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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    Page 11 Reviews 1640 - 1840
    Customer ServicePriceStaff

    Reviewed Aug. 21, 2017

    The worst company! I wasted hours of my life trying to get one of my husband's prescriptions refilled. I talked to numerous people and no one could give us an answer on why I couldn't get a refill and was very close to calling me a liar. This RX was a blood thinner that my husband has been in for years! I finally told them to forget it and went to Sams and it only cost $6.00. Well worth it!!!

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    Customer ServiceStaff

    Reviewed Aug. 17, 2017

    Awful, terrible, time-consuming, inept customer service. Tanesha blew me off and transferred me to "the pharmacy." However, there is no pharmacy to connect to. It was just another customer support rep. His name was Jerry ** and he was very helpful. He got my issue straightened out. Thanks Jerry **. The other two reps I spoke with were ignorant of procedures and unable to help. They were also curt and rude. United Health Care should dump OptumRX.

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    Customer ServicePriceOnline & App

    Reviewed Aug. 14, 2017

    I recently signed up with them and had my Doc put in 2 scripts for me, one for generic. Checking their website for drug pricing it wasn't bad for my meds. But when I got the bill I called them and ask why the generic is so high at $80.00 for 90 days. They stated it depends on the mfg. of that drug, blah, blah. While I'm talking to them I have their website up and I'm looking at this med and it's for $62.66. They don't see what I'm seeing. You got to be kidding me, it's your website and you don't see it, they blah, blah. Hung up!! So on an errand I stop at COSTCO pharmacy to check their prices. They don't give insurance prices but cash price. My generic price, CASH ONLY for 90 days would be $36.46, I repeat $36.46. Boy was I taken!! Anybody knows where to go to the top of UHC to complain??

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    Customer ServicePriceStaff

    Reviewed Aug. 11, 2017

    They keep sending me refills of prescriptions I don't want or need. I tried to cancel the auto refill and it worked for a bit, but yesterday they sent the medicine I asked to be halted because I already have 540 pills! They auto charge my HSA account. Site sucks, it took 10 minutes to get a live person on the phone and she had no clue how to deal with me. Waited 5 minutes on hold for a "manager" before handing up. Now off to dispute it with my HSA or request and new HSA card because as far as I am concerned they are one step removed from fraud.

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    CoveragePriceStaff

    Reviewed Aug. 6, 2017

    I have fought against genetically-based, severe mixed hyperlipidemia since I was diagnosed in my mid-twenties. I have submitted to so many tests and trials of medications that I have literally lost track of them. None of the medications, including several variations of the Statin family, have worked to get my LDL into a non-life-threatening range. All the diets and exercise programs got me muscularly fit, but did very little to address the lipid imbalance in my body. I have had two myocardial infarctions, one open heart surgery that resulted in four arterial bypasses, and three stent implantations. Yet, all of that appears to mean nothing to OptumRx. They have refused to cover the use of either of the two medications that were specifically developed to combat my exact situation.

    I find it tragically ironic that I have watched and waited for decades for a medication that would help me fight my condition, only to discover that my insurance would not provide it. There is literally no justifiable explanation or excuse for the actions taken by OptumRx. The only reason must be that they are in the business of saving corporations money by denying employees their rightful benefits. I guess they see it as more cost effective to refuse the insured their rightful benefits and thereby reduce the surplus population.

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    Customer Service

    Reviewed Aug. 2, 2017

    Incredibly dishonest company. They refused to fill my prescriptions correctly, sending a much smaller quantity than ordered. They double billed me for co-pays. I called many times. Every time they somehow had lost the approvals for my prescriptions. They never seemed to be able to reach my Doctor, although I have been in my Doctor's office when the Doctor's office contacted OptumRX and verified approval of the prescriptions. They say that they cannot approve this quantity per United Healthcare, however, United Healthcare says this is untrue. I have worked on getting refills for over six weeks, then last week being told they had all my information and would send out my prescriptions immediately, only to receive an email today saying that they need to fax my Doctor's office for more information. Don't do business with this company if you can avoid it.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 2, 2017

    I am medically retired from a state job. My Rx insurance was changed to OptumRx as of Jan 2017. I have had nothing but problems with them since day one!! The first thing they did was tell me they won't cover ** twice a day, only once. They said I needed a "prior auth" from my doctor, which I did have the Dr send, but OptumRx denied it! I have severe GI issues and I need ** twice a day! Now I have to pay for one dose over the counter!

    Here's my current issue: Once I meet my out of pocket medical expenses, I'm not supposed to have any co-pays on my Rx's!! I met this back in mid-June (it's now 8/2) and I am STILL trying to get it through their heads that I have met my out of pocket! Blue Cross has even verified it with them! I've been on the phone with them, Blue Cross has been on the phone with them, yet it is STILL not fixed! I keep getting told it's all set. Yesterday Blue Cross and OptumRx both told me I should be all set and to give it a few hours for OptumRx's computer to receive the info. That was YESTERDAY at 10:00 a.m.! STILL not fixed!!! I guess I'm going to have to call a lawyer, coz I'm at my wit's end!!

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    Customer Service

    Reviewed Aug. 1, 2017

    CalPERS switched to OptumRx this January and I have had trouble every single time I try to refill my prescription. Not only is my co-pay 4 times as much as with CVS, but the customer service is horrible. They sent me generic when it is very important for me to have name brand. They refused to send me a new prescription because they had already sent generic (this is even after talking to my doctor). I had to call at least 3 times and have the same conversation 3 times and talk to 2 different pharmacists before anyone would do anything. My doctor is the one who had to send them 2 new prescriptions before they finally accepted it. Meanwhile, I had run out of brand name and had to be on generic (not the best for my condition) until it was sorted out.

    Another time I called for a refill and paid to have it delivered in 2 days or I would run out. They said it was guaranteed but it did not arrive for 7 days. I had to get an override 5-day supply from Walgreens because of their error. Then I called today to set my refill in motion and they said they no longer have a prescription for me and I will have to get a new one from my doctor. My bottle says I have 3 refills left. They said that because I got the 5-day supply from Walgreens (3 months ago) that the whole prescription transferred over there and is no longer theirs (even though I received my late 90 day mail-order and have been using it for 3 months).

    This company is utterly frustrating and I really dislike interacting with them. I definitely do not feel taken care of. Please CalPERS, they need to go!

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    Customer ServiceContract & TermsStaff

    Reviewed Aug. 1, 2017

    I have had multiple contacts with OptumRX for a wide variety of problems, with only ONE experience resolved satisfactorily. Even that customer service person admitted that she didn't have a written list of maintenance meds that could only be filled through mail order (and not at my Walgreens pharmacy). So patients are left to take her at her word.

    Also, never once did OptumRX notify me that I would no longer be able to fill my 90 day maintenance medication at my Walgreens pharmacy, with six of my other maintenance meds that ARE filled there! I was on the phone almost two hours, with four different reps trying to escalate my issue before resolution. I have found that the majority of customer service reps are incompetent on a wide range of issues. They give multiple excuses in response to the problem/issue, without resolving it. They are by far the worst mail order pharmacy I have ever dealt with! I hope CalPERS does NOT renew OptumRX's contract for 2018!!

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    Customer Service

    Reviewed July 31, 2017

    The OptumRx website changed so that in order to refill your prescriptions, you must click the box for automatic refills. I believe this is in order to increase their profits by refilling prescriptions as quickly and often as possible. I used the option on their site to have them call you. The first call I received, I was hung up on while I was in the middle of explaining my issue. I tried again and this time I somehow ended up in their Medicare department. The rep said she would connect me to the correct department and then I heard an automated message saying I had reached Gateway Vacations. Press 1 if you have already scheduled your vacation...

    I called the number on the back of my card and spoke to yet another person who apologized for what I explained happened. She said she would disenroll my prescriptions from the auto refill. I expressed my concerns about this being an issue the next time I tried to refill online. She asked if I would like to talk to the website tech department. I said yes, I would like to talk to someone. 30 seconds later I was hung up on. This shouldn't be this difficult.

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    Customer ServicePriceStaff

    Reviewed July 29, 2017

    OptumRx had the wrong phone number for my doctor, therefore OptumRx initially denied my prescription. I gave the Appeals customer service person the correct phone number and also gave her my doctor's fax number. After 6 tries and speaking to 6 different people, over the course of nearly 2 hours, it worked. Subsequently, my request for a Tier change from a Tier 3 cost of $100 to a Tier 2 cost of $40 was denied because OptumRx still had the wrong phone number for my doctor so when they phoned no one took the call. In fact, when I tried the "wrong" phone number I got a loud buzz on the line. Again, I tried to correct the wrong number, but this time I was told they couldn't correct it. And that because my doctor's office did not take the call. My case was closed and I would have to pay the more expensive amount. Outrageous!

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    Customer ServicePriceStaff

    Reviewed July 29, 2017

    My employer decided to switch to OptumRx 6 months ago. During that time, every single prescription has had an issue. Every. Single. One. They choose to fill the highest priced generic medication regardless of cheaper options. When the script is specific, like the actual Brand name is listed and it states DAW (dispense as written), then they decide to fill generic. If you need to move your prescription from a pharmacy to mail order, they don't transfer it, they fax the doctor for a new one and don't tell the doctor the script you need refilled, so he may write it a little different and they fill it... however they want to instead of how it's been filled before. Then when you call customer service, they argue with you and say it's your fault... If that happens, ask to speak to a pharmacist and they can help more than the phone rep.

    They send vague emails saying "call us", then the rep has to fiddle with the system to find any info and they say "you didn't pay when you placed your order".

    When you complete an online order, you can confirm the price visually, confirm you chose the 0$ shipping option. And yet they decide you needed it now, and charge for the expedited 1 day shipping. Without consent, without confirmation. The email you get will have 0 details of the order so there is no record for you to use to say you didn't want 1 day shipping. Make sure you screen print your order in case they try to charge 40$ for shipping you didn't want.

    Also, the reps don't seem to speak English well, so that's super fun too. They will tell you that you'll get a survey on the phone after the call if you hold on the line, I never have gotten one. This company is awful and I hope my employer switches back to Express Scripts in 2018. They were slightly annoying but they didn't fill the medications wrong and they didn't charge for things you didn't order. Do yourself a favor and skip the mail order, only fill at a local pharmacy if you can. It's worth the extra few bucks for peace of mind.

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    Customer ServiceStaff

    Reviewed July 26, 2017

    I receive paperwork in the mail informing me that my health insurance (employer insurance NOT Medicare) included the option of enrolling in OptumRx and the letter instructed me to call to notify them of whether or not I want to enroll. I called the number provided and the lady I spoke with explained how the program worked and what my prescription cost would be. I decided to take advantage of it. We went through the enrollment process. I only have one prescription and I told her I just got a 90 day refill on June 30. I did not need a refill at this time. She proceeded to set it up to be refilled now. I told her again that I did NOT need a refill yet. She informed me that I was enrolled and to call a few weeks before I needed my refill, provide my CC info and my prescription will be filled.

    A few days later I received an email from Optumrx instructing me to call or go online and provide my CC information so they can complete my order and ship my prescription. I called Optumrx, spoke with a lady, and explained everything again. She apologized and informed me it was taken care of and my prescription would not be filled right now. Today I received yet ANOTHER email from Optumrx instructing me to call or go online and provide my CC information so they can complete my order and ship my prescription. I called Optumrx ONCE AGAIN, spoke to ANOTHER lady and explained that I did NOT need a refill right now. I told her when I enrolled I told that lady twice that I did NOT need a refill right now. I told her about already receiving an email about needing my CC information to process my order and that I already called to tell them again that I do NOT need a refill right now.

    This lady explained to me that my order was never pulled. She apologized and said that the previous person lady I spoke with did not take care of it properly. She assured me my order had been pulled and was now on hold. She assured me that I would not be contacted about it anymore. Although all three ladies I spoke with were professional and pleasant in their tone, it was VERY aggravating that I had to tell them a total of 4 TIMES that I did NOT need a refill before they took care of it properly. This is my first experience using a prescription delivery service and my first impression of it is negative. Even though things have started off negatively, I believe in giving a company the chance to redeem themselves. If they are unable/unwilling to that I will cancel my enrollment and never recommend it to anyone.

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    Customer Service

    Reviewed July 25, 2017

    Two for two now (new to OptumRX), a prescription sent in to be filled by mail order is mysteriously "on hold." Both times, I was not notified, and had to go online to discover. This last time, the website said "On Hold, please call the number on the back of your card to clear the hold..." Seems like pretty clear instructions, so I did so, only to be told by the operator (after she got help) that it's an "internal hold" and there was no reason to call. WTF OptumRX. I'm asking my employer to switch vendors, your Co. sucks.

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    Customer ServiceCoverageStaff

    Reviewed July 23, 2017

    Can only get prescriptions through a very limited number of providers. Fine for big cities, smaller towns are limited and when nothing is open on a Sunday you have NO options. BIG issue and the reps don't even care!!! Poor customer service and even worse policies. Big insurance doesn't care about small town people.

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    Customer ServiceReliability

    Reviewed July 21, 2017

    I have had OptumRx since the first of the year. I am a dependent on my wife's CalPERS account. I have never been able to access the website. I have talked with 3 different system support people and have 2 different case numbers. Still no resolution. I needed refills for 3 regular prescriptions and had to call customer service. My account information was missing and had to have them re-enter it. When my order came, there was a balance due (I had a credit card number placed on file). When I called customer service to correct billing, my account information was missing again. Their excuse was that they just had a system update. Overall my impression is a totally incompetent operation.

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    Customer Service

    Reviewed July 18, 2017

    On July 5, I was told by Edward that they would send me paperwork & envelope to return a prescription I did authorize to ship me. As a matter of fact, I was taken off this medication. I have sent numerous emails on 7/13 & 7/17 and still NO RESPONSE?

