Group Number: KNOXCTY
Customer Service & Card Replacement: (844) 265-1774
Specialty Medication Pharmacy / BrioviaRx: (855) 427-4682
Use your OptumRx insurance card for pharmacy benefits.
To find an in-network pharmacy, follow this link.
Rates and Coverage
Please refer to the Benefits Guide for information on the rates and a summary of coverage.
For a more detailed explanation of this benefit, please review this summary from OptumRx.
Click to read the Prescription Formulary for Jan. 1 through June 30. Click to read the Prescription Formulary update for July 1 through Dec. 31. If a medication you take is impacted by the formulary update, you will be notified by mail prior to the change. You can access the most up-to-date information by visiting www.optumrx.com.
Most drugs are “traditional medications.” A few drugs are considered “specialty” medications. Specialty medications covered under the pharmacy benefit will be subject to a coinsurance and maximum on Options 2 and 3.
|Option 1||Option 2||Option 3|
|Value Medication*||Deductible, then 20% up to the Out-of-Pocket Maximum||8% Coinsurance with a $100 Maximum/Rx|
|Preferred Medication*||15% Coinsurance with a $200 Maximum/Rx|
|Non-Preferred Medication*||25% Coinsurance with a $300 Maximum/Rx|
*Call the customer service number on the back of your OptumRx card to find out whether you are taking a value, preferred or non-preferred specialty medication. Ask your doctor and pharmacist about whether there are traditional medications or value specialty medications that you can try.