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OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an Optum company - the world's largest provider of integrated health services.


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OptumRx Reviews

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    Page 1 Reviews 0 - 40

    Reviewed Sept. 23, 2026

    I used to get better service from them. Now it's the worst ever! My meds usually set in some warehouse until USPS finally picks them up! I'm tired of this because the medicines could not be good by the time you get them. I WILL find a solution to this! It's taking well over a week to get anything from them. They should be investigated.

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    Customer ServiceRates

    Reviewed Sept. 22, 2026

    I would rate them 0, but that is not an option. I have 1 prescription that has not been fulfilled correctly once in the last 5 months. Every month I call and I am given a different reason for why it was incorrect. I have solved them, one at a time, to only learn of the "next" reason. They are tied to UHC, but UHC doesn't want to hear about it. They're hoping you'll get too frustrated to complain any longer.

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      Customer ServicePunctuality & SpeedOnline & App

      Reviewed Sept. 10, 2026

      IF it works then it's usually all good but at the first hint of a problem it all goes awry FAST! Terrible customer service who seemingly cannot fix ANYTHING while giving answers that are directly opposite of what their website states.

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      Customer Service

      Reviewed Sept. 10, 2026

      ZERO STARS. THEY ARE RUDE AND UNAPOLOGETIC FOR THE worst practices for a pharmacy ever. I'm out of life-saving meds. I get 90 days at a time... I'm out; they will not refill. I switched to Optum for convenience. Well, it's far from it. I have never spent more time on the phone with a pharmacy; they are horrible. I'm reporting everywhere I can that they are terrible.

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      Coverage

      Reviewed Sept. 2, 2026

      I'd leave zero stars if I could. Optum doesn't cover anything.

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      Reviewed Aug. 29, 2026

      Imagine the worst-managed, most ineffective slophouse tasked with delivering your very important, heck critical for life products that did so in a way that would be embarrassing to even the laziest humans with zero pride in their work. UnitedHealthCare makes me use this dreadful service and always get 90 days whether I want it or not. It’s beyond awful. Avoid. Pay more - do anything but get meds here.

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      Punctuality & SpeedStaff

      Reviewed Aug. 27, 2026

      There is absolutely nothing good to say about OptumRx or any company that would choose OptumRX for their employee healthcare benefit. It does not matter what you are trying to do, they make it impossible to do easy. Always sending you offshore to a team that is using scripts and does not know what is going on. The onshore team is not much better. If it is easy everywhere else, Optum will make it difficult. Need 90 scripts, not with Optum, need review it take forever to approve prescriptions. Ask your questions of several people because the answer will always be different.

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      TechPricePunctuality & Speed

      Reviewed Aug. 24, 2026

      OptumRx seemed convenient as a rx mail service until I found out they won’t take Medicaid only Medicare. I lost my United Healthcare due to relocation that won’t serve this area and cannot opt in any plan until October. Okay so I only owe Optum under 30 bucks- so they are withholding life saving prescriptions. Upon transferring to a local pharm I just found out you cannot transfer from OptumRx to a local pharmacy. So my conditions hanging in the balance. Diabetic- high blood pressure and inhaler is being held hostage.

      I would not recommend them to anyone! Plus an associate (foreigner) on their end- was more about telling me one medicine runs 4,000. Like it’s a crime to need my meds. Now what does the orig cost have to do with my needing refills. His point? Aimless! Just waiting until Oct to begin a new prescription plan during enrollment period. Good news is my Provider will send new prescriptions to a local pharmacy that takes Medicare and Medicaid. So I will live to see another day!

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      Customer ServiceCoveragePunctuality & SpeedStaff

      Reviewed Aug. 22, 2026

      Optum Rx is worst insurance. Before I went with them I made sure my medication was on list. 1 of mine they had search and finally found yes for what I have. Well 2 months 3 denials later still don't have. When pharmacy sent to insurance they didn't even sent back prior to request. Pharmacy called, the person from optum said they don't send unless pharmacy request so patient pays more for medication. They get 400. month from me and over 300. from employer. Almost 900. And they won't approve a needed medication. If I could I woul leave no stars

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      CoveragePunctuality & SpeedRefunds & Payouts

      Reviewed Aug. 20, 2026

      Optum is a piece of crap. I have been attempting to receive authorization for a medication for A YEAR. I began this process in May 2025 and I still have not received authorization despite all the tests and medical history I have sent in. It is 8/2026 and the longer I wait for this medication, the worse off my bones are. Growth hormone is one thing I will need lifelong and because Optum doesn’t wanna cover it, my osteopenia is going to become osteoporosis which cannot be undone. They wanted an MRI of my pituitary gland. I gave that to them, paid for most out of pocket, they wanted my growth hormone levels, they still wanted more, I went through a horrendously painful glucagon stimulation test, and not even a day after the test I RECEIVE A DENIAL. They didn’t even look at my data! 5 hours of blood draws for what? This is GROSS negligence and I have gotten a lawyer involved.

