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Prescription Coverage

Picking Up Prescriptions

Make sure to bring your OptumRX ID card when you pick up your prescriptions.

When using a participating pharmacy, SHP members generally have a $12 copay for generic drugs, and a $40 to $60 copay for brand and specialty drugs.

Prescriptions Requiring Prior Authorization

  • To find out if your prescription requires prior authorization, look up the name of your prescription drug in the OptumRx Formulary below.
  • If there is a "PA" (prior authorization), "QL" (quantity limit), or "ST" (step therapy) in the Notes column, consult with your prescribing provider about how that might affect your pharmacy prescription.
  • If there is an "E" (excluded) in the Notes column, that means the drug is not covered by OptumRx. Refer to the OptumRx Premium Formulary Exclusions document below for preferred alternatives for excluded medications and consult with your prescribing provider about changing your pharmacy prescription. (For an accommodation for this PDF, please contact studentbenefits@cornell.edu.)

Current Formulary Effective 7/1/24

Formulary Effective 1/1/24 - 6/30/24

Manage Your OptumRx Account

Learn how to register and sign in to your OptumRx account using your HealthSafe ID. The HealthSafe ID helps to protect the security of your personal health information with OptumRx. In your account you can check on prescriptions, review your prescription benefits, learn about drug pricing, find participating pharmacies and more.

Manage Your Account | OptumRx

Other information

Pharmacy Benefits for COVID-19 (Effective 5/12/23)

Copay Waiver Request Form (Including for getting contraception and PrEP medications at zero cost share.)

Questions about your prescription coverage? Log in to optumrx.com or call OptumRx customer service at 1-866-868-1677.