Honest answers to the questions we hear most. No insurance doublespeak.
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.
Your Optimal Prime Plan membership gives you automatic access. No additional sign-up is required.
A digital member card is available from the online portal to download or print right after you sign up for the Optimal Prime Plan.
Immediately. Your card is available as soon as you complete your sign-up.
In the pharmacy section of the member portal, click "Medications" in the top menu, or call customer service at (855) 798-2538.
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.
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.
Quantity follows your doctor's order on the prescription, within the maximum quantity limit allowed by OptimalRx.
Yes, both. The most economical option is a 90-day supply.
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.
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.
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.
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.
No, you pay the same price at any pharmacy. And remember: having prescriptions shipped to you is usually the most economical choice.
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.
No. Our pharmacists reach out to your doctor to request a new prescription or refill for you.
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.
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."
Call (855) 798-2538. We may be able to special-order it, or our pharmacists can help determine if an equivalent drug is available.
Yes. Automatic refills are preferred for routine and maintenance medications.
Use the live chat inside the pharmacy portal, or call our Customer Support Team at (855) 798-2538.
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.
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.
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.
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.
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.
No additional cost. Even medications requiring cooler packs and special handling ship at no charge.
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.
Yes. We contact you via phone, email and/or text to confirm your next shipment 14 days in advance.
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.
Yes, we can ship to a P.O. Box.
Yes. Your delivery courier provides tracking information.
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.
All plans are designed differently. Check with your plan administrator. We'll send you a receipt for your records so you can apply accordingly.
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.
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.
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.
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.
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.
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.
Our pharmacy support team answers the phone 8am–8pm ET, Monday–Friday.
Toll Free: (855) 378-7700
15002 Lakefair Drive
Suite 103
Richmond, TX 77406
Phone: (855) 378-7700