Note: If you are an employee of Albuquerque Public Schools or New Mexico Public School Insurance Authority, or a member of New Mexico Retiree Healthcare Authority, please visit Express Scripts® for information about your pharmacy benefits.
New Mexico Health Connections uses OptumRx as our Pharmacy Benefits Manager (PBM) for the administration of prescription drugs. OptumRx's pharmacy network includes local and retail pharmacies throughout the United States.
If you have questions about your pharmacy benefits, please contact OptumRx at 1-855-577-6550 (toll-free), or visit OptumRx.com.
Refill and renew prescriptions
Receive reminders to take and refill your medications
Determine your cost-sharing for a prescription medication based on your pharmacy benefit; compare prescription drug prices*
Learn about side effects, risks, and drug-to-drug interactions; find out if a generic substitution is available
Search for a nearby in-network pharmacy by zip code
Retrieve your medications and medication history easily
Download the OptumRx mobile app to put all of these functions into your pocket. It comes in handy during medical appointments, at home, and while traveling. The OptumRx mobile app is available in iTunes and Google PlayTM. Watch this video to see how easy and convenient it is to use.
*Note: Pricing for individual members can vary depending on their pharmacy benefit. You will need to pay your copayment for each 30-day supply of medication that you receive, whether filled in the pharmacy or via mail-order.
OptumRx Formulary (Drug List)
New Mexico Health Connections offers medications at a $0 copay for many chronic conditions on most of our plans. At the end of the formulary, you will find the current list of our $0 copay medications that are covered on most plans. Please call Customer Service at 1-855-7MY-NMHC (1-855-769-6642) to determine if your plan provides this $0 copay coverage.
It's important to understand the formulary to get the most out of your prescription drug benefit. Please use this What You Need To Know about the NMHC Formulary and Pharmacy Benefit document as a reference.
Search tips: To search for a drug by name in any of the lists above, hit Ctrl + F on your keyboard to activate the "Find" function, if you are using a PC. If you are using a Mac, hit Command + F.