Point32Health Selects OptumRx as Pharmacy Benefit Manager

We’re pleased to announce that Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has selected OptumRx as the pharmacy benefit manager (PBM) for all products, effective January 1, 2023. The multi-year agreement will provide PBM solutions that will enhance services and deliver improved pricing for Harvard Pilgrim Health Care and Tufts Health Plan members.

OptumRx’s integrated health and wellness service model will provide pharmacy benefit offerings for Point32Health. OptumRx will support convenient and affordable access to prescription medications to Harvard Pilgrim Health Care and Tufts Health Plan members through a comprehensive retail, specialty, and mail-order pharmacy network.

The new collaboration between Point32Health and OptumRx further broadens the long-term strategic relationships Harvard Pilgrim Health Care and Tufts Health Plan have had with Optum. Harvard Pilgrim Health Care successfully migrated to OptumRx on January 1, 2020.

Point32Health will continue to manage its own pharmacy program, including drug formularies, the development of utilization management criteria and the appeals function.

For more information, refer to the press release and online FAQs. Harvard Pilgrim Health Care and Tufts Health Plan will update the FAQs as new information is available, so be sure to check back regularly. Also, refer to future issues of Network Matters for additional updates.


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