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.


OptumRx Reviews

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    Sales & MarketingPrice

    Reviewed July 2, 2018

    OPTUMRX rejects numerous prescriptions as well as the appeals based on technicalities that every doctor finds unreasonable. The doctors complete the appeals processes and OptumRx denies it again. I have taken to getting the prescriptions and filling them at our own expense as the only means of obtaining the needed medications. The drugs which have been rejected are not terribly expensive, thankfully, but the medical conditions are severe which require them. My husband is a 60 year type 1 diabetic amputee with numerous serious complications and OptumRx has made his treatment so much more difficult. If that is how they are saving money, by denying benefits never denied by prior drug plans, then someone should know it amounts to a scam.

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    Customer ServiceStaff

    Reviewed July 2, 2018

    My doctor sent prescriptions for both my husband and myself via fax to Optum RX. Of the four medications, only one was filled. When I spoke with a customer service representative about the situation, she informed me that the other medication for me would not be available until the end of August, if at all. I received no notice of that; I only learned it because I contacted them. (When were they going to tell me?) My husband's prescriptions were "not received." My doctor faxed them again and has a confirmation.

    Now, the representative just told my doctor that they have no profile and/or information about my husband so they can't fill the scripts. Mind you, they have previously filled those same meds twice. If there is no such person in my account, how am I able to read all of his information when I log onto the account? The people on the phone are useless. The service they provide is useless. I, along with every retired NJ teacher, am subjected to this inefficient company. I am totally disgusted!

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    Customer ServicePriceStaff

    Reviewed July 1, 2018

    We had Express Scripts for years, until we were forced to OptumRx in Jan 2018, due to the State of NJ switching prescription companies (husband) a public worker, just as my prescription was up for renewal it was we were switched. I just assumed it would be as easy as Express Scripts. Well it wasn't!! They refused to give me my Brand medication ** that I have been taking for 17 years, for my epilepsy. So now I have a company telling me I have to go to generic or I pay $3,000 for 3 month supply (mail-order price). I have denied me 3x (even with my neurologist) filling out everything, they're telling my dr and myself that my dr should try me on generic, since I have never been on generic, basically they want me to be a guinea pig and "see" if it works? I get... "Oh it's FDA approved... Blah, blah..."

    Trust me I begged, explained everything about why? Like if you have a seizure in the state of NJ could face possible 6 month suspension of license, etc. But you just get the clueless customer service reps that have no idea. Even my husband work it trying to step in and help, his work gave us "special rep" to deal with instead of me calling and getting someone each time. The lady has gotten me "2 emergency " 30 day refills because this has been going on since March and it's now July!! Yes!! That long!! I only have another week left!

    But now!! The lady rep is telling me she can't do any more for me (get my more Meds) so waiting for my dr to fill out appeal, but then find out that there is a total of 3 appeals, how can this company play with people health. I have been a nervous wreck. Because they want to give up fighting and take the generic. I guess having breakthrough seizure is no big deal if I had a bad reaction to the generic. See photos posted. Not sure if everyone knows about the situation that is going on!! This isn't helping any of us now. But maybe Express Scripts will be back!!

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    Reviewed June 30, 2018

    This is the worst company that the State Michigan has every contacted with. Can't my medication that I have been on and need for the last 10 years and have refill left. Now all out the blue they need more information from my doctor like the doesn't have other things to do. WHAT A BIG JOKE THIS COMPANY IS? PLEASE STATE MICHIGAN GO BACK TO EXPRESS SCRIPTS OUT OF MICHIGAN!

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    Customer ServiceOnline & AppStaff

    Reviewed June 29, 2018

    For months now the OptumRx website does not work. This has been brought to the attention of OptumRx, but no ones does anything to fix the problem. Calling on the phone is just about useless. These people are idiots and could care less if you get your prescription medications. If it were not for my AARP United Health Care Plan I would switch to another mail order pharmacy.

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    Customer ServiceOnline & AppReliability

    Reviewed June 23, 2018

    Your OptumRx website log-in has been broken for months. You cannot complete an online log in. You have to make a phone call and talk to an operator. I am an retired computer professional. This is totally unacceptable from both an customer ratification standpoint (Very Poor). But also, it costs the co. a lot of money. Mr. CEO, You need to take charge of the Web Master and his manager and demand rapid changes and verification of the web site. Messages like "Oops, something went wrong, please try again later" are not acceptable. This is not a new problem, It has been going on for a long time. You need to address this NOW.

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    Customer ServiceStaff

    Reviewed June 21, 2018

    I was switched to this co. after an ins. change at work. Every time I receive my meds the same one is missing. Have called 3 times trying to fix this issue. They said it's fixed, the last batch came. In my stupidity I didn't check. So I finally open them before leaving on vacation. Guess what. They failed again. Monday 6/11/18 I call. They say no worries they will overnight them. I leave on the 20th no pills so I go without for 6days. I return on the 20th. Guess what no pills. I call again pissed off speak with customer lack of service rep and a manager. I am told they will phone in script to my pharmacy and call back to confirm ask for my phone number.

    Guess what? No call. Waited 18 hours. Called back same steps 2 people assured that the pharmacy has filled script, I comment is the major requirement to work at OptumRx incompetency as that is all I have experienced. I own my own biz and if I ran it this way with no regard to service or customer service I would be out of business. I will be calling my insurance provider to ask for options on other providers. If the answer is no I will go to HR and mention that one of the next requirements for ins. providers be that this is not their mailorder Rx company. I am 57 yrs old and this is the worst customer service including DirecTV and cell companies I have ever experienced but judging by the other reviews I read nothing will change unless I change Rx company or ins. company. Sad state of affairs should be reported to AGs office and local BBB.

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    Customer ServiceStaff

    Reviewed June 20, 2018

    I would give 0 stars if at all possible. First, a few months ago I was told I could no longer use CVS that I had to go thru Walgreens or mail order. This was ok (although I prefer CVS). Last week I tried to get my prescription refilled and it was denied because my doctor wanted to have me make an appointment before he refilled the medication. This is fine and I called yesterday and set an appointment for 7/3 (my first availability) and my doctor called in a 60 day supply of my medication to Walgreens. Walgreens then tells me the insurance claim got denied because OptumRx wants me to order the pills via mail order, this happened this morning 6/20. I took my last pill today.

    I call OptumRx and they say if Walgreens puts an order for a 30 day supply they will honor the claim. I call Walgreens back and they put the 30 day order in and OptumRx denies it. Walgreens then calls OptumRx and OptumRx tells Walgreens that I either need to place a mail order for the meds and request it get filled in store or opt out of the mail order service, mind you I never opted in to mail order service. They give me the number to call OptumRx. I call OptumRx again and they now have no record of me as a member. Eventually I get on the line with a supervisor who literally asked me if I could ask the pharmacist to “just give me a couple of pills to get me thru to my appointment?” This is exceptionally unprofessional in my opinion.

    She then tells me they will not fill a prescription at Walgreens for less than a 90 day supply. They say my only option is to call the doctor back and ask him to give me more pills (which the doctor doesn’t want to do because I haven’t seen him in about a year, again this is understandable.) This is also a complete contradiction to my first conversation with OptumRx. I have now called my Doctor and spoke with his assistant and explained my situation. She is going to see if my Doctor will authorize the 90 day supply. This has taken up basically my entire morning and still isn’t resolved and if my Doctor won’t issue the 90 day supply I’m out of options and can’t get my medication because according to OptumRx “that’s not how our plan is written.”

    Meanwhile, it’s my health that is in question. Also, there is zero chance I’m willing to do any mail order with OptumRx given that they have shown complete incompetence in resolving a simple prescription fill for me. This company doesn't care about patients' health or well being AT ALL! They are trying to push everyone to their mail order service. I would not use them at all but unfortunately they are the only people on my company's prescription drug plan. A terrible organization and I have already notified the benefits VP at my company (a fortune 200 organization) of my experience and have been told it's not uncommon. SHAME ON YOU OPTUMRX!

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    Customer Service

    Reviewed June 14, 2018

    On May 1, 2018 my Doctor's office called in a new prescription. Five weeks later I called to find out when the medication would ship. The first customer service rep said it would ship today. Then I was transferred to their supervisor who said that it would take another 8 days to fulfill. Sarcastically I asked if they were shipping via Pony Express. The idiot said no they don't use Pony Express they use FedEx. Why 8 days - no response. Moving up the chain I spoke with the supervisor who contradicted their two subordinates and said the order was cancelled and would ship without going back to the doctor. Asked why the order was cancelled there was no explanation. Asked if I wanted to prepay for the order that was cancelled I replied that I had no intention of using this company ever again.

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    Customer Service

    Reviewed June 13, 2018

    I would NEVER use them except they are the provider under our insurance. They constantly get the billing wrong and all you get is "I'm sorry, we will correct it". They take entirely too long to get you your medications. I had 2 refills remaining on one item and they cancelled the order because they said "prior authorization" was needed. They said they sent the info to the doctor but he didn't completely fill it out so they cancelled the script. They didn't get me involved before they cancelled the order. Why? I am the one who needed the medication. They send you emails saying your order of ** is being sent. I have asked them repeatedly to spell out the full name as I have medications with the same first 3 letters. How do I know which one is being sent? Do I spin a wheel, flip a coin or what? DO NOT USE THEM.

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    Punctuality & Speed

    Reviewed June 12, 2018

    Over 6 months I have been trying to get my information set up. They are no better than United Health Care who they partner with in regards to getting payments set up and paid timely. They won't accept my bank statement because it comes from a Local Credit Union and their confirmation letters are not satisfactory to their guidelines. What else can I do, I have done everything as well as my credit union to conform to their unreasonable guidelines. This company is awful!

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    Customer ServiceStaff

    Reviewed June 11, 2018

    If I could give 0 stars I would. I am the caregiver for my Mother. You can look on our accounts on their website and see I have permission to have anything concerning her discussed with me. I get emails saying they need further information to fill prescriptions but when I call they can’t discuss it with me because I don’t have permission. It’s on the accounts plain as day. Has to be the dumbest bunch of people to ever hold a job. This place is horrible. Go somewhere else even if it costs a little more. This place isn’t worth all the time it takes to get something done.

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    Customer ServicePrice

    Reviewed June 9, 2018

    Terrible customer service beginning with the robotic call-in line. The non-robots were equally poor, some of whom I could barely understand due to language dialects. Wading through the drugs prescriptions and who was responsible for contacting the physicians is a nightmare. It shouldn't be this difficult and isn't with other pharmacies. The prices are competitive and the only reason for one positive star, not sure it's worth it.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 6, 2018

    First off, my wife and I switched health insurers to UHC due to her employer. They recommended OptumRx as a way to save money and have 90 days worth of meds. First refill on our meds, the shlubs at Optum tried to "early order" the scripts with my doctor's office and were denied. After a reorder at the appropriate time, our meds arrived as expected. But this week some telemarketer type guy from Optum calls and wastes 15 minutes of my morning going over personal info, my medication dosages, and says he can save me money by looking at alternative drug companies. I told him that I didn't really see the point of the phone conversation, as all the info he needed verified was right in front of him on his screen.

    He continues with his BS and I'm becoming more irate with him. He then tells me that I can go on the Optum website and opt out of these courtesy phone calls that they are required to make every 90 days. There is no such thing on their site. At the end of the call, he's going on about current prices and credit card info and never once said anything about looking up different prices. Bunch of idiots employed over there with no oversight or direction. Never once had this kind of deal with any other pharmacy companies.

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    Customer ServiceStaff

    Reviewed June 6, 2018

    My prescriptions were about to run out and I had not received them in the mail yet, so I called OptumRx to see what the deal was. The first conclusion that the customer service rep came to after looking at my file was that they were still waiting on an authorization, but when I asked a follow up question the rep. went back to check and noticed that they were actually NOT waiting on an authorization but that they were OUT OF STOCK for one of my prescriptions!! How does this happen? Thankfully my meds don't keep my heart going or promote any function of that nature. But, I hope to God that people who would die without their medications never experience this level of incompetence.

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    Customer Service

    Reviewed June 4, 2018

    Without going into great detail I have had an issue filling my Rx every month for the past 6 months and it all comes back to "needing prior authorization" from my doctor. Last month I got prior authorization (which took 2 days and a 4 hour phone call each day) and was told that I was all set for 12 months. Okay, fair enough. This month I go to the pharmacy to fill my Rx and what do you know I'm told I need prior authorization. I cannot believe how a company like this could still be in business. As of today I have been hung up on, out on hold for hours and spoken down to by "customer service advocates" and I still cannot get my prescription. I feel like I'm in the twilight zone. Some government agency needs to step in.

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    Customer ServiceContract & TermsPriceStaff

    Reviewed May 31, 2018

    Twice they have tried to ship scripts when I didn't need them and deducted the cost of $251.72 from our checking account. Since it took 4 phone calls and 10 days to get a refund the first time, I cancelled the contract with them entirely on April 13, 2018. To date they again deducted the $251.72 again and sent me an email that they were shipping the same medication to me, however the medication hasn't even been shipped yet. After another phone conversation today with them, I was told the agent I spoke with to cancel the account didn't process it correctly and that they would not refund my money until they received the script back. To my knowledge, it hasn't been shipped yet!!! PS: Because they have blocked my entry to my account, I can't even go in and cancel the banking information. My alternative... close our bank account and reopen with another number!!!

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    Customer ServiceContract & TermsCoverageProcess

    Reviewed May 26, 2018

    I have never been so upset with a company ever before! If I could give a -20 star review, I would. They don't even deserve 0 stars. I am required to use OptumRx through my work's insurance and I have never had any good experiences with OptumRx. When I have used Express Scripts in the past, they were awesome and I never had any bad experiences with them. The first time I tried to get asthma prescriptions through OptumRx, I received an automatic e-mail that my prescription was on the way and then 2 weeks later when I haven't received it I called them, so that I wouldn't run out of life-saving medications that allow me to be able to breathe. The automated phone system took hours, they didn't understand any words I said, and eventually I got to a live person who said that there was a hold on my account because their records state that I have other insurance (which I don't).

    When I asked why they didn't tell me about this sooner, so that I wouldn't run out of my asthma medicine, they didn't know anything (which seems to be a recurring theme with Optum Rx, no one knows anything). I didn't get any notification that I wouldn't be receiving my medication or that there was a problem, in fact, I received a couple of e-mails saying that my medication was on its way. Their records stated that I was covered by Medicare, and I am not because I'm only 48, and when I told them that, they said they couldn't take my word for it and I had to call Medicare to verify that I didn't qualify for Medicare. So eventually I was able to convince them that I didn't have other coverage.

    Then they sent me the wrong inhalers, while the automated e-mail said that my prescription was on their way. When I called to find out, they said they are required to have me try ** instead of **. I tried it, and it made my asthma worse instead of better. I had my asthma doctor call OptumRx to explain that we had to get the ** instead and after several more delays I eventually received the medication I need to be able to breathe. Then they wouldn't send me the ** inhaler, and even after the doctor called them to explain that I needed to get the **. They said they are required to send me ** first, even though I had received e-mail notifications that I was being sent **.

    The ** ended up working well, so I've been on it for a few months and now when I tried to get a refill, they sent me a different inhaler without telling me. When I called them they said the ** was discontinued. ** is still on Teva's website, it seems that they changed the inhaler format. I was able to get a 1 month prescription filled directly through Walgreens, so I am OK for a month, but I don't know how long it will take to get OptumRx to get me something that will work. My doctor told Optum Rx that I needed **, and I received an automatic e-mail that it was getting refilled, even though when we spoke to Optum they said I was required to try either ** (which I have tried before and doesn't work for me) or ** and fail with those medicines before they can give me **. Every time we called OptumRx, we got a different answer.

    The last time I called they said they were sending me **. Then I got a letter today saying that I am required to try either ** or **. Unfortunately, I don't have any records of trying and failing with ** because it was with a previous asthma doctor, who moved away. This whole process has taken so many hours and I still don't have a solution, and I am frustrated beyond words, that we keep getting different answers every time we call, and that they won't let me have the ** inhaler which is what they had required me to switch to in the first place.

    Why in the world does OptumRx get to decide instead of medical doctors what prescriptions patients should be on? It must be whichever pharmaceutical wins the contract, but it's absolutely ridiculous to have a mail-order company have so much control over whether or not patients, who have gone through the painful trial and error process to determine which life-saving medication works best for them, actually get to use the medication their doctors and specialists prescribe for them. It's amazing that all of the reviews I've seen for them are completely negative. Is there a way to have OptumRx go out of business, so that millions of patients can actually receive the life-saving medication that their doctors prescribe for them?

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    Customer Service

    Reviewed May 24, 2018

    Where to begin?! Mama bear came out roaring mad a bit ago. My husband is on heart meds. OptumRx has messed up major league twice now. They first almost let him run out of one med by keeping the med unavailable for refill over a week past the date on the label and he would run out well before an order would process and be sent.

    I had them transfer meds back to local pharmacy, or so I thought. The past couple days, I’ve gotten a text from CVS that a med was ready for pickup. I go by there yesterday and they cannot find it. No record of it. I check with the doctor office. They’d called it to mail order but said they’d fix it. Get a text today from CVS. Called again. They found the script that had been transferred by Optum this time-in Bristol, RHODE ISLAND, which is nearly 800 miles from us in Bristol, TENNESSEE. Optum can’t even get the right state??!! Wow! This is absolute idiotic incompetence. I so wish I could give less than one star. They’ll never get our business again.

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    Staff

    Reviewed May 22, 2018

    CHECK YOUR PRESCRIPTIONS! They filled a prescription with the wrong pill and I didn't notice for three months. I just assumed they had changed manufactures AGAIN! I take two maintenance prescriptions and I had just finished taking the last pill in the bottle for my blood pressure and when I opened the bottle I noticed it was different. So I opened the second prescription thinking that I had just grabbed the wrong bottle and it matched the pill that I had been taking for blood pressure.

    I called the company and the pharmacist said they take pictures of every prescription... pills with bottle that goes out of the pharmacy. My blood pressure pill was suppose to be green, but I had been taking a blue and pink pill for 90 days. (FYI, the label on the side tells you what color and the markings that should be on the pill.) Funny thing... after researching it, they didn't have a picture of my prescriptions. Then they tried to accuse me of mixing my prescriptions and telling me I didn't know what color pill I had been taking. They tried to convince me that it was really a green pill I had been taking and not a blue... or light purple. I even had one pharmacist tell me that both of those pills were in the same vicinity not that he was admitting to the mistake but it could have happened.

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    Customer ServiceOnline & AppStaff

    Reviewed May 22, 2018

    Our insurance was due to expire at the end of April, so I sent a request to contact the doctor for a refill in order to have enough supply until the new insurance kicked in. Their website had some issues (every time) and I was unable to cancel the old doctors name, so I just added the new doctor. I thought they would be smart enough to realize they would need to contact the new doctor. They didn't and then they found an old number from when we had to use them in Texas and called that phone number (we have been living in Florida for over 2 1/2 yrs.) They shouldn't have even had that number. Needless to say after speaking to many people at OptumRX. They will not fill the prescription. Although I had submitted this request April 16th. That is not Customer Service only customer Disservice.

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    Customer ServiceStaff

    Reviewed May 21, 2018

    I have a Crohn's Disease as well as many of the problems that come with it over 40+ years. I have dealt with a lot of drug companies. OptumRx is the worst place I have ever had the displeasure of doing business with. I was doing really well on the drug regimen I was on until the State of Michigan hooked up with this racket. (Shame on ORD-State of Michigan Retirement for hooking up with a company that had such bad reviews) OptumRx denied to pay for a drug I had been on for nausea for over 15 years. Any and every prescription that comes up for renewal now I totally dread. This place hangs up on you, not dropped calls, hang ups. They are rude, dishonest and totally worthless. I have been without a medication for nearly 4 weeks now that I have been on for years simply because of their method of doing (or not doing) business.

    I started out trying to be patient and friendly with them. I don't have an ounce of respect or patience for them at this point. Never thought I would blow up at a person on the phone just doing their job but I truly have lost it with them more than once. They put prescriptions on hold without telling you. Your doctor sends them prescriptions they claim they never got. I have NEVER wrote a bad review for any company but this place needs to be put out of business before they kill someone. I see reviews where people are going through the same problems with them that I am, and they are on HEART medicine. How do you just go without a heart medication for weeks while you deal with them. Something needs to be done about this company. I intend to reach out to every and anyone responsible for handing my life over to this company.

    I have never been this angry or disappointed with the service I received from any other company. Nearly every review I have read concerning OptumRX has at least one or more of the same problems with them as I do. Why are we still with this company? That is a question I intend to get an answer to! Avoid this company if you can. You will NOT be happy with the service you get.

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    Customer ServiceCoverageStaff

    Reviewed May 17, 2018

    Optum Rx is simply the worst pharmacy I’ve dealt with; I have used other mail order pharmacies in the past with good experiences. More specifically, I have four prescriptions. I have received only one. One physician prescribes three of them, so am confident that they have received my prescriptions. One prescription in particular is a brand-name drug. I was assured by the first company representative that it was covered under my plan, even after I clarified it was not the generic. I never received it. After some weeks, I called again. Same story.

    After several weeks I called yet again, and was informed my insurance does not cover the prescription, but the plan I use through the medication company would cover it and I would receive it. After several more weeks, I called again, and was told there was NO RECORD of me ordering the medication or talking to anyone about it. At that point, I told them to forget it and I’ll continue getting my prescriptions filled locally. My local grocery store pharmacy gets it right every month.

