Medications FAQ | OptimalMD
Frequently Asked Questions

Medications FAQ

Honest answers to the questions we hear most. No insurance doublespeak.

Getting Started

What OptimalRx is and how to begin
What is OptimalRx?

OptimalRx is our prescription medicine benefit included with the Optimal Prime plan. You have access to over 1,100 FREE medications, plus over 4,000 additional medications at deep discounts. Many are $15 or less. With 70,000+ pharmacies nationwide, your prescriptions are always within reach.

How do I sign up for OptimalRx?

Your Optimal Prime Plan membership gives you automatic access. No additional sign-up is required.

What type of membership card will I receive?

A digital member card is available from the online portal to download or print right after you sign up for the Optimal Prime Plan.

How long before I receive my membership card?

Immediately. Your card is available as soon as you complete your sign-up.

Where can I see which drugs are available?

In the pharmacy section of the member portal, click "Medications" in the top menu, or call customer service at (855) 798-2538.

Pricing & Savings

What's free, what's discounted, and why
Are all my prescriptions free?

All generic medications on our formulary are free. Not every prescribed medication is necessarily free, but with OptimalRx you'll always get the cheapest possible price on all your medications.

Are my brand name drugs free?

Only generic medications on the formulary are free. Brand-name drugs are available at discounts of up to 80% off typical prices. Our pharmacy support team also helps with Prescription Assistance Programs (PAP) to get your most expensive medications at very affordable prices.

Are only certain quantities free?

Quantity follows your doctor's order on the prescription, within the maximum quantity limit allowed by OptimalRx.

Do you support 30-day and 90-day prescriptions?

Yes, both. The most economical option is a 90-day supply.

Is there a limit to how many prescriptions I can get filled?

No limit! Our program covers all family members and all needed medications with no copays. This alone saves some families thousands of dollars per year.

Will I owe any money at the pharmacy?

If your medications are on the free formulary, you owe nothing. Otherwise you'll owe the discounted price shown in the OptimalRx portal. Just show your card with a valid prescription. Mail order is required for maintenance medications after the initial fill at a retail pharmacy.

How can OptimalRx offer such deep discounts?

Simple: we've negotiated the best possible prices with all major pharmacies and pass them along to our members. We cut out the middlemen and pass the savings to you.

Why are brand medications so expensive?

Drug companies control prices to recoup R&D investment. OptimalRx strives for the lowest cost possible and will work with you on alternatives that could save even more. Our support team is always available to discuss options.

Do prices vary by pharmacy?

No, you pay the same price at any pharmacy. And remember: having prescriptions shipped to you is usually the most economical choice.

Prescriptions & Doctors

Scripts, transfers, refills, and the formulary
Do I need a valid prescription?

Yes. Your local pharmacy or our Home Delivery Program requires a valid prescription. Bring it with you, or have it sent electronically to the pharmacy of your choice. Show your OptimalRx card at pickup along with payment, if applicable.

Do I have to contact my doctor for a new prescription or refill?

No. Our pharmacists reach out to your doctor to request a new prescription or refill for you.

How can my doctor send a prescription to OptimalRx?

It works with all electronic health records (EHR): Escribe 04229971. No e-prescribing? Fax (888) 870-3823, or call Customer Service at (855) 798-2538 and prescribe over the phone. Our pharmacists can also reach your doctor directly. This is common practice and typically goes very smoothly.

How do I get my prescription transferred?

Our pharmacist contacts your local pharmacy or physician to transfer it to OptimalRx. Just call pharmacy support at (855) 798-2538 (8am–8pm ET, M–F), or the main number at (281) 962-7700 and say "Pharmacy."

What if my medication is not on the formulary?

Call (855) 798-2538. We may be able to special-order it, or our pharmacists can help determine if an equivalent drug is available.

Can I get automatic refills on prescriptions?

Yes. Automatic refills are preferred for routine and maintenance medications.

I can't find my medication in the app or on the web.

Use the live chat inside the pharmacy portal, or call our Customer Support Team at (855) 798-2538.

How soon can I use OptimalRx? Is there a wait time?

The $0 benefit can take up to 24 hours to activate. If you need medication sooner, we immediately issue discount savings cards for the lowest available price at your local pharmacy (usually under $15). After 24 hours, all formulary medications are $0. Issues? Call (855) 798-2538.