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      CoveragePriceRates

      Reviewed Aug. 19, 2026

      Less than one star. Don't cover anything. With insurance my pills for my family are $600. Cash price is $100. I can't even delete my insurance cause it automatically gets added back at the pharmacy. They also send me threats in the mail. I hate this company a lot.

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      Customer ServiceOnline & AppStaffHonesty & Transparency

      Reviewed Aug. 19, 2026

      Ordering a refill is only slightly less difficult than negotiating Middle East Peace. I've been on the same medication, shipped to the same address for seven years. EVERY month, their web site tells me my address is invalid. I call.... in about 10 minutes I get a rep. Who spends 10 minutes checking before telling me I need the specialty pharmacy - which I tried to tell their AI. After about five minutes, I get a rep. Who spends 10 minutes checking before telling me my address is invalid. To be fair, the reps have gotten better over time. Many speak English now. None have outright lied to me for several years. Most months, they actually ship the Rx more or less when they say. If it doesn't arrive, they don't appear to have any way to figure out what happened. If you can find a guy on the corner selling drugs, he may be a better bet than Optum.

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      Customer ServiceStaffRates

      Reviewed Aug. 16, 2026

      My doctor upped my dose of a heart medication and I didn’t realize she had done that. Optum RX did not question it at all. Now that she’s reduced it back down to the amount I’ve taken for 23 years now Optum RX wants her to call them to verify that she meant to do it.!!! Mind you they didn’t question when it was raised to double the dose which I accidentally took and caused my heart rate to drop significantly but now that it’s going back to the dose, I’ve taken for 23 years. They’re questioning it, which is now gonna put me in jeopardy of not having the medication in time because it’s going to run out. Their customer service I think has a huge language barrier because they’re not from the United States. And when you chat into customer service, they really can’t help you other than give you a phone number for your doctor to call so chatting in is a waste of time. They double chat so a five minute question turns into a half hour to an hour ordeal.

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      Customer ServicePriceStaffTimeliness

      Reviewed Aug. 11, 2026

      I have been with OptumRx for a couple of years and up to now have had relatively few issues with the mail-order system. It's been easy to go into the website and click on my medication and have it processed. However, I tried to refill my usual eye medication and this time an AI message popped up that because my doctor had indicated on the original prescription that generic substitutes were ok, that they were giving me the generic instead. It then started to calculate my cost. The brand name drug was $30, but the generic substitute came up at $207 because it is non-formulary. Fortunately I had not checked out. The whole idea behind generic is that it is cheaper--not 7 times greater.

      I called the useless customer support line to cancel the generic and see if they would send the name brand drug instead. He said he could put the order on hold and would get the correct drug ordered instead which I would receive in about a week. While he did put the generic order on hold, no other order was ever put in. So, I called the next day and was told they couldn't change the situation because of the okay to use generic drugs. This is a new situation. Apparently, AI doesn't check to see if the generic is formulary or non-formulary (an obvious bug!). I refilled this same medication a few months ago and had no issues, so this appears to be a new AI program. In fact, the customer service rep said he could not do anything about this because it is all automated. It is clear that there is a software issue.

      There is no way that they should substitute a non-formulary generic for a formulary brand name drug. I don't know if this will be a success, but I have now archived the original prescription and when I see my doctor tomorrow I will have him submit a new prescription specifying that the brand name drug must be dispensed. Wish me luck! If there is anyway that this message could get to the OptumRx software team, please forward it. Thank you.

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      Customer ServiceMaintenance

      Reviewed Aug. 6, 2026

      I cannot stand OptumRx. I am required to use them and there is always a problem with my maintenance medications that causes imbalances and health problems. They have no way to respond when there is a problem, so I miss days or weeks of necessary medications. Their customer service people are nice in the phone, but there’s nothing they can do. They can send me a letter in a day telling me my meds won’t arrive for a week. This service SUCKS!

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      Customer Service

      Reviewed July 17, 2026

      Terrible service. I renewed a BP prescription online, it read I had one refill left. I never received it. Called customer service, after arguing with the useless BOT. Now they are saying it is my Doctor's fault, and I cannot renew until 2 more months. I am completely out of BP med.