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    Customer ServiceStaff

    Reviewed May 17, 2018

    I've have the unfortunate pleasure of having to deal with Catamaran/OptumRx for the past 10 year because of my employer. They screw up a min of 75% of my son's insulin orders... Wrong addresses, shipping orders I didn't order, not shipping orders I did pay for, billing my C.C without authorization... telling them NOT to put C. Card on file and it's still there. The only way I've been able to keep them from sending me stuff is to leave a 50.00 balance on the account and every time I order, I pay the last 50.00 and leave the new 50.00 (more on this later).

    I've gone through three diff people that say call me next time and guess what the phone doesn't work after a while... Last person I was using was Scott **, he was great but guess what.... phone no longer works... Linked in shows he still works for the company but no one can seem to find him.. "he's not in this office"... "we have several location" He's in Chicago. People how many locations you got in Chicago??? This last problem was...

    I called in 1-20-18 and placed order #** and they charged me 50.00 on 1-23-18... then on 4-20-18 I placed order ** and they charged me 50.00 on 4-23-18.. then again on 4-24-18 for 50.00... I called on 4-25-18 and spoke to Brittany and she says the charges on 1-23-18 and 4-23-18 are for the same order number ** and the 4-24-18 was for **. She would get with accounting involved.

    4-26-18 I called and spoke to Melanie. She confirmed but nothing back from accounting. 5-2-18, I called. Spoke to Jay (female). Nothing but she would send a request for an update. 5-4-18 Friday called. Spoke to Tina, nothing she would send a "Trouble Update" and have answer no later than Monday. 5-8-18 (40 min phone call) called. Spoke to Olivia. She says there was nothing in the account about any previous contacts... I got to supervisor Miriam and she would have an answer in 24-48 hours. 5-11-18 Friday (55 min call) called. Got Alec. He didn't know what to do. I got supervisor Loraine and she received the full brunt of my frustrations and said I'd hear back. 5-11-18 5pm I got a call from ** female but I wasn't at work and didn't get to write down name... "The refund was set up 5-7-18 already and give it a few more days to hit credit card" and here we are 5-17-18...

    5-17-18 called. Spoke to Latanya and she said they credited the 50.00 to a past order (see above for reason of 50.00 past due). Spoke to supervisor Kylie and she said, "nothing she can do. She isn't in accounting" and when I asked her to find Scott ** for me was the same thing "he's not in this location" and I asked her to open her Microsoft Outlook to look for him. The line goes dead... sigh... I've wasted more than 50.00 just arguing with this company and I think that's what they want... you waste so much time and get so frustrated you WON'T bother calling them when they screw up!!!

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    Customer Service

    Reviewed May 7, 2018

    Besides SSI and Medicare OptumRX has the worst customer service ever. Every time I call I get a different response and generally they are extremely rude. There is only one preferred pharmacy I can go to and they too are horrible to work with. I am on numerous medications for heart failure and have difficulty getting anything authorized even though I’ve been on most of them since 2008. All of my medications have gone way up since January. One medication I was on since 2008 was suddenly denied and they would not even approve if after my leading cardiologist at Stanford wrote an appeal.

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    Price

    Reviewed May 5, 2018

    I have been trying to go online for three weeks now. It keeps telling me "bad request." I am trying to find out the price of the prescription and have to keep on calling. I never had a problem before, but now they are impossible. How can they have a problem for so long? I have to use them because my insurance tells me I do. What can I do?

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    Customer ServicePricePunctuality & Speed

    Reviewed May 5, 2018

    Terrible customer service. Mailed prescriptions too early and ignored my requests to manually place refills, which cost me $200 for a prescription my doctor had cancelled. Promised to refund me but never did.

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    Customer ServiceStaff

    Reviewed May 2, 2018

    This company provides terrible customer service for patients and for doctors. They use any means necessary to delay, defer, and deny your prescriptions. Frustrating for all of us. I am trying to get in touch with their CEO right now, but provider "customer service" is of no help. I have been on the phone for 2 hours today trying to help a patient - no help. Won't let me talk with a pharmacist or physician to get help for my patient. Employers and patients-If you have a choice, stay away.

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    Customer Service

    Reviewed May 2, 2018

    Terrible company, customer service F. Phone calls on hold for more than 20 min., then no answers, all overseas, difficult understand, screwed up several prescriptions, and then when you want to leave feedback, they put you on hold, and never come back. Poorly run, an embarrassment. Look on Yelp: 213 reviews all negative, and only one star. Stay AWAY.

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    CoveragePriceStaff

    Reviewed May 1, 2018

    My 10 yr old daughter was diagnosed with a gastrointestinal disease, Ulcerative Colitis, at age 6. We have been through test after test, doctor after doctor, and medication after medication, over the last 4 years. We have finally found a doctor who has prescribed medication that actually keeps her condition under control, and now we’re being told by Optum RX (UHC) that her medication will not be covered at all. They cover the doctor visits but they won't cover the medication that the professional prescribes? It’s not enough to have the stress of dealing with a sick child, now we have the added burden of worrying about how we are going to come up with the money to pay for the medication that keeps her condition manageable. This medication would cost us $2000 every 3 months.

    Our daughter has already tried the Optum RX listed alternates in the past and none them worked. They also list ** as an alternative and ** has not been approved for use on children! Children are very limited on the types of medications they can take to treat this disease and this is the reason why the doctor has specifically prescribed this particular medicine because this it's the only one that has worked for her.

    Her doctor is the Vice President of pediatric gastroenterology at a very well-known hospital in our area; you would think that would mean something but apparently UHC knows more than the doctor because they have just denied our 2nd level appeal. We have never had any difficulty with this medication with any of the previous drug companies we have been with (i.e. Medco, Express Scripts). What an absolute disgrace of a company... They should be ashamed of themselves but I guess someone over there would have to have a conscience for that to happen.

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    Customer ServiceStaff

    Reviewed May 1, 2018

    I have bad encounters with all of agents I have talked to. Every time I call and talk to any of their representatives over the phone, they don't know what is going on with the previous information that were discussed. All of the reps. put me on hold for 10 to 15 minutes several times during the phone call and when they return still did not get an answer.

    During all of my conversation with any of the reps. They told me different kinds of information that will not happen, for instance, they said I was going to be refunded for a returned prescription drugs, and I ended up not receiving anything. I suggested that if a customer called, they have to make a log for any conversation they had at that moment, so that the next time around, they know the details and what was going on. One agent says to connect me to a knowledgeable rep. but ended up transferring me to the initial telephone greetings. It was a very bad experience every time I call for a question, I get 3 or 4 times longest hold. Very bad.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 30, 2018

    I have to use this mail away pharmacy as it is the one AARP. United Healthcare Medicare D uses. I have used other mail aways in the past. I have been using them since Dec. 2017. This is the worst pharmacy I have ever used. There is a problem getting my medications every single month. Their site tells me to mail the scripts 10 days before. I overnight them 2 weeks before and I still do not ever get my medications on time. AARP should change the company they are using. I have been reading all the bad comments about this company.

    You call and each customer service person will give you a different reason as to why your medicine has not been sent. I asked if I need to send my script a whole month before its due to get it on time. My insurance company has given me prior authorization through Dec of 2018 and my doctor's office is getting upset because of the screw ups this company is making.

    I live in the north during summer and in the south during winter. I have to use the mail away for my meds while in the south as I cannot get them filled anywhere! When I am up north I have not one problem getting my meds through my regular pharmacy instead of this mail away. United Healthcare should definitely find another mail away company. If I can find an insurance company that will cover my meds I will not be using AARP. United Health Medicare D next year. It has made my time in the south a miserable experience when as a retired person I should be enjoying what I worked so hard to do.

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    Customer ServiceStaff

    Reviewed April 26, 2018

    Medications are prescribed with a purpose. Unfortunately, with medications requiring prior authorization OptumRX is INCOMPETENT with their notations and filing of these forms. In an effort to get my medication in a timely manner, my doctor went through the trouble of paperwork and working with my insurance for long-term Preauthorization. FAIL - multiple phone calls, several failed conversations with customer service, REPEATEDLY THEY FAILED TO ATTACH THE APPROVAL TO MY ACCOUNT.

    On every occasion for the last several years, Per my doctor, I’ve attempted to reorder my 90 day supply & never with ease. Protocol is mailing your script, which I did each time. Also, having prior authorization. Again, inconvenience, & incompetence. My most recent experience after speaking with MULTIPLE REPS IN CUSTOMER SERVICE, TWO supervisors and receiving two confirmations that my script would be OVERNIGHTED DUE TO MY TRAVELS FOR A WEEK... FAIL, FAIL, and again, failed. I’m a week overdue on my meds.

    STILL DUE TO LACK OF EFFICIENCY AND INCOMPETENCE MY SCRIPT WAS DELAYED, which came across in a voicemail the following day after verbal confirmation my meds would be overnighted, THEY WERE NOT. While the purpose of my medication is not life or death, it’s a doctor prescribed necessity for my daily life. The ONLY SUPPORT given, “I’m sorry for the inconvenience. There’s nothing we can do”. This is the last time I’ll be asking them, “Just mail me back my scripts. Refund my charges”. Never have I dealt with a company that is in the arena of such delicate matters at this poor level of ABSOLUTE INCOMPETENCE.

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    Customer ServiceCoverage

    Reviewed April 24, 2018

    This company needs to be investigated for fraudulent practices. I am going to contact the fraud division of the Carlsbad, California Police Department. On March 20th, I ordered from OptumRx, the mail order pharmacy 180 tablets of **, 150mg tablets for my husband. While on the phone with the service clerk, Karen I was told that there would be $0 co-pay, since my husband's plan covered Tier 1 and Tier 2 drugs at $0 co-pay. On 2/9/2018, I had received a letter from United Health Care regarding this policy of OptumRx. I went ahead and ordered two medications the **. Both I was told are Tier 1 and Tier 2 medications for which there would be no charge. The medications arrive and the invoices provided with the medication clearly state that there is $ 0.00 amount due.

    Yesterday, I received a statement from OptumRx demanding $44.73 for the 180 tablets of ** and $24.70 for the **. I called the number on the statement and explained to the loser on the phone that I did not owe this bill, as everything was to be charged to the credit card they had on file. I went back through my credit card statement and found that they had not charged for a prescription I had received in February. I did owe them $96.00 not the $165.43 they claim they had not charged.

    At that point I demanded to speak with a supervisor. The supervisor then proceeded to give me a **-and-bull story that when the medications were filled my husband was in the donut hole and the plan benefit did not apply. However, the invoices that came with the medication clearly showed a $0.00 co-pay. This company appears to be fraudulent billing and not honoring the plan benefit. This company is located in Carlsbad, California. I strongly encourage anyone who has had a similar experience to contact the fraud department of the Carlsbad Police Department.

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    Online & App

    Reviewed April 22, 2018

    OptumRx's website is pure garbage. I don't know who maintains it but whoever it is belongs in another line of work, voluntarily or otherwise... Could be that pack of ** chimpanzees that escaped from the zoo. Trying to refill medications... Went online with them and got all kinds of irrelevant garbage... Nothing pertaining to refills. OK... Downloaded the app. There were my medications. OK. Attached to those needing refills was "Order by 4/23 (tomorrow) to get your medications on time". Also there was "Not yet ready for refill". Well which way is it dingbats??? That's like putting a DO NOT ENTER sign next to an EXIT sign. No one should have to jump through hoops and stand on their head to refill medications. Previously, we had dealt with EXPRESS SCRIPTS for years with no problems. Dealing with this bunch of incompetent nitwits is like running a gauntlet. Clearly, the ones running their website are not the sharpest knives in the drawer.

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    Reviewed April 22, 2018

    I am a cardiologist who has had the misfortune being a patient having to obtain their prescriptions through OptumRx. I made the mistake of choosing the AARP Medicare part D drug plan. It must’ve taken a lot of money from Optum to entice AARP to endorse them and degrade their good name. I have read many of the reviews in this column and find them to be credible as they mirror my experience.

    Optum has an antiquated, unstable, and not user-friendly website. OptumRx does not consistently follow Medicare guidelines. Quote from the Medicare website: “Now, there’s a new policy for mail-order prescriptions. Plans have to get your approval to deliver a prescription (new or refill) unless you ask for the refill or request the new prescription.” Optum sends prescriptions without contact. I have two grievance responses from them, one admitting their error and the other after continuing problems, admitting that their computer system can’t perform the function that Medicare requires.

    Optum’s grievance department is self-serving and lazy. My recommendation is to not waste your time contacting them, but rather writing to Medicare directly: Centers for Medicare & Medicaid Services, Medicare Complaint Dept., 7500 Security Blvd, Baltimore, MD 21244-1850. Even more important is to publish your experiences, as I find companies (such as Optum) and their overseers (such as Medicare) will not take action unless forced to do so.

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    Customer ServicePricePunctuality & SpeedOnline & AppStaff

    Reviewed April 21, 2018

    My insurance program, United Healthcare Medicare Advantage, demands that its clients use OptumRx to furnish maintenance medications by mail. In the past United Healthcare has used Express Scripts and during that time I had virtually no problems with getting my prescriptions ordered, getting them paid for, and having them delivered in a timely manner. I kept a credit card on file with them and when I needed to update my card it was very easy. If I needed to talk to a company representative or pharmacy, they were always quickly available.

    Recently OptumRx bought out Express Scripts and then United Healthcare purchased OptumRx. First of all it is an illegal conflict of interest for a health insurance company to buy doctors, hospitals, pharmacies, or other health care services. Now with the OptumRx pharmacy owned by United Healthcare, the process of getting my prescriptions has become nearly impossible. Their website is virtually unusable, most of the time it is unavailable and even when it is available, it NEVER, EVER works correctly. For month they have screwed up my account, my on file credit cards, my address, and my prescription orders. Their prices are completely out of belief, always increasing consumer costs, and often replacing Brand Name Drugs with generics that are proven in court to be completely different products, completely detrimental to my health.

    Over the past few times I have been forced to use OptumRx they have put my order on hold due to errors they have made in my on file credit card. Every time I have to call and a representative first tries to tell me my credit card has expired, and when I press them on the issue they SUDDENLY find the card is correct and then verbally confirm my order.

    Over the past several months, their website has grown slower and slower, and in the past several days it has become totally unusable, it never responds to clicks on the site, just spins and spins. I need medication refills and I can't get a response to my web entries. I am a retired IT professional and executive so I know how to use websites, plus I have a very powerful computer and very high speed Internet access, so the problem is not me. As consumers we need to demand that United Healthcare divest themselves of OptumRx or any other pharmacy and that they demand high quality performance from whoever they choose as a mail in pharmacy. I intend to pursue this matter with my Congress people and Senators.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed April 18, 2018

    I'll start by saying my work made me use this company. When dealing with something as important as medication proper care should be taken. It is dangerous for me to just stop taking my medication so when it never showed up, I started to get worried. I called and they assure me that it was delivered. I check again, and it had not. They did not update my address which I had gone over with the rep. twice when I ordered it. Unfortunately it was right before the Thanksgiving Holiday so it would not arrive until 5 days later that would mean me missing 10 of my doses. The associate asked me if I could just call my former residence and have them overnight it to me... what?

    I mean seriously (I live hundreds of miles away from my previous residence). I also couldn't just go pick it up from the pharmacy because it was already showing that it had been filled. That is very costly, and a huge pain for me and I had no idea if they could even do that. I call the my former residence and it turns out that nope, they cannot. So I had to do without until the next week and it really messed with my body. I also couldn't figure out why it didn't just come to my mailbox and why it went to my complex but I figured it was because they expedited my prescription due to their mess up.

    So then I call again to order my next round and they STILL do not have my address correct. They were missing my unit number which explains why it went to my complex the last time. How many times does it take to get someones address correct? Side note, they also said they were giving me a 90 day prescription... nope, they gave me 90 pills which translates into a 45 day prescription.

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    Customer Service

    Reviewed April 16, 2018

    It's 4/16 and through various phone calls I've tried to reorder a prescription and have gotten the runaround and a different reason each time I've called to check on the status. I started the reorder on 3/26! It's supposed to be easier and it is not. I will not use them again. Very poor customer service.

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    Customer ServiceInstallation & SetupStaff

    Reviewed April 12, 2018

    This Pharmacy Benefits "manager" (I use the word loosely) are THE BIGGEST bunch of dumb ** that I have had the displeasure to deal with. The NJ SEHBP & SHBP benefits plans switched to these morons in an effort to save $1.5 BILLION during 2018 through 2020. Good luck with that. I'll wait & see the final accounting in 2020. I knew I was in trouble when the "welcome" letter to TENS OF THOUSANDS of beneficiaries contained TYPOGRAPHICAL errors. It has gone downhill ever since. Prescriptions NOT transferred from the prior PBM. Special instructions to the pharmacy IGNORED. Send me a letter to tell me the date after which an RX can be filled - with the WRONG date.

    Have to call in & speak with a rep to get fixed. Company won't fill a prescription unless it is paid for when filled (unlike Express Scripts). Then wait ANOTHER day to notify me via an automated call to call them back. Then tell me they tried to process the credit card several times & was declined as a "bank" problem. I called my card issuer. NO attempt even to TRY to process a charge. This has happened more than once. Obviously a problem on OPTUMRX end. I don't want to be seen as whining, as these are small matters when compared to those that can't even get their prescriptions filled in a timely manner. I feel truly sad for those who have written on this site that have no other alternative but to deal with these idiots. OptumRx's entire PBM software system is junk & combined with management that cuts every corner, deeply, leaves clients in the lurch.

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    Customer ServicePriceStaff

    Reviewed April 12, 2018

    Every 3 months I would get a prescription of ** 40mg 90 day supply and I would be charged $90. This last time I renewed I was sent only 30 day supply of ** 40mg and charged $95. This was done without telling me that there was a change in the pricing or supply (30 as opposed to 90 days). Had I been told the price I would never order the prescription. I can't afford it on my Social Security. Besides, I was not told that there is another option to ** - the generic version which is free on my plan. There is more to this story but I cannot write it now. I called Customer Service 3 times and each time the representative told me that they will take it back. Each time a few days later when I called I was told that Pharmacy turned down the request to return the meds. What kind a game are they playing?

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    Customer ServicePriceStaff

    Reviewed April 10, 2018

    I have used the AARP prescription discount program since 2005. AARP has changed its fulfilling pharmacy several times over the years, and most of them have been satisfactory. Not OptumRx. I will never order from this company again. Here’s what happened. On April 2, I called to request a refill and was quoted a price of $29.98 for a 90-day supply – the same price I had been paying for a long time. I was asked if I wished to use the credit card I had on file to pay this amount, and I said yes. A few days later, I went online to pay my credit card bill. There I saw the charge I was expecting, but right below it was another charge for $20.99. What is that, I wondered? I called OptumRx to inquire and, if we had been in the same room, that rep and I might have come to blows. She finally referred me to a supervisor, who was much more pleasant but equally unhelpful.

    The supervisor said she needed to consult with other departments, making for a slow process and a long hold time. Finally she informed me that the price of the medication had gone up and that OptumRx had no control over that. She did apologize for the fact that I had been given no notice of the additional charge (which was actually not posted until two days after the original amount). The lack of notice deprived me of the opportunity to decline the refill, which I might well have done because the increase was so extreme and I was not in desperate need of replenishment.

    Since I had not known of the additional charge and certainly did not authorize it, I turned to my credit card company for help. The card rep arranged for a conference call in order to try to resolve the issue. We waded through FIVE reps at OptumRx, one of whom finally managed to locate my account, but she flatly refused to issue a refund for the $20.99. So, it appears that OptumRx thinks it is okay to charge a customer for an extra amount even though the customer did not know about it and did not authorize it. News flash: it is NOT okay EVER for anybody, anywhere, anytime, to charge a credit card without permission. The amount involved here is trivial, but the principle is huge.

    The straw which broke this camel’s back came when a call to a local brick-and-mortar pharmacy resulted in a quote of $29.95 – within three cents of the original price from OptumRx. The cited “price increase” appears to have been no more than an excuse for stealing money. I’m not sure which one I detest more, a thief or a liar, but both can be found at OptumRx. Judging by the efficiency of the customer service department, this company’s right hand doesn’t know what its left hand is doing. It seems far too likely, however, that sooner or later, one of them will be in your pocket. Bah, humbug.

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    Customer ServicePunctuality & SpeedProcess

    Reviewed April 9, 2018

    I was forced into using OptumRx through my work. The first month I had to have overrides to get my prescriptions. The next month sent in all my prescriptions and a month later no prescription. Never get a straight answer from anybody I talk to, false information. Was told it would be here on one day. Spent 8 hours waiting nothing, called back. They told me it wasn't processed. It would be here on another day. Waited another day 8 hours. Miss work. Never showed up. Call them. Hasn't been processed. Been the worst experience of my life.

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    Customer ServiceStaff

    Reviewed April 6, 2018

    Apparently it is company policy to 'sit on' prior authorizations for 72 hrs even when they are marked 'URGENT' by a physician! They also have no problem with the fact that this lack of service results in members being deprived of their needed medications and supplies. I spent 1.5 hours being transferred from 1 department to another, only to be told that URGENT requests are, by policy, to be dragged around for 3 days before being reviewed. This company has no conscience, no soul, and certainly no customer service. I will be sure that our union drops them come contract negotiation time. It has become my life's goal. Words to describe this company: Inept. Clueless. Irresponsible. Unconscionable.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed April 5, 2018

    For the love of God, if you have any other option in life... do not use this pharmacy! Unfortunately, this is the only place I can get my ** so I have no other options and are stuck with this ** of a company and their trash representatives. I'd almost rather rip out my own uterus than to ever speak or deal with them again. Dealing with Briovarx and their representatives is 1,000 times worse than the side effects of this medicine. Every month the process just to get the drug shipped to my doctor's office is fresh hell. Calling the customer service line is a nightmare. Be prepared to have an hour to kill each time, oh, and you will need to make a minimum of 15 calls a month for them to actually help you. Also, you will be hung up on numerous times and they will argue with you.

