Clinical Management Program

Clinical Management Programs

Being treated with a specialty medication can be overwhelming, and certain medical conditions need extra care. We have specially trained teams who can answer your questions. Our clinical management programs can help you get the most out of your treatment plan through extra personalized care and support.

Clinical Management Program Support

We'll Help You:

  • Better understand your medical condition and treatment
  • Learn more about side effects and how to manage them
  • Manage your symptoms
  • Find resources related to your medical condition and treatment
  • Learn how to take a more active part in managing your medical condition

Potential Health Benefits of the Program

  • Better management of your condition to help reduce unnecessary hospital visits
  • Having a personal treatment plan that matches your needs
  • Side effect management help
  • Getting help managing complex conditions

On-going Support

You’ll Receive:

  • A 1-on-1 phone call with a pharmacist or nurse who is trained in your medical condition
  • Follow-up consultations, to help track progress
  • Education and extra resources on:
    • The best way to manage your condition’s symptoms
    • The correct way to take your medications and help you stay on track
    • Important laboratory values and what they mean for your condition
    • Tips for remembering to take your medications at the appropriate time
    • Medication side effects and the best ways to manage them
    • Exercise and eating healthy
    • Ways to help pay for your medication, if applicable

Member Rights & Responsibilities

As an Optum Specialty Pharmacy patient, you have the right to:

  • Have personal health information shared with the patient management program only in accordance with state and federal law
  • Identify the program’s staff members, their job title, and to speak with a staff member’s supervisor if requested
  • Speak to a health professional
  • Receive information about the clinical management program
  • Decline participation or opt out, at any point in time

Member Rights & Responsibilities

As an Optum Specialty Pharmacy patient, you are responsible for:

  • Providing the right clinical & contact information, and disclosing any changes
     
  • Telling your treating prescriber about being in the clinical management program

Potential Health Limitations of the Program

Patient input
Results depend on what you share about your condition and reactions to treatment.

Patient involvement
Program is based on your active participation and ease of being contacted.

Patient actions
Success depends on how well you follow the health advice provided.

If you have any questions or would like more information about clinical management programs, please call us at

. We’re available 24 hours a day, 7 days a week.

If you are interested in learning more about your specialty condition, please visit our website: