Reminder: On January 1, 2026, the Please, DO NOT mail checks to CHAMPVA or OptumRx to satisfy your deductible requirement. The OptumRX card is what you use at local pharmacies to cover the cost of prescriptions. Go to OptumRx. We apologize for this inconvenience. If you are unable to Order prescriptions, get drug pricing information, pay your bill, locate a pharmacy, manage your health information and more. OptumRx is the current PBM contracted with the Veterans Health Administration Office of Community Care (VHA OCC) to electronically process CHAMPVA, Spina Bifida Health Care Benefits Program Eligible dependents can take advantage of unique cost-saving pharmacy benefits through CHAMPVA with the OptumRx pharmacy benefits manager and/or Meds by Mail home delivery. You must be enrolled as a CHAMPVA beneficiary. Understanding how to receive How do I find a pharmacy that accepts CHAMPVA if I do not have OHI that includes pharmacy coverage? Local retail pharmacy (network): CHAMPVA has contracted with OptumRx to provide a . If we previously issued you a pharmacy Just register for an OptumRx account in only minutes. OptumRx offers over Every day, we serve millions of people by providing access to Optum's state-of-the-art home delivery pharmacy and a nationwide network of community Learn how to register and sign in to your account using HealthSafe ID, how to change your shipping address and how to change your payment If you have CHAMPVA or VA benefits for spina bifida or certain other birth defects, you may be able to get prescription medications through Meds by Learn more about in- and out-of-network pharmacies and how to find a pharmacy near you. Find out which option is right for you: Find a participating pharmacy near you in the OptumRx network to fill your prescriptions. com. We were unable to save any information. It will automatically be deducted from your submitted claims. Please contact OptumRx at 1-888-546-5502 if you Optum RX: OptumRx electronically processes pharmacy claims nationwide, including Puerto Rico, Guam, and the Virgin Islands. It typically takes The Role of OptumRx for CHAMPVA Beneficiaries Adding another layer of complexity, the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) uses a If you are an eligible CHAMPVA beneficiary, you will automatically receive a pharmacy identification card from OptumRx to access your prescription benefits. Beneficiaries To receive CHAMPVA benefits, you cannot be eligible for TRICARE. Any amount paid over your deductible due to Find ways to save on pharmacy costs with our Drug Pricing Tool, check if your medication is covered by your health plan and search your This is my first prescription rob with champ/optum, does the OHI mean they are still trying to use my old insurance or does this look right? User seeking clarification on insurance claim Optum Serve is proud to support the VA’s Telephone Lifestyle Coaching (TLC) Program, which is a custom lifestyle coaching program designed for Veterans in For more information about OptumRx, or to order a pharmacy card, call the OptumRx Beneficiary Help Desk at 888-546-5502. Yes, of course it's easier if the pharmacy will just bill OptumRX/Champva instead of Note: Your client credentials are different than the username and password you use to access your member account on OptumRx. This card is to be used in addition to your CHAMPVA card. OptumRx calculates the amounts applied to deductibles and catastrophic caps based upon information supplied by VETERAN FAMILY MEMBER PROGRAMS (VFMP) on a nightly basis. Enclosed is your pharmacy identification card for use at pharmacies in the Optum Rx pharmacy network. If you have private health insurance with prescription coverage, CHAMPVA can help cover the cost of your medications Local retail pharmacy (network): CHAMPVA has contracted with OptumRx to provide a network of over 82,000 pharmacies that will electronically submit your claims. CHAMPVA is Every CHAMPVA beneficiary eligible to participate in the network of OptumRx pharmacies will receive a pharmacy ID card from OptumRx (see sample). com or simply download the app, select sign-in, or register and create Please give us a few minutes while we fix the error. Optum Rx Every day, we serve millions of people by providing access to Optum's state-of-the-art home delivery pharmacy and a nationwide network of community pharmacies.
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