Exciting Vendor Changes

Optima Health continuously looks for ways to improve benefits and services and increase cost efficiencies for its employer groups and members. As a result of these efforts, we have made the strategic decision to change our pharmacy benefit manager (PBM) from OptumRx® to Express Scripts (ESI) and our vision services vendor from Eyemed to VSP Vision Care (VSP) for all lines of business, effective January 1, 2023 (regardless of the group’s effective date).

Members will experience a seamless transition; all active pre-authorizations will automatically transfer to the new vendors. Prior to January 1, 2023, we will issue new Optima Health member ID cards to reflect the new pharmacy vendor information. We will continue to use Proprium Pharmacy for specialty tier 4 medications.

We will share more detailed information about these exciting new partnerships and its valuable impact on our brokers, employers, members, and providers over the next several months. If you have any questions, please contact your Optima Health representative.