    Every month the amount the charge is different and they will NOT send you any bills or explanations on what the insurance covered. Just expect you to hand over your card to be charged exorbitant amounts. Thankfully, this is only a temporary nightmare for me but I really feel for the people who have to continuously use this sham of a company. Clearly, I'm going to have to start refilling this prescription the moment I get my shot for the next month and even then fingers crossed they will fill it in time. All of them are liars too, as their hours always magically change all the time. Most of the time that I actually do get a phone call from them without it going straight to voicemail because my phone thinks they are scammers (rightfully so) it will be the automated loop to hold again for a representative. Why the hell are you calling me and making me wait in the vortex of hold hell???

    Oh and the one time I actually get a real person leaving me a voicemail she tells me they are there until 10 PM EST. **, I called in the afternoon and now they are closed? Or anytime I ask to speak to a manager they tell me I need to speak with accounting and they are closed. I hope they all get illnesses that require them to order medication from their own pharmacy maybe then it will improve.

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    Reviewed April 4, 2018

    BriovaRx Specialty Pharmacy - Have been dealing with this place for 2 yrs because our insurance at work is United Healthcare and I am on **. This is the WORST place I've ever dealt with. With BC their specialty pharmacy was a breeze and never had a problem. I swear I get a robocall earlier and earlier to refill my meds. Now I've still got 3 more shots (out of a 4 pack) and they want me to refill now. And it is a problem going thru computers and computers to get to a real person. What a joke. This place isn't even worth any stars but had to give them 1 to get this to go through.

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    Price

    Reviewed April 4, 2018

    I have had problem after problem after problem with Optum. I ordered a medication on 3/27/18, received confirmation, checked status and everything looked good... fast forward to today (4/4/18), I checked the status of the order and absolutely nothing on record. This is the 2nd time this has happened! A few months ago, I ordered a prescription and paid for it, I have the $20 payment confirmed on my bank statement... but I was told it was canceled, yet 2 days later received the prescription in the mail. Now I am getting bills in the mail for the $20 cost when it was already paid for!

    And to add insult to injury, I am required to take not one, but TWO medications for thyroid. Was told the prescription was canceled because Optum's pharmacist said the medications do the same thing and I don't need both. Excuse me??? Are you my endocrinologist? Not to mention, if this person knew anything about these medications, he or she would know they ARE NOT the same thing. This company is a great idea but has been nothing but hassles and incompetence since day 1. I am angry I have given ANY money to this garbage pharmacy.

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    Customer ServiceStaff

    Reviewed April 3, 2018

    I have not had a positive experience with OptumRx since the switchover from Express Scripts January 2018. It has been downhill from the beginning starting with registering family members with the company, to refilling an existing prescription, and even to filling a new prescription. Customer reps do not make any phone calls to the doctor’s office so it becomes the patient’s job to communicate what the pharmacy needs from the doctor. It is now 2 weeks and I’m still trying to get a prescription filled for a medication I’ve been on for 7 years. Apparently there is an appeal process that patients need to go through if they feel they didn't get enough information from the doctor.

    Instead of calling and finding out directly with the physician it is easier to deny a prescription without understanding a patient’s history. I will give this company zero stars if I could. Because there was no or little direct communication with the doctor’s office my medication was not approved, and now need to go going through an appeal process. So dissatisfied and feeling stressed about their level of service.

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed April 1, 2018

    Let me start by saying that if I could give 0 stars for OptumRx I would. I am a retired teacher from NJ. Unfortunately, as of January 2018, the state of NJ switched from Express Scripts to OptumRx for our prescription mail order. Ever since it has been a nightmare. I have had two major problems with OptumRx between January and March. I've made multiple calls to this company before and after January 2018 to be sure the switching process would be seamless, it has been anything but. They never sent one of my refills that was supposed to be processed 1/13/18. When I called about it, the supervisor I spoke to blamed me because I signed up for auto delivery. Isn't that the whole point of auto delivery...to get you refills automatically sent to you?

    As a result, I lost one of my refills because the doctor's script expires May 2018. After that I had another medication that was never sent despite a series of phone calls to OptumRx to be sure everything was in order. I was down to one pill by the time they processed my refill. They had to overnight the prescription to me. This company has the most incompetent employees I have ever encountered. I feel they are dangerous...people rely on their medications for survival. I'm going to start going to the pharmacy for my meds now because they cannot be trusted to provide them on time. I also plan on contacting the state of NJ to file a complaint. Hopefully if enough people complain they will return to Express Scripts.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed April 1, 2018

    I have been a customer of Optum for about 5 months. Even though I requested my prescriptions to be renewed automatically it wasn't done. When I realized I should have received a refill I called them. First of all their computer-generated voice doesn't understand what is said so it has to repeated. When I finally requested a real person I was on hold for almost 10 min during which time the horrible computer voice kept repeating over and over the directions for the website. When someone finally answered the phone she had a hard time finding my account. I told her I needed it soon then the date she gave me prices for a 2-day delivery or overnight.

    The problem is it isn't really 2 days because it takes at least 2 days to process the order. Because I am going out of town by the end of the week I was forced to pay for a 24-hour shipping. This is suppose to be cheaper and easier but that doesn't seem to be the case. The representative was condescending in her responses. I was calling on a Saturday night and the hold time was excessive. I can't imagine showing it would take if I had called during the day. If this continues I will go back to Walgreens.

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    Customer ServiceContract & TermsStaff

    Reviewed March 26, 2018

    My doctors had prescribe ** vag cream (0.625MG, 3 tubes for 3 month) in the last 15 years. After we retired and moved from Dallas to SD two years ago. The family doctor had prescribe the same thing for me. I had been order from OptumRx for last two years. Each order is 3 tubes for 3 month for 131.00 co-pay. I changed to an OB doctor (Dr. **) Last December (2017). Dr. ** office fax the prescription to the OptumRx. I only received one tube on Dec-2017. I called OptumRx in Dec, they told me if I call the doctor to change prescription to 3 tubes, they will mail me the rest of two tubes ** cream for free.

    I called the doctor’s office last Dec, the nurse was very nice, and she told me she will call OptumRx to change the prescription to 3 tubes. Then I called OptumRx, they told me that the doctor only changed the title of the prescription to 3 tubes, but did not change the contents. In order to solve this issue, I called between doctor’s office and OptumRx back and forth for 4 times last December. I spoke to 6 people in OptumRx, spend more than 15 hours on the phone with them. No one seems care.

    I also talked to the supervisor in OptumRx, explained to her the prescription had been 3 tubes for 3 month for last 15 years, We retired and moved to SD two years ago and sigh up UHC Sharp SecureHorizons plan, so start to order from OptumRx for two years. She has all the records for the last two years. I spent more than 15 hours on the phone to handle this issue. No one from Optum helped me at all.

    Finally on Feb of 2018. I really need my medication. I decided to take the loss and get another order from other pharmacy. I called United Healthcare and talked to Kenny in UHC, I asked him “does UHC has any other pharmacy I can order from?” He told me OptumRx is the only one they have contract with so they can give me better price. So I decide to take the loss for Dec one, and make a new order. After we talked to OptumRx, Kenny told me that they will mail me a new order with 3 tubes for 3 month medication for 131.00. I double checked with Kenny to make sure it is 3 tubes this time. This new order was placed on 2/8/2018.

    The result is they still mail me only one tube and charged me 131.00 again on 2/16/2018. I called OptumRx and told them I only get one again. They insisted I have to call the doctor to change the content of the description even the prescription title is 3 tubes.

    I called United Healthcare, talk to Genaro, Mary (ID **), Jennifer **, they talked to OptumRx. I asked if OptumRx is not going to help me, can I mail them back the medication (I did not even open the medication at all) and get my money back. The results is I could not even let me return the medication to OptumRx and get my money back.

    If I would foresee the result, I will wrote down everybody’s name which I talked to. But I did not foresee this. I finally figure out, the doctor is greedy, even the only reason I went to him is for this medication. I was not sick at all. He could change the content to make easy on me. He will not help me unless I go to visit him and pay him again even I am not sick. The OptumRx is greedy, they want to make more money so they mailed me one instead of three no matter how much effort I made to talk to them.

    I like to dispute this charge. I will get on every review I can get online to tell the story. I have no other way than dispute those charge through credit card company. Only those company will help me. I like to dispute this charge and ask UHC for PRESCRIPTION REIMBURSEMENT. I like to report a big company like OptumRx bully a customer like this case.

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    Customer ServiceCoverage

    Reviewed March 26, 2018

    I've began using AARP UNITED and OptumRx around 2009, and since then my premium has more than tripled forcing me to go to higher deductibles and inferior plans, they are decent in covering low cost drugs even then it takes hours to get it processed because of multiple dropped calls etc. and it takes a act of Congress to get a drug like ** filled and expensive but today I was blown away as I was prescribed 9 generic ** and although not covered I expected perhaps $20 a piece since I've recently purchased name brand for $28 but for 9 50mg generic ** it was $603!!! That's obscene. So I immediately canceled and got the very same drug at a local pharmacy for $16 a piece! After many bad experiences this broke the camel's back, I've met my deductible this year so I'll get all I can out of them. And I plan not to buy Rx insurance next year because having a Rx plan no matter how bad voids you to use coupons etc.

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    Reviewed March 26, 2018

    I was having to pay a co-pay with CVS and finally switched to OptumRx and have had no issues. The issues I had was having to get my doctor to send Optum my prescriptions. I think that the doctors make money off of the co-pays and don't want you to switch to a mail order. Now I have to pay nothing and the prescriptions are mailed to me without the hassle of have to drive 20 miles to the nearest CVS to get them and never have all the pills ready on the same day either.

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    Customer Service

    Reviewed March 25, 2018

    I have AARP United Healthcare Medicare supplement insurance - have had for years without a problem until January when I began calling them and OptumRx. For HUD housing re-certification, I needed a printout if my drugs for past year and I called 5 times from Jan to mid-March and never received it. Always promised to send that day - I have never experienced such incompetence. They just appeared not to care and lying about sending or I would have received. I hope to change to another company when allowed by allowed. I did call AARP and they created a cause. Would advise people to avoid this company.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed March 24, 2018

    I don't have an option of using a local pharmacy, so I have to get all my monthly maintenance meds filled every 3 months with OptumRx and let me tell you every single time it is a headache and a very stressful situation to get my meds on time, before they run out, and like clockwork I always have to miss a day or two before receiving my meds. Every time you call you speak to different people and get different answers that may or may not be the correct info. There are so many different departments that the left hand never knows what the right hand is doing! It's quite obvious that they have no interest in looking out for the patients! On top of everything else they refuse to accept any coupons to help lower the cost of our meds. This is a really crappy service/company avoid using them with all cost!

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    Coverage

    Reviewed March 23, 2018

    I am a retired teacher from New Jersey. My past plans have included ** 10% wash for Rosacea. After 30 years of using the wash, OptumRx will not cover this. The cost for a 10 oz. bottle is $258 if I pay out of pocket. I assume NJ found a cheap plan for us. I hope they wake up before someone has a more serious problem than mine. They actually deserve less than one star.

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    Customer ServiceStaff

    Reviewed March 23, 2018

    I attempted to have a prescription called into my local pharmacy and was advised that our State of NJ Prescription Drug Plan account had been terminated. My husband and I are both full-time employees of the State and there have been no changes in our employment status. Called OptumRx at least five times and no one helped us. Extremely frustrated!!

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    Customer ServiceInstallation & SetupStaff

    Reviewed March 22, 2018

    Beginning Jan 2018 I have had nothing but problems with OptumRX and it is affecting my quality of life and my Dr's patient care. I go to fill prescriptions that I have been on for 5+ years. I find out that since what my Dr prescribes is not how the instructions are from the manufacturer label, they want prior authorization now. Since I cannot just go "off" medication, I had to pay $157 out of pocket last month. Another medication I am on may "contraindicate" with another ( again 5 years no issues) they wouldn't allow any of my scripts to be filled, again affecting my quality of life and interrupting patient care. I have never had any problems with prescription solutions. And on top of that my preferred local pharmacy can no longer fill for me because OptumRX won't even pay nearly their costs for drugs.

    I prefer to support my local business. And they have been great. This company doesn't care. Every month now has been a hassle and an interference in my care. I wish I could give 0 stars. On top of that when you call them the other people on the phone are no help at all, a lot of I am sorry for that, but they can't seem to help. My Dr office doesn't have time to deal with this every month and are baffled each time I call and tell them I am having a problem. No changes to medication in 5 years and all the sudden now the make it an issue every script I take in.

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    Jack increased rating by 2 stars.
    Customer Service
    After a positive interaction with OptumRx, Jack increased their star rating on March 22, 2018.

    Updated review: March 22, 2018

    Greetings, I finally was transferred from a Jacksonville Fl rep to one located in Georgia. After several tries to get my information to display we, meaning me, decided to delete my original account with OptumRx and re-register. After much trial and error I can now FINALLY get onto my account and actually see information. I was on the phone with the rep from Georgia for over an hour, which I feel is unacceptable, but the final result is acceptable. Therefore I am giving OptumRx only three stars, it would be more but because of the time that the customer had to invest just to get an account prevented me from giving them more than three stars. I consider this issue closed. Should I have other issues I will certainly post them here.

    Original Review: March 21, 2018

    I was switched to OptumRx from Express Scripts by my insurance carrier. Never had a problem with Express Scripts and now I have never had SUCCESS with OptumRx. First of all it was a nightmare just to create an account. Once I thought I did when I go to the sign in page, when I don't get an error message, all I get is a somewhat blank page with a my past order history. If I keep refreshing the page at some point my name magically appears and the one prescription that I finally did get shows up.

    If I click on the prescription history link I do get a new page but it also displays a lot of HTML code. I have called them about this issue three times so far and I am promised a callback but that never happens. I never get the issue resolved and I will be calling them later to see, for the fourth time, if they can fix my issue. From reading other reviews it appears that once I get this issue solved, if possible, I will be faced with much worse. This does not bode well. I will update this review once I speak with them today.

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    Customer ServicePunctuality & Speed

    Reviewed March 20, 2018

    My company just switched from Express Scripts to OptumRx. Briova is their speciality Pharmacy. I called them 2 weeks ago about a script that I had with Express Scripts that needed to be refilled. Promised they would take care of it and contact me if problems. Call back today and they tell me that they need a new script and had requested one from my provider yesterday. No reason given why it took them that long to call my doctor. I emailed my doctor and had a new script to them within 10 mins early this morning. Explained to them I needed the meds by next Tuesday. Just got a call from them late afternoon now saying they need a prior authorization in order to fill it. I have been on this medication for at least 5 years!!! My doctor is now out of the office until Monday so I pretty much now have a zero chance of getting this medication in time for my next dosage. They have had two weeks to request anything they needed and did nothing...

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    Reviewed March 19, 2018

    I tried to renew my ** name brand rx (high blood pressure medicine) for the last two weeks. On my first try I was told they were out of stock and there would be a wait. On my next three tries I was told that brand name ** was discontinued. I called the manufacturer of ** to ask when it had been discontinued since I just ordered a refill through my prior Rx company Express Scripts in December 2017. The manufacturer told me it had not been discontinued and gave me a number to tell OptumRx.

    When I recalled OptumRx I told the representative ** was not discontinued. I was then told they were out of stock and did not know when it would be in stock. I was out of my current ** rx and was using an old ** weaker version from a year and a half ago. I asked to speak to the manager since I needed a new rx asap. The manager got on the phone and told me it was in stock and would be overnighted today. This is how OptumRx works. Sad to say I am stuck with OptumRx since my pension system selected them probably the lowest bidder.

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    Customer Service

    Reviewed March 18, 2018

    The only reason I joined the prescription auto fill service was to reduce the effort of obtaining prescriptions. As it turns out, it's much easier to get a prescription from the local pharmacist than using Optum's service. It took me 4 phone calls, to get my first prescription. Also, the first time Optum sent the prescription, it sent the wrong medicine. Don't waste your time using Optum.

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    CoveragePriceStaff

    Reviewed March 16, 2018

    In 2016, I chose the Part D Medicare Advantage Plan that had all my meds in their formulary. When notice arrived in late 2017 about administrator plan change from Express Scripts to OptumRx, I called OptumRx and was assured by a customer service representative that the only change was administrative, and would not affect the ongoing coverage of any existing prescriptions; a patent lie. Three medications I have been taking for years have been challenged in some fashion in the last three months during the so called transition period during which OptumRx has been so kind as to give a transition supply while implying they will no longer cover your medications unless you and your doctor do justifying paperwork, and even then, no promises. This is just one aspect of many, of why American medical care and its costs are the most expensive in the world.

    Seniors who have paid into this system all their working lives are being hassled, and harassed with every prescription, causing unnecessary stress; we cannot "talk to our doctors " every time we need prescription or a refill. This is an interference in the doctor patient relationship, age discrimination; stressful on those under medical care for various illnesses and ailments.

    I personally have received 4 letters about 3 prescriptions in their first three months as administrator with barely veiled threats that they will no longer cover my medication without once again providing further justification; neither doctors or patients have the time, nor should they be spending the time, doing OptumRx's work for them. Patients are ill, busy doing the best they can to get by, and OptumRx is a major contributor to the American health care system's overall failure. Never have prescriptions filled by an administrator that is also a pharmacy; fox guarding chicken coop. I am not going to drop everything I am doing to chase down a busy doctor in a busy office. To justify a medication that's been an old and long used medication without problem. Very misinformed policies.

    Doctors prescribe for a reason that should not be questioned by mere clerks and bureaucrats with no sophisticated medical training. If I get one more computer generated letter challenging a medication or quantity or suddenly requiring preapproval, I am going to file a discrimination Case against OptumRx. Just seeing an envelope arrive in the mail from OptumRx starts a migraine and heart palpitations. Get on board and pay what you are supposed to without aggravating people on Medicare. You are our servants; we are not yours! I encourage all patients now trapped in OptumRx's web of deceit, lies and incompetence to start filing formal complaints.This is a CIVIL right, not a threat.

    We are paying premiums for this nothing!!! Awful draconian company. Write to Phil Norcross, Governor Phil Murphy, and other NJ representatives. File discrimination complaints. We are paying many times over to be mistreated and denied the benefits that have been negotiated on our behalf. PS. Nothing I have written is factually incorrect. Documentation will be sent by mail under separate cover. Nothing sent electronically can be presumed to remain confidential.

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    Customer Service

    Reviewed March 15, 2018

    In July of 2017, I wrote a letter to Mr. ** at the home office, describing many of my many disappointments with this organization. As I finish this review, I will be again writing another letter with actual documentation as to the total chaos in their call centers. I had questions about my last order placed on March 9th. I could not access the website. Their phone number is a call back number, but has usually been out of service. I have to call United Healthcare and have them transfer me to OptumRx. They email me that the order has been filled, and shipped and when to expect it.

    Several days later, I get another email with a new "expect date". I had one order when I finally reached someone who could track it, said it would be there that day. Asked where the last track was, he gave me a city far away, that there was no conceivable way that it could reach me in 12 hours. I explained to them I had not been able to access the web for almost a week. They transferred me to web services, and web services wanted me to download a different browser, as my current browser was "evidently" not working right. Has for years. I too am at wit's end. Don't use this company if you can avoid it, and if you can't avoid it, expect the worst, because they are very good at that.

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    Reviewed March 14, 2018

    I had previously had Express Scripts, which was great. My insurance switched to Optum Rx in January and it has been nothing but frustrating and disappointing. I contacted Optum Rx to make sure that the account was set up properly and was assured everything was good to go - they had my prescription, all I needed to do was wait until it was time for the refill. I requested the refill in early February and got a notice on the webpage that they were contacting my doctor for confirmation. Since it was the first time, I thought all was still good. I just realized that I never heard anything and checked back online and got the same message. I contacted them and they told me that not only has my dr not been contacted, but my prescription expired February 27th. Despite the fact that I requested it about one month before it expired, I now need to get another prescription.

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    Customer ServiceStaff

    Reviewed March 13, 2018

    After receiving correspondence via USPS I called 3 different times and received 3 different answers to the same question. When transferred to a manager, she only apologized stating she’d recommend “coaching” but argued with me making me feel as though the giving of misinformation was my fault. I refuse to deal with that level of incompetence and have since pulled all prescriptions. I’d rather pay a little more for peace of mind knowing my prescriptions are not only being filled but also given an expected pick up date/time. Their automated system is absolutely the worst!!! I called 5 times in an hour to fix one issue. After answering the question from the automated system, the representative comes on and asks the exact information. How redundant and a waste of my time. NEVER DEAL WITH THIS COMPANY!!! From managers, pharmacy on down is the bottom of the barrel.

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    Reviewed March 12, 2018

    My health insurance plan requires me to go through OptumRX for my medication. This has been the worst experience ever and I don’t see an end in sight. I sit on hold for hours, they say they are sending something out but it doesn’t show up online as preferred and shipped. I have requested they remove medications I no longer take and I am getting it shipped and billed to me. I need a vacation override and may need to go without my diabetes medication since they still haven’t sent it. I’m at wit's end with this company. How is this possible for a major health insurance carrier like United Healthcare!

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    Customer ServiceOnline & App

    Reviewed March 12, 2018

    Have been complaining for 4 weeks that I don't see any of my medications on their website. Several phone calls typically lasting twenty minutes each, 5 minutes for them to confirm the problem, 10 minutes while we wait for the supervisor to pick up the phone, only to be told it's fixed when it's not, or to be told we are still working on it! Enough is enough, will no longer use mail order delivery with OptumRx.

