Welcome

Welcome to the OptumRx South Dakota Medicaid Pharmacy Benefit Website. On this site, you will find information on the following topics:

Prior Authorization

Information on prior authorization criteria, access to prior authorization forms and contact information.

Pharmacy and Therapeutics

Information on upcoming and past Pharmacy and Therapeutics meetings.

State Maximum Allowable Cost

Information on State Maximum Allowable Cost list, appeals information, and other reference material.

Preferred Drug List

Information on Preferred drug List (PDL).

Additional Information

Information on max units, covered OTCs and other helpful information.

Please note that OptumRx is not functioning as a Pharmacy Benefit Manager.