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    Customer ServiceContract & TermsStaff

    Reviewed July 17, 2017

    My doctor ordered two prescriptions and was told to send them to OptumRx. Instead they were sent to my local pharmacy. I contacted OptumRx about the problem, and was told that all I had to do was cancel the prescription at the pharmacy and OptumRx would then fill prescriptions because my record would show the prescriptions had not been filled. I did so but nothing happened on OptumRx's end, i.e., the web information still showed the prescription filled and not renewable until three months from now. So I sent OptumRx a hard copy of the prescriptions and my billing information. Still nothing happened. I called OptumRx last week and was told that, contrary to what I had been told in the first call, I had needed to call OptumRx after I cancelled the prescriptions at the pharmacy.

    In the conversation the woman I talked to pulled up my records which showed that in fact the prescriptions had been cancelled about three weeks previously and that I had in fact sent in the prescriptions and billing information. She told me however that there was no mechanism in their system for them to figure all that out (even though she had it right in front of her) and that I should have known to call back in (the person telling me otherwise had been in error). The woman did help by filling the prescription and saying that they would send the prescriptions out express and the prescriptions should arrive on Tuesday (tomorrow). That night (last Thursday) I received a UPS shipment notice saying that a package was coming for me the next day--Friday (from an unknown sender). We were here all day and it did not come, but we received a notice that it had been delivered at 2:24 on Friday, which it had not.

    On Saturday I went on the UPS website and found that it says clearly that if there is a package missing you need to call the sender to ask for a tracer, so I called OptumRx and was told, in a call lasting over half an hour, and one in which the woman I talked to said she had gone to her superior, that OptumRx would not contact UPS, that I should do so (even though I told her that UPS' website says to contact OptumRx and that I had no contractual relationship with UPS). If UPS could not find the package after 10 days, OptumRx would re-send the prescriptions. At this point it had been three weeks since the prescriptions were first sent to OptumRx. I called UPS who, after another half hour call (after she talked to her supervisor) said that I had to get OptumRx to make a claim, even though OptumRx had said it would not do so.

    While I was irritated at UPS (since their driver clearly mis-delivered the package), I at least understood what their policy was. OptumRx, however, took no responsibility for the problem at any stage. It did not properly process my prescriptions and then refused to take any responsibility for the fact that they were not delivered, even though the UPS policy is clearly stated on the website (and presumably is part of any contract OptumRx has with UPS). OptumRx alone has a contract with UPS and the ability to get UPS to do something about a mis-delivery, which does happen. That OptumRx would do nothing to resolve a problem they created is, to put it mildly, incredibly irritating. It has clearly forgotten that it is supposed to be serving the customers. This is probably something of which AARP should take notice.

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    Customer ServiceOnline & AppStaff

    Reviewed July 11, 2017

    I have been with OptumRx for 6 months, and most of that time the website is down, sometimes for 4 weeks at a time! Their phone message says "manage your account online." WHAT?!?! Good luck signing in. Customer service, including the specialized web department is useless, doesn't know anything. Hope they go out of business. Was on the phone for 25 minutes today, nothing accomplished! Unprofessional, don't care!

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    Coverage

    Reviewed July 7, 2017

    After spending hours in May to renew a prescription covered by CVS for years, OptimRx is denying the coverage. I will have to stand on my head to get this done. A repeat of 2 months ago. This has happened 4 times.

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    Reviewed July 6, 2017

    I requested an emergency supply of a particular prescription from OptumRx, a division of UnitedHealthcare, and had to try to do this multiple times, with multiple screw-ups by OptumRx. I re-ordered the drug I needed (at the appropriate re-order time) and clearly explained that I needed an expedited delivery, which the OptumRx representative agreed to. Now I find out that the drug ordered was NOT expedited and I will not receive the ordered expedited drug for another week. It's time to change prescription drug suppliers!!! Goodbye OptumRx and UnitedHealthcare.

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    Customer ServiceCoveragePriceStaff

    Reviewed June 30, 2017

    Before getting sick I wrote code at a major hospital to process all the data from all the systems and send the info in HIPAA require format to insurance companies to bill. So I know the system and rules. It also means I dealt with lots of health plans. After Blue Cross became obscenely expensive I switched to AARP as they have a good rep. AARP uses United Healthcare actually. For several years I had no issues.

    Then they switched to having Optum Rx not be just a mail order pharmacy but to use them as a third party clearinghouse. Meaning United Health Care contracted all approvals, pre-auths, billing and everything to them. Since this happened it's a nightmare. I constantly get prescriptions denied even though they are in formulary and I used for 10 years cause they think they know better than my doctor how to manage my extremely complicated care that is 15+ different meds including iv infusions and shots.

    Many items they only allow you to get 24 hrs before you are out at most 4 days. It a constant fight with them. Even when I can show cost savings by using a certain medication. I get told no. Most companies like saving money. So I take 3 meds that don't work as well as what I want and it costs them double. Often I end paying out of pocket and getting reimbursement cause I don't have time to wait. There are some meds I just pay for cause they won't cover. I use GOODRX as often as them. I cannot wait to switch.

    Now in fairness not all problems are theirs. Recently due to over prescribing drugs the state and federal system has added a lot of rules aimed to fix the issues especially to CII and CIII drugs. Optum is using these rules and stretching these rules to try to avoid paying claims. My advice change your insurance. Know the rules and your rights. Fight for your meds (50% of meds are approved on first stage of appeal). Appeal, take them to the mat on it.

    Be annoying often. I find insurance will approve stuff and hurry along just not to have to deal with you. I will call them every day and sometimes hourly to check on status and push a claim through. Get the name of who you talked to and nag that person, phone, fax and email. Once they know you aren't going away know your rights and will press the issue they often give in. Appeal, run it through every level of appeal, go to Medicare if needed. Know how long each level is allowed to take. If they get 72 hours at 72 hours and 1 minute call them, inform them they are breaking the law. Report them to Medicare if they do break the law. A plan must meet certain criteria if they get to many complaints Medicare will cancel that plan.

    These places want to make money. The less claims they pay the more they make. No health plan wants to treat patients, it's expensive. So to get what you need learn the rules. Stay calm, don't yell. Use the rules, be an informed consumer. Fight for what you need, use the system along with constant follow ups. They may be a lion and you are a mouse but you can put a thorn in their paw and the only way to remove the thorn is by helping you. Hope this helps.

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    Customer ServicePriceStaff

    Reviewed June 28, 2017

    Just reading all of the issues further confirms my recent dealing with this company. Retired and now using this insurance as of April. I have never made so many calls to an insurance for prescriptions. Each time getting very rude people and getting inconsistent information. My doctor's office even had to make numerous calls as the information given was never correct or consistent. My latest issue is paying full price for a generic drug - the same price as the name brand. Other calls gave me pricing ranging from $37 to zero. Now I'm at $187 for a generic. Doesn't make sense.

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    Customer Service

    Reviewed June 25, 2017

    OptumRx is terrible. They auto shipped and charged for 9 bottles of eye drops in 5 months during which time I could only use 2 bottles, and then 4 bottles of eye drops in 3 months when I could only use 1. I had to call 3 separate times asking to be dis-enrolled from the OptumRx Hassle-Free program before it finally took effect. The OptumRx Hassle Free program seems to be program designed to maximize profits for OptumRx rather than a helpful service for consumers. The strategy appears to be "ship more products than required, bill the insurance company for excess shipments, and hope the consumer doesn't complain since the insurance company is paying." This is good example why healthcare costs continue to rise.

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    Staff

    Reviewed June 25, 2017

    I rarely write reviews but this has been an awful experience. In the past when I have received medication it was the same brand consistently. I have received 2 refills of an anti-depressant recently and each time it was different. I expected the first change because I went from my pharmacy to OptumRX. The second manufacturer change was not communicated to me. This new prescription was delayed because of a billing error with little sympathy from the company that someone could be put into withdrawal without these meds. This new medication is NOT working and they cannot return me to a different one. Per the pharmacist "manufacturers can't be guaranteed because we buy in a large scale so they're subject to change".

    If you look up this particular medication there is a long history of problems with bio-equivalence between generics and even minor changes that still get FDA approval can impact a person's reaction. I was told I needed to contact my local pharmacy and that there was nothing they could do on their end to resolve the problem besides sending me a return label to mail it back. HORRIBLE patient care. My insurance changes next month and I will be glad to never deal with this again.

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    Customer ServiceContract & Terms

    Reviewed June 22, 2017

    I am a CRNP in the state of Pennsylvania. I absolutely cannot get prescriptive authority without a collaborating physician. We must have this Collaborative Agreement on file at our workplace as well as Harrisburg. OptumRX is the only prescription plan that requires written documentation of collaborating physician and NPI number to process a refill. This adds another layer of phone calls/faxes and delays for the patient. Sometimes this information will be solicited by phone, then a fax is sent. Ultimately the company requests a new RX. This can provoke another round of phone/fax requests for collaborating physician info.

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    Customer Service

    Reviewed June 22, 2017

    Attempted to manage my mother's prescriptions and the company was impossible to deal with. I spent 2 hours trying to get through the voice mail system and on hold, then when I got a human, she did not help me and actually hung up without helping me. I had to start over, and then I couldn't get through at all. I don't think they want to be accessible to their customers by phone.

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    Customer Service

    Reviewed June 20, 2017

    Last year I paid an alleged overdue balance from the year before. I needed my meds and had made some changes in my bank so maybe something didn't go through so I paid and moved on. Today I call and get the exact same story that balance from September of last year had to be paid. I've paid my copay numerous times since then with no problem, no one has tried to contact me about paying anything or spoken to me about them possibly holding my meds if it wasn't paid. I have no problem paying for something I owe but I have spoken to customer care on the phone too many times and not once have they told me I owed any money.

    Now that I'm almost out of insulin and trying to see why they haven't shipped it I'm finding out. This is very poor business and I really dislike this company. They need to rethink how they do business. It's very bad that they wait until I need my medicine to tell me about this. It's almost been a year, there were plenty of chances for them to inform me, send an email or something.

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    Reviewed June 20, 2017

    I've used OptumRx for over a year and have had no problems. Aside from having 0 copays for my meds, it saves me, a disabled veteran, from having to go to a pharmacy. I do wish they would automate the refill process. But they have done exactly as they promised.

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    Customer ServicePrice

    Reviewed June 15, 2017

    I would rather and I have paid full price for prescription at times rather than deal with this horrible unorganized pathetic company. I have epilepsy and they have "claim" after "claim" said they sent when in fact they never did and later after a hospital stay called to apologize they apparently found my misplaced paperwork. This has happened several times with almost every prescription. They in accidentally charge my card over and over.

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    Staff

    Reviewed June 15, 2017

    OptumRx is DISGRACE!! They have wasted hours of my time and I have no medicine. Look at all the complaints on here! Medicare needs to take action to shut this disgrace incompetent garbage down. It is causing harm and senseless suffering to millions of people who need their medicine and they just give excuses and lose your info and waste your time and never send the medicine. Instead of calling and transferring a pharmacy prescription like every other normal company they won't do it and make you get a new one and never follow up and it never works. I have tried and tried and they won't do what they say they are suppose to be doing. This so called company are making sick people sicker and a HORRIBLE DISGRACE. Let this warn anyone else from even starting with them. You will regret it, believe me!! This so called company is HORROR and NEEDS TO BE SHUT DOWN!

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    Customer Service

    Reviewed June 15, 2017

    I absolutely HATE this pharmacy company, but I have no other choice for my monthly medicines. I have been on the same medications for almost 20 years. For twenty years, I have had a 3-month supply delivered to my door... no signature required... no set of questions to go through each and every time. Now with Briova, EVERY SINGLE MONTH is it something different. Some months they will deliver with no signature required. Other months they refuse, so I have to have the shipment redirected. They will not allow me to keep that information on file. I am no longer able to order a 3-month supply... only month at a time. Sometimes my meds are listed on my list online. Sometimes they are not. Sometimes I have to call. Sometimes I don't.

    This company is a piece of **! Can we please reform our system so I can just go to the pharmacy that is 5 blocks away from my home??! And why in the world do you need to put two tiny bottles into a HUGE cardboard box every month?? I feel guilty throwing them out, but I just tell myself that it is Briova that doesn't care about the environment, not me!

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    Reviewed June 14, 2017

    Consistently they fail to deliver maintenance meds when they are needed. It's weeks between when we are out of a drug and when we get it. We order well before it's needed. So we go without required meds for extended periods of time because they are having too much true getting their act together for over a year! Unacceptable!!

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    Customer ServiceStaffProcess

    Reviewed June 11, 2017

    The people at OptumRx are courteous and professional but the company is poorly managed. I'm quite sure I could do a better job. I've run companies before and this one needs a TON of fixes!!! Not only don't they do their job, but they actually make my life/job much harder!!! I am irate at the boneheads at GE who thought OptumRx would be better than Caremark. Every month I've had to fight with this company. Here's why: They never check in on me. “How are you? Any symptoms? How are the meds doing?” Like my last pharmacy did. They don’t call to ask if I'm ready for my next refill, like my last pharmacy did. That's up to me now. Why can someone write a simple program that knows when we need to take action?

    A cheap program could schedule and make a robocall and/or send out a text or email to help give us their customers a heads up?? Is that so hard?? They let my co-pay coupon expire and don’t find us new coupons to save us copays $$, like my last pharmacy did. Apparently I need to get my doc to renew my Rx!!!! They told me I should call them each month to see if there's anything I CAN GET FOR THEM!!!! This was THE most egregious. If they want the business and all the CASH$$ they're making off us, why aren't THEY calling to keep us from a break in care??? Like my last pharmacy did. When they need a prior authorization, why don't THEY track down my doctor like Upstate Pharmacy does?? Do they now have the correct contact information for next year? Or will this happen next year? I say… yikes. Their track record sucks.

    They threatened to halt my Rx twice because "Your doctor hasn't responded to our letter". I called my doc and they never got any letter. Really???? One letter is the best Optum can do? Then it's "Too bad for you". Forget that the meds I take keep me alive. I'm not taking allergy meds. My doctor was furious. They needed a pre-auth for 2 of my meds that I’ve been taking for years and threatened they may not be approved. My last two pharmacies NEVER did this. I've NEVER had a problem. Optum explained that what I was taking was excessive. Yeah!!! It sucks for me, but these meds have gradually been increasing over the last 17 years!!! My doc says she's surprised I've been able to keep my doses down so LOW for so LONG. The employees need sensitivity training. They have to realize that many of their customers are ALIVE and can contribute to society because of the meds.

