GLOBAL RESEARCH ARCHIVE
UnitedHealth Group Inc "OptumRx Introduces Transparent Pharmacy Care Model"
Research evidence excerpt
UnitedHealth Group Inc "OptumRx Introduces Transparent Pharmacy Care Model"
Global Research
12 May 2026ab
UnitedHealth Group Inc Equities
United StatesOptumRx Introduces Transparent Pharmacy Care
Model Healthcare Providers
12-month rating Buy
12m price target US$410.00New Cost Plus Model Removes Spread Pricing and List Price Linkage
After the close today (5/11), OptumRx announced a new pharmacy model designed to
promote greater transparency to prescription reimbursement. The new model will Price (11 May 2026) US$384.44
eliminate spread pricing and move toward a per-member fee-based system. By the end RIC: UNH.N BBG: UNH US
of 2027, group purchasing is expected to fully transition to flat service fees. OptumRx
had previously committed to passing through 100% of manufacturer drug rebate Trading data and key metrics
discounts by the end of 2027. In an interview with Endpoints, Optum CEO Conway 52-wk range US$384.44-237.77
indicated that this change would not dampen the company's OptumRx margins of 3- Market cap. US$350b
5%. Of note, OptumRx has broadly moved away from the rebate model compared to Shares o/s 910m (COM)
peers. That said, the new model remains optional, except for GPO clients. Broadly, Free float 100%
adoption of these alternative models has been somewhat light. The company will be Avg. daily volume ('000) 1,818
presenting at an investor conference where we hope to hear more regarding the model Avg. daily value (m) US$554.2
and other considerations with respect to the business. Common s/h equity (12/26E) US$106b
P/BV (12/26E) 3.3x
Follows Similar Development from PBM Peers Net debt to EBITDA (12/26E) 1.8x
Optum's announcement follows a similar announcement by Cigna last year where the
company introduced its Signature rebate free model.
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