Pharmacy Benefits

OptumRx is the current pharmacy benefit manager for most CalPERS health plans, including: Anthem Select/Traditional HMO, UnitedHealthcare HMO, Western Health Advantage HMO, PERS Gold PPO, and PERS Platinum PPO. For more information, visit the OptumRx site.

Blue Shield and Kaiser administer pharmacy benefits for their plans. For more information, visit the Blue Shield Pharmacy site or the Kaiser site.

New Pharmacy Benefit Manager for 2026

Effective 1/1/2026, CVS Caremark will replace OptumRx as the pharmacy benefit manager for most CalPERS health plans, including: Anthem Select/Traditional HMO, UnitedHealthcare HMO, Western Health Advantage HMO, PERS Gold PPO, and PERS Platinum PPO. View the CVS Caremark Flyer for more information.