News Briefs: Optum Rx Unveils New Pricing Model Starting in 2025

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.” Meanwhile, Patrick Conway, Optum Rx’s CEO, wrote in a May 22 LinkedIn post that Clear Trend Guarantee “means plan sponsors will have another option to manage their pharmacy spend with greater predictability and choice to help manage lowest net cost.” Optum Rx last year announced other alternative pricing models, including a pass-through model using average ingredient costs.

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