OhioBWC - Provider - Service:  Contacts

Contacts for pharmacy benefits program

PBM — OptumRx is BWC's Pharmacy Benefits Manager and is the sole processor of drug bills for state-fund, black lung and Marine Industrial Fund claims. OptumRx can assist pharmacies with questions about bill submission and prescribers with questions about requests for prior authorization.
To contact OptumRx call 1-800-644-6292, and follow the prompts.

BWC pharmacy program — Send questions or comments about outpatient drug benefits, the outpatient medication prior authorization program or other related matters to BWC's pharmacy department.
Pharmacy Department
Ohio Bureau of Workers' Compensation
30 W. Spring St., 21st floor
Columbus, OH 43215-2256

MCOs — Since BWC's PBM does not reimburse for compound medications, durable medical equipment or medical supplies purchased at a pharmacy, contact the injured worker’s managed care organization (MCO) regarding these services. To find out the correct MCO using the injured worker’s claim number, call 1-800-644-6292 or use the Claim parties' contact info service offering.