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    Customer ServiceCoverageStaffProcess

    Reviewed March 12, 2018

    You can literally die waiting for medication to be filled and/or refilled. They (Briova Specialty Pharmacy) do everything in their power to make the process impossible. Even with a pre-authorization for payment by OptumRX, they still refuse to refill the medication. I have wasted over two hours today trying to resolve this issue only to be confronted by a nasty customer service person telling me "too bad... we don't have to pay for the medication". No insurance company should be able to treat patients this way. Are they just hoping you will get so frustrated that you will do without the necessary medications? This is just unacceptable for the prices we pay for insurance. And unacceptable in America!!!

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    Reviewed March 9, 2018

    If I could give 0 stars I would. I have a 5 year old son who requires daily asthma treatment. Due to my high deductible plan We are required to pay out of pocket $235 + per month, on top of our premiums, until we reach our $3000 deductible. This is a medical necessity for my child and even after his pulmonary Dr addressed it with them they would not do a prior authorization to reduce the tiering, even after an appeal. I hate them so much. As soon as I have another option for coverage I am taking it.

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    CoveragePunctuality & SpeedStaff

    Reviewed March 6, 2018

    As a retired police officer member of the NJ State Health Benefits, I am informing you of the disgusting treatment by this low level company that was now selected to MANAGE our prescription drug plan. Over the past several years prescription plans were managed by Caremark, Medco, Express Scripts without a flaw. As of January 1 of this year, this low level company began managing the plan. It should be noted that these companies do not determine what is covered and ONLY manage our entitled benefits. I have been on a medication for the last few years where the medication is administered by a doctor once every 10 weeks. This medication after much trial and error with other drugs works perfectly for my condition.

    It is time released and my levels are stable at all times unlike the previous drugs which had a high/low effect. Other plans that managed OUR benefits had no issue with the medication and our level of coverage is the same. OptumRX believes they can determine our level of coverage. After 3 appeals I was denied once again leaving me with no other alternatives. This was the final appeal. This company is a disgrace! They frequently bounce you from one place to the other and give you the wrong information. I have been trying to contact the outside source which conducted the 3rd appeal and no one can provide who that might be.

    They do not have the best interest of the patient. The Consumer Affairs Department should have a good look at this company and as you see in their reviews they have a high rating of dissatisfied customers. The appeals were written by my medical doctor and all medical documents were attached. All correspondence is forwarded to my attorney as well as the NJ Fraternal Order of Police. Will keep you updated. Thanks for your time.

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    Verified purchase
    Customer Service

    Reviewed March 6, 2018

    OptumRx has failed to send an ** refill that was ordered around Feb 19th, despite having sent an email on Feb 24th saying it was scheduled to be delivered on March 5th. I spoke to someone on both February 24th and March 5th, the latter when it did not arrive. When I called on March 5th, I was told it was scheduled to arrive on March 13th, I asked why the delay and they claimed it was expedited and would be received by March 9th. On March 6th, I received an emailing telling me there was a problem with an order number that I did not recognize, when I called, they sad that they would not refill ** as it did not receive prior approval.

    My mother has been on this medication for 10 years and OptumRx has been fulfilling the prescription for many years. The lack of a phone call when there was a problem and the fact that my mother must pay out of pocket for a "bridge" prescription is the reason for the poor review. This is the 2nd or 3rd time this year that she required "out of pocket' prescriptions because of delays on their part.

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    Customer ServicePunctuality & Speed

    Reviewed March 5, 2018

    This company is a pain I keep telling myself to change but that’s another pain. I have to call and talk to different groups in order to refill my meds. That is nuts.
    They also have a call center in the Philippines (888-863-7543). Good luck if you get routed to that place. They sent me there. They couldn’t help. Thank goodness as I could barely understand what they were saying. So after 10 mins on that call it turns out I am 3 days early on my meds. So they told me to call back in three days. I would like to order online but they have totally screwed up my online acct showing I have two accts so I can’t order that way. I have called twice to get that fixed and got nowhere. So I guess CVS is going to be my new mail order pharmacy. When my prescriptions run out or before if I go to my doctor. What a pain.

    I won’t even go into when I first started and it took 5 weeks to get my meds! Yes this is bordering on Comcast/Infinity/ATT service.

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    PriceOnline & App

    Reviewed March 2, 2018

    I was forced to switch to Optum RX after my provider switched from Express Scripts to Optum. Everything is wrong. My Dr says she asked for one thing & the order comes up as something else. It has happened more than once & I am thinking my Dr is going to think I am the crazy one. You or your Dr cannot request which manufacture you want for any generic drugs, and this makes a difference since the inactive ingredients in some drugs do not always agree with me & my stomach. I was forced to go local and the cost difference is substantial. They give no notice when the prescription is approved by your Dr. Their website does not work well most of the time. I am very, very disappointed in their service.

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    Customer ServiceOnline & AppStaff

    Reviewed March 1, 2018

    I was forced onto OPTUMRx when my insurance changed from CIGNA. I am astonished at the incompetence of the staff. I had a script that stayed on hold for days however the email I received said it was being processed. Only when I went on the website did I see the hold. Their email states if there were any issues they would call me! They just sat on it.

    It took over 4 hours and numerous calls to my Dr. and this joke of a company to finally get this fixed (If it really is.) I was hung up on. I was transferred to another agent who was furious that she received another 'cold transfer'. Finally, I reached a supervisor who did help. I told the supervisor of the complaints on this site and that Amazon is going to put them out of business with any luck. She actually agreed. She indicated they are 'working on the issues especially the customer service personnel.' Maybe, however, moving from CIGNA to OPTUMRx has been brutal and yes - they will lie to you. My doctor faxed to me what he sent to them and they lied and said he did not put a date on the script. Yes he did. Avoid them and avoid the American Medical Establishment as best as you can.

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    Customer ServiceSales & MarketingStaff

    Reviewed Feb. 28, 2018

    Unfortunately for me, after many calls to the supervisor and then the pharmacy to confirm, OptumRx does not provide your allocated 90 day supply of any 7 day blister packs and is constantly shorting me my 90 days. They only give me 84 days while Express Scripts and other online companies gave me the 90 day supply.

    OptumRx's answer to why they a shorting me, is "because it's our policy to not break open another box". My answer to this is, "If you open the pack it's a win win for you. You are making 4 people happy, and from a marketing standpoint, it's a plus for you to do this. For every 90 day supply where you short people you are making someone unhappy. That box will supply 4 people with their full 90 day supply that the doctor wrote it for."

    If this is the case, I want my meds removed from the blister pack and counted for the full 90 day supply. It's unfair as a consumer if the doctor writes an Rx for 90 days, and OptumRx is scamming customers out of their week's supply to bring it to 90 days and only sending a quantity of 84. We need to get together on this and fight! It's not right and I want my reimbursement for my weeks supply you did not send. Requested resolution: Reimburse me for every week you are not sending and I'll will find that fair or supply my full 90 days. That is the only solution. Right now you owe me 7 days.

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    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed Feb. 27, 2018

    When denied insulin for my gestational diabetes my physician's put through a pre-auth based on my allergic reaction to an alternative NPH I need. This was also denied. The Dr.'s office was then instructed on how to appeal; the instructions were incorrect as the directive varied from 3 different reps my nurse spoke to. I then reached out and was told that an insulin I had used with my previous carrier with the State of NJ Health Benefits Program was not covered with this newly awarded company and I was given a number to call to appeal. I called the number to find out that number was related to United Health & Blue Cross and Blue Shield and had nothing to do with my provider OptumRx.

    I called OptumRx again to find the accurate information and was told by another rep that I could not call, nor could my Dr.'s office fax over an appeal as they were instructed to do and that we now had to MAIL our appeal because a prior authorization stating my allergic reaction to the one NPH they allowed was not good enough to get a bottle of insulin covered. So now let's wait for snail mail just so they can deny me and my unborn child a bottle of NPH insulin! I must now retrieve my script and pay out of pocket at a local Walmart for the medication I need for myself and my unborn child while continuing to pay a premium for a plan that won't cover my medical needs. So this is just incompetent staff and lousy coverage. If I could give a 0 star I would!

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    Customer ServiceStaff

    Reviewed Feb. 27, 2018

    My doctor wrote 2 scripts that I sent to OptumRx. They got the prescriptions Feb. 10 and stated that I would get my order between Feb. 12-14, it is now Feb. 26, 2018 and they are still holding it. They had questions about one of the drugs, there were 2. My doctor has answered all the questions and then some. This is not a new drug. I've been taking it for about 12 yrs or so, they just don't want to pay for it. One of the drugs is cheap why can't they go on and send it, duh. I was told by OptumRx that it was time to refill these drugs so what is the problem, they don't know what they're doing. They act like our doctors have nothing to do but fool with OptumRx, our doctors are so busy nowadays they barely have time to answer our questions. Doctors are quitting right and left because of all this hassle the gov and these drug companies are dealing them.

    Another not so small item that really upsets me is that you cannot talk to anyone. The last 4 times I tried, got the runaround, one couldn't understand, got hung upon (by the pharmacy) and got cut off accidentally on purpose. I'm truly fed up with these people. They need to be taken down a notch or two. I don't know what to do except go to someone else. If the Lord is willing and I live that long me and the wife will find someone else next year.

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    Customer ServicePriceStaff

    Reviewed Feb. 26, 2018

    My drug insurance was transferred from Express Scripts to OptumRx. Optum representative called me and told me that all my medication was transfer over, however later I find out that my doctors had to contact OptumRx and complete form in order to get my medication. First person I spoke to at Optum told me that I will get my medication "free" of charge according to her. I told her that cannot be right. I find out the following: if I send away for 90 day supply by the mail I can get the medication for $55 - I paid $33 before for the same medication. If I get the medication for 90 days by CVS - listed on Optum list - the same medication cost $132 for 90 days. I was told by Optum rep. that all my medication was transferred the same as before - not true.

    According to Optum table my medication was placed into a higher bracket instead of Tier 1 it was placed into Tier 2 etc... And must use mail order for 90 days to get the same medications for lower price BUT paying more since OptumRx's charges higher from Express Scripts. I had to call 5 times to clear up my prescriptions at Optum and had contact my doctor's office few times to have the prescriptions renewed. OptumRx is nothing else just aggravations charges higher prices for the same drugs. They represents Medicare part D and they just make life harder for people who depend on medication that is described by the doctors. I am not happy with their services.

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    Coverage

    Reviewed Feb. 24, 2018

    I have a medication that I have been getting for years and now they refuse to cover it. Last year with my insurance it was covered. In the year before it was covered but this year they will not cover it. I'm very dissatisfied with their actions and decisions. My doctor's office says there is absolutely no reason they should not cover this medication. The doctor's office has told them that it is medically necessary and given them all the information they need and they will not approve to cover it because they don't want to pay for it because it cost too much money for them to pay for. I pay my fees to be a member for their service but they won't cover me and that is not right.

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    Customer ServiceStaff

    Reviewed Feb. 22, 2018

    Can't believe that they are responsible for people's medications - they lie. They try to bypass the issue and their agents are rude who know very very little! Have had nothing but problems with them - am going to pay the extra money to go to a physical pharmacy - have wasted too much time dealing with this useless lying organization!

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    Customer Service

    Reviewed Feb. 22, 2018

    I've recorded 4 lengthy conversations with Customer Service Reps and 3 SUPERVISORS! The supervisors are WORSE than Customer Service. They LIE and they LIE! I am reporting my situation to my States Attorney's General Office and giving them access to the Tape Recording so they can investigate... Avoid this Company... They want to try to run you down so you'll give up! Me??? NOPE!!! The tapes don't LIE but the employees do!

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    Customer ServiceStaff

    Reviewed Feb. 21, 2018

    My order was placed by my doctor. There was an issue with one item, so I asked for it to be removed. The order has been stuck in processing for another 5 days for medication that I need to survive. I've talked to about 3 customer service reps who continue to tell me nothing more can be done. I've spoken to 1 manager who assured me they would rush the order. Then, I receive an email stating the order has been canceled. Every person I talk to tells me how they can't do anything more. Why is no one taking the initiative to say "Yes, we can help you and I'll do all I can to help." BASIC customer service. I hate that my company switched my insurance and I have to use OptumRx. If I had a choice, I would NEVER use OptumRx.

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    Customer ServicePrice

    Reviewed Feb. 20, 2018

    When I get a $24.00 RX order fine, but I get a $24.00 amount of paper (what a wasted amount of money) too... Wow. I've complained for years...must be holdover from Obamacare? And when they send me a message I have to take 10 minutes to unravel the code, no email, a secured (top secret) after I unlock and have them call me back with a special code, to say, "you have 3 refills". **, they suck. I just want a good price and reasonable price. How about generics...reduce the price with no paper (minus the 8, 9 pages with the RX), and a simple or no complex computer site! I get a cheaper deal at local WalMart anyway so I'm moving and fill my RX while I shop for those 44 cent veggies. Give customers a break.

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    Reviewed Feb. 19, 2018

    My doctor gave me a prescription for 5 days of pain medication after outpatient surgery. I was still in pain so he gave me 5 more days. OptumRX wouldn’t fill it because they said they can only fill it once per 7 day period. They couldn’t seem to understand that 5 days is less than 7 days and that I had run out. It was easier to just pay out of pocket. I hope Amazon puts them out of business soon.

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    Customer ServicePriceOnline & App

    Reviewed Feb. 19, 2018

    I cannot stress enough how frustrating dealing with this Briova/Optum RX is. I have a specialty medication that I've been prescribed for the last three years. The cost of the medication is so high that the manufacturer actually subsidizes my costs because the insurance won't pay for 100% of it. With that said, EVERY TIME I have to get a refill, I can't just go to their website to place a reorder - as they consistently tell me I should do. Why? Well, the website does not recognize the co-pay card and then I end up having to sit on the phone with these people for more than 20 minutes trying to get them to just give me a refill. I wish they'd go away so that I could just go back to my local brick and mortar pharmacy down the street.

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    Customer ServiceStaff

    Reviewed Feb. 17, 2018

    I order a refill of RX. They took the payment out. Got paperwork but no RX. Call, talk to customer service person and she transfer me to Pham who ask different question. Said would send out again. Been over 8 days still nothing. I think is their new way of making money.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 17, 2018

    I am a kidney transplant recipient and need anti-rejection medicine for the rest of my life, getting the pills has never been a problem until my insurance company made a deal with OptumRx making them the sole 'specialty pharmacy' that can supply my meds. My doctors always write a year prescription for my anti-rejection meds, after the first month when my medicine didn't arrive I found out that OptumRx entered the prescription as 1 month worth. I asked them to look at the original prescription, they didn't have it. I asked them to call the doctor to verify that I had a year's supply and they said, "You have to call the doctor." I said, "Why would I call the doctor? I already know that I have a year's supply of the medicine." They said they need a new prescription but their phones can't make outgoing calls. What?! Your phone doesn't make outgoing calls?? That is ridiculous. But what can I do?

    I call my doctor office and ask them to resend the prescription and they promptly do so when they know I am out of this essential life saving medicine. I call OptumRx back. They never got a fax they say, maybe it will be in their computers tomorrow. I am out of my mind with frustration now but what else can I do. I call back the next day, still nothing. They say call back the doctor office. I call the doctor office and they say they sent the prescription. I call OptumRx back, they say they can do nothing for me. I ask to speak to a pharmacist. I finally get one on the phone, I explain my situation, I tell her about the risk of kidney transplant rejection I am running, she is sympathetic but can still do nothing. She says she has to speak to the authorizing manager, but they had all gone home...

    I finally got my medicine 5 days late. This same exact scenario happened the next month. Their data entry person entered the new prescription as 1 month worth! I would rather crawl on a bed of nails then deal with this company ever again. I bought more expensive insurance the next year just so I wouldn't have to deal with OptumRx. As I write this review I seethe with hatred for this company. I hope the CEO and shareholders all get cancer. I hate you OptumRx.

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    Customer ServiceContract & TermsCoveragePunctuality & SpeedStaffProcess

    Reviewed Feb. 15, 2018

    I've taken a particular medication for at least the past 5 years. I've been through several tests, and it's been determined that I need to take 2 pills of this particular medication a day. The approved dosage for coverage is 1 pill a day. This became a problem a year ago. I had my doctor's office go through the process of requesting a prior authorization, and it was approved for only 1 pill a day. My doctor’s office had to make numerous calls back and forth with them to verify and prove to them that I needed to take 2 pills a day. After battling this for several weeks, they finally approved me taking this medication of 2 pills a day for a year. The year is up, and it's starting all over again, but so much worse this time (the first time was bad enough, but this time is way out of hand). I requested the medication be refilled through OptumRX several days before January 18.

    On January 18 I received a letter in the mail saying they are happy to approve the prior authorization of my medication up to the acceptable (or allowable) dosage (it was actually stated in even more vague terms than this, but can't remember the exact wording). So I assume that my prescription is being processed and will be on its way. I wait at least 2 weeks, and still no prescription has shown up. I go to their website again, and I request the medication again and this time request that it be shipped to me in 2 days and that I will pay the extra cost for shipping. That same day I receive an e-mail that they have received my order and it's being processed. I wait again for 2 more weeks, and go online to check the status because I'm about to run out of this medication and it doesn't show it's been ordered at all. It wasn't pending, processing, or had been shipped. I now only have enough of this medication to last me 2 more days.

    I call OptumRX and tell them that I've requested it twice, I received at least 1 e-mail that they received my order and it was being processed, but heard absolutely nothing else after this e-mail. So during my phone call on February 8, I'm then told that they see that my prior authorization has been approved, but the problem is that it's only been approved for 1 pill a day, and not 2. To be approved for 2, another prior authorization needs to be done. The person I talked to indicated that they would be contacting my doctor's office to request more information for the 2nd prior authorization. I explain to this person that I'm going to be completely out of this medication in 2 days and I will have a very difficult time functioning without it. So I am lead to believe that they are contacting my doctor's office, and that they would expedite my order as soon as they receive the additional information they need to approve the 2 pills a day.

    I run out of the medication 2 days later and withdrawal symptoms start right away. On Monday, February 12 I check online again, and the status of my prescription still indicates that no order has been placed and that it's ready and available to be refilled. I'm not going to trust the online system again, so I call again to talk to a person. I'm now told that they haven't received any new information from my doctor and they were still waiting to receive something. I said to this new person I'm talking to that I was lead to believe that OptumRX was going to be contacting my doctor's office to get this information. I'm now told that they weren't going to contact them, I was supposed to contact my doctor and ask my doctor's office to contact OptumRX to provide this required information.

    I tell the person that is not what I was told 4 days ago and that I'm now out of medication. All they can say is sorry about this, but that I need to ask my doctor to contact them. So I call my doctor's office, I directly talk to the nurse that handles prior authorizations, and she says she received the letter dated January 18, and that they didn't even read that letter to indicate that my first request to have this refilled was going to be held because of the dosage amount that was being requested. The nurse at my doctor's office actually said "Why wouldn't they have contacted us or you at the very least to indicate that this was the case." She said she would call them immediately to get the 2nd prior authorization approved and have them get my prescription on the way to me.

    She called OptumRX for me, gave them the required info, and she was told that the authorization would be approved by the next day. The person from OptumRX, suggested to the nurse from my doctor's office that I get a new script written for a 5 day supply and take it to a local pharmacy so that I could get my needed medication. So the nurse gets this script for me from my doctor, contacts my local Walgreens pharmacy, and I go and pick it up later that afternoon (I have to pay the same $40 copay for the 5 day supply as I would for an entire 30 day supply). So I now have my meds for 5 days and today (February 14) I think I better check the status of my order online to be sure that it's now finally on its way to me.

    I check online, and once again it appears that it is not being processed at all. I again make the dreaded phone call to OptumRX and ask the person on the phone what could possibly be the reason now that my prescription is not on the way to me. I'm now told that because I filled the prescription at my local pharmacy on Monday for a 5 day supply, they cannot refill it until Friday of this week (the day I will once again run out of medication). I tell the person I'm talking to today that I filled the 5 day supply because of the recommendation from who I talked to on Monday from OptumRX. Again, all I get is, “I'm sorry that they told you to do that, but all I can do it process your order on Friday and send it to you.”

    I told them that this was unacceptable, that they were discriminating against me and withholding medication that has been determined that I need from multiple tests and my doctors' order. Again, all I get is, "Sorry but all we can do is have it shipped out to you on Friday." I'm done dealing with this unbelievably unethical, unprofessional, and unscrupulous company. I will pay an extra co-pay every 3 months before I ever order another prescription from this company again.

    Something has to be done to stop this craziness. I've read 100's of reviews/reports from others experiencing similar problems with OptumRX. Does anyone have any suggestions on who I contact to get these problems changed or stopped? I will copy this review and share it on any website I can find that can help. I'm going to seek help from the Better Business Bureau, from my employer who is encouraging us to use this terrible pharmacy, from the Iowa Insurance Examiners, and possibly the FDA. Are there any other suggestions on who I could contact to try to get things changed. I will also copy this review and mail it to my State's senators and House of Representatives. PLEASE HELP ME MAKE THIS STOP, and allow people who need medication to receive it without having to go through all this unnecessary stress and frustration.

