OptumRx provides pharmacy benefits for Consumer Driven Option members and features more than 64,000 pharmacies, including large national chains, community pharmacies, OptumRx Home Delivery, and Optum Specialty.
Consumer Driven Option 2025 prescription coverage
Network retail
Tier 1/Tier 2
Lower cost/Mid-range cost
Tier 3
Highest cost
In-network you pay
25% ($15 min/$200 max per Rx) for a 30-day supply
$400 for a 60-day supply
$600 for a 90-day supply
40% ($15 min/$300 max per Rx) for a 30-day supply
$600 for a 60-day supply
$900 for a 90-day supply
Network home delivery
Tier 1/Tier 2
Lower cost/Mid-range cost
Tier 3
Highest cost
25% ($10 min/$200 max per Rx) for a 30-day supply
$400 for a 60-day supply
$600 for a 90-day supply
40% ($10 min/$300 max per Rx) for a 30-day supply
$600 for a 60-day supply
$900 for a 90-day supply
Log in to your member portal for coverage specifics.
Your Personal Care Account (PCA) covers 100% of eligible expenses, including prescription drugs. If you fill a prescription when you have benefit dollars available in your PCA, the funds will be applied, and you’ll pay nothing.
Receive a discount when you use OptumRx Home Delivery. When you order or refill a prescription by mail, the discounted cost of the medication will be subtracted from your PCA.
Monday – Friday, 8 am – 8 pm CT
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APWU Health Plan Holiday Office Hours
The Health Plan will be closed on Wednesday, January 1. We will reopen at 8:30 a.m. ET on Thursday, January 2.
Manage your High Option or Consumer Driven Option health plan 24/7 with your postal member portal or federal member portal.
