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Successfully Submitting a Prescription to OptumRx

This guide assists providers in submitting an electronic prescription to OptumRx

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A guide to ePrescribing for health care providers

Steps to complete before submitting a prescription to minimize delays and additional outreach:

  • Verify with your patient OptumRx is his/her home delivery pharmacy.
  • Verify the medication is covered by your patient's health care plan.
  • Verify prescription medication name, formulation, frequency, strength, directions, quantity, and refills are complete.
  • If using ePrescribe, ensure you select the Carlsbad OptumRx address.
  • Ensure the brand and quantity of diabetic supplies are consistent and matches the number of requested days.
  • Verify inclusion of collaborating/supervising physician information as required by your state for midlevel practitioners.
  • If prescribing for exceeding max dose or atypical dose, include a comment on the script to acknowledge you are aware of the high dose or to alert us of the change being made.
  • If you prescribe controlled substances, ensure your practice’s EMR software is certified and approved for EPCS. 

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