DialClerk Directory

Texas Mutual Insurance Company (workers compensation)

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 help desk

Pharmacy benefits - Optum assistance for injured-worker prescriptions

Official page read
Phone888-220-2805Published hours

Not published in this record

Product, plan and location

workers comp
Texas

Mailing address

Not researched for this route

Texas Mutual states it partners with Optum for injured-employee prescriptions; this is the number it publishes for Optum assistance (First Fill program available before a claim is filed). For prescribers and pharmacies helping a patient with a compensable injury. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

View source ↗ · Source checked 2026-10-25

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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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