Benefits Sales Strategies

Optum Rx sued for alleged billing of a union health plan for uncovered GLP-1 drugs

The lawsuit said the union’s health plan allowed coverage of Xenical to treat obesity but not newer products such as Wegovy or Zepbound. Nevertheless, since 2018, Optum Rx charged the union health plan $4,381,075 for 3,732 claims for uncovered weight-loss drugs, the plaintiffs alleged.