    For me, 2 of my meds actually allow me to get out of bed and do stuff without pain. The other keeps me alive from a mystery blood condition. It's like the whole company second guesses the doctors. Maybe if they had more information about their patients, they wouldn't have to accuse us of wrongdoing. I've soooo had it with this company and I'm on a rampage to find the GE decision maker who switched us. I would like an override to use my former LOCAL pharmacy who know me AND KNOW my doctors. That's accountability!

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    Customer ServiceSales & MarketingStaff

    Reviewed June 10, 2017

    This company is nothing but a fraudulent, blackmailing swindler. I have AARP prescription plan, meaning United Healthcare. Never had any problems. Suddenly my prescriptions are being denied by this company, Optum, because I am exceeding my MED limit. This just started last month. I called Optum and asked, "What's a MED limit?" and "Who are you?" Lie 1) it's a new LAW passed in March that limits pain meds! There was no new LAW, it is a scale that physicians can follow. Lie 2) they are a company authorized to enforce the new limits.

    Ok, my Doctor, a very honorable, careful, decent, educated for pain management, anesthesia specialist, called last month and authorized raising my MED limit so that I could pick up my medicine. I see him once a month. Optum did it again this month. There was a small change in my medication. I had to have him call this company once again to raise my limit. It wasn't really a change, it was because I was given a full month supply because we changed my medication last month and until we knew if the new doses helped, and I am happy to say they have. So I called Optum, asked them to stay out of my business. Called United Healthcare also and asked them why Optum is involved when for 15 years there has NEVER BEEN A PROBLEM. They agreed and said if Optum gives me more problems to just call them.

    Here is the really crazy part: When I called Optum back THEY ACTUALLY SAID THAT IF I USED THEM AS MY PHARMACY THERE WOULD NEVER BE A PROBLEM!!! I could not believe what I had just heard. I asked him to repeat that. I wish I could legally record telephone conversations without the other party's permission. Unbelievable!!! They are nothing more than a scam and tried to blackmail me. Who do I report them to? The FDA I suppose.

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    Staff

    Reviewed June 10, 2017

    I was charged three times for a prescription in April 2017. My credit card noticed and refunded two of those charges, meaning Optum still received the correct payment one time. In the past 10 days, I have made three phone calls and faxed the portion of my credit card statement that proves these charges. As of yet, it still hasn't been resolved. The account rep told me this morning that I need to give them time to verify all of this. I explained to him that this was their error in the first place but he made no apology. I should not have to spend this amount of time correcting THEIR error.

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    Price

    Reviewed June 10, 2017

    On or about 5/25/2017, I called OptumRX to get a price on ** 5% Cream. They gave me a price of $167.67 for a 90 day supply, but when my doctor called it in on 6/9/2017, the cost is $275.00. That is $107.33 increase in 15 days. I call that price gouging.

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    Customer Service

    Reviewed June 8, 2017

    Terrible place. Optum tries getting out of paying claims by bogging you down with bureaucracy. When your Dr. calls to straighten things out OptumRX conveniently loses the paperwork and claim the Dr. never sent it. Why does United Health Care choose OptumRX as their online pharmacy of choice!!! Because it is cheap for United Health Care to do so rather than using a quality company.

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    Customer ServiceCoverageStaff

    Reviewed June 8, 2017

    I never write reviews but I feel the need to share my experience with OptumRx so that it may help other people out in the future. I signed up on home delivery with OptumRx online for my medication, not knowing they were going to ship my product as soon as I signed up for it. I didn't realize my medication was no longer covered, so I called their customer service number to set up a return for a refund (keep in mind I did not open the package to my medication or break the seal). They told me because I ordered online instead of calling and placing the order through them, they could not issue a refund. This made me upset but I didn't attempt to pursue it further. I went online and immediately canceled the home delivery service.

    A month later, I see that I'm totally in debt from a charge. I called OptumRx back and explained that I cancelled out all services (did not get a confirmation email) and still got charged for the prescription that they sent out. I asked to have it returned for a refund because I no longer needed the medication and I was in debt because of it. After the 2nd call, the call agent finally set up a request to have a return package sent to my house. I asked him to send it to my current address (as the one on file was old). I was assured I would receive it in the mail in 5-7 business days. It took a little longer than that, which is no problem, but they sent it to the wrong address even though I confirmed the new address with the company.

    I called them back to have the return package resent to my right address and they told me they would make it critical priority. Days go by and I never received a tracking number for my new shipment. I call them back to find out that they never even put a request in to have it resent. Doing business with this company has been nothing but problems after problems. I don't recommend this company to anybody.

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    Customer ServiceStaff

    Reviewed June 3, 2017

    I am so dissatisfied with OptumRx AARP MedicareRx Preferred. I called in to get my prescription ordered and the lady told me it would be $90.00. Well when I received the order it was for $389.42. I was not happy and called them about this. They were no help to me at all. I will not chose this company ever again and will tell everyone I know how awful they are. They do not even deserve a rate of 1.

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    Online & App

    Reviewed June 3, 2017

    The OptumRx website has not been working for over a month. I am having difficulty managing the many prescription I take without this site. Their website was one of the reasons I chose OptumRx - But now it doesn't work. Have complained to them several times, but nobody seems to care.

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    Customer Service

    Reviewed June 2, 2017

    This company has shockingly disorganized billing practices, and will cancel your order without telling you if they (incorrectly) decide you have a balance. They also lie, saying I didn't pay in a month when my credit was charged. If you try to resolve the issue, they either put you on hold and never pick up from the hold or drop the call. I am forced to use them, I hope you are not.

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    Customer ServicePrice

    Reviewed June 1, 2017

    I guess you pay a price for convenience. One rep told me the manufacturer stopped making an Rx at 100 mg, so if I could wait, they could see if they could still get it at a lower dosage. Heard nothing, so I emailed. No phone call, no email returned. So I called again. This rep, who I could barely understand, just said the manufacturer stopped making it. I explained that they were supposed to then send me the Rx at the lower dosage. Now, she says, there are no refills. I said, I never got the first refill. She says, "We will need to call your doctor for a new refill." They now have no record of my ever having had this Rx and I have had it for five years. No order number, nothing. I finally gave up. Good thing, it is not a life sustaining Rx.

    Updated on 06/12/2017: No one will talk to me when I call. I get hung up on. My Dr state that he did not tell OptumRX to cancel the prescription and for them to call him. I can't get through and there is no agency to help me.

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    Customer ServiceCoverage

    Reviewed June 1, 2017

    For over a YEAR I have battled with OptumRx to correct an error that is not allowing me to pay check by phone and order my medication through them. I do not have an option with my insurance to use my local pharmacy for more than 3 fills ever, nor can I opt out of using mail order to use only a local pharmacy, so I HAVE to use mail-in which in itself should be illegal nor can I opt out of my insurance plan's use of mail order service.

    Since OptumRx will not correct the problem, I have done without medication which has caused my blood pressure to sky rocket, causing chest pains and a possible cardiac event. I have had to purchase the medications without insurance and pay huge amounts (even with coupons) so why pay for a drug plan I can't use? Again over a year, countless phone calls, waiting on hold, speaking to supervisors, the exhalations department, being lied to, my account has NOT been updated and noted with new information, which is illegal all to be told the same crap over and over! My next step is law suit!

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    CoveragePrice

    Reviewed June 1, 2017

    I have 3 messed up discs and nerve damage in my lower back from an accident 5 years ago. I'm now developing neuropathy in both feet. I have been under the care of a pain physician for 3 years after a failed surgery. I was prescribed ** transdermal patches 2 years ago and the quality of my life improved tremendously. There are days where I don't need to take any pain medication. Our insurance is thru my husbands employer, and BCBS's copay was 70.00. Not great, but ok.

    Since January 1st, 2017 we have UHC. Not only have I been going round and round with them about not covering the **, OPTUMRx has been playing with the quality of my life in ways that are frustrating and disappointing. After being told for 6 months to try other medications (all potentially addicting Opioids) they have decided that they will not cover this medicine that is non habit forming and non addicting. It makes no sense to me. It's infuriating that someone dictates the quality of my life based on cost. I'm now paying the cash price of $577.00 a month. Avoid these companies at all cost.

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    Customer Service

    Reviewed May 31, 2017

    I have been unable to get a prescription filled because of an accounting mistake they made. There is no way to contact the accounting department. You are required to fax them any issues and you never know if they get the faxes. This company is the worst experience ever and I have been dealing with companies for 40 years. If your company uses UnitedHealthcare you will NEED to opt out of the prescription portion. They are worse at customer service than the government!!

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    Reviewed May 31, 2017

    This firm is a captive operation of United Health Care. United Health Care does not allow other firms to fill 90-day prescription thus Optum Rx has a monopoly on this part of the business. I have been shipped injectable drugs when I order eye drops and the firm filled a prescription when I had specific orders on file that no prescription was to be filled without my explicit permission. They justify their actions no matter what they have done. I have decided to pay a +$100 per year to deal with a local pharmacy. If you have a problem with Optum Rx hold them to account by filing a complaint with the California Board of Pharmacy. http://www.pharmacy.ca.gov/.

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    Reviewed May 25, 2017

    Everything all these reviews say happened to myself and my husband since GE switched from CVS CAREMARK to OptumRx. Every drug we have been on for years they have denied and have gone through so much pain and suffering. To the point where they put my husband into detox because of their screw ups and delays of a month to get him his meds. Now they're doing it to me. When I ask them how to wean off they say they are not Drs.! But yet they can deny the meds you're already on and know the Dr. wants you to stay on them! Now it's too late. Say goodbye to me!

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    Customer ServicePrice

    Reviewed May 25, 2017

    I would like to state that after talking to an idiot at OptumRX and 2 supervisors, I am still without the Medication which I ordered over 2 weeks ago. Apparently no one there understands the importance of the medication which people take for a reason. Way in God's name would I call on a Saturday to ask the whereabouts of my medication and find out that the wrong script was sent and no one at the questioned this or call me text me or emails me which they have all pertinent info. They sent a letter stating cannot refill until 3 weeks later. I have had nothing but problem with this company. I will do my best to get the word out about their service and how bad it is. But make sure you have your CC so they can charge you for their bad service. I ordered when I was supposed to get medications and here I sit 3 weeks later no medication. After 2 call 2 supervisors and 1 idiot named Latoya who needs to be fired or retrained in job.

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    Verified purchase
    Customer Service

    Reviewed May 24, 2017

    The worst online Pharmacy in the world. OptumRx continued to send medications after my health insurer switched providers. They billed me $496 each for two prescriptions that, at most, can be purchased for $70 at other online providers. My co-pay was $25. When notified by me, they acknowledged the error and issue a return package. They have acknowledged receipt of the returned medications. I continue to receive monthly billings for $989.41. I call them each month to complain and I'm assured this was an error that they will fix. After four months the bills continue to arrive.

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    Customer ServiceOnline & App

    Reviewed May 23, 2017

    Website is buggy. Contact Us does not show what emails are sent. Lacking details on your Rx, communication method is from a buggy portal, try to add contacts, and system hangs with no messages. It's not a good design of website. Build for their use, not the customers. I would avoid if possible.

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    Customer ServiceStaff

    Reviewed May 21, 2017

    I would give them a no star if I could. I am up for a class action as well but unfortunately the previous reviewer's contact information was not provided. I have been on a testosterone supplement for over 3 years. They first denied what I had been taking ** because it was not on their formulary. My doctor prescribed their preferred supplement **. That was then denied for lack of pre-authorization. My doctor attempted to get preauthorization. That was denied. OptimumRx told me I had to stop taking testosterone for a few months (not caring about the consequences) then produce two lab reports showing total testosterone levels below 285. I have appealed (requested expedited review) providing three labs below 285. Two weeks have passed with no response.

    My wife has an eye condition that when it flares up her cornea warps and requires an prescription allergy drop and a steroid drop. Both were denied. On their website, they show the similar generics for each drop that they will approve (no pre authorization needed). Her Dr. wrote scripts for the generics and they were denied with OptumRx claiming she can get both equivalent drops over the counter. According to our pharmacist and her Dr. No steroid for the eye is available OTC because they if abused could be dangerous to the eye. They represent everything that is wrong with healthcare. They disregard their own guidelines and published formularies and are not concerned with the health of their patients and customers. I would bet that with a lawsuit, discovery would show that they are incentivized to deny claims. If you have a choice go with another insurance company with a different PBM. Aetna was much better.

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    Customer ServicePricePunctuality & SpeedStaffProcess

    Reviewed May 18, 2017

    I'm sure it made a lot of sense for the insurance company to own its own mail order pharmacy business. But have you seen their ratings...one star at best. Although the customer service reps on the phone are usually nice and pleasant, their system stinks. Prescription orders can sit there un-filled...no status updates for weeks if you don't call them...ask what going on and the reason. And then...maybe, they will find a way to fulfill and ship order. It's the slowest process...and always a 30 min waste of time ever time you have to cal...which is literally every order. And if there is a mistake...HOLY COW...it could take 5 calls and 4 weeks to correct.

    And if it's a narcotic or controlled substance, they make life so difficult as compared to walking into your retail CVS or Walgreens. I like saving a little bit of money (check, not all medications are cheaper) AND THEY DONT TAKE COUPONS which are so common now with most drugs, where the retail pharmacy is probably cheaper. And I think they actually found some way to use the USPS in a way where instead of 3-4 days for package to arrive...it's coded as some ridiculous method/rate could take 10+ days from Florida. But I'm sure they're saving money. Lousy service and processes. I use them sparingly.

