Optum Rx launches fee-based pharmacy care model that drops list-price and volume pricing

Optum Rx introduced a fee-based pharmacy care model on May 11, 2026, offered to every Optum Rx PBM client. Under the model, clients pay monthly per-member fees instead of prices tied to manufacturer list prices or prescription volume, and spread pricing is eliminated. Optum Rx also said group purchasing moves fully to flat service fees by the end of 2027.

• Monthly per-member fees replace pricing tied to manufacturer list prices or prescription volume
• Eliminates spread pricing; offered to all Optum Rx PBM customers
• Group purchasing fully moves to flat service fees by end of 2027
• Optum Rx passes through 100% of manufacturer rebate discounts to clients by January 1, 2028
• Serves nearly 61 million people through a network of more than 67,000 community pharmacies