Pharmacy Pickup

Using your card at 70,000+ retail locations
Can I use this plan at retail pharmacies?

Of course! Show your OptimalRx membership card when filling covered acute medications. After your first fill of a chronic or routine medication at retail, our team reaches out to help you switch to mail order for even more convenience.

My pharmacist is not familiar with OptimalRx?

Show your OptimalRx card and ask them to process the claim like any other RX Benefit Card. If they have trouble, they can call our Pharmacist Hotline at 855-798-2538.

Can family members have multiple addresses?

All family members must be registered at the same address, but shipping addresses can change. We understand family can be at college, work projects, and other circumstances.

Home Delivery

Free shipping, refills, and tracking
How does OptimalRx Home Delivery work?

We're affiliated with Advanced Pharmacy, L.L.C., a URAC-accredited pharmacy in Greenville, South Carolina, licensed in all 50 states. They dispense and deliver your medication via USPS or FedEx.

Will it cost me extra to have medications sent via Home Delivery?

No additional cost. Even medications requiring cooler packs and special handling ship at no charge.

Will Home Delivery automatically refill prescriptions?

Yes. Fourteen (14) days before your medication is due for renewal, our pharmacy attempts to obtain a new prescription from your physician. We'll call, text and email you on all activity.

Will I be reminded when I need a refill?

Yes. We contact you via phone, email and/or text to confirm your next shipment 14 days in advance.

Do I have to prepay for my meds?

Yes, on home deliveries. OptimalRx bills your payment card of choice at the time of purchase. If you don't fill the prescription, the payment isn't processed.

Do you ship to P.O. Boxes?

Yes, we can ship to a P.O. Box.

Is tracking information available?

Yes. Your delivery courier provides tracking information.

Billing & Payments

Payments, refunds, and HSA/FSA
What forms of payment does OptimalRx accept?

Debit and credit cards including Visa, MasterCard, American Express and any major credit card. HSA cards are eligible and can be used for any of our services.

Can I claim my medications on my HSA or FSA account?

All plans are designed differently. Check with your plan administrator. We'll send you a receipt for your records so you can apply accordingly.

How do you handle refunds?

Refunds are processed through the pharmacy portal. For help, call our Pharmacist Hotline at 855-798-2538. Note: once a medication is shipped, no returns are accepted.

OptimalMD Basics

How the plan itself works
How is this different from insurance?

Optimal Prime is a prepaid healthcare plan. Think of it like a monthly streaming service, but instead of movies and music, you get medical care and prescription medications. Unlimited doctor visits via telehealth, care plans, specialists, medications and more. No contract. No co-pays. No deductibles. Ever. For the whole family.

What exactly does the plan include?

For you and your family: unlimited 24/7 urgent care and primary care visits via telehealth, access to top medical specialists, dermatology consultations via telehealth, 1,000+ FREE medications, talk therapy sessions, annual blood work, pet consultations via telehealth and pet medications.

How does OptimalMD keep the cost so low?

We contracted with a network of over 750 U.S. Board-Certified Physicians, giving your membership access to care and prescriptions for a low monthly cost. We simply eliminated the middlemen and regulations that make insurance-based healthcare so expensive. Nothing more to say.

How soon can I use it?

Registration takes minutes and you have instant access to your own Private Healthcare Network. No waiting. No pre-authorization. Begin using your benefits the SAME DAY.

I already have insurance. How does this help me?

Many people underestimate the true cost of insurance-based healthcare: copays, urgent care visits, specialist consultations, prescriptions, labs and mental health support all add up quickly, especially for families. With Optimal Prime, you bypass these expenses. OptimalMD really can save you more than it costs.

No questions match your search. Try a different word, or call (855) 798-2538.

Still have a question?

Our pharmacy support team answers the phone 8am–8pm ET, Monday–Friday.

OptimalMD empowers everyone to live their healthiest lives, regardless of financial or insurance status.

Contact Us

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Phone Support

Toll Free: (855) 378-7700

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Corporate Office

15002 Lakefair Drive

Suite 103

Richmond, TX 77406

Phone: (855) 378-7700