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    Customer ServiceStaff

    Reviewed May 18, 2017

    I have called this company dozens of times, and EACH TIME have been told false and contradicting information. I don't normally write reviews, but we are talking about people's lives. This company literally makes things up as they go along and consistently denies, cancels and severely delays prescriptions, and when I have pointed out their inaccuracies the rep will make up a completely different reason for the issue. (This happens over and over.)

    There seriously needs to be a full investigation into the practices and procedures of this company before someone's health is gravely affected by their shenanigans. They are literally the WORST company I have ever dealt with, and believe me, I have tried to give them the benefit of the doubt at every turn and tried to be patient, but I kid you not, something is very, very wrong with that organization. And to add injury to insult, at the end of my last call, the lady said, "Please hold on for a survey," and of course it disconnects right to a dial tone.

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    Verified purchase
    Customer Service

    Reviewed May 17, 2017

    They said that I ordered a prescription and charged me for it. I called their customer service and they told me I could not return it for refund. This prescription is still at post office in San Diego, CA. I told them they could stop it, and they said that since shows shipped it's mine. So I asked if I send it back could I get a refund, and they said no. So I said why they couldn't take it back and reuse it and they said no. I don't understand that I didn't open bag and still sealed why they can't take it back. This company is run by morons.

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    Customer ServiceOnline & AppStaffReliability

    Reviewed May 17, 2017

    Very uneven experience. Customer service reps. I have spoken to have been friendly, professional. The website is "down" every time I try to log in so I can't check on order status or order refills online. It is very time consuming and if I could switch companies I would.

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    Customer ServiceStaffReliability

    Reviewed May 16, 2017

    I have previously ordered online with no issues through OptumRx aside from them taking a week to "get" my prescription from my doctor when my doctor faxed it over multiple times and having to call 3-4 times to get my prescription put in. Today I go in to order a refill and my account will not work. I call the IT team who tell me my OptumRx used to be through Catamaran and now has moved over so to re register. No problem, I go to do so but it keeps telling me my information doesn't match the card.

    40 minutes later of being bounced back and forth between IT and customer service, both of them "can't help me" and "all my information is correct" but I still can't login. I tell them I need to be able to to get my prescription and ask if there's anyone else I can call. Both of them say, "No ma'am. I'm sorry". WASTE OF MY LIFE and NO HELP. Seriously why do I pay for this? So now I have no online account, IT can't/won't help, and how am I supposed to get my medicine? They are the worst. AVOID AVOID AVOID.

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    Verified purchase

    Reviewed May 15, 2017

    They send me ** and it is burning my lungs and causing me to have trouble breathing. I have complained with them before. Then they sent me my ** and I have to have a special coating on my pills as I am allergic to Soy/MSG, of course what they sent came from Tuas, Singapore. I don't do business with companies from a third world country. If it is not made in the USA then forget it. They are killing me with bad DRUGS. I guess that is one way to take over our country. DON'T BUY from them at all. OptumRX is a hoax and they are liars to the fullest. Stay away from the MURDERERS. They don't give receipts and I did not receive any order #. I feel that anything that comes from a third world country should never happen. The ** came from Tuas, Singapore and I am not happy about this at all. USA only.

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    PriceStaff

    Reviewed May 14, 2017

    The last time I used OptumRx for an ** inhaler, the copay was 5 dollars. I recently got another prescription for ** again and no matter what inhaler I chose the copay was 50 dollars. Isn't that around a 1000 percent increase? I had to decline the purchase because of the cost. Now I'm online trying to find coupons to use. Everyone else I know that uses a rescue inhaler seems to have a zero copay or 5 dollar copay. Thank you, OptumRx and also to the major drugstore that I work for, who goes above and beyond for their employees.

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    Verified purchase
    Customer ServiceStaff

    Reviewed May 12, 2017

    I've been attempting to get a refill for a few weeks, but the ball hasn't started rolling yet. First, Optum sent the wrong med; when I phoned Optum, the operator wasn't able to mail out a return kit because the computer wasn't working. Or something. So, he asked me to call back tomorrow. Really? And listen to the 15-minute recording again? So I'm in the hole for the money they charged for the wrong med because I can't return it. Every time you phone, you have to listen to a robot for 15 min which has absolutely nothing to do with your call. Then, when you're finally able to speak with a live person, they ask you those questions again.

    I've been receiving conflicting emails from Optum, stating my meds have been shipped, or "Your doctor has failed to return our call so the presc. hasn't been filled." Well, which is it? Today, I was told my doctor never responded to Optum's faxes to refill my meds. I phoned my Dr, but of course, I had to talk to the machine. Now I have to hang around the phone. She did call & stated she DID fax Optum two times, once last month & again a few days ago.

    I called Optum AGAIN, answered all the robot's questions, listened to her spiel, then finally talked with a live person who was a bit testy, stating they hadn't received any faxes from my doctors office. So my doctor was lying??? After I banged my head against the wall, I asked where I went from there, since I just spoke to my doctor's office & they stated they HAD sent the faxes. The rude woman told me to call my doctor's office again. So, I called the office AGAIN & got the machine. I'm going to transfer my prescriptions to Target. This is nuts.

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    Reviewed May 12, 2017

    I am a physician. This insurance company systematically does not pay for things. The most recent "trick" is denying a medication I prescribed while the exact same medicine - by another name - is on formulary. Since they suggested I needed to try that drug first, I know that they knew....I clearly indicated that THERAPEUTIC substitution was OK. The patient bought the drug, and OptumRx escaped paying another claim. This happens all the time, and I'm sure they are acting in BAD FAITH!!!

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    Online & AppStaff

    Reviewed May 11, 2017

    The transfer from Caremark to OptumRx was cumbersome. Their website kept bouncing us off. Then we were inundated with paperwork requesting information by mail. They need over a week for delivery of meds. Finally, they require prior authorization on standard meds which Caremark filled without questioning the doctor. OptumRx has a huge list of prior authorization meds and they deny freely without explanation. The only recourse is an appeal which wastes both the doctor's and the patient's time. Missing Caremark.

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    Customer ServiceStaff

    Reviewed May 10, 2017

    How United Health Care thought partnering with OptumRx was a good idea is beyond me. They're the worst. They auto-enroll you in their mail order prescription refill and start denying prescriptions at regular pharmacies unless you opt out. Ok, that's annoying, but fine, whatever. I login to my account just like the letter they sent me says to do and proceed to opt out of their mail order program. Next month, at the pharmacy, my refills are denied. I opt out AGAIN. Next month my prescriptions are denied again. I call and opt out a third time. Time will tell if it actually sticks this attempt. I've never had to deal with such nonsense from an insurance company before. I pay UHC way too much money to have their partner, OptumRx, play the games they seem to like to play.

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    Customer Service

    Reviewed May 9, 2017

    I received a check from OptumRx. I deposited it into my checking account. It bounced. I spoke with the accounting dept. and followed their instructions to fax the info. on check. I have tried to follow up and was told OptumRX customer service refused to give me the Accounting Dept. phone number to follow up. This is unacceptable.

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed May 9, 2017

    I've been using OptumRX for the past 18 months or so and have had no problems. They respond well when I need to call and they deliver my meds (7) on time. I've had trouble recently getting in to my online account and was told today that their "site was down" and would not be back up for "24 to 48 hours". Hard to believe that during a work week, this would be the case.

    Updated on 05/23/2017: Their website has been down for 10 days now, which is very inconvenient. But, I call their customer service and get what I need. They deliver quickly and I've had a good experience.

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    Customer ServicePunctuality & Speed

    Reviewed May 8, 2017

    If anyone read Dante's Inferno you will know what to expect from this company, 9th circle of hell indeed. I needed specialty medication, kept calling their number, was transferred to 5 different departments before they could find my ID# and transfer me to the supposed right one. Then waited 4hr. Yes 4 hours, their system kept disconnecting me because the hold was so long. My medication was time sensitive.

    So long story short, I couldn't get through during business hours. Next day either, took time from work to deal with it, to no avail. I paid $900 (a small fortune for me to get it) because I was not going to wait any longer and risk my health. I still don't know if I would have gotten the meds or not, all I got was "Thank you for continuing to patiently holding we apologize for the extended delay" several hundred times.

    I called my insurance to complain but hey why would they care? Their motto is take it or leave it, you are ** one way or another. We don't care. Well that's not what they said except that what it boils down to, I am stuck with getting my benefit only through this pharmacy or doling out hundreds of dollars out of pocket, short of losing my job. I have done everything I could but can't risk losing my job and then insurance all together because I need it.

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    Customer Service

    Reviewed May 8, 2017

    I got a letter stating if I want to get my medicines by mail for cheaper cost then I should enroll in OptumRX. I tried to do that a multiple of times to no avail. So I called them to no avail. I am an 86 year old man who worked at IBM when it was in its heyday as a manager. I would have been fired if the customer service I provided was bad as OptumRX. I don't understand how they stay in business.

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    Customer ServicePunctuality & SpeedOnline & AppStaffProcess

    Reviewed May 7, 2017

    My wife has a daily prescription for 90 mg of medication. They don't make a 90 mg dose, so she's been taking a 60 mg and a 30 mg on a daily basis. As of 1/1/17, they informed us that a daily 90 mg dose exceeds the "quantity limitation." The OptumRX formulary only allows two doses of a given medication on a daily basis. My wife was only taking two doses (30 mg and 60 mg) on a daily basis. But OptumRx chose to ignore that fact, and elected to treat a 90 mg daily dose as THREE 30 mg doses. THEY LIE. We spent at least 3 hours on the phone, to try to logically explain the situation.

    Finally, we were told to file for a "prior authorization." That process included three (four?) separate phone authorizations by my wife, giving me authority to speak on her behalf. The request was denied, because OptumRx said the doctor had not responded. The entire process was totally opaque, in that the patient has no access to the actual communication among the pharmacy, the doctor and OptumRx. I went to the doctor's office and went ballistic. The doctor's admin assured me they had responded, but would do so again. Again we spent another three hours to apply to OptumRx for a "prior authorization", including another phone authorization for me to speak on my wife's behalf. The application was denied because the combination of a 30 mg and a 60 mg daily dose exceeds the two-dose daily "quantity limitation." Simply put, two is NOT more than two. THEY LIE.

    We called OptumRx to file an expedited appeal. That was another 1-1/2 hours on the phone, including a verification of the fact that OptumRx's records showed I already had authorization to speak on my wife's behalf. The Optum representative told us to contact the doctor again, and have them prescribe THREE 30 mg daily doses, which provide a clear basis to gain an exception to the 2-dose-per-day "quantity limitation." We went back to the doctor, who by this point was also frustrated. The Optum rep assured us that we would have a decision within 72 hours.

    Three days later, we received a denial from OptumRx because we had not filed the proper form to establish my credentials to speak on my wife's behalf. Since I had already been assured I had that authorization, OptumRx was lying one way or the other. THEY LIE. Moreover, the response submittal had to be delivered within 72 hours, and we were on the other side of the country for a funeral and didn't even see the decision letter for another 10 days. The saga will continue, but it's time to start recording the phone calls with OptumRx, because THEY LIE.

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    Customer ServiceStaff

    Reviewed May 5, 2017

    OPTUMRX is Total ** GARBAGE!! The internet site doesn't give data to the phone reps. so you have to go through the whole registering thing again and after 10 minutes of giving your private info to verify. Then they won't transfer from a pharmacy. They will only take a new prescription from the doctor which requires you to go and pay another copay to the greedy scumbag doctor. After 3 weeks of waiting and no notifications they never shipped anything and I gave up on this garbage. Supposedly even after the doctor sends it they have to talk to you again before they will send it and send it snail mail. How ridiculous!

    Millions of American citizens who are weak and sick are subjected to this horror of back and forth and waiting and suffering without any help and they won't even let another person help because of HIPAA. What a DEVIL LAW that does nothing except make things worse except for the paper and file cabinet industries and they sell our info and data breaches. What a shame America is!! The only way to get your medicine is to go to the local pharmacy and hope they stock it because lately they stopped even that and must wait for them to order it.

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    Customer ServiceStaff

    Reviewed May 4, 2017

    The customer service rep and managers at this company is deplorable, unprofessional and uneducated. After 45 days of trying to get my mother's prescription refilled, a call to the insurance company & we figured out Optum reps has been looking at the wrong insurance plan.

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    Customer ServicePrice

    Reviewed May 3, 2017

    My doctor prescribed 3 tubes of medication for 90 days. They sent 2 tubes for the price of 3. When I asked for the extra tube, they said the doctor's directions indicated 2 tubes. THIS WORD FOR WORD WHAT OPTUMRx CUSTOMER SERVICE SAID ABOUT THEIR PRICING: "Your copay would be the same for two tubes, three tubes, four tubes, etc... If the prescription had called for only one tube you still would have paid the same price as you would two or three, so it is more appropriate to say that you paid your copay for 90 days worth of medication. We dispensed the correct amount and the copay is correct."

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    Customer Service

    Reviewed May 3, 2017

    Twice now I have had major issues with trying to get a prescription for migraines. Tell first time took well over a month and probably 20 phone calls between myself and doctor's office. This time has been well over 2 weeks and maybe 20 phone calls and 5 faxes that were supposedly never received and fingers crossed we are almost there. The issue is there is no communication between departments and you always get a different answer every single time you speak with someone. It is unfortunate that we cannot use an alternative provider.

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    Customer ServicePriceStaff

    Reviewed May 2, 2017

    Basically money **. OptumRx is a broken arm of United Healthcare Insurance, Optum doesn't care about patients or increased pain and suffering. As long as they can cut cost at your expense you will get every run around and catch them in straight out lies, trying to discourage you from pursuing the right path. Don't bother calling them, they purposely hire mentally challenged people to serve as their front lines. No doubt they are trained on how to give you the run around. Never fall for the "Well let me give you a number to call routine" or let me transfer you to that fictional department. All you will get is a discontinued nonexistent number.

