OptumRX

OptumRx is the Pharmacy Benefits Manager for the Georgia Medicaid Fee For Service Outpatient Pharmacy Program. It processes all Fee For Service outpatient pharmacy claims on-line through Point of Sale transmission utilizing the NCPDP 5.1 communications standard. It also pays enrolled pharmacy providers weekly.

Download this pdf file. OptumRx Payer Sheet - Version D.0 - B1, B2, and B3 Reversals  - Updated 02/01/2023

Providers

Register now to access to access important GA Medicaid information via the OptumRx Web portal

Information available includes:

  • Weekly Banners

  • Medicaid FFS medication history

  • Remittance Summaries

  • Preferred Drug List

  • Prior Authorization Guide

  • Part II Policy & Procedures Manual

Email (preferred) the completed registration form to [email protected] or Fax to 888-292-4814.

Members

Register now and learn more about your:

  • Current prescription drugs
  • Prescription drug history
  • Co-pays
  • Pharmacy locations enrolled in Medicaid