Eaton Corp (Optum Rx) -General Information

Eaton Corporation is a global power management company that provides electrical, aerospace, hydraulic, and vehicle products and services

Landing Page: https://www.vida.com/eaton/

Programs & Devices Offered

T1 Preventative, T2 Chronic, T3 Clinical Obesity Management

For full details on programs offered, please review- VP Card
For full details on devices offered, please review Device Eligibility Google Doc.

AOM Prescribing - Use Case 2

Vida is a preferred Obesity Care Provider and (Anti Obesity Medication) AOM prescriber.

Members who choose to enroll in Vida’s virtual obesity care and prescribing services experience hassle-free access, with “automatic” prior authorization approval for obesity medications when appropriate. Eaton is a self pay org. For more information visit Self Pay GLP1 or COM with Formulary Customizations: Agent Guide
Standard MWL inclusion criteria
Prescribing Overview

Eaton Client: Program Details and Prescribing Guidelines

This section outlines the specific guidelines for the Eaton client regarding medication prescribing, formulary coverage, and the customized onboarding path for diabetes management.

I. Medication Prescribing and Formulary Status

Vida's clinical team provides prescription services for eligible members; however, the formulary coverage for those prescriptions is governed by the Eaton plan's Pharmacy Benefit Manager (PBM).

Medication Class	Vida Prescribing Status	Formulary Coverage Status	Member Responsibility
GLP-1 Medications (e.g., Wegovy, Ozempic)	Vida will prescribe.	NOT on Formulary.	If a GLP-1 is prescribed, the member will be responsible for the full cost (self-pay).
Non-GLP-1 AOMs (Anti-Obesity Medications)	Vida will prescribe.	Varies. Prescription will be issued only if No Prior Authorization (PA) is required.	If a PA is needed, Vida will not submit it, and the member may need to work with their primary care physician (PCP).

II. Custom Diabetes Screener and Program Placement

Eaton members complete a Custom Diabetes Screener during the onboarding process. This specialized screener ensures members are placed into the appropriate Vida program track based on their Type 1 or Type 2 Diabetes status.

Condition Identified	Program Referral Path	Focus of Program
Type 2 Diabetes	WH Level 2	A structured program specifically designed for Type 2 Diabetes management, focusing on diet, activity, and medication adherence.
Type 1 Diabetes	Whole Health	Members continue to the broader Whole Health program, which offers a holistic approach to managing the condition alongside other health factors.

Agent Note: When discussing diabetes with Eaton members, always reinforce the path determined by the onboarding screener and confirm that GLP-1 prescriptions for weight loss will result in a self-pay cost.

Population Details

25K EE + 14K Deps (18+)
- Throughout US
- Transitioning 40 members on Wegovy/Zepbound grandfathered through Optum Rx the PBM

Additional Info

What segment is this org in?
- Employer
Are there any Fees at risk (FAR) org?
- No
When did we launch with this org?
- 2/1/2026
How is the service being paid for?
- Vida is offered to all Eaton Corp benefits eligible team members, their covered spouses/domestic partners and dependents aged 18 or older and are enrolled in an active Eaton medical plan.
How do members enroll?
- VSC and self-enroll
Where should non-eligible members be directed?
- Members may be eligible for other health programs or resources offered through Eaton. To find out more about other available benefits, visit the Eaton Benefits Portal here. Or call 844-391-1889 to speak to a Health Advisor if you are enrolled in the Enhanced or Basic Plans, or 866-683-6440 to speak to member services if you are enrolled in the MyChoice Plan.
Who is eligible?
- All Eaton Corp benefits eligible team members, their covered spouses/domestic partners and dependents aged 18 or older and are enrolled in an active Eaton medical plan.
Is the org on the eligibility file?
- YES
How often will terminations take place?
- Monthly
Do we offer Phone and/or Email support?
- Email + phone
Is VSC outreach involved?
- Yes

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