    I really hate this company, terrible service, No compassion, there is no such thing as a pre-existing condition with this company. Blatant disregard for the law. Its administrative nose pickers who think they are Doctors. They are not board certified physicians. That are making dangerous decisions to save a buck. If you are reviewing Insurance Companies to purchase insurance from, and If that Company is using OptumRx as their prescription delivery system "RUN don't walk but RUN for your life because it may depend upon it". I strongly suggest going to AETNA or Blue Cross and Blue shield. Optum RX is filled with nose pickers who are trying to be recognized for cutting costs, and in a sense they are illegally practicing medicine at your expense.

    Someday someone will die or commit suicide based upon what these nose pickers are doing to United Healthcare patients. If United Healthcare were smart they would dump OptumRx otherwise they will end up losing business in the long run. I am suggesting to my wife to become very vocal about how bad OptumRx is when her company entertains new Insurance Companies. RUN YOUR LIFE - IT MAY BE DEPENDENT ON THE NOSE PICKERS. "Hey Harold I saved $36.00 for the company today by denying medications to this old helpless man." Harold: "Oh Yeah that's nothing. I denied 7 medications for one guy today because he couldn't meet my new medical criteria I created to receive those medications and I saved the company $589.00 per month or until the old geezer starts pushing up the daisies and then the company will save $869.00 per month. I can't wait until I get my cost savings bonus check this month."

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    Price

    Reviewed May 2, 2017

    We have UnitedHealthCare Medicare drug plan. They claim to save us money by using their "preferred" mail order pharmacy, OptumRx. On 12/20/16 we got a prescription for ** 300 mg. #90 for $67.06. On 4/27/17 we got a refill for EXACT SAME prescription and our insurance was billed $169.99. When I called OptumRx to question huge price increase they claimed a large price increase from their manufacturer. I went online (and called to confirm) price from Costco and was given a price quote of $83.12 for this Rx.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 1, 2017

    After hours (NOT EXAGGERATING) on the phone to get my scripts transferred to this UHC mail order pharmacy, I still do not have them! I am a new member of UHC, so 3 weeks ago decided to transfer my scripts. Called OptumRx and they took down the information, said they would contact my doctor. Waited a few days, nothing shows up in the website. Called again, they said the doctor did not respond. I called the doctor's office and they said they faxed the scripts. OptumRx calls to say one cannot be filled because they cannot send 2 tablets per day for 90 days. They suggested the double strength of the same medication; since I take the 2 tabs together (because of my previous insurance) I thought that was a great idea and heartily agreed.

    A week later, still no indication they received the scripts; called my doctor again. They said they sent them. Then after 3 weeks, I check and they have the script for the 2 tabs in my cart at $509, not the UHC price! I called immediately and told them, "NO, stop that, not going to pay." They said that was how my doctor ordered it. I drove back to my doctor and they sent new scripts while I was there. Gave OptumRx to get them online; they canceled the 2 tabs, nothing else. Called OptumRx and they said they got the update, would be a while before it was in system. I asked about the other 2 scripts. They said they were faxed but didn't have the doctor's name on the script; to resolve it, the doctor's office had to call and verify the provider. They hung up on me went I started to vehemently complain. I called back to speak with a supervisor who said they couldn't help at all. WTF?? UHC is going to hear about this.

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    Customer ServiceCoverageStaff

    Reviewed May 1, 2017

    I just switched jobs, and unfortunately, I have UnitedHealthCare for my health insurance. United HealthCare is fine, but I had HORRIBLE experiences with OptumRX in the past. They still haven't gotten their act together. First, when I had my doctor send over prescriptions, I got an email that there was a problem with my order. I called in, and they said my account was inactive. Their system couldn't handle that I used to be with UHC and was again covered by UHC. Got that fixed, and everything seemed like it might be OK. Then I get a letter that one of my drugs isn't covered in 75mg strength. I call the doctor and have them send over 50mg instead. Meanwhile, it seems that the other drugs are OK to ship. I call in about the other drugs on April 24th, because the website says that they were filled on April 20th. "Oh, no, they haven't shipped yet."

    April 30th, I notice that the hold on my credit card was released by OptumRX, and there wasn't any charge. Did my order that supposedly filled April 20th have a problem? I called in, and she said my account was on hold! Called in again, and the pharmacist now has a problem and wants more clarification on the order that they had marked as shipped on April 20th! Oh, and the order for the 50mg strength instead of 75mg strength?? They put that on my inactive account!! And the supervisor that (hopefully) cleared this up for me? His name was Michael, but he refused to give me his last name -- company policy!! I'm the CFO at my company, and I can't wait to tell the insurance broker how horrible the service from OptumRX is.

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    Customer Service

    Reviewed April 29, 2017

    I mailed in my prescriptions overnight express $24.00 my cost. Gave 3 weeks for the Pharmacist to review, call my Doctor with any questions as she was leaving on vacation. I wanted to make sure nothing went wrong. WHAT A JOKE. They called, confirmed and confirmed and then when all we thought was done she left on vacation. Now they have another question. She can not respond now. I am 3 days away from needing my pills and everything is on hold. I asked to send them back, called back, no mention in notes still waiting.

    Now they gave me an override number to give my pharmacist of 10 years to try and get filled. Can not do anything till Monday am. Now I will be entering the hospital in three days if it does not work. WORST EXPERIENCE. STRESSFUL, NON-COMPLIANT SERVICE I HAVE EVER BEEN THROUGH. Just save the time. DO NOT USE this service. It is life threatening situation. THEY DO NOT CARE. Joke of all pharmacies.

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    Customer ServiceStaff

    Reviewed April 28, 2017

    I called twice asking about my prescription and how much it would be. Both times I was told it would be a $0.00 copay, so I decided to go ahead and get it through mail order instead of through a pharmacy. When the prescription came in the mail, they charged me $46.52. I called back, and the person working there said she couldn't see anywhere that the prescription would be $0.00. OptumRX needs to get their act together and stop giving out incorrect and inconsistent information. The employees apparently have no idea what's going on in their own company.

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    Customer Service

    Reviewed April 27, 2017

    This is not going to be long. But in short OptumRx cannot keep their story straight from phone call to phone call. After many calls to come to a solution they revert to not knowing what is going on and start from square 1. I have made at least 20 phone calls about a particular prescription, this year alone (it happens every year), and each time after a maddening hour or so the situation appears to be fixed. But somehow it gets messed up and I have to call again. Tonight I was so mad I told them to cancel all my prescriptions and send me a return box so I could send my unopened ones back. Too long of a story to go into. But take my word, stay far far away if you value your sanity.

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    Customer Service

    Reviewed April 26, 2017

    This is one of the worst companies I've dealt with in years. Absolutely horrendous follow-through and communication protocols. If there is an issue of any kind they sit on information, neglect to communicate, and ignore giving ways to resolve it. When you call OptumRx to get something resolved the only answer they can give you is: "It's not in our policy to do that." They never get any issues resolved, just an on-going circle of poor customer service and absent communication.

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    Customer ServiceStaff

    Reviewed April 26, 2017

    I called OptumRX to reorder prescriptions. On 4 out of the 5 they told me I could not reorder and that my doctor had cancelled the prescriptions. On the prescription bottle labels it clearly stated the prescriptions were renewable and I had copies of the prescriptions showing refills were approved by the doctor. The OptumRX representative argued with me and said it was clear, in their database, that my prescriptions could not be renewed. I told her she was wrong. She put me on hold and came back and said a pharmacist determined OptumRX had put in the incorrect prescription expiration date at the time of the earlier order. This is not the first time OptumRX has messed up. UnitedHealthcare needs to get rid of OptumRX and get a new mail order pharmacy.

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    Customer ServiceStaff

    Reviewed April 25, 2017

    This company is one of the worst I've dealt with - and I'm dealing with them because I obviously have a medical condition that requires special medication. It's shameful what they put their customers through to get their medication. It seems I'm always told different things by different customer service agents, and then nothing is noted in the system. I have been told on several occasions that my meds are free one month because of a special rebate offered by the drug company, and then they bill me - and say no one who works there would ever do this. I have had orders cancelled at the last minute and never notified. I call once a month to re-order my prescription and I'm on the phone with these clowns for at least 45 minutes every. single. time - because there is always an issue on their end. If you can avoid having to deal with this nightmare, avoid at all costs.

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    CoverageStaff

    Reviewed April 22, 2017

    This company manages prescriptions and mental health claims as part of United Health Care. There is nothing united about these companies. They have for two years been unable to coordinate with each other to get my max coverage and current claims correct. I end up spending hours telling them how to do their job. This year has been the worst. They have complete imploded my claims and confused my Dr and pharmacy facilities.

    I got injured by no fault of my own and I need my medications and dry. They can't coordinate. They promise in 72 hours to have a resolve but don't. Now I can't get my family's prescriptions because I can't get my claims right. I can't chase down money owed me all the time because they wash their hands off the issues. I had to prepare my own list from their claims to coordinate because their "totalers" real job title, can't total. And yet I pay for this. Shame on my employer to allow such poor service to their employees and give us no options.

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    Customer ServiceStaff

    Reviewed April 21, 2017

    I became frustrated today when I received a computer call from OptumRx specialty pharmacy telling me that my med would not be pre-approved because the FDA has not approved it for my condition. I have been on this med for 4 1/2 yrs and have never had an issue with my former pharmacy (Caremark). I am mortified after reading all the reviews here from other patients and what they have gone thru, apparently this is standard procedure for this company. It is very unfortunate that a large organization like CalPERS has subjected their members to this kind of company. The people at OptumRx that have helped me fill my order until now were very considerate and efficient, how frustrating for them to have to deal with irate and scared people, like me, who don't know how to fix this situation. Our health and for many of us our lives are in the hands of companies like this, shame on them.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed April 19, 2017

    I went to my doctor. The doctor faxed my prescriptions to OptumRx. I call them to order. I know my insurance won't cover it. I give them my credit card information. They don't tell me they're not sending my prescription. I wait two weeks, check in the mail day after day, call them, then they tell me, "Your insurance doesn't cover, I noticed." This is why I paid them with a credit card. They don't call me and tell me they're not sending it. They don't notify me in any way. Then I go to fill a different medication that my insurance does cover and they don't send that.

    They are very unpredictable and they are not dependable. I will never use this pharmacy again. I don't care if they gave me a zero co-pay. I will gladly pay knowing that I'm going to get the proper service I need for my health. This pharmacy is very dangerous to the people that they are trying to serve. They should be shut down. If you don't get your medicine on time depending on what kind of medicine it is just gonna be a health risk to the patient!!! Beware of OptumRx. They don't care about customer service.

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    Customer ServiceStaff

    Reviewed April 19, 2017

    My husband and I have spent at least 20 hours and about a dozen phone calls trying to get my inhaler medication refilled properly. I have been on the same medication for over 15 years at the same dosage. I did not receive my order in January and was told it had been delivered to my porch. After a lot of hassle, I finally received my medicine which was a 2 month rather than 3 month refill. Normally I pay $59 for three months and this was $125 for 2 months. I was told my prescription had changed to half the dose and that my exception to receive this med had expired.

    My doctor NEVER changed my prescription and informed me my usual dosage is standard and no one ever let me know that the exception for this med would expire and have to be renewed. On top of that, I had to pay an extra $70 to get my med locally until my replacement meds were mailed and just got a call that that is not reimbursable. This company has been a nightmare ever since the Michigan Ret. System took them on to dispense mail order meds. Do not sign up with them would be my recommendation. They are NOT helpful, rude, and their service is terrible.

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    Customer ServicePrice

    Reviewed April 19, 2017

    THIS is the worst idea ever... mail order pharmacy. Let me begin with twice in the last 4 months this company has sent me wrong medication and charged me for it. I returned the first wrong medication and received my credit, didn't get the correct medication until after they received the wrong one back. It wasn't my fault they sent the wrong one but I had to wait for my medication. Good thing I wasn't dying. The second time, I am still waiting for a call tag to return this wrong medication and the $175 they charged me! For something as important as medication you should be able to speak to someone face to face and have them hand you MEDICATION!! Using this place was not my choice, my employer made changes to our insurance and this is what we are stuck with.

    If you have a choice, take my advice, DON'T USE THEM. The customer service is horrible, it's like they are doing you a favor to talk to you. Not to mention you often get 'disconnected' and have to call back, which extends the customer service nightmare. I have reported all of this to the HR dept at my company, hopefully next year when we renew we don't have to use them.

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    Price

    Reviewed April 17, 2017

    In September 2016 a 90-day supply of ** (20mg) cost $76.65 - I paid $25, plan paid $51.65. In March the exact same prescription cost $373.27 - I was charged $74.65, plan paid $298.62. The increase in cost to me as well as the plan is outrageous. I realize costs go up but three times the amount is ridiculous.

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    CoveragePrice

    Reviewed April 17, 2017

    I have a chronic insomnia condition that was well under control until I changed my medication provider to OptumRx. I have reasons to believe their cheap generics are closer to pharmaceutical placebos versus "more affordable options." It is such a low regard for caring for the patients they cover that it is shameful. All they care about is sending you the cheapest placebo and getting their payment on time.

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    Contract & Terms

    Reviewed April 14, 2017

    I called Optum to renew Rx on April 2. I called Optum a few days later to confirm shipment at which time I was told there were no refills on the Rx. Optum Rep said they would FAX the MD to get a new Rx. MD confirmed receipt of the FAX and Faxed the Rx back. Optum claimed they did not received the Rx from the MD. This happened again on two additional occasions. On April 13, I called the MD. The MD called by phone Optum with me on a second line but I could hear the conversation. While on the line the MD faxed the Rx and Optum said they received the fax and would process the Rx but the patient will not receive the Rx until the week of April 24. I agreed to pay $12 for overnight shipping and the MD relayed this to Optum with me on the line.

    The next morning April 14, I rec'd e-mail from Optum that they could not ship because the Rx was not received. I call Optum and explained to a "supervisor" the above but he read the script telling me they did not receive the Rx from the MD. I went to the MD office and a call was made to Optum with me there. The MD was directed to numerous extensions until an Optum Rep acknowledged the receipt of the Rx the day before and said the Rx will be delivered to me on April 17 or 18.

