Optum Infusion Pharmacy
Service charges
Payment information
Confirmation

Service Charges

Please refer to your latest invoice for your account number and an itemized list of charges.

Learn more

You may enter up to 3 dates of service.

Fields marked with an asterisk
*
are required.

mm/dd/yyyy

Service Charges

If a service date is not entered, payment will be applied to your oldest outstanding balance. You may pay up to $50,000.

mm/dd/yyyy

$

Total payment: $XXX.XX

Contact the billing department if you have questions at 1-800-864-1338


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