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      Reviewed July 14, 2026

      Didn't realize my copay changed for my injections. They drained my copay card and now I am out of money halfway through the year. :)

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      Customer ServiceCoveragePunctuality & Speed

      Reviewed July 14, 2026

      People will suffer and die as a result of this terrible company. We were forced by our insurance to move from our local trusted pharmacy to OptumRx. Everything was filled out online. 2 weeks later, the prescriptions were moved into their system and order was listed as processing. After a 30-minute customer service call, we were told, despite no indication online, that the order wasn't placed, and they needed all the same information again, due to no fault of our own. Thankfully, we did this proactively and didn't trust the system, otherwise, we'd soon be out of our medications with no local pharmacy Rx to fill.

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      TechRates

      Reviewed July 9, 2026

      Ok. I'm being made to move to OptumRx by my pain meds provider. And seeing the 1.2 rating, I'm afraid. (But I have faith) So far so good.

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      Price

      Reviewed July 9, 2026

      Do not depend on anything timely, organized or efficient from OPTUMRX. The cost of not having your prescriptions on time will outweigh any perceived savings or convenience.

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      CoverageStaff

      Reviewed July 7, 2026

      I am forced by my insurance to use OptumRx! I have had nothing but problems the past 2 years. I literally have to talk to an agent every 3 months! Every agent assures me the issue is taken care of, mind you it's not and in 3 months same exact issue. They have over sent 1 of my prescriptions to where I have well over a year's supply. I have asked repeatedly to not send any prescription without my prior authorization. The agent says it is taken care of.... In exactly 3 months the process starts over. I am sick and tired of the waste of my time.

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      Customer ServiceCoverageTechPunctuality & SpeedStaffRatesHonesty & Transparency

      Reviewed June 29, 2026

      Suggest skip the following and go to the last two paragraphs for the summation. Or, read on... Well dang it.... a specialist doctor for my missus recommended going with OptumRX. Has turned out to be a massive mistake. Some of the extreme low lights...A local pharmacy royally bollixed up specialty medication that reverb all the way back up to insurance. It has taken 2 months to unravel THEIR mistake. No, am not just whining or kidding. THEIR mistake. Has caused huge problems, 'cause now my missus is about out of this med.

      Enter OptumRX. Have been going back and forth, endless calls to OptumRX customer service, to make certain they #1, have received the prescription scripts (they have), #2, that they are being followed (they are not), #3, that when a cust serv person sz that something will be done, it will get done (repeatedly over 3 weeks, nothing has ever been done that was promised on the phone). Because the medical provider recommended that we move to OptumRX mail, and the provider has been stellar, I did not do my due diligence to check out OptumRX. I wish to he!! I had. This has been beyond nightmarish.

      And today, after 3 weeks, two medications that were order back then, the commitment to "expedite" for 2 weeks because she would, now will be out, finally is reported to have happened today. That is what is reported in a text message. After all this... I do not believe it for a second. Added to that... Have repeatedly asked once a shipper is allegedly to have shipped, I will receive a tracking # so we can at least #1, confirm 'something' is happening. And #2, when will it arrive... because my missus has med appointments and we are not here to receive a signature-required shipment. So why am I surprised, when a text comes in, and we are supposed to receive both a text AND email... shocker, zero emails so far, for 3 weeks... but the text message presented a tracking number that when clicked into, a message pops up saying it is an invalid tracking number.

      I am shocked, I tell you... shocked. No, I am not. Having read so many other reviews, and the lowest ratings possible, am now having to redo all of this and move away from OptumRX. I am honestly astonished that this kind of functionality would go on for as long as it has. Like, whomever is chief of OptumRx, overseeing its operation... you have got to be kidding me. To allow, permit, an operation to act so poorly for even a little bit without a scorched-earth management upheaval... it is beyond me. It is one thing to have the frustration of vital meds amplified in the worst way for 3+ weeks. It is entirely another to see how bad this group is. For as long as it is being reviewed. Utterly gobsmacked. And not just a little upset.

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      Customer ServicePriceStaff

      Reviewed June 22, 2026

      They try to cut costs on Customers services by outsourcing to India or Philippines. Heavy accents, talking loud in background. Difficult to understand. Nice people but not professional.

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      Customer ServicePriceOnline & AppStaffBilling

      Reviewed June 16, 2026

      Optum's website is the Worst!! I'm a little older, but not illiterate! I pay all bills online, read news online. I'm online everyday doing something, but their website SUCKS. I just wanted to see if a prescription would cost different from what I'm paying at the drug store. But it feels like you need to be an IT person just to do anything. Lord, help older people! This is exactly how you can be taken advantage of. Getting in touch on the phone is just as bad and the chatting thing is crap!!!