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    Price

    Reviewed Feb. 15, 2018

    I am a diabetic which is a life-threatening condition, and I am shocked to discover that this low-cost (in US) generic drug which is sold for very low amounts of money or given away free of charge in US drug stores is not "cheap enough" for OptumRX. They need to find even cheaper sources of generic ** in China and India.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 14, 2018

    Been with United 2015 through employer and filled my prescription via local CVS. Paid $20 copay. In 2016 went to fill my CVS prescription to be informed it will now be $30 copay. At same time was informed Optum Rx would be United's Pharmacy manager and offering lower rates for my meds for ordering via mail. Jan 2017 went to CVS and was told United has now made the copay $60...well I wonder why that happened. To force us to call Optum Rx which is exactly what I did. They were supposed to mail 3 months of BRAND name, however they sent GENERIC. Wasted my time fixing that problem with inept, incompetent staff who cannot even pronounce the medication name. Scary indeed. Then when brand was sent it was left in mailbox in 109 degree temps which damaged the patch medication. I only came to realize this after I was feeling so depressed and felt unwell. My hair began falling out and my eyebrows and I went to the doctor.

    Blood tests showed my hormones were half of what they usually were despite not changing anything except buying through the mail. I read the hormone patch from my box of meds and saw manufacturer states not to store meds over a MUCH lower temp than we had outside with USPS delivery trucks that are not air-conditioned! This group is placing our health at risk. They caused me loss of time and who knows what they introduced into my system by me using the meds for 4 weeks and not realizing the heat factor in Southern California and the non air conditioned USPS delivery vans with all the meds in them! After that I decided I would rather pay $60 (double) the copay amount they deal with Optum Rx.

    Well 2018 rolls around and I go to collect my meds from CVS and they inform me that now my copay is $150! What! I asked them to recheck. Well, now my meds are no longer covered and on the formulary I am told by Optum Rx. I call United Health and ask them why I am paying for insurance to be railroaded with this hostage situation of my meds since I have terrible intolerances (allergies) and have been on same meds for 7 years. Tried in past go on generic which I would love to take because it certainly is cheaper at $10 but couldn't tolerate it. Well the call dropped twice, people were rude, didn't understand my question, couldn't pronounce the word **, and United claimed they don't have the formulary info have to call Optum Rx. Upon reading this site I can see a definite pattern in modus operandi. How the patients are "handled".

    My sense is they try to wear a person down, make it impossible to get through to a supervisor, that most people will give up. So please contact the state insurance commissioner, White House, your local representatives, Facebook Optum Rx complaints page, BBB, Your doctor, file an appeal (mine has but we are getting nowhere), and contact a class action lawyer and point them to this page and the MANY other sites with the same complaints. They will identify a definite PATTERN here. It is unethical. I feel a health company should not be affiliated with the pharmacy element if the health insurance claims they have nothing to do with the prescriptions and have no influence. Everyone points at the other when meanwhile they are one and the same. Raise your voice. Don't give up! I won't.

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    Customer Service

    Reviewed Feb. 12, 2018

    They can call and let you know your refills are available but screw up the prescription stating they gave 180 but only filled 30 because of the end of the year. But fixed it so I could not get my meds without going to my local RX. Moving all my meds back to Walmart.

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    Customer ServiceOnline & App

    Reviewed Feb. 12, 2018

    I have a prescription. It is supposed to have already been delivered. The "tracking function" on their app is useless. No email address for complaints, only a PO BOX in California. HOW DO YOU GET HELP?!! I am sure this is intentional. In this day and age, no email or 1800 number to ask anyone questions... What a poor way for a company to run. This is the poor company selected by my employer. I have no choice but to use them. Shame on you!!! These poor service companies are the reason America is falling behind in the global market. Our businesses do not operate at a respectable level. I do not have my order number as I am typing on my phone and not in the app. OPTUM is a joke if you think I'm going to send a letter to your P.O. box. Just stupid... I am also a verified buyer, but again, on my mobile.

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    Customer ServiceStaff

    Reviewed Feb. 11, 2018

    They denied a request for a lowering a tier drug. Even though we were told it was lower. The denial is not the problem. It's how they handled it. First, the authorization or denial is done by a "system" they had in my file that my Dr. never sent in the info they requested when he had done so. They said my only option was to appeal and my doctor should do it. When I try to get docs for my appeal they said they couldn't get records. Furthermore, I called before and that person never put notes to the file that I called. Even though I did what I was supposed to do and my doctor did what he was supposed to do, we're the ones who have to file the appeal.

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    Verified purchase
    Customer Service

    Reviewed Feb. 10, 2018

    The only reason I deal with them at all is because my insurance provider selected them. I've had to call them three times in the last week because they can't seem to get their act together. The most recent, in a long line of stupidities, was because they sent me an e-mail advising me they shipped my order. It said they shipped two medications - I only requested one. After finally getting to talk to someone, I was told the e-mail was wrong. At best, they are inefficient; at worst they are incompetent. Judging by other reviews, I am not alone.

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    Customer ServiceStaff

    Reviewed Feb. 9, 2018

    My husband and I are on the same medication, dose, quantity, same insurance thru his employer. I picked mine up on 1/30/18 - $20.00, he picked his up on 2/6/18 - $5.67. I took the papers to Walgreens and they were stumped after they attempted to get information, all they got was the runaround and they said I needed to call. I called, explained to them the issue and the woman didn't say hold or let me transfer you... Just did... Next thing I am telling the same story to another rep. who starts asking me for my Medical or Pharmacy ID. I explain I am the customer. He says what is your Medicare #. I said I am not on Medicare. He says what is your RXMID# I asked what is that, he says, your Dr office number... I again say I am a customer. SO frustrated, I hung up.

    Called back, again got a rude woman who told me she can't tell me anything except one of us has reached more of our deductible and I need to call the Primary insurance. Now it is only 2/9. Surely we HAVE NOT hit our deductible. So I call the insurance company and explain, and they apologetically say they cannot see the pharmacy information only OPTUM can and that they clearly lied to me and that I need to speak to a supervisor. A similar thing happened last year all our low priced meds suddenly were 20 or higher and they said on tier 1, 2, 3. Ok, that is an answer. Explain your business. Highly frustrated.

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    Customer Service

    Reviewed Feb. 9, 2018

    Every time I need a mail order refill, it is an issue. First they say they didn't receive a response. Then they say they didn't receive a dosage or directions. Then they say they have the dosage, but not the directions. This is after 3 faxes from my doctor's office and two phone calls. And this is for a REFILL. I am done. Apparently I can use Walgreens with my plan. I will never use the mail order again. So sad to hear that everyone else on this site has had similar experiences.

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    Verified purchase
    Customer ServiceStaff

    Reviewed Feb. 8, 2018

    This company and its lack of communication with customers and providers is repulsive. It has taken me over 3 weeks to attempt to receive a prophylactic medication that used to be easily picked up from the pharmacy (Walgreens) in less than an hour. Now, 4 weeks later and the latest mail order - arrival date for my RX has passed. OptumRx does not communicate unless I call the phone line and even then there is great resistance to let me speak with a manager. I have now been on hold for over 20 minutes and spoken with 3 different representatives, none of which are a manager.

    The one manager Adam - After 20 minutes, Adam answers and he is unable to assist with circumventing OptumRx and that mail Rx take 10 business days. I am already a week behind on this medication. I asked him to find out and per his record (Adam), I have called 5 separate times over the past 4 weeks. I have now been talking with Adam for 25 minutes = 45 minute phone call. 1/16/2018 was my first RX sent (it is now 2/8 and nothing has been received). Adam **, Assistant line supervisor. Cassioia ** (Cassie), Head Assist line supervisor.

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    Customer ServicePriceStaff

    Reviewed Feb. 6, 2018

    First off, I'm a retired pharmacist so my review is probably one of the better out there! Every time I needed a refill on an RX, it was an issue! Whether the price changed, or they needed to contact my Dr. about a day's supply, or they needed to change companies so my meds looked different. I went back to picking up my scripts mainly because the customer service reps are totally clueless and helpless. They can't seem to answer anything correctly and also they don't go out of their way to help like your local pharmacy would... It seems OptumRX would rather make you jump through hoops in order to get your script whereas they are forgetting one thing and that is: They need us to stay in business. We don't need them!

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Feb. 2, 2018

    My problems with OptumRx seem to get worse every year. Last year, I requested a refill and they sent the wrong strength to my doctor who didn't notice the change and approved it. They REFUSED to take it back for a refund, making me pay $120 for a prescription I CANNOT EVEN USE and that was THEIR fault! The same year, they had made a change in what type of medication was Tier 1 vs 2 and 3 and yet NO ONE could figure this out and explain to me why the generic medication that had always filled at a Tier 1 price was coming up at a completely different price all of a sudden. It took HOURS on the phone to finally get someone to explain why the prices were messed up. They now routinely keep delaying filling orders to get additional information from my doctor... things that NO other pharmacy asks for like the diagnosis and explanation of the amount needed.

    This is for a medication I have taken for years, and always the same amount, this is not THEIR job to be questioning my doctor on their decisions. They CLEARLY are working for the insurance company NOT in the best benefit of the customer. And they never notify me promptly of these delays, and when they claim they are waiting to hear back from my physician, the doctor's office will say they never got a request for additional information, resulting in me having to spend MY time playing phone tag between the two of them. They might leave a single message and then they never call back again, but just tell me they are waiting on my doctor... for days or weeks without filling the order.

    The most recent situation is the worst yet, when my doctor called in and gave them the information they wanted, and they DELAYED THE ORDER A SECOND TIME, saying they needed ADDITIONAL information!! As much as I like the convenience of having my scripts filled for 3 months, I get NO COST BENEFIT from it at all anymore, and their harassment and inconvenience to me AND my doctor is just too much to deal with anymore.

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    Reviewed Jan. 31, 2018

    Website has been broken for at least two months - Very inefficient. They do not provide any contact info for reaching them via e-mail. I am tired of calling them and getting nowhere. What are some good alternatives for mail order via a UHC Rx plan?

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    Punctuality & SpeedEase of Use

    Reviewed Jan. 27, 2018

    I left them feedback about their website. It is not user friendly. I was trying to order medications for my dad and I am very proficient in computer use. It's slow. Then after I jump through all those hoops, I get to the end where you actually hit the place your order button and nothing happens. Nothing. After reading these reviews, I'm glad I didn't order. I will gladly get my dad's prescriptions elsewhere. AARP and United Healthcare needs to disassociate themselves from this company in my humble opinion. Either that or OptumRx needs to clean house and get a new web designer.

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    Customer ServiceOnline & AppStaff

    Reviewed Jan. 26, 2018

    Incompetent and indifferent only begin to describe my feelings about OptumRx. Their website is confusing and if you can find what it is that you are looking for, the information it provides cannot be relied upon as accurate. Notices that I have received from rude phone representatives and cryptic recorded phone messages has conflicted wildly with website data, subsequent email notifications and reality. All in all, this company, their systems and procedures are a colossal source of undue stress! I asked that one of my phone conversations be escalated to a supervisor. The agent simply hung up on me. The association of AARP with OptumRx gives me great concern about the general trustworthiness of AARP.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 22, 2018

    I have been taking ** for chronic pain for 10 years plus. In 2017 we were covered with OptumRx and Blue Cross thru my wife's employment at Walgreens. I am totally disabled and also on Medicare. For the year 2017 never had a problem getting my prescription filled. It's now January 2018 and the trouble begins! My Doctor sent my prescription for ** to the pharmacy to be filled on January 17th within 2 hours of my requesting it. I am required to request refills 3 days before my medication is gone. Within an hour my pharmacy called to say they couldn't fill the prescription because OptumRx needed a Prior Authorization. My pharmacy also sent a request to my Doctor’s office on my behalf. The pharmacy also recommended I call my Doctor as well just to expedite the Prior Authorization. On Tuesday I had enough medication to last until Friday morning the 20th.

    On Wednesday morning the 18th I stopped by the pharmacy to get my prescription because the pharmacy said they should have approval by then. Well, no approval from Optum. I called the pharmacy again that afternoon and still no approval. I then called Optum to ask why my meds hadn't been approved. I was told that they could take up to 7 days to approve the Prior Authorization. I told the rude customer service rep that the medication was an ** and I couldn't wait 7 days for it or I would end up in the Hospital Emergency Room with severe withdrawals. I was then told that if it was an ** I would have to contact my Doctor and have another P.A. sent marked urgent and could then get my meds within 72 hours instead of 7 days and if that wasn't soon enough I could pay for it out of pocket and would be reimbursed within 30 days.

    I told her the cash price for a month’s supply of my medication is 900.00 dollars and I don't have that kind of money available to me. Why is Optum doing this since it has never happened before. I then told her again without my meds I would be in withdrawals on Friday. I was told that this was the new policy due to the ** Crisis. First I asked her what has that got to do with me? This is a legal prescription written by my Doctor and I'm not an ** Crisis' but I'm going to be if I don't get my medication in time. I explained that I'm not allowed to get my prescription far enough ahead to cover the number of days Optum is requiring. No Doctor is going to do that nor would insurance pay for a next month’s refill that many days ahead. By this time I'm dumbfounded, angry and about to have a stroke. The Rep tells me that if I get that new P.A marked urgent it would more than likely be done by Saturday the 21st.

    So by this time on Wednesday my Doctors office is closed. I was at my Doctors at 8am on Thursday to get the new Urgent P.A. sent. The new P.A. was sent within the hour. I waited all day Friday to hear from the pharmacy that I could come get my Prescription. Finally my Pharmacist called to say they still did not have approval. I call Optum again and was told that the approval Dept would be open Saturday and it should be done by then. I waited till 3pm Saturday and still no approval. Called Optum and told that they closed at 3pm and I was lucky that the Rep had even answered the phone but there was nothing they could do!

    It is now 2:30 am on Monday and I'm in extreme pain and having horrible withdrawal symptoms. Fever, vomiting, diarrhea and just waiting for my Doctor’s office to open. Can't go to the Emergency Room because Blue Cross won't authorize the visit because I could have paid for the Medication but choose not to. I am so angry and hurting and just plain disappointed that OptumRx thinks what they're doing is OK. If at all possible I will beg and borrow enough money to hire a Lawyer to stop OptumRx from continuing their horrible and damaging behavior! Please, Please don't ever sign-up for coverage by these Monsters!

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    Sales & Marketing

    Reviewed Jan. 21, 2018

    I wonder if OptumRx is some kind of scam. I received a letter from AARP stating that I had used OptumRx four times and saved $17.78. I have NO recollection of any use of that service. I tried to log into OptumRx to see if an account had been created without my knowledge and was denied access because the denial said my AARP member number is not valid. I have been a member of AARP for nearly twenty years... Perhaps it is time to end that association. I would like to know who is getting drugs in my name.

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    Customer ServicePricePunctuality & SpeedOnline & App

    Reviewed Jan. 20, 2018

    Their website is terrible. It's slow, you cannot get the information when asking for a price check. Customer service answers, well basically does not answer, your questions with generic statements. Might be a computer response and not a real person. It's done through a feedback form on its website.

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    Verified purchase
    Customer ServiceStaff

    Reviewed Jan. 19, 2018

    I went thru all the procedures needed to start a mail order prescription, having the doctor fax the prescription to OptumRx. Talked to a rep on Jan 8, got verbal that the prescription was received and approved, received an email stating that the prescription was approved and I would receive by 1/18. I didn’t receive today, so I called, the rep said it was not approved. Asked to speak to a manager. Took little over 5 minutes waiting only to call me a geriatric, and that they could not approve even though my doctor had approved. I’ve asked my doctor to send the prescription to CVS that had been refilling for 15 years. I tried to answer the survey after the call but at the end of the survey, they said unable to record my answers. Terrible customer service. I would not recommend OptumRX.

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    Sales & MarketingStaff

    Reviewed Jan. 18, 2018

    The state changed their prescription plan to OptumRx and there are no pros about this company. All cons... I have a malignant brain tumor and taking ** for partial onset seizures and they refused to pay for my medication. They want me to take a medication for epilepsy which I do not have. I think this company is scamming with the pharmaceutical company so they can give me something from another company which they will get a kickback from. If you never have to use these people please don't. I have sent in appeal after appeal and they just keep denying the request and will not even speak with my doctor. I did not meet the clinical requirements. Do I have to be dead to meet them? Think cancer enough should meet all requirements. Please investigate.

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    Customer ServiceOnline & AppStaff

    Reviewed Jan. 18, 2018

    One of the most frustrating experiences ever. I started attempting to sign up for the advertised 0 copays on prescriptions marketed by United Healthcare in July 2017. It is now January 2018 and I just told them to cancel everything. Dealing with the inept people and unconcerned people at this company and the frustrations is not worth the effort. I could go into all the details but don't want to spend the time and effort to relay the entire story, so here are the high spots.... After attempting to get set up on website since July 2017 I finally talked to a person who was able to get me access. I was so happy when I got logged in and started to transfer my prescriptions.

    After I selected all of my prescriptions to be transferred to mail order, all I got was this spinning wheel in the middle of the computer screen. I called customer service and was told that the website updates every other day, so my order would not process and I would need to go through the process again, which I decided not to do and thought I had no medications ordered through OptumRX. I filed a complaint that day with United Healthcare about their sister company OptumRx since they are the ones that continue to promote using OptumRx. 4 days later I am surprised to receive an email telling me that my prescription orders have processed and I should receive them by 1/23/18. Since you cannot reply to this email, I called customer service.

    The person I talked with said that she cancelled the prescription and they would not be mailed. That evening I received a text that the prescriptions had been sent. That same evening, I received a phone call that the first time a medication is ordered, I need to give them verification that I ordered them. I called customer service once again. The person I talked with said the orders were cancelled and when I asked him why I was being asked for verification to be shipped, he transferred me to a supervisor. She also confirmed by phone that the prescriptions have been cancelled, however, could not explain the texts/phone calls. She told me she would send me an email confirmation that the prescriptions were cancelled and we will see if that promise is kept.

    At this point I don't know if I will get prescriptions or if they have indeed been cancelled. I was in the middle of asking the supervisor a question when she hung up the phone. I cannot find any information on pending prescriptions on their website. The last thing I told the supervisor was that my major concern is that I will attempt to get my medication elsewhere and have a problem if they show that they have been filled when this is not correct. I have talked with a couple of customer service representatives that offered really good service but for the majority, they are unconcerned that they are dealing with major health issues for some medications and take this way too lightly. Hopefully, everything is cancelled and I will not be dealing this company in the future, however, I never know what the next message will be.

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    Verified purchase

    Reviewed Jan. 17, 2018

    They take large amount of money for medication without informing the customer of transaction, will not refill medication when requested, showing on website that refill is there. Tell me refill needed when they just refilled the same medication and received it. This company is a disgrace to its customers. Held hostage by this loser of a company.

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    Customer ServicePricePunctuality & Speed

    Reviewed Jan. 17, 2018

    I switched to mail order for a prescription that was going to cost me nearly $250 to fill at Walgreens. I called customer service and was told I had "ZERO PATIENT RESPONSIBILITY". Long story short, I wake up 2 days later to a $212 charge to my debit card that I had stored in my account. I was reassured by the company that my order would be cancelled, spoke to 3 people saying it would be cancelled and I would be refunded, and 4 days and 2 Consumer Affairs advocates/ promises to refund me immediately. Later the order is sitting on my table at home waiting for a "return package" and my bank account is overdrawn, my day care is late, and I cannot afford a loaf of bread to feed my kids. Do not store your bank account information with them unless you are comfortable with up to $400 charges WITHOUT your expressed consent. I am lucky I don't have to order from them.

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    Customer ServiceStaffProcess

    Reviewed Jan. 17, 2018

    Like many others, I am also having difficulty with a prior authorization. This company DOES NOT have the patient's best interest at heart! I am a biomedical professor very familiar with medical issues and personalized medication. You CANNOT authorize medication based on some cookie cutter formula of what is FDA approved, try this first, try the generic, etc. That does not work for everybody and only the patient and their doctor knows what is best!

    My friend's daughter was sick for a month trying 3 antibiotics before her company would finally pay for the right one. I am now waiting for a medicine that has worked for years and am not about to start over with experimenting with new ones that I know will not work. OptumRx, you are HURTING people with this process! People need their proper medications and to stress them out further with this process of countless phone calls and wasting my dr's time with more phone calls is unnecessary and harmful! Shame on you!

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    Customer ServiceCoverageStaff

    Reviewed Jan. 17, 2018

    I really think that the State of New Jersey has done all of us enrolled in NJ State Health Benefits a disservice by contracting with OptumRx. What was supposed to be a smooth changeover from Express Scripts has been a horror show. I have spent several hours in the last four days trying to arrange for my prescriptions. Some necessary as a cancer survivor. The people I talk to are nice enough but nothing gets done. I was told that there are two accounts in my name. Who knows how that happened? I can open my wife's file which is not a problem but I believe violates privacy laws without her approval. They have no idea how that happened. I gave them my credit card and approved payment from it.

    Today I got a call asking for payment? I received an email telling me that my prescriptions have been shipped. I was told today that they can't be shipped until payment is made? According to my credit card company, they have been paid? One of my meds that I have received for eight years has been labeled by them as not approved by FDA for Medicare D? It's for the after effects of cancer. I am sending letters not emails to both the CEO and the President of this company. It's really disgusting that myself or anyone else is treated like this.

    Updated on 06/09/2018: Since January since my health care plan switched from Express Scripts to OptumRX I have made 27 phone calls to this company regarding one medication. It’s necessary for me as a cancer survivor. I’ve been getting it for nine years. I’ve been told on several occasions that my medication is not covered and when the rep digs deeper and finds that it is they tell me that it’s on its way 7-10 days. I still haven’t gotten the med I have been inquiring about. Luckily I’ve had some extra. Now I need it. Even after mailing a new script to them in the manner that they requested.

