Case Study: Fortune 500 company achieves $5.2M savings in nine months with Optum360

How one large employer saved $5.2 million in just nine months

A Fortune 500 company with 370,000 employees faced rising pharmacy benefit challenges — specialty costs 10% above the average employer, high prevalence of ADHD, pain management/opioids and narcolepsy, and poor adherence (nearly three in four diabetes patients non‑adherent). The employer partnered with Optum360 to tackle these issues using tailored pharmacy care services and specialty pharmacy management.

Optum360 implemented a premium formulary with mandatory specialty utilization management, added adherence and controlled‑drug/compound programs, introduced a Vigilant Drug List for prior authorization or exclusion, and expanded 90‑day retail and home‑delivery options. Those measures produced $5.2 million in plan savings in nine months and lowered plan costs by $2.31 PMPM.