UnitedHealthcare and OptumRx’s Alleged Clawback Scheme May Be Illegal E-mail
March 07, 2017

Does your health insurance plan have pharmacy coverage through UnitedHealthcare and OptumRx? The cost of certain prescription medications purchased at your local pharmacy may actually be increased through a billing scheme known as a “clawback.”

A clawback occurs when the drug’s retail cost--the price you would pay without insurance--is less than the stated price in your health insurance policy. For example, without health coverage, a drug may retail for $5.00 at a local pharmacy, but with insurance, the patient may be forced to pay a $20.00 “copayment” or “coinsurance” for the same drug.  OptumRx allegedly “claws back” the $15.00 difference from the pharmacy.

Finkelstein Thompson is investigating this matter.  If you have coverage through UnitedHealthcare and use OptumRx and wish to discuss your legal rights, please contact us toll-free at 1-877-337-1050 or via email at  This email address is being protected from spam bots, you need Javascript enabled to view it .