    I have now gone two weeks without my BP Rx. I was told that Optum is the only Online Pharmacy for United Healthcare. I recommended to UH that they contract with another online Pharmacy and cancel the contract with Optum for Breach of Service and Poor Performance to their client (patient) base. If you use Optum and are happy - good for you. If you are unhappy with the Optum service, I suggest you contact your Healthcare Provider and switch to another online pharmacy.

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    Customer Service

    Reviewed April 12, 2017

    My Rx is stuck in the "Pre-shipment" mode. I was given a tracking number on 4/7/17, saying "pre-shipment info sent to USPS, but USPS awaiting item". I watched daily, and after 5 days of no status change, I called OptumRx. After much time, they said "Our records show we gave it to USPS". I called USPS, and after much time, etc, was told by USPS "We'll look into it. Call you back in 2 - 3 business days." A call back to OptumRx, and they said "Until it has been lost 10 business days, we can't do anything". WTF! As the med is **, I now need to go hat in hand to my Dr and ask for ANOTHER script for 30 days to get me over the hump. (And they are in no hurry to do so!) Based on the other reviews, I'm certain this is OptumRx screwing up, not USPS.

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    CoveragePunctuality & SpeedOnline & App

    Reviewed April 11, 2017

    I work in the health care field, and I'm honestly appalled that my company would use such a service to shave a few bucks off the cost of prescription coverage. They should know better. I have had to be under this prescription coverage on two occasions, and each time it was not clear how many "retail" fills I was entitled to, I had trouble getting properly set up on their website, and ultimately had to have an "emergency override" in order to get my prescriptions on time. It's ridiculous that prescriptions can be held hostage by a nameless faceless company that only cares about the money lining their pockets and not patient care.

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    Customer Service

    Reviewed April 8, 2017

    I want to file class action lawsuit against OptumRx and need support of other patients who have terrible experience with them. CALPERS chose OptumRx to be my plan's pharmacy benefits manager from 2017 replacing CVS. OptumRx does not care for whether patient lives or dies. All they care is how to save money by denying benefits to the patients. I am lung transplant candidate and have been taking several drugs for the last 4 years. OptumRx stopped my medicines and my Dr and I are given runaround even though medicine is in formulary and prior authorization is obtained. According to their own pharmacy guidelines, only prior authorization was required. First time my Dr sent PA, they said they did not receive it when I inquired about the status after 3 weeks. My Dr sent second PA. Even after that they denied medicine and told me that my Dr needs to file appeal.

    Even 2 weeks after my Dr filed appeal when I inquired, I was first told that they did not receive appeal. After I got angry, they said it was received but it is pending. I asked for supervisor. She also first said that there is no appeal on record. After I got mad, she found that appeal was in different department and she would find out and get back to me next day. Next day she called me to say that my Dr sent appeal at higher level. He needs to make appeal at lower level first. I said, “Why your dept cannot forward you the appeal that my Dr had already sent more than two weeks ago?” She replies that, no Dr needs to send another appeal. They use all these delay techniques to save money for themselves on patient's expense. I want to file a class action lawsuit against them and need support of all of you people who are given hard time by OptumRx. I can be reached at **.

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    Customer ServiceSales & Marketing

    Reviewed April 7, 2017

    This company was referred to me by the insurance company I signed up with. I was told my company could not help me with some of my medications and prescription hope could. They have taken $280 from my account since February, and no medications yet. I receive numerous phone calls asking for more information, but no medications. Lots of promises and that is all. I have contacted my bank to stop them from removing any more money. I'm just out the money and no closer to getting my medications. What a scam. I guess I should not have contacted them without researching the company. That won't happen again.

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    Customer ServiceCoverageStaff

    Reviewed April 6, 2017

    Over the past year I have more problems with being able to get my inject-able medication. The initial prescription was "written wrong" and needed a prior authorization. I was told by my Doctor's office that the prior authorization was approved and they had fixed the prescription. When I called back I was told that my prescription was expired, how can it expire before I even receive it? I explained the entire situation to the representative who apologized and finally fixed it so I could get my starter pack. I was advised at that time that it would be better to refill my medication online. Next refill was requested online and again after a weeks time I had not received my medication, online says "in process". So I called and was told my prescription was expired but they "found" the current one and shipped it out right away. I did not received my medication for 4 days.

    Finally was able to get refills by ordering online with no problems until last Monday. I placed my order and again a week and a half later I still have no medication and on my account it is listed as being "in process". When I called they told me it was expired and I ordered the wrong one. I have had enough! This company shows no concern for their patients health. I asked why I did not receive a phone call to check on this request and she had no answer other than to repeat that I ordered a medication with an expired prescription. She said that if it is expired then they don't know that I need the refill. Excuse me?! I ordered the refill through your website, obviously I need the refill! At this point I was told my medication was ordered and I should receive it tomorrow. I am not holding my breath.

    This company needs to be investigated and informed that their first concern should always be patient care. If there is a concern or question regarding a medication refill THEY need to take the initiative to contact the patient to communicate. Communication is key to taking care of the patient. They have no communication skills nor do they seem to care. They are treating patients as customers. Handling medications that people take for any number health reasons is a very important job and should be handled with the utmost care and concern. Unfortunately I have no choice based on insurance but to struggle with this company... I pray they are better at filling anxiety medications as I am sure I will end up on those if they don't fix their issues soon!!

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    Coverage

    Reviewed April 3, 2017

    I've never had to pay a deductible EVER for my prescription coverage. Actually the last time I did it was for some no name rip off company just like this one while I was unemployed. Now they say I have a $600 deductible and 5k out of pocket max before my prescriptions are covered in full. WOW. Oh and then they try and get you at every turn. Some medicines they cover only 10% of the COST not the COPAY, even with generic Rx! The pre-authorization thing is worse than HMOs. It's such a hassle. If I knew my company was going to switch to bottom of the barrel coverage I would have chosen the max amount on FSA or canceled the plan completely. I won't be making this mistake again knowing what I have to deal with. I can't believe my company, a top generic manufacturer did this to their people. What a ROOK!

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    Staff

    Reviewed April 1, 2017

    Oh yes, you know what I am talking about. That brown stuff that you can't wait to flush away. This is what it has always felt like dealing with this giant ** of a company. I could not WAIT to stop interacting with these thieves and irresponsible liars... ALL of their agents have given me inconsistent, conflicting and wrong information left and right, along with overcharges, missed deadlines for very important delivery dates of mine and my husband's very important medicines!!! Four words to describe how I feel about OptumRx, Optum and any other organization that these buffoons run: I HATE this company. Just had another recent crappy experience connected to them... they are the gift that keeps on giving. AVOID doing business with them with all of your might. You will not regret it. Also, check this out. Not a big shocker. Hope everyone here gets a nice, fat check in the mail: **. There is now a Class Action Lawsuit against OptumRX. Yay!

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    Reviewed March 29, 2017

    Playing games since Jan, 2017. From reading all of the other reviews I don't feel I have to write much. My experience has about the same as everyone else. I have to stay calm when calling this company. I would not recommend this company to anyone. I did find out I can go to Walgreens for the same price as mail order for a 90 day script. That was my plan. It's been 5 days now and they have not transferred my scripts to Walgreens. I'm ready to scream.

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    Customer ServicePunctuality & SpeedStaffReliability

    Reviewed March 29, 2017

    On the phone with OptumRX for the third time with the exact same issue. Cannot login to site. Right off the bat, I was asked for my full social security number. When I told Tonya (could not hear name) I would not provide my social security number but would happily provide the last 4 digits, I was told she could not help me. Are you kidding me??? I offered my birth date, address, or anything else and she was finally able to look up my account. This place is horrible. DO NOT USE THEM, DO NOT TRUST THEM AND ENCOURAGE EMPLOYERS TO STAY AWAY from both OptumRX and their parent United Healthcare.

    First time I wasted 2 hours with "Tech Support" trying to log into system. I had to drop off so I could get back to performing at my job. Second time wasted another hour with "Tech Support" and was told my issue needed to be escalated to next tier of support with promise I would hear back within 24 hours. Never received the call. Thinking third time is the charm but have talked to 3 customer service reps and "tech support" who have bounced me another support team. So far I've been waiting for over 30 minutes for someone to answer the phone. Finally, someone answers and I have to wait 24 - 48 hours to check website to see if what was promised actually worked.

    This company is a waste of time. They are not helpful on the simplest of issues (logging into website), difficult to understand (seems to be poor phone system or headphones at OptumRx) and quick to push questions off to someone else in the company. Still waiting. I wish I could provide order number but since I cannot get onto website, I am left to have my Dr call prescriptions into our local pharmacy. Never had issues like this with CVS Caremark and hope to have the opportunity to return for 2018. OptumRX, please add online customer complaint page i. If you were truly interested in hearing from your customers, you would make it easy.

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    Customer ServiceCoverageStaff

    Reviewed March 28, 2017

    I would rather suffer the effects of an inoperable prolapsed rectum, while on hold with the IRS, and being forced to watch the 45th President give a speech. Nothing can be as painful as the wasted 2 hours I just spent: on hold, transferred, repeating myself to each new "customer service representative" (apparently "technology" isn't what they're spending their profits on), hung up on while being "transferred", told it wasn't their decision to stop covering a medication while blaming the medical coverage, like a toddler trying to deflect blame, having to say, "What?!" every other minute because of their poor telephone service (again... technology isn't their focus), promised that once my doctor calls in for prior authorization, marked "urgent", that the process will only take 3 days (my eyes actually got stuck mid eye-roll), having my call terminated when I gleefully said I was looking forward to taking their survey.

    As a registered nurse & decent human being, I would never wish this poor excuse of a "healthcare" company on anyone. I am thankful that I am only dealing with 1 medication & have the financial ability to temporarily pay out of pocket for my child's medication. I challenge OptumRx to respond to any of the reviews that I have read both here & on social media. Something tells me they won't accept my challenge.

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    Customer ServicePrice

    Reviewed March 25, 2017

    3 times in the last month this Co. sent me medicines I did not order. Submitted a prescription for ** inhaler. Received 5 inhalers for which I was charged $275. Called to complain. They promised to send return "kit". Instead I got a 90 day supply of ** which I do take but did not order. I called to complain and they sent return kit for the extra inhalers. Next I called to price ** which I normally order from Canada just to see if a generic has become available in US (available everywhere else in the world.) No, this is still an expensive tier 3 drug. I thanked them for the info and hung up. I then ordered a three month supply from my Canadian pharmacy for about $58. Today I received a 90 day supply of the name brand from OptumRx to the tune of $275. Once I get this one straightened out I will get my name out of their system This is ridiculous! At least the un-ordered extra ** was low cost.

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    Customer ServiceStaff

    Reviewed March 24, 2017

    After losing one leg and half a foot I have been on the same pain killers for going on 5 years. Suddenly this January, out of the blue I need a preauthorization for my 30mg **. I was out of them, I got these people on the phone whose answer was, "That's too bad but you are going to need a preauthorization for this." I have been on these for 5 years never needed one before. "You do now!" It took my doctor's office 12 fax, 28 phone calls, 5 letters and 26 days to get this. Preauthorization required 4 times in 2 months. Everything they were sent was met with a new request. I went to the drug store last night, guess what!! Yep, they want another one. I have one day's pills left, I may go to jail this time.

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    Customer ServicePriceOnline & AppStaff

    Reviewed March 21, 2017

    Tried about a week ago to set things up on their website to start using this mail order pharmacy. Click on what I thought was just going to get my information in the system, not actually order meds at that point. I was wrong. I called and explained to the person I was talking to that I must have misunderstood and need to cancel the order because I didn't need those refills at the moment and didn't want to be charged for them. I stayed on the phone with him until he confirmed they were canceled. Next day I saw the charge for the meds to my checking account. I called OptumRX and the person said they have no record of me calling and policy is... Blah, blah, blah. I accepted that I would get the meds and have to pay for them but that I wanted to make sure this didn't happen again and that they would not send meds without my requesting them.

    SUNDAY I logged in to check the status of the meds because I hadn't received them yet. Upon logging in I see an order for $1553.15 worth of **. YES!! $1553.15!! What the crap?!?! I called immediately and asked how in the world this order could have gotten in the system. I got a lot of incomplete sentences, "ahhh's, I don't see... looks like some kind of automatic order or maybe the doctor ordered it. The order was placed today" (SUNDAY). I did not get an answer for how this order was placed or who placed it. Of course I instructed the person to cancel the order, take my credit card off file, and opt me out of this service so that I can just use my local pharmacy. I stayed on the phone with them until they confirmed that was done.

    The very next day I got a call from OptumRX. They put the pharmacist on the phone who proceeded to ask me if I needed the ** in vials or pins. I explained the whole situation to him. He apologized and said he would cancel the order. I was put back on the phone with the original person I was talking to during this phone call. I asked her to verify my credit card was taken out of the system and that I had been opted out. My card was out of the system but I had not been opted out. I asked her to opt me out, take me completely out of the system, and forget that I ever existed. I will never try to use them again. It's supposed to save money but trying to charge me $1553.15 for a bunch of ** definitely isn't saving anyone anything. WHAT A JOKE OF A COMPANY.

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    Customer ServiceStaff

    Reviewed March 17, 2017

    In getting authorization, I spent 2.5 hours on the phone with this company, was given incorrect information, transferred multiple times, dropped from hold, and put back in the phone tree to start all over again 3 times. Finally insisted on speaking with a manager who was able to get me to the correct person. Next time, I am calling the insurance company of the patient and having a representative go through the process with or for me. Ridiculous, terrible customer service, poorly trained employees, horrible company. I would pressure your insurance companies not to use them.

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    Customer ServicePrice

    Reviewed March 16, 2017

    Two times I ordered my medicine and waited till they said it would be delivered. When I called the order was never placed so I fired them. It doesn't matter how good their prices are if they can't get your medicines to you. Now I am out of medicine and I have to find some other answer. DO NOT USE THIS COMPANY IF YOU NEED YOUR MEDICINES.

