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OptumRx

OptumRx

Medicines that work, delivered

Irvine, CA, USA

Pharmacy benefit manager and part of Optum that manages prescription drug benefits for commercial, government health plans, employers, and unions. Offers home delivery pharmacy, specialty pharmacy, network pharmacy access to thousands of independent and chain pharmacies, and weight management programs.

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How We Help

Problem Statement

Patients face challenges with drug accessibility and affordability, leading to suboptimal health outcomes; OptumRx aims to solve these by improving access, reducing costs, and enhancing health outcomes through integrated pharmacy solutions.

Core Technology

Artificial Intelligence

Key Differentiators

Delivering comprehensive pharmacy care services, integrated cost management, high-quality clinical care, extensive network of clinicians and pharmacists, financial assistance programs, and advanced technology and AI integration.

Clinical Focus

Complex therapies and conditions like oncology, neurology, immunology, rare diseases, and cell and gene therapies.

Target Customers

Health plans, employers, government programs, and other payers.

Product Stage

Mature

Company Info

Business Model
Pharmacy Benefit Management (PBM), Specialty Pharmacy and Infusion Services, Rare Disease and Gene Therapy Support, Home Delivery and Community Pharmacies.
Website
www.optumrx.com

Categories

Healthcare Infrastructure

Disease Areas

Technologies

AI & Machine Learning

Clinical & IP

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Clinical Validation

Medication therapy management (MTM) program with pharmacist and physician review. Prior authorization guidelines based on randomized clinical trials, meta-analyses, and peer-reviewed literature. Clinical pharmacists review therapy safety and efficacy. Demonstrated 20% higher medication adherence with home delivery vs retail 30-day supply.

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What do you think of OptumRx?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Clinical Benefit Potential

The potential for a project to have a large and significant impact on medical care, treatment, or prevention.

Feasibility

The likelihood that this will provide benefit for patients / care givers and that the founders can execute on their vision and plan.

Innovativeness

The distinguishing features, concept, or technology that differentiates the entry compared to others that already exist and are in widespread use.

Fundability

The reviewers' beliefs that the idea is fundable or can make it to sustainability without outside investment.

Scalability

Some great ideas are destined to failure because they are too complex or too expensive. The reviewer should consider the likelihood that a project as explained, or perhaps with some tweaks, could possibly become a worldwide solution within a reasonable time frame.

Presentation Quality

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