    Finally today it was suggested to me to request a comprehensive formulatory of what is covered. Of course I got the 7-10 day arrival time. First I was told that it was available online then it was not? It’s supposedly coming by mail. We will see? At least they didn’t lie this time and say my med was coming. When and if I get my complete list of covered meds I’ll make another entry. What a terrible company. If they haven’t answered your question, don’t hang up. Try to be nice. Even if it hurts. You will never get the same person again.

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    Customer Service

    Reviewed Jan. 16, 2018

    My doctor added a new medication for my PCOS. They charged my account which totaled to $120. They didn’t inform me and when I was buying something for my son my card wouldn’t go through because they charged my account without my knowledge. So they send my new medication which required a needle. Sure enough they didn’t send me any needles for my medication. I called them to see why didn’t they send me any needles for my meds. They said my doctor has to order it. I’m in the nursing field and our pharmacist knows that they need to send us needles if we have a new patient. Then they have a nerve to ask me if I would like for them to contact my doctor to ask for the needle prescription. Now I just got an email saying that my order is on the way when I haven’t even ordered anything. When you ask to be transferred to the survey it just hangs up. Poor company.

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    Customer ServiceStaff

    Reviewed Jan. 15, 2018

    I have never experienced the level of ignorance that I have encountered with OptumRx. My husband and I became member of OptumRX in 2015 when his company changed over their benefits and I wish I had known what lie ahead. On Tuesday January 9, 2018 I took two prescriptions to my pharmacy to be filled and did not think I was going to have an issue as OptumRx had been filling this exact same prescription for the last three years without an issue. My pharmacy informed me that I needed a prior authorization for both prescriptions, I was dumbfounded as I hadn’t had any issues the previous three years. I placed a call to my physician’s office who then promptly filed two prior authorizations one for each medicine.

    One of the medications I was given a temporary authorization to fill so I at least got that far, but that’s when the nightmare began. I placed over 40 phone calls over a period of four days to try to find out that status of this medication. I was told it was denied and my physician filed an emergency appeal on Friday afternoon which then was denied over the weekend (which I found amazing because when I called Monday morning I was told it was still waiting for a pharmacist to look at it). My physician’s office called me Monday afternoon and said they had sat on the phone for over an hour trying to get it figured out and she even said the OptumRx representative had no idea what she was doing. I called OptumRx back after I got off the phone with my physician’s office and was told the whole thing had been cancelled.

    I am frustrated, angry, so many emotions that I can’t name them all, the little people like me have no recourse over the Big Pharma and are left at their mercy. I’m sure if this had been a heart or kidney medicine they would have approved it immediately but because my medicine is a member of the opioid family I should be made to suffer. I am at a loss for what I can do next.

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    Customer ServiceContract & Terms

    Reviewed Jan. 15, 2018

    The incompetence and mishandling by this company sets a new level of failure. No ID card despite numerous requests, a circus trying to get through on the telephone. Whomever decided to contract the slipshod outfit should be on the unemployment line.

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    Customer ServiceCoverage

    Reviewed Jan. 13, 2018

    BEWARE - BEWARE - BEWARE. This company is a parent's worst nightmare to deal with. After over 3 years of taking a medicine for my son's ADHD they have now completely refused to cover it and after many calls from both myself and our doctor, an ORTHOPEDIST has decided that my son no longer needs his current medicine and he has to now take a generic substitute of a completely different class (** versus **)...for a child to go through such a thing and have to deal with the horrific side effects and possible suicidal tendencies that could accompany this change, I can only pray that my son does not suffer too long with this forced change. The company was completely unreasonable, could offer no explanation for the decision and the decision was made by a doctor that was neither a psychiatrist or a psychologist, but an ORTHOPEDIST! BEWARE - BEWARE - BEWARE.

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    Customer ServicePricePunctuality & Speed

    Reviewed Jan. 13, 2018

    Company fails to send out orders when promised and consumer is billed for price changes in interim. In the matter that finally led to me dismissing Optum RX as a supplier, they (deceptively) agreed over the phone to charge me what they should have had they sent the meds on time. They then went ahead and charged me what they wanted anyway. Moral of the story: Don't use this dishonest company.

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    Customer ServiceCoverage

    Reviewed Jan. 12, 2018

    My husband retired end of December 2017. Got the medicare insurance and supplement. Tried to get his diabetic supplies from OptumRx. It has been an ongoing battle, 1st tried to sign up on website, that didn't work, so called in. That didn't work, so called our Doctor's office and they sent RXs to OptumRx. We got a refusal because the company said he has other insurance. I faxed the proof he does not and it still was not accepted. I called them and they said it would take at least 5 days to process. On all the phone calls, at the end I can give a review of performance from phone help and every time the phone hangs up so can't do it. In meantime--- it's too bad mister, no diabetic meds.

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    Customer ServicePriceStaff

    Reviewed Jan. 12, 2018

    I recently called to get a refill of my medication. After finding out that my medication was going to cost me 4 times the amount I paid last month and the previous 8 months, I had to check and make sure they had the right insurance info. Just asking insurance verification with the customer service rep was such a headache. I talked to 2 different people who seemed so confused! I then decided I had to call my insurance to verify my copay. Prior to hanging up, I told the rep that I was gonna call my insurance and call back.

    OptumRx has my credit card on file from previous refills. Before I could call my insurance OptumRx went ahead and charged my card for the meds 4 times the previous charge and shipped the meds!... I called them right away to ask why my card was charged without my authorization? The rep told me to, "Just call and ship back the medication. When I get it the money will be refunded". I told her I wanted to speak with a supervisor and asked if a supervisor would call me. She told me if I need to speak with a supervisor I needed to call back and speak to one for a supervisor could not call me. I am waiting to receive the meds so I can ship it back. How unprofessional and what an inconvenience! I am done getting my prescriptions with them! I will be sure to warn my family and friends about them!

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    Reviewed Jan. 10, 2018

    This place has really messed up my prescriptions. I have 2 that have 1 refill, 1 that has 4 refills and the last one with 0. I now have to go to the doctor to refill the one. Each one started out with 6 months worth. I went to the website which had none of them and can’t find a phone number anywhere. Ridiculous. I’m not going to use them anymore.

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    Online & App

    Reviewed Jan. 10, 2018

    OptumRx has become a major problem. They do not recognize my ID or password on their website, thus I can't order my much needed medications. I need the meds. There should be a public notice sent out by someone that alerts people of this. Like airbags and other safety issues, people need to know that when they need their medications, OptumRx is not operating. This is a dangerous situation that needs attention!

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    Customer ServiceStaff

    Reviewed Jan. 10, 2018

    New Jersey State employees have had their insurance switched to OptumRx and Briova effective 1/1/18. What an absolute nightmare. When you call you will sit on hold forever. However, if you agree to take their "survey" you will be immediately connected to a customer service rep. The rep will be pleasant and you will think they are helping you. They will convince you they will solve your problem, even call you back with an update, but all they are doing is lying to you so you don't give them a bad survey result.

    10 days into this change and still no prescriptions. I have to deal with Briova, Optum's specialty pharmacy for a specific med. They have lied through their teeth and just keep rejecting the prescription and THE AUTHORIZATION! They have given the excuse that it was written incorrectly even though the doctor has sent it properly 3 times. The doctor sent me a picture of all that was submitted to Briova and those pics clearly prove that Briova flat out lied about why the claim is being denied.

    I was told my claim would go to the "escalation department". I have the names and even a voicemail from someone claiming to be from that department, but when I called again last evening and spoke with a "manager", she claimed they have no one by those names in that department. More lies. I spent an hour on the phone with the "manager". After I told her I have the pics of the paperwork sent to them and there are NO ERRORS she went on to change the story to, "someone entered it incorrectly". Yeah sure. I also received a letter that was dated prior to this insurance being effective regarding this medicine that said to talk to the doctor about taking an alternative. There IS NO ALTERNATIVE. They would rather you just take an aspirin and go away than have to fill the actual prescription. After 53 minutes and 56 seconds, the "manager" said she finally resolved the "issue" and will give me back to the rep to set up delivery.

    The rep set up a delivery for today, 1/10/18 and then went on to tell me that I MUST talk to a pharmacist about this medication in order to keep receiving it. I sat on hold another 10 minutes only to have the rep come back and tell me the pharmacist is too busy to talk to me. She said, "I will have them call you tomorrow morning". Well that time is here and, of course, no call as of 10am. Given their track record of lying and denying, I'm sure I will not get a call nor any medication.

    I am about to call Briova now as I never got any email confirmation that the order shipped. Stand by... Well surprise, surprise. It was sent and is out for delivery. It only took 10 days of repeated calls, lies and complaining. I sit now on hold waiting again to speak to the pharmacist so I can continue to receive the medication. Another shocker... I actually spoke to the pharmacist. I will update when I try to get a refill next month. REMEMBER... DON'T SIT ON HOLD, AGREE TO TAKE THE SURVEY AND YOU GET CONNECTED IMMEDIATELY. So sorry they changed my insurance. Never had any problems with the previous company.

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    Reviewed Jan. 10, 2018

    I never write these type of reviews. I have not had one single positive experience with this company. They can't find me, tell me my account is inactive, take months to contact my doctor. They are worse than Caremark.

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    Customer ServiceStaff

    Reviewed Jan. 9, 2018

    I was on the phone for an hour, spoke with 5 different people, different departments and not one could answer my question. I also needed OptumRx legal dept contact and was told they do not have a legal dept. Really, a Pharmaceutical Co in the USA has no legal dept? Like I said, not one person there knows anything.

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    Customer Service

    Reviewed Jan. 9, 2018

    Worse ever company to do business with! I have to send prescription refills registered because they "didn't receive it". Then they delay the medication because they "need more information from the doctor", but never contacted the doctor, but send emails stating the medication is "on the way". How convenient that this happens 7 days after the new year starts and the medication is now $761 for 3 months!!

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    Customer ServiceStaff

    Reviewed Jan. 5, 2018

    After switched to a different program within the United Health Care, I cannot login to the OptumRX web site. The worst part is: I called them at least 10 times during last 3 months. Every time, every call is a fresh call as if they don't know the issue. Every time, they told me to wait for 7 business day. Week after week, it is still not working. And they don't care, because it's IT department's business!

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    Reviewed Jan. 5, 2018

    I use to have Express Scripts and never had a problem with my refills, my insurance got switched to OptumRx and now my prescriptions can't get refilled without prior authorization and I run out of my meds because the insurance company takes days to get authorization. I have been on the meds for over 2 yrs and they are still giving me problems to refill.

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    Customer Service

    Reviewed Jan. 3, 2018

    Worst customer service I have ever had to deal with. When you have a problem and you call their customer service they yes you to death and do absolutely nothing right. I called a prescription in on December 4th and didn't get a response until January third and then had to pay my deductible because it was the beginning of the year. When I called customer service and explain that to them all they could say was, "Sorry but you still have to pay that deductible even though you called it in on December 4th in 2017."

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 2, 2018

    My daughter has a chronic condition, and United Health Care requires that we get her specialty medication through Briova. When she is late getting this medication, she ends up in the hospital, missing school, family activities and life. Briova has made sure twice in the last year that she's gone to the hospital, rather than take the medication that would 100% keep her out of the hospital. I call what they do intentional incompetence. They feign incompetence to avoid shipping medications.

    Every month, we have to order her medication, and every month we spend days and days on the phone arguing about what the copay is on our plan for this medication. They frequently "lose" the prior authorization, or require a new prescription from her doctor. And even after days on the phone, they like to play an end-of-the week game, meaning they say they'll ship on Friday (meaning daughter waits yet another two late days to get her medication), but then when we call at the end of the day on Friday, they tell us we didn't, "Call back to authorize them to ship the medication." It's not just this one medication for this one daughter. They've done the same to my other daughter with a different medication.

    This morning, my wife has already made the first three of what will be many calls to Briova (Optum's specialty pharmacy), and has been quoted a different co-pay for the same medication each time. Ultimately, we usually have to get United Health Care on a conference call with them. Even with our insurer on the line, telling them the medication is covered and what copay they should charge, they will inevitably fight and argue with the insurer while we listen in on the line for at least an hour, before they give in. Then, they'll find another way/reason to delay the order.

    Their other game is to claim you owe a huge balance, and just simply ask what kind of credit card you'd like to put it on. Last month, they claimed we had a balance of $5000, and they wouldn't ship the medication until we paid it. UnitedHealthcare confirmed that we were well past our maximum out of pocket for the year, and should be charged $0 for the medication. That took 4 days on the phone, at least 8 hours of phone time between my wife and myself. Someone with money might just pay the $5000. I'm sure they are banking on that.

    I don't want to completely blame feigned incompetence, though. Let me be clear, many, many of the Briova customer service representatives you will get on the phone really are genuinely incredibly incompetent to answer a phone call, let alone to answer a prescription question. I believe United Health Care/Optum/Briova does that by design. The system is designed to make the patient give up and give in, to go without their medication or healthcare because they simply make getting the care too much of a hassle. My advice to others, use your state insurance commissioner's services to make sure that you get what your plan covers. Don't let UnitedHealthcare use Briova's feigned incompetence to deny you care, or to put your children in the hospital. That's what I intend to do from now on.

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    Customer ServiceStaff

    Reviewed Dec. 31, 2017

    WARNING!! This is the worst company of any type I have ever encountered. Managers are complete greedy and biased idiots. Systems are always down. Reps are always new because it is such a terrible place to work so they don't know anything and always make mistakes. OptumRx is so cheap that they don't hire enough people to keep up with the calls. Do not use OptumRx to get your meds under any circumstances or you will be sorry.

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    Customer ServiceStaff

    Reviewed Dec. 29, 2017

    I am a patient with a chronic condition and in the 12 years that I have been under treatment I had never experienced such bad customer service. I have to get one of my chemotherapy medications through them. I have found it difficult to get a representative that knows what they're doing. Recently they denied me the medication that I need to take in order to survive because I have a balance of $2800.00. I spoke to one of the reps before who told me that my balance would be $0.00. My infusions representative also spoke to a person and was told the same , that I owed nothing. I am out of medication and they refuse to provide it for me. Just a really bad company who doesn't really care about the wellness of its patients.

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    Customer ServiceOnline & AppStaff

    Reviewed Dec. 29, 2017

    I have never experienced a more inept, incompetent, incredibly irritating outfit than OptumRx. There is not ONE thing I can say positive for them. For example, though I am signed up for automatic refills, I ALWAYS must contact the company and jump through 20 hoops before they release the prescription. They also send email alerts that don't say what the alert is about. And their website rarely works. Hence, a phone call is required, which almost never goes through.

    Today, for the last 45 minutes, I have been trying to talk to someone at OptumRx. Repeatedly, after very long waits, an assistant picks up the phone only to then disconnect it. At one point while going through Optum's myriad menus, I got a recording saying I had won a cruise to the Bahamas! This is outrageous. This company cannot be taken seriously. I had Prime Therapeutics for over ten years with zero problems. I've had OptumRx for two years now and have had it with their totally unprofessional bush-league operation. They should lose their business license. I am now going to contact my insurance and see if there is ANY alternative. STAY AWAY FROM THIS COMPANY!!!

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    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 27, 2017

    Add me to the list of people with bad experiences. They think an apology is enough, so they just keep on making United Healthcare's patients (and AARP's members) miserable. If they can't fix their computer problems, please replace them, AARP! Here was my message to them and their response: Me: "Your call back status says "Service is disabled"! Absurd! You screwed up my prescription (doubled the order), said my doctor didn't approve when he did, and now won't let me contact you. I'm all done with OptumRx and will post critical comments."

    Them: "Thank you for contacting OptumRx Customer Service. Our apologies for the inconvenience this matter has created for you. Currently, with the new updated website we are attempting to work out the problems and ongoing issues with it as well as some sections becoming temporarily unavailable which included are reply button and call us feature. We are aware of the issues and are in process of addressing them. Your patience on this matter is greatly appreciated. To speak with a Customer Service Advocate, please contact us at 1.877.889.5802. We are available 24 hours a day, 7 days a week. If you have any further questions, please reply to this message by submitting a new feedback form."

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    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 26, 2017

    I am new to OptumRx and asked my doctor to use them to save me money by doing a 90 day supply of my very expensive medication. I wish I'd never done that. I'm am SO grateful my benefit plan doesn't force me to use mail order. I had the same experience I've read about over and over on this site. Orders will sit forever in processing and OptumRx never reached out to me for more information. I called 3 times total to ensure my order would arrive before I ran out of medications. My most recent call had me talking to an incompetent agent who was also quite rude. She initially said there is no order, then said it's out of refills (it had never been filled at all, so refills don't apply), then she put me on multiple very long holds only to come back and say they needed more information from me so that's why it's been sitting processing so long. I told her I have called in twice in the past 4 days, and why is this only now an issue?

    She told me nothing the previous two agents did "saved" in their system and now the process must start over. I told the agent I would be out of meds before the order arrives and she actually just scoffed at me and sighed loudly to indicate she did not care. Stay away from OptumRx. These people will do harm to you by letting you run out of meds and they will not do anything to change. That is evident by the years of reviews with the same complaints over and over. Demand your benefit plan drop them. Make yourselves heard! I did, and found my employer had received hundreds of similar demands, and so they did remove them from our benefit plan for the coming year. That is the only way to get rid of OptumRx, so do it!

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    Customer ServiceStaff

    Reviewed Dec. 22, 2017

    I had a prescription that all of a sudden required a prior auth after being on it for 2 years. It took 2 weeks to get this handled. Mostly due to the fact that whenever I called in to speak with someone I would be told they couldn't help me, be given a different number to call or transferred to someone else, who would also tell me they couldn't help me. No one at this company (managers and supervisors included) had any initiative to help with my problem. They only wanted to pass it off to someone else. I had been hung up on by a representative on numerous occasions, as well. This company is unprofessional and unqualified to help with customer's problems.

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    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 21, 2017

    As I started with United Health Care back in Feb I was told Optum is their mail order pharmacy, ok cool, my deductible for 90 day was 8.25, sweet. Then as of Dec 2nd I placed my order. Charged the 8.25. Done. Then that Monday at 5 pm Pacific time there was a charge of 311.40 on my credit card, I called Optum, spoke to them over an hour, asked them not to proceed because I have to call the insurance co in the morning. Well I started in the am to call insurance co then all of a sudden within mins of each other I had 311.40 debt from my account.

    My bank refused the charges. So I contacted my bank letting them know they had no authority to take these kinds of funds from my account, so I went to the bank, had to cancel my debit cards and as I was sitting at the front door of the bank, Optum placed another 311.40 on my account, now this is 5 times in less than 24 hrs they done this. DO NOT STORE YOUR CREDIT CARD INFO with them, because of them I cant buy anything for a 8 year old little girl. TY Optum for not giving a darn and being very rude not only to me but to employees from United Health Care. YES a for complaint has been filed.

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    Customer Service

    Reviewed Dec. 18, 2017

    3 month subscription service, took 4 months to get my order, they keep blaming the doctor, every time you call, they will tell you what you want to hear, but no one keeps their word. Prescription sent to a wrong address (after getting meds for 2 years). I asked for a refund, 7 weeks ago!!! When I call they say the same thing, "You should get it in several days." Why is behavior allowed???

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    Punctuality & Speed

    Reviewed Dec. 17, 2017

    What a disgrace. Meds that you must have never show up on time and you are at the mercy of them and the mail when we used to be able to pick up our med at a local pharmacy. Absolutely disgraceful. They can delay processing, screw up your order and don't even have the sense to overnight or priority ship. ** this company.

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    Customer ServiceCoveragePriceStaff

    Reviewed Dec. 12, 2017

    I called to re-order a prescription and, after taking the order, the agent informed me that the cost would be over three times what I had been paying. When I asked why he said that there was gap in my coverage. I then told him to cancel the order, that I couldn't afford it and didn't want it, that it was either cancel or don't eat. He put the order through anyway and charged my bank account. Now I can't pay my rent.

    I have called and spoken to a supervisor on three different dates and gotten three different stories about why I can't get my money back right away. The first one said tomorrow, the next 3 to five days and today she claimed I never canceled the order at all and couldn't find any evidence that I had talked to another supervisor and that I couldn't get my money back until they got the prescription back and I had to wait for them to send me something to return it in. This is not the first problem I have had with them either.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 12, 2017

    I thought Medco Express-Scripts was bad. These folks make them look fantastic. EVERY single representative is a brain dead zombie. Zero common sense. Unable to complete a sentence. Everything they tell you, without exception, is wrong. Transferred from 1 ignoramus to another. 5 days and 8 calls later and they are still unable to process a simple refill.

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    Customer Service

    Reviewed Dec. 11, 2017

    Worst required website for medication from United Healthcare. They have deleted medications, they have not sent auto-refills, they have the worst customer service in the history of medication management. This is not OK. You don't screw around with people's medication! I'm 59, suffered a stroke, and am now on blood pressure meds - but do I get them from the auto-refill portion of this moronic website? Of course not! I am also on antidepressants. So, if I kill myself or have another stroke who do you think is to blame. These are not doctors running these sites. This is criminal!

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Dec. 8, 2017

    I read other complaints posted about this company and see the same issues being echoed over and over. Mine will be no different. I started using OptumRx almost two years ago. I have learned to schedule my doctors appointments early and mail in my prescriptions utilizing overnight delivery to ensure timely processing of my medications. Every month I have to get intimately involved to make sure things go smoothly to no avail. I called last Sunday to ensure the shipping was set for overnight as my prescriptions require a signature. I have to make arrangements for someone to be home. After the first representative made extremely inappropriate comments to me I asked to speak to a supervisor. I was not permitted to speak to a supervisor initially and had to insist upon it. Once I did speak to her she tells me there is no such thing as overnight delivery, only expedited.

