OptumRx

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

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.

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.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

  • PBM name and the pharmacy identifiers on the card
  • Drug, formulation and prescription information
  • Prescriber details and previous review reference

Questions to resolve

  • Is this processed under the medical or pharmacy benefit?
  • What is the correct review and submission channel?
  • Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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