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      Staff

      Reviewed June 11, 2026

      Staff is less than educated, I have had to fight for specialty meds that they shipped but the flight was delayed- they told me I needed to pay $5,000 AGAIN for this mess up. Automatically deny lost medication claims, shipped out a refrigerated med which wasn’t delivered for a week so it wasn’t good. They are useless.. DON'T RECOMMEND!!!!

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      Customer ServiceStaff

      Reviewed June 4, 2026

      Bunch of "pill pushers". I keep saying don't call, but it does no good. I keep getting calls to renew my scripts. 10 times. I am leaving because they don't understand English. They just do what they want.

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      Customer ServicePunctuality & SpeedStaff

      Reviewed June 3, 2026

      These people are rotten to the core. They don’t care about the people, just the money. Phone wait times are outrageous. They make it so hard that they want you to walk away. I am so upset I feel like smashing something. I am so angry I’m sick. Here’s a detailed rebuttal….You all suck. And I’m not walking away.

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      CoveragePunctuality & SpeedMaintenanceTimeliness

      Reviewed June 1, 2026

      I made a mistake when I listened to the prompts from my insurance company to transfer my prescriptions to Optum. I'm waiting for prescriptions to be delivered that are past due leaving me without 2 of my maintenance medications. 5 days ago, those prescriptions were reported to be in my state 100 miles away, and I've no information as to when they might be delivered. As a Walmart+ member I'm going to transfer my prescriptions to them which offers same day free delivery.

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      Customer ServicePunctuality & Speed

      Reviewed May 31, 2026

      It used to be easy to order refills with Optum. Click on the drug to be refilled and it would take me to checkout. They keep changing the process online. Can't order a refill directly. Have to schedule a refill that never gets done. Have to call to get it ordered. About ready to change mail order.

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      PriceStaffResolution

      Reviewed May 26, 2026

      Good doctors, DREADFUL SYSTEM. Staff that treat medical emergencies like an inconvenience. No escalation. Truly appalling service in moments when you need help. Avoid at all costs.

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      Customer Service

      Reviewed May 25, 2026

      If I could give it a negative I would. I ordered a specialty medicine for my R.A. and they sent it to the wrong address. When I called they were going over past addresses. They even mentioned address from 5vand 10 years ago. So they received their money and I don't have my medication. How can they continue to be in business with these reviews. I will be complaining to my employer. They don't even try to make it right.

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      Customer ServiceBillingTransparency

      Reviewed May 21, 2026

      I was asked to update my credit card, which I did. The display showed the last four of my credit card but the expiry date was/is wrong. I phoned customer service asking that the expiry date be corrected. I was told to use my phone keypad to re-enter my whole update. My hands are no longer nimble. Entering everything that's already there is way too much hocus-pocus nonsense. When I objected, I was merely told to enter it all. I cut the connection.

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      PriceStaff

      Reviewed May 20, 2026

      Stay clear from this business. Doctors are fair but all other support staff are horrible. If and when you have a problem there is no clear method of resolution. No one knows who is in charge.

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      Customer ServicePunctuality & Speed

      Reviewed May 20, 2026

      OptumRx has had me in a runaround for four months on a prescription. At first they tell me to submit document A. Doctor submits document A. Optum claims never to get it. Doctor resubmits over and over until finally Optum says they have, but now they also need this other information...call it document B. Doctor submits that. Optum claims not to get it several times and doctor resubmits several times until finally I talk to Optum and they tell me, yes they have the information and it is being forwarded to appropriate department. I wait three weeks and contact Optum who now tells me they never got document A or B and they expect me to start over. Keep in mind, it took me three plus months...20-30 phones calls, online chats to get to the point where they told me they needed document A and B.

      Then when I finally get them to admit they received those documents and just need "processing" time...I call back and they claim to have no records of any of this. No single entity is accidentally this incompetent. They are obviously giving me the runaround on my prescription hoping that I will give up and they will quit having to supply it. The hurdles they are putting in place are purposeful and have negatively impacted my health for several months now.

      I have actually taken time off work to make the phone calls necessary to straighten this mess out and every time I talk to someone, they blame something else for the failure to process my prescription. They are liars. They are hurting people. Full stop. They are hurting people. Here is the fun part: I was on this prescription for almost fifteen years before they suddently decided they needed extra information in order to process the prescription. Horrible, deceitful, and needlessly cruel company.

