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