Eﬀective June 1, 2023, Optum®, an aﬃliate of Golden Rule Insurance Company, will manage prior authorization and step therapy requests for prescription medications that are reviewed under the Optum Rx® Pharmacy Utilization Management (UM) program. This change applies to Texas residents who have pharmacy coverage.
How to submit requests
You can submit a prior authorization or step therapy request through the UnitedHealthcare Provider Portal:
In the Prior Authorization and Notification tool, go to “Create a new notification or prior authorization request” and click Create New Submission
Enter the required information and submit
To support our review, we’ll document clinical requirements within the request submission. You may also be asked to attach medical records.
If you have questions or need more information about this update, call Optum at 888-397-8129, 8 a.m.–5 p.m. local time, Monday–Friday. You can also find more tools and resources at professionals.optumrx.com.