FAQs
Get answers to providers' most commonly asked questions.
You may have specific concerns or special situations that you have questions about. Please refer to these before contacting OptumRx®.
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This is not my patient. I did not prescribe this medication. What should I do?
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Can you update our fax number and/or address?
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What should I do if, after talking to the pharmacy, the prescription has been identified as a fraudulent prescription?
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Can you update this patient’s information? The patient has passed away.
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How do I get prior authorization or tier cost sharing for my patient’s medication(s)?
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What is your fax number so I can fax back my response?
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I received a letter stating my patient has a condition (eg, CAD, RA, CHF), but he has not been diagnosed with that condition. Why are you sending this letter to me?
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Can you update your information because this provider no longer practices at this facility?
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What should I do if this person is no longer my patient?
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Do I need to respond to you?
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Do I need to change treatment?
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Will you be contacting the patient to change therapy?
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Are you licensed to practice medicine in my state?
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Are you going to take responsibility for changing my patient’s therapy?
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I disagree with your clinical recommendations and I feel that my patient should continue with his/her current medication regimen. What should I do?
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By receiving this letter, does it mean that I will be tracked by insurance carriers and be listed as a “bad provider”? Do you track providers?
 
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