Expanded 100-day medication supply benefit

In 2023, UnitedHealthcare Medicare Advantage members in all states except Alaska can receive 100-day supplies of medications for the same copay as 90-day supplies.¹

Recent studies show that 100-day medication supplies can help:

• Drive greater medication adherence²
• Save patients money — Same copay for a 100-day supply as a 90-day supply³
• Improve access to medications with 24/7 access to a pharmacist,⁴ resulting in better patient experiences⁵
• Maximize patients’ plan benefits

What you can do

Please submit a request to Optum Home Delivery for 100-day supplies of medications, including 3 refills, using one of these options:

• ePrescribing
  Optum Home Delivery
  (OptumRx Mail Service)
  6800 W 115th St, Ste 600
  Overland Park, KS 66211-9838
  NCPDP ID: 1718634

• Clinician line
  Phone: 800-791-7658
  Fax: 800-491-7997

Or, you can send a prescription for a new 100-day supply with 3 refills to any network pharmacy. We don’t require that members use Optum Home Delivery.

Resources

For more information, please see New 2023 Medicare Benefit: 100-day supply of medications now available on professionals.optumrx.com.

Questions?

Please call Optum Home Delivery at 800-791-7658.

¹Doesn’t apply to controlled substances or specialty medications. $0 copays may be restricted to preferred home delivery prescriptions during the initial coverage phase and may not apply during the coverage gap or catastrophic stage. Benefits vary by plan/area. Limitations and exclusions apply.

²Optum Home Delivery, Percentage Adherent Utilizers — Retail 30 vs. Retail 90 vs. Home Delivery 90 vs. Home Delivery 100 MAPD Population, 2021.

³Receiving Extra Help or are Low-Income Subsidy (LIS) level 1, 2 and 3; 100-day supply of their medication for the same copay as a 30-day supply. If cash price for 30-day prescription is lower than copay, 100-day price may increase to LIS copay amount.

⁴Retail pharmacists spend 10% of time consulting with patients, Gebhart, Fred, “Pharmacists Want More Time with Patients, Drug Topics”, Volume 163, Issue 3.

⁵Optum Home Delivery, Internal NPS scorecard, 2022, Patient NPS HD vs. Retail.

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