OptumRx provider manual
This manual is regularly updated with general announcements.
A guide for network pharmacy providers
Review policies and procedures in accordance with participating pharmacy provider network agreements, including:
- Term definitions
- Contact information
- Member identification (ID) cards
- Processing claims
- BIN information
- Medicare product information and guidelines
- Compliance; fraud, waste and abuse (FWA); general training and audits
- Pharmacy network participation requirements
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