    I assumed incorrectly this was simply semantics and did not challenge what she was saying to me. She "waived" the shipping fees and set my prescriptions for autodrop. I called back two days later (Tuesday) to get a tracking number and was told that not only did my prescriptions not "autodrop" I also would not receive my medications until the following week. When I asked why, the representative explained that the shipping was set for expedited and not overnight… What?! So I explain my previous conversation and allegedly the problem is resolved. I call on Wednesday to get a tracking number and learn the order was once again expedited and not overnight. That rep cancels the order, tells me to call the next morning (Thursday) to reorder it with the proper shipping elected. She put a detailed note in my file and read it back while assuring me this would correct the problem.

    I do as instructed and when I followed up the next morning I was told it was already taken care of and I would receive my medication the next day (Friday). However, this rep could not give me a tracking number as the system hadn't updated and she told me to call back in a couple hours. When I did call back I had the same exact conversation with another rep. I called back a third time (Thursday evening) and when I asked for the tracking number the rep told me there was a hold on my prescriptions because they wanted to know if I was okay with the shipping fee... What?! She then tells me that expedited and overnight are the same and I won't get my medication until Wednesday of the following week. I asked to speak to a supervisor. He gets on the phone and tells me that he has notified the fulfillment center that it is to be shipped overnight with the option of a Saturday delivery. He notated this in my file.

    This morning I wait for an email notification and when it never came I called back only to be told that the changes were never made and I won't receive it until next week. So I won't have my medications before I run out. I won't be able to work or care for my family all because this company can't get it together. I go to great lengths every month (some that cost more money) to do all I can do to prevent this from happening and it does no good. The reps don't know what they’re talking about nor do they understand their own services. I called every day for 6 days, some days multiple times and they couldn't get it together. I am seriously considering talking to someone to see what I can do to receive compensation for lost wages as a result of not receiving my medication on time. This company is highly negligent and I have no confidence in them at all. I am forced to use them by my insurance company.

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    Customer ServiceStaffReliability

    Reviewed Dec. 7, 2017

    This company just added another level of "security" that required them to send me a verification code. I was on my home computer. The phone number they used was my home phone - no problem. But they did not have my cell or work number. That meant I couldn't log in to my account from work. There was no option to add other phones. That's a failure in web design.

    I called a rep, and despite my careful enunciation she could not understand my very ordinary name, so I hung up, tried again. The next rep understood me the first try. Said it was up to ME to update my phone records, not her... BUT she would this one time take my cell # so they could TEXT me the verification code. They didn't; they dialed my cell phone instead. I'm beginning to see why this company has a 1-star average rating - you don't see that very often!

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Dec. 4, 2017

    I have been trying for 4 days now to switch my scripts from a retail pharmacy to OptumRx, as UHC is requiring maintenance medication be filled through mail order in 2018. I figured, how hard could it be to switch my prescriptions over? It's been nothing but mistakes, poor customer service, a broken website that doesn't show the correct information about my medication. The OptumRx rep even misspelled one of my medications when requesting a new script from my doctor's office, causing one of my required medications to not be filled on time.

    I am STILL in the process of playing middleman between my former retail pharmacy, my doctors, and OptumRx because of their mistakes. Easy, simple... not at all. Nothing but a hassle and I barely even save any money on prescriptions and now I have to worry about them being lost in the mail or stolen off my porch if they're delivered when I'm not home. If OptumRx were a brick and mortar pharmacy, I would have walked out the door, but unfortunately, they are the ONLY pharmacy I am allowed to use with my plan or UHC will make me pay full retail price for my medications.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 4, 2017

    Ok, after reading all the horrible reviews I understand why the State of New Jersey chose this particular supplier. The same type of customer support we get from our representatives and governor. (POOR). My husband is a type 1 diabetic and has been for 43 years. He currently sees an endocrinologist that works closely with him to guarantee that he gets the proper medication to manage his condition. Upon notification that we were switching from Express Scripts to this farce, we received 3 notification they would not cover his medication or the test strips that are tied into his insulin pump. If this is the type of customer service we can look forward to, GOD help us because obviously no one else will.

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    Customer ServicePrice

    Reviewed Dec. 2, 2017

    OptumRx mailed to me 6 medications of which I only ordered 2 which should have cost me $30. Instead they ship me the 6 drugs at a cost of $480.00. I contacted OptumRx and spent 1hr 30min on the phone only to be told that they will not issue me a credit because the drugs were ordered on a computer, which I did not know and do not understand. Any help that anyone can give will be appreciated.

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    Reviewed Dec. 2, 2017

    Everything has to be preapproved with this service. It stinks!! If the Dr. Prescribed it HELLO they are the authority. They wouldn’t prescribe it if it wasn’t needed. My daughter will have to go without her medicine because you continually have to just jump through their hoops. Is this the plan make it such a hassle you give up trying. I’m telling the Union they need to quit using this service.

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    Customer ServiceOnline & AppStaff

    Reviewed Dec. 1, 2017

    As many other reviewers have said, this is the worst company I have ever tried to work with. Unprofessional customer service reps, horrible website, etc. We were forced to use Optum by our retirement agency. Complaints to them have fallen on deaf ears. Now Optum website is not working correctly for most customers, so we have the pleasure of having to deal with them over the phone, adding even more frustration. I cannot believe that they manage to stay in business.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 25, 2017

    On November 16, 2017 my wife called to request a prescription be filled which was on file by her doctor to be mailed prior to the Thanksgiving holidays. The customer service agent agreed to do so in a timely manner at the appropriate time and my wife ordered next day shipping so it would arrive on the 21st before Thanksgiving. There was no problem. On the afternoon of the 21st, after the mail had arrived and we had stayed home all day to sign for it but nothing arrived, she called to see what the problem was.

    She was told "it could not be filled because it was not filled within 21 days of the doctor's having prescribed it." My wife immediately hung up and called her doctor's office and luckily they had not closed for the holiday and they wrote a new prescription which was sent to our local pharmacy. We were notified on Wednesday that they had received it and it would be available today (November 25th). When my wife called this morning to see when it would be ready for her to pick up, they told her they could not fill it until mid December because the insurance company had put a hold on it.

    She called the insurance company to discover that they charged our account for a prescription on the 22nd, and said they filled the prescription that was "no longer valid the day" before on the next day, so we looked at our credit card and sure enough it had been charged. However, when we tried to locate the same prescription it was still pending and when we called to have it canceled, we were told they could not cancel it and there was nothing they could do! At my insistence, we called back again and I go on the line and talk to them and said I was staying on the line until they found the prescription and told me why we couldn't track it if it had left the facility and if it was still there we demanded that it be stopped, restocked and that the local pharmacy be allowed to fill the prescription.

    After almost an hour the supervisor finally gave me a tracking number and told me it would be delivered tomorrow. This after we were told early it would be a week before it would arrived. We were told something different every time we called, to every question we asked, and in the meantime my wife suffers from the pain of reactive arthritis, bursitis, and fibromyalgia. Oh and the constant response is always, "I am sorry, there is nothing I can do!" And do nothing right is what OptumRx is all about! That, they are really good at!

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    Customer Service

    Reviewed Nov. 23, 2017

    I have been having to use OptumRx since May. I have yet been able to get all my prescriptions transferred because they have a 48 hour response time. If they don’t get a response within 24 hours they cancel the order. I just now received a email saying they are having trouble with a order that I know the doctor faxed the prescription over yesterday. Absolutely terrible pharmacy.

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    Customer ServiceStaff

    Reviewed Nov. 19, 2017

    I give this company no stars, I would not recommend them to anyone to use. Twice they have processed a prescription through that has a high dollar co-pay and debited my bank account without checking with me first. The first time the amount was over three hundred dollars and this time it is close to three hundred dollars. The first time it happened I made it clear that I did not want any more prescriptions processed with a high dollar co-pay without being consulted first. This time when I called the first person I spoke with went through all my and my husband's verification information, then says I have the Medicare department (the number I dialed is the one I always call them with) then the person she transferred me to said she could not access our account to look anything up because their system was updating, this was not even a minute after the first person had looked at both my & my husband's accounts.

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    Customer ServiceCoverage

    Reviewed Nov. 19, 2017

    This is the most disgraceful insurance company I have ever encountered. Their customer service is ridiculous and they just randomly deny insurance claims when the person is clearly covered. I have never had a more frustrating experience with trying to refill a prescription in my life - for MULTIPLE family members. It's such a joke that I pay this much for insurance only to have them make it impossible to pick up a prescription.

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    Reviewed Nov. 17, 2017

    Both Optum and Briova are incompetent. United Health Care should be fined as they require the use of these companies to obtain prescriptions. I was previously utilizing CVS Specialty and never had issues. United required me to switch to Optum and Briova. They are disorganized. They lost the information on co-pay assistance. Between my doctor and I, we have spent one week attempting to fill a prescription. I am now attempting to get assistance from United. It is a shame that the Health Insurance Underwriter is responsible for elevating stress and contributing to my health problems.

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    Customer ServiceSales & Marketing

    Reviewed Nov. 16, 2017

    I made so many phone calls between my doctor's office and OptumRX and my Insurance Company. I thought, "Hey. It will be worth it." It was not. And I WILL be transferring my medicines (at least the one I got sent from them so far.) back to my local pharmacy. The one medication they sent to me I asked them to confirm the name... they tell me it medication ** AND then today when I actually opened the package it was a completely different prescription.

    How can you not know what medication was sent? Please, that is what you are advertising as a company! SHIPPING MEDICATION... then the whole reason why I was going through them was to get a 90 day supply and today I have the lady confirm what is being sent. She tells me a 30 day supply. I was like wait... I have confirmed multiple times my insurance DOES AND WILL cover this 90 day supply and my doctor did write a 90 day supply.... I said, "WHY would I go through you for a 30 day supply if I can get the medication for a 30 day supply tonight..." I ran out and thought it would be here today... this is a terrible company. I will not be using them. I hope they send me a survey and I am completely livid that they have the incorrect names and doses on my medication. Now I am waiting for my doctor to call me back to set up the prescription back at my local pharmacy but at least tonight I can take my blood thinners like I need... I ran out two days ago.

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    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 15, 2017

    My doctor wrote me a prescription to send into OptumRx because my local CVS pharmacy was having difficulty ordering it. So before sending it in I asked if they had the medication I was ordering. When I went to check my order status, I noticed that I'd been charged over $400 and looking closer realized that they had substituted the brand name of my prescription instead of the generic. When I called to question this I was told first that I needed pre-authorization which I had 3 of, and then said that my doctor had to fax it to them along with some other information which I told my doctor's office staff. Then when I called back I was told that they don't accept faxes from Dr.'s and all the faxes he had sent had been circularly filed.

    So I called again and asked that the brand name be replaced with the generic, I was asked "Do you want this filled or not?" And I said that I wanted it filled as written. A week later I received my hard copy prescription with no medication. So I called again and was finally told that all my paperwork was in order but that they would not stock the generic! How am I supposed to get my medication if my health insurance's drug store refuses to carry the medication I need??!!

    Updated on 11/21/2017: So after trying a few of the other pharmacies contracted with Independence Blue Cross only to discover that all of the pharmacies contracted with Blue Cross are also contracted with OptumRx and that Walgreen (who is not contracted) has the medication I require in stock! Of course Blue Cross has refused to allow a waiver so that I can actually get the medications my doctor has prescribed and is also something they have done in the past when the contracted Pharmacy Manager used "moral beliefs" as an excuse to refuse to fill my prescription! Instead I was told by Blue Cross to ask my doctor for a substitute!!!

    Sorry but the only "substitute" is the brand name which OptumRx has in stock and previously tried to substitute for my generic prescription... Because of course they would as the brand name costs me $300, and even in that case Blue Cross refused to provide a waiver so that I could get my medication at the price I would pay for the generic. So now it's been almost 3 months since I was able to fill my prescription and I am essentially housebound because of it and all Blue Cross is willing to do is provide me with a list of other pharmacies that Blue Cross has contracted with.

    This of course is useless to me because I can't call and ask if they have my medication in stock, I have to actually go to each one and provide my prescription so they can put me on their drug seeker list and oh! Of course! They are all contracted with OptumRX as well! So now I'm looking at my options on the healthcare.gov and naturally my only options are Blue Cross!!! At what point does the rights of a disabled individual override the contracts made by my only choice of health insurance and the pharmacy benefits provider that doesn't actually provide any pharmacy benefits!

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    Reviewed Nov. 14, 2017

    I have been waiting for 2+ week for a prescription to get filled and OptumRx says they are waiting for the doctor and the doctor say they gave the authorization, what do I do? Please contact me if there is a class action lawsuit! Minus 5 stars!

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    Mary increased rating by 1 star.
    Customer ServiceStaff
    After a positive interaction with OptumRx, Mary increased their star rating.

    Reviewed Nov. 13, 2017

    Last month 3-4 days in a row left messages on my machine saying to fill my monthly prescription for **. The person said that the correct paperwork had not been done by the dr. The doctor had done his part. I received no call from Briova to fill my monthly shots. I called because I have one more shot left and would be out on Friday. I was put on hold for about a half hour, called back several times and spoke with Anne the pharmacist and she sent me to the same girls again. Finally they said United Health Optum was denying ** and dr. had okayed generic of **. Had me wait again and again and then told me to call back in half an hour. I did!

    The run around and girl said she would put new order in for the generic. I need my medicine this week. Have been reading online that other patients are going through the same thing with Optum. I am an old broad but there are young people out their that need it more than I. Shame on Optum to leaving patient without their medicine. We don't take this for fun. It is our hope to not be completely disabled and the companies and out paycheck show we are paying out a good amount of money to United Health. I hope every patient and dr. write a review on Optum.

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    Price

    Reviewed Nov. 9, 2017

    I am shocked and furious over what Optum RX has done to me, screwing up my bank account. I had called my Drs. office to let them know that I wanted a refill on 1 prescription and some others might need refill orders. I did not say I was out of any other prescriptions but I wanted to make sure the refill orders were there. What happened was insane as Optum RX went ahead and refilled 13 prescriptions I don't need or even have, and then took it upon themselves to charge my bank account for $347.35. Then they went ahead and somehow charged $50 on another bank account.

    The 1st account debit caused my account to go under once a large rent check I had written was also debited. I have called Optum RX twice now and they told me they would research it, as they had to go ahead and abide by the Drs. orders of filling 13 prescriptions. After my 2nd call to Optum RX, I called my bank and told them what occurred so I could file fraud against my account. The $347.35 debit has been in pending status for a few days so the money has not been refunded to me. I had also told Optum RX to stop any orders since I had not requested 13 medications. I'm beyond furious as I want my money back and I can't trust them at this point to refill any orders.

    Luckily I had private health insurance plus Medicare. I'm considering obtaining Part D for the prescription coverage to eliminate having to deal with Optum RX ever again. I'm willing to believe my prescription costs will go down as they have steadily increased under Optum RX. All I can say is DON'T EVER ALLOW OPTUM RX TO USE YOUR DEBIT OR CREDIT CARDS WITHOUT YOUR PERMISSION. Oh and I had told them before to bill me, assuming the charge would be under $100 at any one time. They never ever had my permission to go ahead and use my debit or charge cards.

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    Customer ServicePricePunctuality & Speed

    Reviewed Nov. 7, 2017

    Called OptumRx and inquired about a medication I was about to order. The price quoted to me was more than I was willing to pay. I told them I did not want to place the order. They sent me the medication anyway. I did not open the container. I then called OptumRx. They said they would send me a return kit. Waited a week, the return kit never arrived. Called OptumRx again. They then told me that their Appeals Board decided not to send me the return kit and that I will have to pay for the medication.

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    Reviewed Nov. 6, 2017

    I have no choice but to use OptumRX due to my company United Health Care insurance (also substandard) for the last 7 years. In the beginning both Optum and UHC were contributing to my stress and health issues. I am totally disappointed with both. OptumRX sends needles now in ziplock baggies instead of their original box nanoneedles. It makes me question why do they have different #'s on them as if they are rejected or damaged box leftovers. They are shipped from Las Vegas. Unfortunately I have no choice. For those who do, stay away from both.

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    Customer ServiceStaff

    Reviewed Nov. 2, 2017

    I ordered ** from them and found out they needed a renewal from my doctor... Like all doctors this takes time to get despite the fact I made a request. I waited a week and still no prescription from my doctor was received from Optum. I called Optum and cancelled the order long before they would receive the renewal. A week or so later I get a delivery notice from my local post office. Before picking up the package from the post office I call Optum and the gal tells me to refuse the package and it will be sent back to them. I then checked my credit card bill and see I was charge $90.00 for this delivery. I immediately called Optum and demanded a credit. I am told a credit would be issued... I waited one week and no credit arrived.

    I called again and am told by another gal no credit was issued and she would put in another credit request... I waited a few days and no credit showed up so I called again... I immediately called again and this time was told OptumRx does not issue credits till the drug is received back. I asked to speak to a supervisor and after waiting a few minutes supervisor came on the phone and was as fresh and nasty as she could be... I plan to wait a week to follow up on the return package and the credit... I truly think legal action is necessary if this isn't resolved... In the meantime I suggest people stay away from this company.

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    Staff

    Reviewed Oct. 30, 2017

    I have placed 3 online orders and one telephone order for prescription refills in the past few months and each time I was charged a $12.50 expedited shipping charge that I did not authorize. I was told by them that it is a known glitch with their system. I can’t imagine how much money they have collected on this from unsuspecting customers especially elderly folks who haven’t caught this. I have even spoken to supervisors who keep telling me they will report this, but it is still happening!!! This is fraud in my book!!!

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    Customer ServiceStaff

    Reviewed Oct. 25, 2017

    In trying to obtain some Prior Authorizations for our patients I have been sent in circles. I was given a phone number to call for a peer review which led me to a rep, who told me both the reviewers AND supervisors were unavailable and "traveling". I recorded these conversations (as they have as well) in hopes of having someone in the corporate office listen to what is being said to people. One woman hung up on me. I would encourage consumers to avoid OptumRX and UnitedHealthcare at all costs. I am planning to submit these calls to our local news advocate.

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    Customer ServiceCoveragePrice

    Reviewed Oct. 24, 2017

    I have 2 issues with OptumRx currently and one past experience... All negative. First my daughter's doctor has sent an Rx over 4 times and each time they say they don't have it. Secondly, my son has been taking an Rx for over a year under my plan. It required prior authorization from the doctor which they received. In July, he went under his own plan with OptumRx under his new employer but also stayed on my plan as secondary coverage. OptumRX is aware of both policies as I had them put notes on both accounts.

    We tried to get the Rx refilled under his plan and was told that he needed new authorization so he had the doctor send it in, which they did. Now OptumRx is denying the claim stating that he needs to try other drugs first or he can try to appeal. He attempted to call the numbers they gave him (one an urgent appeal number) and neither worked. Even if he did appeal, it would probably take 30-45 days at which time he's not taking his prescription. If the doctor says that he needs that drug, who is OptumRx to say that he should take something else?? Very frustrating.

    The past issue I had was last year when my son and I both had the exact same drug filled for migraines. Same drug, same dosage, same amount. They charged my insurance over $500 for his prescription but only $19 for mine. When I questioned them, they said it doesn't really matter because I only pay the copay anyway. I even had my employer's advocacy group contact them and OptumRx couldn't even give them an answer other than to say they didn't know. Really??? It's disgusting that these companies can stay in business. My employer is changing medical and prescription coverage after the first of the year and I can only hope that I don't have to go through this with the new company.

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    Customer ServiceCoverageOnline & App

    Reviewed Oct. 20, 2017

    I’ve been a customer with this pharmacy for 6 months. I have never encountered such a challenging and stressful experience as I have in doing business with OptumRx. I don’t know who this pharmacy is contracting and paying to design and develop their website, but they are getting scammed! Almost every feature I attempt to use online, doesn’t work. From trying to make a payment, using their online phone feature to connect with a phone call, managing my payment options, you name it, it fails.

    For 9 days I have been trying to get one prescription filled that my plan doesn’t cover. After jumping through hoops with paperwork, forms, seeing the doctor for a formulary exception, I finally get the pre-Authorization! The Rx ships, but now there is something wrong with the tracking number! No status after 24 hours. I call customer service at OptumRx, and they won’t do anything to assist until next week, after the forecasted delivery date passes! In the meantime, no medicine for me. This pharmacy is a nightmare! Effective Nov 1st, I begin with another pharmacy. Hallelujah! But in the meantime, I am stuck. Save yourself some stress and headaches, don’t use this pharmacy!

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    Customer Service

    Reviewed Oct. 18, 2017

    Flat out deceit and fraud. When placing your order on the website you may select the free shipping option, but you will be charged $12.50 to $25.00 for shipping. Has happened on my last two orders and they have not responded to my attempts to have customer service contact me.

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    Customer Service

    Reviewed Oct. 18, 2017

    They are consistently, asking the same information on a single phone call. Repeatedly asking for shipping info when it is the same. The same for credit card info. In this day and age I get suspicious when asked for that info over and over. Today I HAVE SPENT 4 HOURS! Just trying to get one Rx.

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    Customer Service

    Reviewed Oct. 14, 2017

    Every month, it's the same thing with OptumRx. Every. Single. Month. It's always something, order on hold because they can't find my credit card, the same card that I've been using for the past year. Once they said they need doctor authorization. My doctor fax them, yet OptumRx claims they didn't. I went to my doctor and sat with her while she faxed again, and when I checked on my order the next day, they said that they didn't get it. Orders take longer, nobody knows what's going on, they lie about my order status. If I call 5 times asking about my order status, I get 5 different answers, but still no order.

