# OptumRx vs Horizon Blue

The clearest difference is monetization model: OptumRx at free against Horizon Blue's free with in-app purchases. OptumRx also leads on device support (3 vs 1). Horizon Blue's advantage is review sentiment (37% vs 16%). On price, rating, ratings volume and update cadence there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

On the App Store both sit at effectively the same score — 4.7 for OptumRx against 4.8 for Horizon Blue. Both are backed by a comparable volume of ratings — 146K and 79K respectively. Written reviews are what separate them: 16% of OptumRx's written reviews are positive against 37% of Horizon Blue's.

Both ship on a similar rhythm, roughly monthly. Both last shipped on November 9, 2026.

## The numbers

| Metric | OptumRx | Horizon Blue |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (146K ratings)](https://appshunter.io/ios/app/optumrx/id941641944/reviews) | **[4.8 (79K ratings)](https://appshunter.io/ios/app/horizon-blue/id1356335647/reviews)** |
| Number of ratings | **146K** | 79K |
| Positive reviews | 15.6% of reviews | **37.3% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Monthly | Monthly |
| Monetization | **Free** | Free with in-app purchases |
| Best chart rank | **#65** | #162 |
| Size | 93 MB | 97 MB |
| Requires iOS | **15.5** | 16.4 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 4+ | 12+ |
| Developer | [Optum Inc.](https://appshunter.io/developer/1133706680) | [Horizon Healthcare Services Inc](https://appshunter.io/developer/482349257) |

## What reviewers say

### OptumRx

[App page](https://appshunter.io/ios/app/optumrx/id941641944)

**Currently charting:** #65 Top Free · Medical (US App Store)

Manage your pharmacy benefits from your mobile device. Compare drug prices, view your medications, and arrange for home delivery. Refill prescriptions, track orders, and set up automatic refills for convenience.

**Highlights:** Compare drug prices, View all medications, Transfer to home delivery, Refill home delivery prescriptions, Check order status, Set up automatic refills, View member ID card

**Features:** Apple Wallet

**In-app purchases:** none

**What reviewers like**

- 🚀 Convenient home delivery
- 💰 Affordable prices
- 📦 Reliable mail order service
- 🕰️ Timely order processing
- 🤝 Helpful customer service

**What reviewers complain about**

- 🐛 Inconsistent app performance
- 🔍 Difficult to navigate app
- 🚫 Forced to use specific pharmacies
- 📤 Delayed or missing deliveries
- 🤖 Poor communication from automated systems

**Reported bugs**

- App freezes and crashes
- Login issues and account lockouts
- Incorrect pricing and order status information

**Requested features**

- Ability to view prescription refill dates
- Option to opt-out of automatic refills
- Integration with local pharmacies
- Improved app usability and accessibility


### Horizon Blue

[App page](https://appshunter.io/ios/app/horizon-blue/id1356335647)

**Currently charting:** #162 Top Free · Medical (US App Store)

Access your health plan details, find care providers, and connect with member services. View benefits, coverage, and ID cards, track costs, and submit claims. This app is designed for Horizon members to manage their healthcare easily.

**Highlights:** View benefits and coverage, Connect with doctors virtually, Access and share ID card, Find in-network providers, Track out-of-pocket costs, Submit medical claims

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Convenient app features
- 🚀 Quick access to insurance information
- 💡 Helpful nurse chat option
- 🔒 Secure with ID card sharing

**What reviewers complain about**

- 🐛 Frequent app crashes
- 🔍 Unreliable provider search
- 💳 Issues with payments and billing
- 🕰️ Slow app performance

**Reported bugs**

- Login issues with passcode/biometrics
- Inability to upload documents/photos
- Telehealth feature not functioning
- Incorrect/outdated provider information

**Requested features**

- Add Face ID/Touch ID login
- Improve doctor/provider search
- Streamline payment process
- Provide more detailed coverage information


## Frequently asked questions

### Is OptumRx free?

OptumRx is free to download, with no in-app purchases.

### Is Horizon Blue free?

Horizon Blue is free to download, with no in-app purchases.

### Which has better reviews, OptumRx or Horizon Blue?

Horizon Blue is rated higher. OptumRx averages 4.7 out of 5 from 146K ratings, while Horizon Blue averages 4.8 from 79K ratings.

### Do OptumRx or Horizon Blue have ads?

Neither OptumRx nor Horizon Blue shows ads.

### Which is updated more often, OptumRx or Horizon Blue?

OptumRx ships an update monthly, and Horizon Blue monthly. Most recently, OptumRx was updated on November 9, 2026 and Horizon Blue on November 9, 2026.

### Which is more popular, OptumRx or Horizon Blue?

OptumRx currently peaks at #65 in the App Store charts, and Horizon Blue at #162. Chart position reflects recent download velocity rather than total install base.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*