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      Reviewed May 19, 2026

      On Monday morning, May 18, 2026, I confirmed with OptumRx that my prescription order was cancelled. However, at 4:07 PM that day I received a notice from OptumRx telling me my order was shipped! The company is incompetent!

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      Customer ServiceCoverageStaffHonesty & Transparency

      Reviewed May 18, 2026

      My husband's company Zebra decided they were going to change our prescription from Express Scripts to OptumRx. Now, since January and I'm in the end of May, now I have had two separate conference calls. One of them was four hours long because they couldn't figure out how to get my prescriptions to me for the Zepbound. And then I had to talk with the insurance company and the calibrate app, all because they want us to jump through these hoops. To get a prescription covered to give false information on the outcome. On how long the weight loss lasts? It's all lies, and when you try to get a hold of these people.

      You're lucky if you can get a phone number. And when you do get a phone number, they will transfer you to probably a minimum of four people. And that all four people, none of them know what's going on. They just keep transferring each of the next person. And none of them solve the problem. I still don't have my medication. I'm so glad it wasn't some kind of a heart medication. Because then I'd really be screwed. Unfortunately, my wife does have some medications that she does have to have refilled. And they're screwing with her, too.

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      Customer ServiceSales & MarketingOnline & App

      Reviewed May 18, 2026

      The worst pharmacy in the world.. complete idiots.. the app says ready for refill but it won’t allow it so you have to call and waste an hour of your life screwing with these idiots, who won’t use the generic version.. nothing but problems with these idiots.. will not be using them again ever. Never had a problem with anyone else..

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      Coverage

      Reviewed May 13, 2026

      Optum Pharmacy???? Don't use them. They are awful. They keep sending refills too often. I have 3 prescriptions with 90 day dosage. Every time I look up here comes another shipment to me. Maybe milking insurance???

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      Customer ServicePriceStaffRatesTransparencyHonesty & Transparency

      Reviewed May 12, 2026

      Updated on 05/13/2026: So - let's follow up to the review and post of yesterday! Against all possible odds, the company has made it worse and dug their own hole deeper! Don't get me wrong, I was assigned a specific, case worker I guess you would call her, after my prior post... and same as all others, talked a big game... I'm so sorry, here is my direct phone number, call me with problems, etc. etc. etc. Let's get this to the very bottom line... Since my medication is considered "specialty", because hey, let's face it having MS is no joke nor easy, why would they consider the medication to treat anything but "Special" just so that they can charge more money for it, but I digress...

      Back to the MAIN point of this... since my medication is considered "Specialty" despite the fact that are specialty pharmacies that I can walk through the front door of, that I KNOW have my medication, I am being once again held hostage and told that I can ONLY have it filled through them directly. They have fallen FLAT ON THEIR FACES from service to delivery, to every other possible aspect of every other transaction, but hey, I guess the personal well being of their patients doesn't really matter as much as they try to say it does! That is what us normal, everyday people call OVER-COMPENSATING!

      Let's blow everything up about how great and helpful we are, when really it is the almighty dollar that governs all, and they really couldn't give a crap about you as an individual. You are JUST another number. Again I state, this company is garbage or less than, and if you have ANY choice or decision what-so-ever, DO NOT USE THEM!!!

      Original Review: If it were possible to give ZERO stars I absolutely would! This pharmacy is an absolute JOKE. They speak all about how they have their patients' best interests at heart, and they can’t even ship a medication that needs to be taken on a fixed specific date out in a timely fashion so that you can take your meds on time! I was switched to this company without choice, when my corporate team changed over as of January of this year. 2+ years on the same medication(s) and have never had as many problems as this company has given me in just the 4 months I have been stuck dealing with them!

      They can’t even be honest about being useless and unable to do their jobs, because when I logged in to my account to find out why my medication hadn’t arrived yesterday like I was assured it would, I see that they have it up that the order was processed on Thursday, which it wasn’t because the useless employee on the other end refused to fill it, it wasn’t ordered until Saturday… It's now not going to be here until tomorrow! These people are USELESS and if I could drop them immediately, I would without hesitation!

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      Staff

      Reviewed May 11, 2026

      I have been a customer of OptumRx for decades and so disappointed how difficult it is trying to reach a real life representative! You are transferred from one department to another all managed by Robo answering techniques. It could take over 15 minutes to a half hour just to speak to a live person and forget about the chat system online. That’s another joke.. Very disappointed.

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      OptumRx (formerly Prescription Solutions) Company Information

      Company Name:
      OptumRx
      Website:
      www.optumrx.com