Pharmacy and Part D Requests Information
OptumRx is the pharmacy benefits manager for Peoples Health Medicare Advantage plans.
OptumRx manages our formulary, mail-order program and pharmacy network. Please note that this impacts the following:
Information for Processing and Writing Prescriptions
For all Peoples Health plans that include Part D prescription drug coverage (all plans except Peoples Health Patriot (PPO)), Rx information is printed, as follows, on their ID cards for processing Part D prescription fills:
- RxBin Number: 610097
- RxPCN Number: 9999
- Rx Group Number: MPDPHP
Send e-prescriptions to OptumRx using this information.
Requesting Part D Coverage Decisions
Submit Part D coverage decision requests, including prior authorization requests, to OptumRx using one of the following methods:
- Visit https://professionals.optumrx.com and click the Get Started button. OptumRx gives providers the option to use either CoverMyMeds or Surescripts to submit requests. You can sign in to, or create an account for, either platform from the website.
- If your electronic medical record system is integrated with PreCheck MyScript, you may also submit a request through this method.
- Call: 1-800-711-4555, from 7 a.m. to midnight, Monday through Friday, and from 8 a.m. to
5 p.m. on Saturday
Send all mail-order prescriptions to OptumRx.
Please note: OptumRx will ONLY accept mail-order prescriptions for controlled substances via e-prescription. Mail-order prescriptions for these substances sent through other methods will not be accepted. There are limited provider and patient exemptions to this requirement. For more information about the electronic prescribing of controlled substances and exemptions, visit https://professionals.optumrx.com/epcs.html.