Datapoint: Optum Rx to Launch New Drug Pricing Model

May 29

Optum Rx announced on May 20 a new program, Clear Trend Guarantee, that will combine guarantees into a single per member cost metric. The PBM will make Clear Trend Guarantee available to plan sponsors starting on Jan. 1, 2025. In a press release, Optum Rx described Clear Trend Guarantee as “an alternative, guarantee-based pricing model that combines retail, home delivery, specialty drug and rebate components into one per member guarantee” and said the program would “ultimately deliver value to individuals and families who want predictability in their premiums and drug costs.” The PBM currently serves 9,030,337 pharmacy benefit lives.

SOURCE: MMIT Analytics, as of 5/24/24