The Optima Health Pharmacy and Therapeutics Committee, composed of Physicians and Pharmacists, determine if utilization management tools are necessary for some drugs. This includes prior authorization criteria, step-edit criteria, and quantity limits. Refer to the Provider Manual for the complete pharmacy policy including a list of benefit exclusions.

Specialty Pharmacy

Optima Health uses BriovaRx® for specialty pharmacy services. OhioHealthy Pharmacy can also supply specialty drugs, up to a 31 day supply.

Important: Please complete any applicable authorization process prior to submitting a supply order for specialty drugs.

Mail Order Prescriptions

CatamaranTM supplies mail order prescriptions for Optima Health. RMB Pharmacy and Marion General Outpatient Pharmacy can fill 90-day prescriptions for OhioHealthy associates.

Quarterly Pharmacy Changes