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    Customer Service

    Reviewed March 16, 2017

    I saw my doctor 2/28/17. Rxs faxed in. I was out of some of my meds. I called OptumRx today (3/15/17) as of today my Rxs had not been sent. This should be against the law. I suppose when someone lose their life something will be done about this. I'm on 12 med's, if I didn't need them I would not be taking them. I am very upset about this.

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    Customer ServiceStaff

    Reviewed March 13, 2017

    Called doctor to send refill request to this company. The dr did submit prescription. After one week I did not receive any info on my request. I called this company and they said the dr would need to fill out pre-approval request. They never asked the dr for more info and they never contacted me. This med is for high blood pressure. So now I will be without my meds until this mess is corrected. The person at OptumRx said they could send me another med that was "like" the one I was prescribed. They are not doctors. They were very rude and not at all helpful.

    I worked 30 years for the SOM. Never had a problem with MedImpact. This company does not care and does not acknowledge dr prescriptions without going through a lot of red tape that takes time. In the meantime my high blood pressure will soar due to their incompetence. How do we get rid of this company??? Before someone dies or has serious health complications because they don't want to issue dr prescribed medicine.

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    Customer ServicePriceStaff

    Reviewed March 12, 2017

    Firstly, just try getting a price for your drug at their Web site. Good luck. You end up having to call them. The people answering are very nice, but you get a different answer with each person. They apparently love to force you to get prior authorization even if you've used the drug before. And their prior auth process takes a long time. And it's just stupid. I finally got prior auth for ** (conjugated estrogens plus progesterone), but they want $100 for 3 months.

    At my previous mail-order pharmacy it was $40/3 mo, which was outrageous enough. (I'm required by my retirement plan to use a certain mail-order and local pharmacy; they changed it at the first of the year). So I asked my doc to Rx two generic pills (together, $20 for 3 months) that do the same thing, and according to research, the form of estrogen in the generic is not as risky as the form in **. So he sends in the Rx. THEY WANT ANOTHER PRIOR AUTHORIZATION!! It's the same stuff, folks, only safer! Pay attention! WTF??? Could it be that they just want me to pay them $100 instead of $20 (for the generic) so they can make more money? You think?

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    Customer ServiceCoverageStaff

    Reviewed March 12, 2017

    My employer switched from an rx provider that provided me & my family with excellent service for the past five years, with zero problems, to Optum, with whom myself & my pharmacy have had two problems with during the first three months. The worst was that I apparently was informed there was a mandatory mail order service in which I needed to enroll, for my maintenance prescription to be covered. Evidently there's no option to continue actually visiting the local pharmacy with whom I have an excellent relationship. My pharmacist is one of my trusted healthcare providers & has always been able to answer any questions.

    Also, I looked back through all the information (mostly Optum marketing materials) I received from my employer & Optum when I enrolled in the new program. Among the info on telephonic wellness coaching, info on Optum's "fun, interactive website that helps you focus on your health", & other ephemera I discovered no notification of Optum's mandatory mail order service. Since then, I've been trying to enroll and figure out exactly how this service works, & even that is hard, with myself & my pharmacist receiving conflicting information.

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    Reviewed March 10, 2017

    United HealthSelect of Texas just moved to OptumRx. Apparently prior authorizations didn't get moved over. Medicine I've been taking for 5 or 6 years just got denied, creating a medical emergency. They claim I need to prove I need the medicine first. That's like asking a diabetic to stop taking insulin so they can get test results saying you need insulin. How dumb and how dangerous. This is a horrible group to work with. I've called several times.

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    Customer Service

    Reviewed March 8, 2017

    This is such a JOKE! I pay UnitedHealthcare a TON of money each month for benefits and then when I need medication they have some deal worked out that I am FORCED to go through this piece of crap pharmacy that can not even make phone calls out. SO, not only do I have to go through all this, and pay them out the bucket but I have to make all their calls for them because the UnitedHealthcare pharmacy program is a joke for specialized medications. Whoever the millionaire is that is lining their pockets with my money SHOULD GET ON THE DAMN PHONE AND MAKE THE CALLS THEMSELVES TO GET MY PRESCRIPTIONS. Unreal joke of a company.

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    Customer Service

    Reviewed March 7, 2017

    I recently was advised to get my diabetic testing supplies from these clowns. After my dr sent in the scripts 3 different times, I have the confirmations from my dr, they told me, after promising my order would be in by Feb. 20, 1017. Received my order on Feb. 27. My insulin was almost out, so I tried these guys again because my dr is a stickler on sending scripts (will not send to 2 different pharmacies for same meds, no matter). Placed order on 3-3-17 and needed it by Monday, 3-6-17, was assure it would be there. On 3-6-17, went online to check status. Processing and had wrong delivery address. Called and had it changed and stressed the importance of Tuesday delivery. Check status again, processing, called back and Chacobi said it would be there by Friday. Asked for supervisor, gone for the day. Most inept group ever.

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    Customer ServiceStaff

    Reviewed March 3, 2017

    As with many others, I was forced to accept OptumRx for medications by my employer United Health Group. I have lost track of how many hours I have had to spend trying to get my medications as ordered by MY physician. Keep in mind, none of which are narcotic medications. For every single prescription and refill I have tried to order from Optum, I have had to make multiple phone calls to customer service, and have had to ask for a supervisor each and every time!!! As a Registered Nurse, I wonder what happens to elderly patients that are forced to depend on Optum for their life sustaining medications. I can just imagine some poor 85 year old patient passing out and dying at home while waiting for the cardiac or respiratory medications!!! This is one of the absolute worse companies that I HAVE EVER HAD THE MISFORTUNE TO DEAL WITH!!!

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    Staff

    Reviewed March 3, 2017

    OptumRx prior Authorization is way over the top, needs to be doctor orient. 15 year on the same drug can't seem to get OptumRX to approve in three months yet. It seem I am not the only state of Michigan retiree to have this new problem with this new provider. Based on what I have seen if we all come together we could file a class action lawsuit. This would be the best way to bring them under normal control for a pharmacy as they are not trying to provide medication but to prescribe not caring what the circumstances are or even seeing the patient. Most importantly they are not listening to the treating physician.

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    Staff

    Reviewed March 2, 2017

    These people will let you run out of meds, asking for pre-authorization, then they deny the preauthorization Like they're the Dr and delay it even longer, by asking the Dr why you aren't on the meds they think you should be on instead of what you were prescribed. Worst company I ever had the displeasure to associate with.

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    Customer ServicePriceStaff

    Reviewed Feb. 28, 2017

    February 27 & 28. Spoke to: Marjory, Tameka, Deja, Carmen and Carry. The 1st 3 useless kept insisting I signed for 2 packages call USPS. That's true that I signed. HOWEVER! Never got particular med I've been w/o for countless weeks. Heart med no less. Carmen made like she was trying to help talking the entire time to me and herself, couldn't get word in, then hung up when it came to register complaint because I said bad word. Spoke to Carry - wonderful. Took cursing words with humor, had me talk to pharmacist and put complaint in for me. The others would do well as garbage collectors. Poor disabled people get the worse "help" available. 3 months worth of meds for cost of 1 is great, but who needs the aggravation!!! Hope this helps others.

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    Customer ServiceOnline & App

    Reviewed Feb. 28, 2017

    I have experienced a lot of the same issues as the others here. 99.9% horrible experience. Website is horrible, app is horrible, communication is horrible, customer service is horrible. I have no other choice through my provider. Once I got someone on the phone who was knowledgeable and could help get the job done. Once. Plan to be on the phone for at least an hour each time you call, and good luck if they have to transfer you. The one good review I saw here was either an alignment of the stars (a dead clock is even right twice a day) or a fake review by an employee of OptumRX. If you have a choice, choose anything else.

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    Customer ServiceStaff

    Reviewed Feb. 25, 2017

    I was on 3 ** medications that I had no trouble filling last year. Starting 1/1/17 OptumRx stopped reimbursement on my prescriptions as I was told I was over the MME. OptumRx offered me a lower number of one of my prescriptions to meet the new MME threshold. I agreed to it and picked up the lower amount of pills. I thought problem solved - then the nightmare began. OptumRx continued to deny the other 2 **. OptumRx would tell me and the pharmacy that they needed a prior authorization even though my doctor had already submitted this. My doctor then said they were rejected and she had to file an Emergency Appeal as I am now forced to stop my ** medications cold turkey.

    I called 4 days ago and filed my own grievance and was told by OptumRx that someone would get back to me in 72 hours. Well that time ran out last night and no call or text or email from OptumRx. OptumRx are liars and the people they have answering the phones are a bunch of ignorant parrots reading from the same script that OptumRx gives them without any ability to properly respond to patients. How many 1 star horror stories does OptumRx before something is done about them! Outrageous!

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    Coverage

    Reviewed Feb. 23, 2017

    I am a State of Michigan retiree who as well as many other of us, on January 1st, 2017, we were forced to switch to OptumRx prescription coverage. Today I went to refill my ** script and was told I couldn't get it because Optumrx was requiring a pre-authorization. I have had this script filled twice in 2017 with no problems, now all of a sudden I can't get. I went into the formulary and it does not state that this medication requires pre-authorization. I sent a complaint this evening to the company along with talking to two different reps (the last one was to transfer me to her supervisor and I was transferred to Charter Cable Company instead). I was ticked and I still am.

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    Customer Service

    Reviewed Feb. 22, 2017

    My company switched to OptumRx this year, as a mandatory provider for prescriptions. The first order went relatively smooth, except that I had to contact my physician a number of times. After that, getting new orders has been a nightmare, and the website functionality is useless. I spent two hours on the phone trying to get it resolved. I am still waiting for my order, and because I'm diabetic, this will be a medical emergency soon. I don't know what to say to other users who might be having problems, except to keep trying and keep calling until they are forced to improve their product and service.

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    Verified purchase
    Customer Service

    Reviewed Feb. 19, 2017

    OptumRx has lost my orders, blatantly lied to me about the status of orders, shipped orders of medicine I did not ask for and left me without my medications I have taken for a decade. I'm having withdrawal symptoms and horrible pain. They can't tell me where my order I need actually is and I've called no less than 15 times for pre-authorization for my pharmacy and my pharmacy and doctor's office still can't fill my 'emergency' prescription because of OptumRx giving us a run around. The random medication order I did not ask for was of a controlled substance which was inexplicably sent USPS and left in my mailbox without a signature or any notice of delivery... which seems irresponsible. This company is ruining my life... I am mortified that I'm now forced to deal with them through United Healthcare.

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    Staff

    Reviewed Feb. 18, 2017

    I am a knowledgeable medical health professional. I have a terrible time dealing with this company. At no time have they given me correct information, filled prescriptions correctly, or answered questions correctly. However they do seem to be able to send out their invoices correctly. I have interacted with many mail order pharmacies and this is by far the worst.

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    Customer ServiceStaff

    Reviewed Feb. 18, 2017

    I had to make over 20 phone calls regarding my medications last year. Each phone call takes more than one hour. I now have over a year's supply of one medication and cannot get another due to the incompetence of this pharmacy. At one point, they completely stopped all automatic refills. Another time, they inadvertently changed my birth date which ended all medication shipments. The employees do not care if you get your medications and seem to have a goal of obstruction. If given a choice, I would never use this pharmacy.

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    Customer ServiceStaff

    Reviewed Feb. 18, 2017

    I am a new patient of Blue Cross with a medicine considered a specialty medicine. I was told I have to go through Briova. I have been trying to get medicine for six weeks. Absolutely nothing has been done and they continually blame my doctor for not sending in the prior authorization, which my doctor has done several times, including the last, in which a representative called for it while I was on the phone! No one in the company seems to know who to call to resolve the issue; no department seems to communicate with each other. I am now told I need to call Optum, which is connected, but no one at Optum has any answers as well. I suppose they know the patient can do nothing, there is no one to complain to so incompetence is irrelevant!

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    Customer ServicePrice

    Reviewed Feb. 17, 2017

    Upon calling to refill my regular prescription for ** Capsules, 1 gram, I was informed that my out of pocket prescription cost would be $100 per the contract with MPSERS, Office of Retirement Services from MI. After a lengthy call with MPSERS, I discovered that my benefit plan did not change from 2016 to 2017! BUT, I did find the manufacturer "Par Pharmaceutical" has raised the price 400% and thus my co-pay would be over $112.00 for a 3 month refill, but since my MPSERS plan has a $100 maximum co-pay, I would only have to pay $100.00. Whereas when I last refilled in October, as with all previous quarters, I only paid $25.00. Thus the manufacturer is price gouging senior citizens.

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    Customer ServiceStaff

    Reviewed Feb. 17, 2017

    Do you like long waits on the phone? Do you like making several phone calls to resolve an issue? Do you truly enjoy POOR customer service? Then OptumRx is the company you are longing to do business with. If at all possible, (unlike my situation) and you are able to place your medication needs with Express Scripts, run, don't walk, and move your business. Due to a prescription my dermatologist wrote I have now made five phone calls into OptumRx trying to resolve the issue. On the second last phone call I thought the issue had been resolved. Then a few moments ago an email appeared stating the same concerns that the original email had expressed. I called Optum and a nice Customer Advocate answered the phone, listened to my concerns, and then told me her computer was updating and she could not help me. She suggested I call back and receive assistance from another Customer Advocate.

    While speaking with the next Customer Advocate whose computer was working I finally asked for a supervisor. Big mistake on my part for a great many more minutes were used up on my cell phone. Once this nice young woman came on the line I was able to receive some helpful information but did not resolve the issue that had started five calls earlier. To cut to the chase, the services provided by Optum and not as good as the services I received from Express Scripts. When I called my insurance carrier I was informed I was not able to pull out of Optum and move back to Express Scripts because Optum is owned by my health insurance company. i.e. it is a monopoly!!! In conclusion I would just like to suggest again, if you have an option, you will love the service I once enjoyed if you send your business to Express Scripts!