    I pay for overnight shipping. When they finally get around to shipping my order, I get an email saying my order shipped. But in reality, they didn't complete my order until AFTER UPS picked up orders on Friday. So my order sits in their facility all weekend. This happens time after time after time. If you don't have to use them, do yourself a favor: DON'T! You will only be frustrated. And you still won't have your meds.

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    Customer ServiceStaff

    Reviewed Oct. 13, 2017

    There is an option at their website (when it works), to have them call you. So I do that. It calls back right away. Then when you indicate you need to talk to someone, it appears to put you on hold - then after a minute or two, it HANGS UP. WTH! You know I read all these negative reviews - how does this company survive? What is going on in this country that we have to put up with this? Why do we all not sue this sham of a company and their parent United Healthcare. I am beyond livid about this. Rise up people. Lets stop this!

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    Customer Service

    Reviewed Oct. 12, 2017

    Well it's six months again. What does that mean you ask? It means that my wife has to call OptumRx to get my scripts filled again even though I am supposed to be on automatic refill. If I wasn't a captured customer there would be no way in this world that I would be doing business with this terrible excuse for a customer service oriented company. I'm a captured customer because my medical insurance provider says it will not pay for my drugs. I just wish that the people making the laws about insurance and customer relations would read this but, they're probably sleeping with those same drug companies. I thought that monopolies were illegal in this country but apparently that isn't true for big pharma. Sorry OptumRx but your company shouldn't be allowed to do any business at all.

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    Customer Service

    Reviewed Oct. 12, 2017

    I also am having a very tough time getting my account straightened out. I've already transferred scripts to them and tried to check out but it was a total loss along with a phone that resulted in nothing but wanting to go back to CVS where they've done fine for years. I've used every mail order pharmacy there is and this a very bad sign that things will not work out. IMHO.

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    Customer ServiceOnline & AppStaffReliability

    Reviewed Oct. 11, 2017

    The website is terrible. For 7 months I could not log in. Made repeated calls and was told "doing an update," "some people take longer than others," "We're having a problem today", and other lame excuses. Now I can log in but first the prescriptions won't load; then I select the medication to order. When clicking on CHECKOUT, the system kicks me back to another screen where I am not able to do anything. I called to refill the prescription and went through all the verification prompts. After entering my prescription number, I am sent to an agent who asks all the same questions. Having been the Contact Center technology fiend for years, I know this info can be forwarded to the agent screen. FIX THE PROBLEMS! I would rate this as 0 stars if it was a choice.

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    Customer ServiceOnline & AppStaff

    Reviewed Oct. 10, 2017

    Their website service has been down for over a week and per the customer service rep I just talked to, they have no estimate when it will be available. I had called their customer service last week and was told they were down and would be up within 48 hours. Today's call met with no emotion from the customer service rep, no offer of a solution, no offer to help, no explanation, just a very bland "we have no estimated time when it will be back up". The real bad news for me is my only option is to change insurance providers as the mail order prescription service is tied to your insurance company.

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    Customer ServicePriceStaff

    Reviewed Oct. 9, 2017

    Sadly have to waste a single star on this sorry excuse for a provider in order to submit a comment. OptumRx isn't worth that. Honestly it doesn't speak well for my primary insurance provider that they're affiliated with these incompetent, insulting morons. Optum is the Rx partner for my insurance company; they recently declined a off-site for a new script for a more newly developed, expensive med to deal with chronic bad cholesterol. Am highly allergic to statins; years of diet, exercise and use of alternative meds have not been successful in lowering that count.

    The decline letter I received was a poor copy of a form letter copied so many times that critical lines of information were dropping off the page bottom. These were lines that concerned their decision process, grievance process and request for external independent review. Difficult to file an appeal without a full set of facts, right? Not for Optum.

    Called "customer service" asking for a legible copy of their form; a complete waste of my time. First level operator and "supervisor" ran through the same scripted answers "can't email," (and can't/won't explain why). "Can mail another copy," with absolutely no guarantee that copy would be any better quality after a 7-10 day wait. "Contact your physician's office, a copy to them." Again could not/would not guarantee that copy would be any more legible than the piece of I got in the mail. I hung up.

    To be fair, these customer self-service agents are probably tired of getting beat up by unhappy clients; their lousy attitude shows. Also had a bad experience with their mail-order side years ago. Dangerously incompetent. My advice now is be very careful with Optum; they already display a poor or missing focus on patients and I have little hope it will get any better.

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    Customer ServiceCoveragePrice

    Reviewed Oct. 9, 2017

    This is the worst mail order pharmacy on the market - and I have had 5 different health insurance plans. Why don't we have a choice with healthcare providers to choose a competent online delivery service? I have had this service exclusively now for 10 months and have no prescriptions on file for some reason, and am out of medicine... AGAIN. It requires WAY too much effort to get things to work via phone, email or paper. Not worth the minor discount on meds. It is too hard on my blood pressure.

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    Customer Service

    Reviewed Oct. 8, 2017

    OptumRx overcharged for two prescriptions which I recently discovered I can get at my local pharmacy for $3.00 and $6.00 respectively. Optum charged from $39.30 to $60.65 for 90 day supply of a thyroid drug and $268.38 for a 90 day supply of **. I was using their mail order and am on Medicare part D. Their WEBsite is impossible and I cannot find a link to customer service on it. I have written and asked for a refund. I am unsure how many years they have been overcharging me and just recently talked to my doctor about the costs of these medications. Scandalous and shocking!

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    Customer ServicePriceOnline & AppStaffReliability

    Reviewed Oct. 7, 2017

    The customer service for this company is non-existent. Their website is unreliable and does not have accurate information. I placed an order for medication and got an order number. I saved the page. When I contacted customer service several days later, the order was not listed in the robo-answered customer service. I had to actually speak to someone, who was minimally helpful. My husband has an expensive medication and they throw up roadblock after roadblock getting it filled. I am forced to use them as mail order because of my insurance. I have a medication that I get from a local pharmacy that I wanted to get from mail order. I will not. The inconvenience of going to the pharmacy every month (and forgoing the discount from getting it mail order) pales in comparison of dealing with them. I only hope that those who make decisions about which mail order pharmacy have the same bad experiences I have. Only then might they change their minds.

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    Reviewed Oct. 6, 2017

    Had them for about 10 months and about half the time I visit the Webpage is not working correctly. Sometimes it retains my information, other times not. Sometimes it doesn't show me any of my prescriptions past or present. Setting up home delivery is touch and go. I have logged in numerous times only to find my script was not on auto refill or home delivery even though the month prior I had set it up for that. I so hope my company does not use them next year.

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    Customer Service

    Reviewed Oct. 4, 2017

    OptumRx is the worst pharmacy I have ever dealt with. Customer service from hell, Phone system from Hell, website from hell. Send 30 day supply not 90 days. Charge for 90 days (FRAUD). This is the worst company I have had to deal with in my 71 years...

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    Staff

    Reviewed Sept. 28, 2017

    This is by far, the ABSOLUTE WORST! So called prescription mail order service I've ever dealt with. They have some of the most incompetent, or hand-tied, people that I've seen in an area that requires very important and precise abilities. I try and place my order online and 90% of the time I can't log on! I have multiple prescriptions that I need filled and they are always putting me either to the point of going into my doctors office, or going to the ER and getting my medication. This is something that United Healthcare can and should fix!

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    Verified purchase

    Reviewed Sept. 26, 2017

    I wanted to get a price on a drug called **. Called and after some time trying to identify me I was told that this was a specialty drug and that I would be transferred to the BriovaRX pharmacy because they handled specialty drugs. No one picked up so I dialed their number (supplied by the first person). The person that answered was given the name of the drug and then spent 10 minutes trying to find me in their system. I had given my membership number, etc. After that failed she said that they did not handle that drug and would transfer me to Office Delivery (not sure I got that name right). The transferee did not pick up and I did not have their number. I had read the copious negative reviews about trying to do business with these people. I had to find out for myself. Never again.

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    Customer ServiceStaffProcess

    Reviewed Sept. 22, 2017

    In May 2017, I registered with OptumRx online pharmacy based on information recommendation for prescription savings from United Healthcare. Asked for credit card information after giving doctor and medications, I was told they couldn't process card and was not given a reason. Supervisor gave agent permission to submit order without card and I was told to pay online when meds arrived. Two months went by and no meds delivered. I called them and was told the doctors' office did not respond to request, I asked why I was not notified and was told they sent me an email. After being given email date, I checked and no email was received from them. I contacted the doctors' office and a script was sent to OptumRx. I then spoke to OptumRx after a month and was told the meds would be shipped and I should received them by September 7, 2017.

    On September 6, I received call from doctor that OptumRx had issue in providing brand name meds, which she required and would resubmit for brand only. On September 19, I called OptumRx because I'd received no meds and was told by agent that after doctor resubmitted order, I needed to have called them to approve the delivery. I said, "This process is not working and need to go back to picking up my meds from local pharmacy, how do I un-enroll from your program?" The agent said rudely, "Stop calling us." I WAS DONE! - DISRESPECTED AND HAD NO MEDS SINCE MAY!!!

    I filed a complaint with United Healthcare and went through the process of having a mediator put me on a conference call with OptumRx. The process had no resolution because the OptumRx agent had a script on procedure about client needing to approve meds for delivery. When I told her that United Healthcare said the meds I take did not require approval, she had no response and switched conversation to sending a complaint about a "technical" issue regarding me not receiving the emails. Both the mediator and myself told the agent that United Healthcare acknowledge many clients having problems with their customer relations and "lucky" for me, I didn't have to take medications for far worse medical problems. However, my meds were preventative care for past strokes, which were a part of my daily healthcare routine.

    I would recommend anyone dealing with this company to document the date and outcome of their interactions from talking to agent, having problems in getting their medications and pricing issues to contact the Insurance Commission to file a complaint. There needs to be a serious review of this company's practices and how they treat people, especially senior citizens because this becomes a senior abuse issue. The solution I have chosen is to file a complaint with the Insurance Commission and contact my State Senator because the population growth of seniors is huge and this is a nationwide issue that need to be addressed at the State and Federal level. I went online to file a complaint with the BBB (Better Business Bureau) but I got a message that OptumRx was not registered in their system.

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    Customer ServiceStaff

    Reviewed Sept. 17, 2017

    The absolute worst experience in medical ever. Been without needed meds for a month. Talked with at least 6 different reps. No internal coordination. One person promises delivery day and time frame then it doesn't come and the next call is "oh no that order or prescription is not approved." Colossal and total incompetence.

    If this was life threatening I'd be dead. As it is my quality of life has declined as the fiddler's fiddle. Only the last person I talked to seemed to be able to put two and two together. It remains to be seen if they follow through on Monday. This online prescription concept is 100% fail.

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    Reviewed Sept. 15, 2017

    I have been receiving ** patches for several years now. In order to have Actavis brand, I have them filled at a local drug store. Last week I attempted to have them refilled, the prescription is not expired. However, OptumRX would not approve for them to be filled. All this week I have called the drug store, OptumRX and my doctor in order to have a prior authorization done. It was denied. I cannot take narcotics such as ** or anything of that nature. That is why I am prescribed the patches. I have had four back surgeries, after the third I caught MRSA and was in ICU at MUSC. It appears that if I do not get some relief from the pain, I will be going for a fifth surgery. The pain at times is unbearable and the patches do help.

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    Price

    Reviewed Sept. 15, 2017

    I ordered ** 300mg for heartburn, and they wanted to charge me $251 for a 90 day supply (60 tabs). I went to GoodRX.com, and found that I could get the same 90 tablets for $10. And I have been paying them for my Medicare Part D, which costs me $69 per month. What a rip-off! I will be changing my Medicare Part D next year, I now use United Healthcare, but I will definitely find another insurer in December!

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    Customer ServiceStaff

    Reviewed Sept. 14, 2017

    My group was changed over to this RX without our knowledge and we have had nothing but problems trying to get our RX filled. "This RX is NON FORMULARY and we are refusing to fill" is the usual reply that I get from the pharmacy for my own personal scripts. I have called them on multiple occasions and even had a verbal fight with one of their pharmacists. WTF?

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    Customer ServiceStaff

    Reviewed Sept. 14, 2017

    The level of frustration is beyond words. Unfortunately, my company switched from Cigna to United Health Care which uses OPTUMRX for the mail service. The amount of time and energy I have spent trying to fill prescriptions is astronomical. Never in my life have I had such incredibly incompetent people “try” to assist me with the most BASIC requests for filling an Rx. There is nothing special about ME or MY Rx’s that would require the level of effort I have gone through. I have been struggling with OPTUMRX for over 2 years now on a monthly basis, I thought CIGNA was bad… They were a dream compared to OPTUMRX.

    Making an average of 5-6 calls PER RX is unacceptable. These are calls that I had to make TO OPTUMRX, this does not include the numerous emails, calls and voicemails I have left for my poor doctor’s office and staff. I read reviews a few years ago when my company switched over… And they scared me a bit but I really just thought, “It can’t be that bad”… Well, I’m here to tell you TWO YEARS later… They are THAT bad!

    I am willing to pay more money for any of my Rx’s and I’m perfectly fine with the inconvenience of having to get an RX fill every 30 days… Over “saving money” and having my Rx mailed to me by this company who will randomly send me an RX in the mail that I have not ordered, or the wrong milligrams etc. Unbelievable that a company can survived TODAY in the United States of America with the kind of chaos they create.

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    PriceStaff

    Reviewed Sept. 14, 2017

    OptumRx was hired by the University of California for 2017. They systematically deny approval for medications that are expensive. This has affected both myself and my spouse, who is diabetic, who was denied medication prescribed by his doctor and taken by him in 2016 and which OptumRx then rejected. They insisted on an alternative that doctor did not prefer, and I suspect that they are getting a cut from drug companies. I, who has not had medical problems or any expensive medications, suddenly developed an eye problem in August. They rejected my doctor's medication as a non medical necessity because the drug was expensive, in my view. I won't go into the details, but after enlisting the support of our medical facilitator, who is wonderful, the medication was finally approved. These people are very unprofessional and their ethics are questionable. They should be put out of business.

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    Customer Service

    Reviewed Sept. 12, 2017

    My insurance company wants me to use OptumRx or I wouldn't. They seem to make it as hard as possible to fill a prescription. Just when you think someone is really going to help, it is just to get you off the phone. I take over 10 prescriptions, so lots of headaches.

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    Customer ServiceCoverage

    Reviewed Sept. 7, 2017

    I have never had so much difficulty getting prescriptions filled in my life!!! If you are one of the unfortunate souls being forced to deal with this company god help you!! Spent hours on the phone dealing with a screw up on their end!!! They filled 1 daughter’s script and made the insurance claim on my other daughter. This resulted in the other daughter not getting her medication because "it's already been filled". Was told after multiple calls ok we've got it taken care of only to get a letter saying it's NOT coming.

    Have had trouble with scripts not being covered "Well have they tried this?" because of course our doctor doesn't know what's best. He's left prescribing whatever crap they tell him they'll cover. Make no mistake this company is run by a bunch of ** clowns who don't care if you die in the streets. Please if there is a god release me from dealing with this horrendous company. They should NOT be allowed to sell used cars let alone a lifesaving medication. I miss CVS.

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    Customer ServiceCoverage

    Reviewed Sept. 6, 2017

    I am sick and tired of dealing with the incompetence of the customer service individuals at OptumRx. I have had to make 5 calls within the last 3 weeks for my mother, some lasting more than an hour after I escalated the calls to supervisors. Each and every time I have been assured the situation has been corrected, yet here I am 3 weeks and 5 calls later and my mother still does not have her prescriptions. OptumRx puts the blame on the doctor's offices "not responding to their request", however each of my mother 5 doctors have nothing civil to say about the service. In addition, since I was having such a problem I actually went to two of the doctor's offices and watched while they sent the scripts electronically to OptumRx. Still they state they have received nothing.

    It is a shame that United Healthcare who provides supplemental insurance to retirees, insist on using a company with so little concern for the elderly. They did not even have the courtesy to send an email explaining why no prescriptions were sent. Due to their complete negligence my mother has had to have these prescription sent to the local CVS which results in larger co-payments for 30 days supplies. I have had enough - I am in the process of taking all the information I have gathered, including names, dates and even screen copies of the optumrx.com sites and filing a formal complaint with both the National Association of Boards of Pharmacy and the NYS Board of Pharmacy. If more people filed formal complaints maybe our elderly would have better opinions for their prescriptions.

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    Customer ServiceStaff

    Reviewed Sept. 5, 2017

    After calling a number of times after Hurricane Harvey, I was always on lengthy hold while each representative I spoke to said that there was no way to get me a prescription. I asked what their disaster recovery procedures were and received no response or no assistance. Eventually they informed me that they were shipping my order but then did not send it as UPS was on a shipping delay still for the area. Never informed. Their email says that they have disaster assistance where patients can go to a pharmacy but none of their customer service representatives knew or presented this as an alternative.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 31, 2017

    I have had OptumRx since 2014. I got this insulin pump in 2015. On January 1, 2017, OptumRx stopped covering the test strips that go with my meter. My meter communicates through Bluetooth to my pump, so it calculates the dosage and tells my pump to deliver insulin. Thanks to UHC, I can't get another pump until next year. I am very close to running out of test strips (because OptumRx used to send ridiculous amounts of them and I stocked up), and my only choice is to go to a pharmacy and buy 100 of them for somewhere around $180, which I can ill afford, even with flexible spending (because I use that to pay for the infusion sets and insulin cartridges, which ARE covered!). I was told that I needed to have my doctor send a prior authorization form the first time I called. Doctor does that. Denied because they don't cover it.

    Second time I called, I was told that I needed to file an appeal, which I haven't done, because stuff came up. Third time I called, I was told that I could file an appeal, but because it isn't a covered med it "probably won't go through". I don't think customer service knows a damn thing. And while they pretend they're looking up stuff or trying to find me an answer, I think what they're really doing is twiddling their thumbs. Patient care, ha.

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    Customer Service

    Reviewed Aug. 30, 2017

    On advice from United Health Care we switched to this mail order pharmacy. After 10 days, we still had not received the prescriptions, one was a stroke preventing medicine that my Mom had been out of for 3 days and needed every day. I spent almost 2 hours trying to get an answer about this. I was transferred, talked down to, and hung up on. They finally told me to go back to our previous pharmacy to get the medicine. I repeatedly asked to speak to a manager, but was hung up on. Someone is going to die due to their incompetence. Do not use them!

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    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Aug. 30, 2017

    I am required to use this company with my health care - for my prescriptions. I thought I would try out the mail order, for convenience and because I would be leaving out of town for a couple of months. It's been the worst experience! I tried re-ordering my birth control pills (easy right). I click order, receive the order confirmation, and confirmation email. After 3 days I check the status - no order. I wait a couple of days, receive an email that my order can't be processed - I have to call customer service. I call customer service and the girl (after 30 minutes on the phone with me) couldn't figure out why the order couldn't be processed. She passed it to the pharmacy and told me to call the next day.

    I call the next day and the guy tells me that this particular prescription is no longer carried, so I have to have my doctor call in for a covered drug. I have my doctor call in. I check the website and there is a new drug listed in my refill section - great I say - so I click the refill button. Order confirmed - confirmation email received. It was a few days, and check the website - no order found for the past 3 weeks. I click the order button - order confirmed - confirmation email received. Wait 3 days - check the website - no orders found. So I call customer service to see what is going on. I explain the story and the girls says my order is on the way - great! I should have it in 7 days.

    7 days go by - no pills but I do get a notice in the mail that my order could not be processed! I call the company again - the girl looks at the order, says everything looks good - she puts the order thru (supposedly) says yup - you should have the order in 7 days - WE ARE NOW IN THE 6 WEEKS since we started this process. Well needless to say - 7 days has passed and no order.

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    Verified purchase
    Customer Service

    Reviewed Aug. 29, 2017

    Three weeks now trying to get my prescription filled. My doctor prescribed a brand name medication. They won't fill. My doctor then prescribed generic. Message left of another denial. Reason stated this time is I need a prior authorization. My doctor is the prior authorization. Doctor emailed seven times. Still no approval. Three weeks now of being jerked around with excuse after excuse and lame reasons not to fill the prescription. I received constant telephone messages stating prescription was denied but couldn't give me a logical explanation. No reason except prior authorization needed. OptumRx is trying to frustrate the customer to the point of giving up. How unethical is that??? Withholding necessary medication authorized and prescribed to a patient by their doctor is illegal.

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    Staff

    Reviewed Aug. 26, 2017

    I have a past due balance. However I need my day to day medication. I was going to pay for my current medication. They don't care about your health. I spoke with a manager and he no compassion or worry about my health.

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    Verified purchase
    Customer Service

    Reviewed Aug. 22, 2017

    Optum claimed my doctor failed to respond to them, yet, my doctor has the proof on their computer of their responses. Becky, from doctor's office, called Optum and was given another address to send prescriptions, (not given on their RX card!) and the scripts were re-sent (for the second time). I received 2 letters saying Optum received the prescriptions and confirmed that my meds were on 'my plans list of covered drugs'. My member I.D. was listed on these letters. Received no meds. Called and was told 'due to my doctor's failure to respond, Optum cancelled my account'. Doctor has responded multiple times but Optum will not send my meds.

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    Reviewed Aug. 21, 2017

    My employer (State of Michigan) changed from Norvixus to OptumRx 1/1/17. I previously paid $60.00 for A ** supply with Norvixus. I was quoted a price of $180.00 for the same package at OptumRx. I was unable to fill the prescription.

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com