01 · peoples fact sheet pdf ↗ · optum pa guidelines current ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Dispensing pharmacy help desk — Optum Rx List 1 RxBINs

Official page read
Phone800-788-7871TTY phone866-498-5428Published hours

24 hours a day, 7 days a week, 365 days a year; holiday hours may vary.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

For dispensing pharmacies and pharmacy staff. Select the member’s legacy RxBIN/PCN and ID-card route; this is not a universal member service number. The manual’s BIN inventory is explicitly as of 2024-11-01 despite the 2026 edition. Section III.A, page 21. TDHI accessibility number separately published: 866-498-5428.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated · optum manual index ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Dispensing pharmacy help desk — Optum Rx List 2 RxBINs

Official page read
Phone800-880-1188TTY phone866-498-5428Published hours

24 hours a day, 7 days a week, 365 days a year; holiday hours may vary.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

For dispensing pharmacies and pharmacy staff. Select the member’s legacy RxBIN/PCN and ID-card route; this is not a universal member service number. The manual’s BIN inventory is explicitly as of 2024-11-01 despite the 2026 edition. Section III.A, page 21. TDHI accessibility number separately published: 866-498-5428.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

UHC Individual and Family Plan pharmacy help desk — except Colorado

Official page read
Phone844-569-4143Published hours

24 hours a day, 7 days a week, 365 days a year; holiday hours may vary.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

For dispensing pharmacies processing UnitedHealthcare Individual and Family Plan claims, excluding Colorado. Page 21; other UHC and non-UHC plans must follow their specific routes. National phone scope does not imply service availability in every state.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

UHC Individual and Family Plan pharmacy help desk — Colorado

Official page read
Phone844-368-8732Published hours

24 hours a day, 7 days a week, 365 days a year; holiday hours may vary.

Product, plan and location

Confirm the exact product or service
Colorado

Mailing address

Not researched for this route

For dispensing pharmacies processing UnitedHealthcare Individual and Family Plan claims in Colorado. Page 21; not a general UHC help desk.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

provider services

Pharmacy self-service website — technical support

Official page read
Phone855-505-8114Published hours

Monday–Friday 7:00 a.m.–7:00 p.m.; time zone not stated in this source.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Page 21: technical issues with the pharmacy self-service website. Separate from prescription claim adjudication, benefits and patient-specific prior authorization.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Pharmacy prior authorization service — Optum Rx List 2 RxBINs

Official page read
Phone800-626-0072Published hours

24 hours a day, 7 days a week, 365 days a year.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Pages 21–22: pharmacy-facing service for utilization-management requirements, coverage limitations, Part D decisions and PA information for List 2. The manual also prints an oral-PA fax, 866-511-2202, but the current PA webpage warns most patient-PA faxes are retiring except MA/RI/SC/TX. Current fax acceptance for a specific patient/plan was not established; use the appropriate electronic process or confirm by phone. Member inquiries should follow their ID card.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated · optum pa guidelines current ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

Pharmacy prior authorization service — Innoviant List 1 route

Official page read
Phone866-565-7723Published hours

List 1 PA service: Monday–Friday 5:00 a.m.–10:00 p.m. Pacific; Saturday 6:00 a.m.–3:00 p.m. Pacific.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Pages 21–22 specifically label this number for Innoviant within the List 1 RxBIN PA service. For pharmacy-facing utilization-management/coverage/PA information; do not generalize to all List 1 plans or member service.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Pharmacy MAC reimbursement appeals — Optum Rx Lists 1 and 2

Official page read
Phone800-613-3591 ext. 9Fax

866-285-8652

Pharmacy MAC price/reimbursement appeals for Optum Rx Lists 1 and 2.

Published email

MAC@optum.com

Pharmacy MAC price/reimbursement appeal inquiries for Lists 1 and 2.

Published hours

Monday–Friday 6:00 a.m.–4:00 p.m. Pacific.

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Menu guidance in the source record

Use extension 9, as published; not live-call verified.

Menus can change. No live call verification is claimed.

Page 22: pharmacy reimbursement/Maximum Allowable Cost price appeals for Lists 1 and 2. List 3 workers compensation and auto no-fault have separate routes. No general claims or clinical appeal scope inferred.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

provider services

Formulary and PA guideline change requests — Optum Rx List 1

Official page read
Phone

No phone listed for this route

Fax

949-474-4237

Formulary-change or PA-guideline requests for List 1, with the applicable department specified.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
Optum Rx Attn: Clinical Formulary Operations (formulary changes) or Clinical Programs (PA guidelines) 1 Optum Circle Eden Prairie, MN 55344

Mail List 1 formulary-change or PA-guideline requests; not an established visitor-office location.

Page 23 publishes mail/fax routes for requests about formulary changes or PA guidelines. Address Clinical Formulary Operations for formulary changes; Clinical Programs for PA guidelines. This is not patient-specific PA intake. The current manual lists 1 Optum Circle; older indexed editions list Irvine or 11000 Optum Circle.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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provider services

Formulary and PA guideline change requests — Optum Rx List 2

Official page read
Phone

No phone listed for this route

Fax

866-511-2202

Formulary-change or PA-guideline requests for List 2, with the applicable department specified.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
OptumRx Attn: Clinical Formulary Operations (formulary changes) or Clinical Programs (PA guidelines) PO Box 5252 Lisle, IL 60532

Mail List 2 formulary-change or PA-guideline requests.

Page 23 publishes mail/fax routes for requests about formulary changes or PA guidelines. Address Clinical Formulary Operations for formulary changes; Clinical Programs for PA guidelines. This fax is recorded for this documented administrative purpose; do not infer acceptance of patient-specific PA requests from it.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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email other

Pharmacy communications — copies of previously issued notices

Official page read
Phone

No phone listed for this route

Published email

pharmacyprovidercommunications@optum.com

Requests for copies of previously issued pharmacy-provider communications.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Page 24: request copies of prior pharmacy communications. The current edition publishes this email only; older indexed editions also give a Schaumburg address, phone and fax, which are not imported here.

View source ↗ · Source checked 2026-10-22 · Source published 2026 Fourth Edition, version 4.1; exact publication day unstated

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