Pharmacy Information

OptumRx provides you with 24/7 access to pharmacists, online and mobile app prescription management, and tools to find pharmacies. Use the OptumRx mobile app (Apple ® App Store ® , Google Play™) or optumrx.com to help manage your medications. You’ll be able to find a network pharmacy, check medication coverage, track home delivery orders and more. You can even sign up to receive text messages that remind you when it’s time to refill or take your medication.

Getting Started

Already a Member?

Get started by logging into your MyWHA account (click the Login | Register link at the top right of the page). Once logged in, you’ll have one-click access to your personalized OptumRx portal. Note: The first time accessing OptumRx you will have to complete a one-time registration process in addition to your MyWHA account.

Shopping for Coverage?

Preferred Drug List

To learn if your medication is covered, search WHA's preferred drug list for covered prescription drugs. You can also download a PDF of the 3-Tier or 4-Tier Prescription Drug Plan.

Pharmacy Options

Retail Pharmacies: Fill your prescription at one of the thousands of participating retail pharmacies.
Mail Order or Select90: Save time and money by obtaining a 90-day supply of the medications you take regularly through OptumRx’s mail-order pharmacy program or by using the Select90 program at Walgreens or CVS Pharmacy.
Specialty Pharmacy: Get help managing your condition and your medications delivered, at no extra cost.

Pricing Tool

Use OptumRx’s drug pricing tool to look up a drug and find information and pricing at nearby pharmacies. Learn how to determine what prescription drug plan is included in your coverage.

Transfer Prescriptions with Ease

Follow these 5 easy steps to transfer an existing prescription and establish care with a pharmacy convenient to you.

Prescription Coverage

Your copayment summary will help you determine whether your prescription coverage uses the three or four tier plan. It is important to note that prescription coverage may be subject to pharmaceutical management (for example, prior authorization). Additionally, there are a small number of drugs, regardless of tier, that may require prior authorization to ensure appropriate use.

Three-tier Plan

  1. Preferred generic medications listed on the Preferred Drug List are covered at the lowest tier copayment level
  2. Preferred brand name medications listed on the Preferred Drug List are provided at the second tier copayment level
  3. Non-preferred drugs listed on the Preferred Drug List are covered at the third tier copayment level

Unique cost shares apply for self-injectable medications, and medications for the treatment of infertility (if covered) and erectile dysfunction (see copayment summary)

Four-tier Plan

  1. Preferred generic medications listed on the Preferred Drug List are covered at the lowest tier copayment level
  2. Preferred brand name medications listed on the Preferred Drug List are provided at the second tier copayment level
  3. Non-preferred drugs listed on the Preferred Drug List are covered at the third tier copayment level
  4. Specialty medications are covered at the fourth tier copayment level

Prescription Costs

Not all medical plans have prescription coverage. If you have prescription coverage, you will pay the lesser of the retail price, or cost sharing as described below, for any prescription, retail or mail order. Refer to your copayment summary for additional details.

Copay Plans

  1. Use WHA's prescription drug search to find the medication listed on the Preferred Drug List
  2. Identify the medication's tier
  3. Refer to your copayment summary for the copayment that is associated with that tier

Deductible Plans

  1. Refer to your copayment summary to determine if prescriptions are subject to a deductible on your plan
  2. Use OptumRx's pricing tool to price a prescription medication under the deductible.
  3. Once your deductible has been met, refer to the instructions for copay plans to determine your share of costs

Drug Recalls and Withdrawals

Western Health Advantage is committed to ensuring our members and providers have access to FDA-issued drug recall and withdrawal information. For recall question, please contact WHA Member Services toll-free at
(888) 563-2250.

For a current list of Class 1 drug recalls and withdrawals, please see our Drug Recalls and Withdrawals webpage.

Contact Information

For assistance with mail order or specialty medication:

OptumRx Call (toll free): 844.568.4150

OptumRx Specialty Pharmacy: 855.427.4682

For assistance with benefits and coverage:

WHA Member Services: 888.563.2250

For assistance with medication prior authorization:

Prescription Requests: 916.568.5280 fax