Discontinued — last reported Q1 '26

Business Segments · Earnings before income taxes

Optum Rx — Earnings before income taxes

UnitedHealth Group Optum Rx — Earnings before income taxes decreased by 58.7% to $1.19B in Q1 2026 compared to the prior quarter. Year-over-year, this metric declined by 9.6%, from $1.32B to $1.19B. Over 4 years (FY 2021 to FY 2025), Optum Rx — Earnings before income taxes shows an upward trend with a 14.8% CAGR. This decline may warrant attention — for this metric, higher values are generally preferred.

Analysis

StatementSegment
CategoryProfitability
SignalHigher is better
VolatilityModerate
First reportedQ1 2019
Last reportedQ1 2026
Rolls up toPre-Tax Income

How to read this metric

A strong indicator of the segment's overall financial health and its contribution to the parent company's pre-tax earnings.

Detailed definition

The pre-tax profit of the pharmacy benefit management segment, accounting for operating income, interest, and other non-...

Peer comparison

Standard pre-tax segment earnings metric used for cross-company performance benchmarking.

Metric ID: unh_segment_optum_rx_earnings_before_income_taxes

Historical Data

20 periods
 Q2 '21Q3 '21Q4 '21Q1 '22Q2 '22Q3 '22Q4 '22Q1 '23Q2 '23Q3 '23Q4 '23Q1 '24Q2 '24Q3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Value$993.00M$1.01B$1.24B$939.00M$1.04B$1.08B$1.37B$1.06B$1.21B$1.26B$1.59B$1.15B$1.41B$1.54B$1.74B$1.32B$1.44B$1.55B$2.89B$1.19B
QoQ Change+1.9%+22.5%-24.3%+11.2%+3.5%+26.9%-22.7%+13.8%+4.2%+26.7%-28.0%+22.6%+9.8%+12.6%-24.2%+9.3%+7.5%+86.2%-58.7%
YoY Change+5.1%+6.8%+10.6%+12.9%+15.5%+16.3%+16.0%+8.2%+16.6%+22.8%+9.2%+14.9%+2.5%+0.3%+65.9%-9.6%
Range$939.00M$2.89B
CAGR+3.9%
Avg YoY Growth+13.4%
Median YoY Growth+11.8%

Frequently Asked Questions

What is UnitedHealth Group's optum rx — earnings before income taxes?
UnitedHealth Group (UNH) reported optum rx — earnings before income taxes of $1.19B in Q1 2026.
How has UnitedHealth Group's optum rx — earnings before income taxes changed year-over-year?
UnitedHealth Group's optum rx — earnings before income taxes decreased by 9.6% year-over-year, from $1.32B to $1.19B.
What is the long-term trend for UnitedHealth Group's optum rx — earnings before income taxes?
Over 4 years (2021 to 2025), UnitedHealth Group's optum rx — earnings before income taxes has grown at a 14.8% compound annual growth rate (CAGR), from $4.14B to $7.19B.
What does optum rx — earnings before income taxes mean?
Total profit of the pharmacy segment before accounting for income taxes.