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    Customer ServicePriceStaff

    Reviewed Feb. 17, 2017

    This morning at 9am I have an appointment with my neurologist who also is also my pain management specialist. I will mail out 3 prescriptions from him to OptumRx. All three are controlled substances. 2- c2's and the third is a c4. OptumRx is medicare part d's (Rx) mail in pharmacy. My neurologist also electronically sends my non controlled script during my appointment with him. The 1st time I contacted OptumRx to inquire about mailing my scripts in, they told me that my physician has to send in my scripts, initially, before I can mail any future scripts on my own. My physician told me: "they always tell new patients that, however, it's not true. Just mail your scripts to them and I assure you they'll dispense and mail them to you."

    I mailed my scripts along with a brief letter in the envelope containing my contact, address, and UnitedHealthcare Rx & group # even though it's already in their system and typed on my scripts. The co-pays were $3.30 per script totaling $9.90 and free shipping from Irvine, CA to my home in Southwest FL. I received all three scripts including the non controlled meds that my neurologist sent via his computer within 5-7 days from the day I mailed the envelope from Southwest FL. 3 days after mailing out the envelope, I signed into the convenient OptumRx app on my android smartphone and saw that my order was in process.

    The following day, OptumRx emailed me with a tracking # informing me that my order had already been shipped with an expected delivery date on the 5th of January. I actually received them a day earlier on the 4th. The following order, same 3 c2 scripts I mailed to OptumRx on the 19th of January. They were dispensed for $9.90 again and I received them all via USPS signature required on the 28th of January. OptumRx is a 1st class act with outstanding customer service and convenience far beyond any pharmacy I've previously used. I assume that those of you have encountered outrageous prices for your meds are likely not medicare part d beneficiaries. If you're a Blue Cross Blue Shield member, ask your physician to refer you to their mail in pharmacy instead of medicare's and that will likely resolve your problems with OptumRx. Hope this information has been helpful and goodluck in the future.

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    CoverageStaff

    Reviewed Feb. 17, 2017

    OptumRx is terrible. Keep getting the runaround in getting a medication that the doctor has written. Never had this problem before. It's as if they are doubting the doctor. The medication is covered but it's as if they don't want to cover it. Horrible horrible company.

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    Customer ServicePriceStaff

    Reviewed Feb. 16, 2017

    My experience with this reprehensible company started a month ago. My husband has had a debilitating autoimmune disease for 15 years and has been on the same medication for that time. The prices for these meds has risen exponentially in the last couple of years so I called optimize to see if I could get a better price. I was told several times that it would be 8.00 instead of the hundreds we had been paying. I've been lied to every single time I've called these people. They've told me it was in the mail, had been expedited, that it hadn't been filled, that it was denied, that it was on its way, that I would receive it in two days. I don't know how they stay in business - they should be shut down. It's now been a month since my husband has had his meds. It's unconscionable, unethical, and disgusting that he has to suffer so much. I wish I knew a way to have them investigated. DON'T do business with this company!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 15, 2017

    Because of my wife's employer we have had to endure this horrible company for the last three years. The vast majority of the time they are very slow in shipping coming up with a myriad of excuses why. At other times you will get a year's worth of 90 day refills in a matter of six weeks. This allows them to get a new prescription order from your physician and refill all of those as quickly as possible.

    At the present time I am having a big problem with them changing my formulary on a weekly basis. After contacting me with yet another cryptic email I spent an hour and a half last week with a representative going over my meds as Optum won't allow you to see your formulary online even though the link for formulary is there. I get another email this morning saying I needed to call them. This time it was for another one of my respiratory meds even though I was told last week it was on the formulary. You will find out that with these people they will lie to you in a heartbeat to get you off the phone. They tell me that there is a appeals process but that it take several weeks to complete. Am I suppose to stop breathing for several weeks?

    And then there's the shipping. They will send a notice that they have shipped your meds, but they haven't ACTUALLY shipped them. It can take more than a week before the carrier gets the package if they get it at all. I have had times when I get a tracking number but two weeks later the carrier says that THEY never got the actual package. Of course Optum says they shipped it! I can tell you from my own personal experience that OptumRX could care less whether you actually get your meds as long as they can collect from the insurance company. As far as they are concerned you are just a nuisance.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 15, 2017

    My better half is in the process of changing getting her medication from this poor excuse for a caring pharmacy. She has been out of one of her medications for 2 weeks now. There have been numerous phone calls made to both the pharmacy and her MD trying to get this prescription released for shipment. First, the representative indicated that the prescription was received, but there was no response from the MD for additional information. After contacting the MD and verification that the info was sent, the pharmacy was contacted again. (The next day). The pharmacy again indicated that the information received was not what was needed. The pharmacy was asked exactly what was needed, along with how to expedite transfer of the information the best way. A FAX number for the physician review was obtained, but we were told the pharmacy could not tell us what information was needed.

    We asked to speak to the pharmacist, and after about a 20 minute conversation, we were given the information of what was needed, along with another number for the physician review. The pharmacist stated that that was all the information that was needed, and the medication would be shipped "priority" so it would be received more quickly. Checking with the MD's office, we were assured that the information was sent. Not having received the prescription in this morning, OptumRx was called again.

    After checking their records, we were given a tracking number. We kept the pharmacy on the phone while checking the tracking number. That number was for a completely different prescription. When pressured to check the status of the prescription in question, we were advised that the prescription was no longer valid for the medication ordered. The receipt of the additional information was acknowledged, but we were told they got it too late. However, the confirmation of the fax showed it went out the day we talked to the pharmacist. So how does all of this happen?

    Experience with this pharmacy shows that new, or changed prescriptions require all new documentation. That is understandable in some cases, and would not have been an issue, if the pharmacy had taken care of what they needed to in a timely manner. However, their insistence that everyone else wasn't following through, as well as their reluctance to tell the patient what was needed to provide the medication speaks volumes. Just a side note, we specified which medication we were inquiring about at the beginning of each conversation, but each time, the OptumRx employee had to be corrected as they kept referencing the wrong medication. As I am writing this, my better half is making calls to other pharmacies to facilitate changing pharmacies. Two weeks without medication, with no effort to resolve the issue, is poor customer service, as well as neglect. This is not the first issue with this pharmacy, but will be the last.

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    Customer ServicePrice

    Reviewed Feb. 15, 2017

    I thought Caremark was bad, but CALPERS switched us to OptumRx on 1/1/17. My wife is a diabetic and was prescribed ** insulin by her doctor. OptumRx has refused to allow that medication, even though it took her numbers down and she'd already been taking the medication with prior approval. What's sad is that they'll approve the medication for me under Medicare, but my co-pay goes from $20.00 to $50.00 for a 30-day supply. It took five days of telephone calls to OptumRx and the doctor to be told no twice by Optum.

    When I asked them what they'd do if my wife ended up in a diabetic coma for lack of the proper medication, they wouldn't answer, but did say I could pay full price for the insulin. The cost, through Walgreen's is $641.00 a month and, as a retiree, I don't have that kind of money. OptumRx is the worst prescription plan I've ever had, including the military, Kaiser and Caremark and CalPERS doesn't seem to care if their members and retirees get proper medication. Hopefully, when my wife's Medicare becomes active in July and we enroll in TriCare, all of her medications will be covered.

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    Customer ServiceStaff

    Reviewed Feb. 14, 2017

    The company I work for's insurance changed to this starting 2017 and I'm trying to get my ADHD medicine refilled and they say it hasn't been preauthorized, my doctor isn't qualified, and any other excuse they can think of. Currently on hour 5 of being on the phone with them. The people who work for OptumRx are the rudest most unethical people I have ever ran into! They can't do anything. WISH I COULD GIVE THEM A NEGATIVE 5 STARS!!!

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    Customer ServicePriceStaff

    Reviewed Feb. 14, 2017

    My government retirement plan switched our pharmaceutical plan to OptumRx. I accept the fact that there will at times be a few glitches in these changeovers however OptumRx is a full-on nightmare. For years my wife has taken several medications, a couple of which are NOT to be suddenly discontinued. OptumRx took over and immediately started denying prescriptions. After prolonged telephone conversations OptumRx claimed that they faxed necessary forms to my wife's physician to get authorization. The forms were never received. In the subsequent call to OptumRx, the representative couldn't find any record of the required forms having been sent, "But they must have been." A second set was supposedly sent. Meanwhile we received a robocall from Optima stating that our authorization had been denied.

    The next call to OptumRx was similarly a waste of time. Eventually an OptumRx agent told my wife, "You need to try other medications." This directive sounded a great deal like a lay person formally providing medical advice to a citizen. During another call another representative who seemed to actually try to be helpful, wanted to substitute her prescribed medication for one that she has a violent reaction to. In my opinion that very circumstance is why qualified physicians, not customer service agents, should be making prescription medication decisions. Plus, and I found this to be astounding, the agent could not tell my wife what medications actually were on OptumRx' "approved" list.

    Furthermore NONE of the agents were either willing or able to explain why authorizations were denied. "A letter will be forthcoming in a couple of weeks," it sounded more like a stall tactic since they refused to provide an immediate answer. I understand cost containment and the need to limit frivolous or abusive drug purchases, but when the pharmaceutical plan providers run roughshod overqualified physicians, and in doing so put patients at risk, we have a serious problem. For those of you lucky enough to have a choice, my advice is to avoid OptumRx at all costs if you can.

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    Customer Service

    Reviewed Feb. 13, 2017

    Granted, my wife is prescribed a lot of pharma but she has to continually fight with Reps for many weeks to get drugs she desperately needs. Having worked on call center equipment for decades and know Reps are rated on how well they keep costs down - which includes delaying, stalling, and simply refusing to deliver services their companies control. The madness associated with Prescription Delivery is heartbreaking when you sit by for hours while your spouse pleads for prescribed medication and keeps hitting a brick wall.

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    Customer ServicePrice

    Reviewed Feb. 11, 2017

    The State of Texas decided to switch prescription providers and they selected worst prescription medication provider OptumRx, the nightmares for state employees is just beginning. Had a prescription called in on Monday, today is Friday, 10 pm and still do not have the prescription filled because OptumRX is doing their best to not pay for the medication.

    My child has been on this medication for years and we have never had a problem filling prescriptions until starting with this plan on January 2017. This is an older medication that has been prescribe in the US for almost 2 decades and it is used to treat seizure. It is absolutely necessary, our family, doctor and pharmacy has spent hours throughout the week trying to jump through the hoops to get the prescription filled and just when we think we have given them everything they need, their requirements change. The pharmacy wants to charge us $1,400 for the medication so as of today my child is still not receiving the medication she was prescribed on Monday. I can not believe that this is even legal. This is a horrible company. Avoid them like the plague!

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    Customer ServiceCoverageStaff

    Reviewed Feb. 10, 2017

    I'm one of many State of MI Retirees that didn't have a choice on being switched over to this so-called pharmacy. It is the most unqualified company to be handling prescriptions for senior citizens that I have ever dealt with. My husband's doctor wrote a prescription 2 years ago for him to take 2 capsules a day. According to the medical doctors at OptumRX that's too many and they won't cover him taking two, he only needs one, guess we change doctors and go to OptumRX doctors. He got 2 prescriptions in the mail that was crushed and opened, now those have to go back, I refuse to have him use them, Novixus always sent them in a box, cheaper must be better.

    I don't understand why the State wants us to have to fight tooth and nail to get decent benefits, leave well enough alone, if it's not broken don't fix it. I'd like to know if the illustrious lawmakers are having to deal with the people. Bet not. If anyone else from the State of MI is having a problem, I finally got a phone number to Civil Service, 1-800-505-5011 that you can call and register a complaint.

    I actually talked to a real live person, kinda snippy at first, but did try to help. Maybe if we all got together and called, they would get Novixus back or another decent company that we don't have to pull our hair out when we have to call and order scripts if we're fortunate enough to be able to get them. I was on the phone one day and I'm not exaggerating 8 hours being transferred all over and still didn't get things resolved until 6PM that evening. They couldn't find my husband. That's customer service. If I could give them negative stars I would. They don't deserve ANY!

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    Customer Service

    Reviewed Feb. 9, 2017

    The doctor's office phones in a 30 day prescription. OptumRx pharmacy reclassifies prescription as 90 day. This has consequences in terms of refill timing. Moral of story... Never have your doctor's office phone in anything to this company... Always always hard copy via fax. These pharmacists either need hearing aids or need to learn English. Once they do their thing, you cannot reverse. Talking to their Customer Service doesn't help. You can't talk to a pharmacist... They have isolated themselves from any clients. Not like a Walgreen or CVS... It Ain't worth the pennies you save to use Optum.

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    Customer ServiceStaff

    Reviewed Feb. 9, 2017

    I called to speak with a supervisor and got transferred 5 times, still not to talk to a supervisor. Everyone I spoke to was rude, ignorant, disrespectful and just plain dumb as a box of rocks. This is the most unprofessional company that I have ever dealt with in my years. I wouldn't recommend this company to anyone ever. This company sucks.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 9, 2017

    Optum Rx places medically uneducated, young, inexperienced and bored employees on the phone to make decisions about whether or not a severely ill patient can or cannot get his/her medication. It's pathetic, dangerous and a completely useless waste of time for all concerned. The person I spoke to today could not pronounce panhypopituitarism. Fair enough, it's a rare disease, and it is a mouthful. But after spelling it three times, and getting both of us irritated, she still couldn't pronounce it, and I now realize, will never be able to pronounce it, ever, in her life. She didn't care what the disease was, or why this patient might deserve an override for it. She put me on hold for a long time, only to come back on and read generic questions off her computer screen.

    When I asked for elaboration, she got further irritated, and didn't know why she was asking the questions. This person was selected to determine whether or not a severely panhypopituitary patient should get her brand name ** or not. Is that really fair to the employee, or the patient? It's poor management by OptumRx; they hire inexperienced employees, don't train them in specific medical areas, throw them to medical offices and expect them to make major health decisions for you, the patient.

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    Punctuality & SpeedStaff

    Reviewed Feb. 8, 2017

    This business acts like it is run by teenagers in their basement. Can not deliver their product correctly or on time. Maybe we need to talk to Geoffrey Fieger and see if we can get a response. They are going to hurt people. I logged on and another person's scripts appeared. Can you spell HIPAA?

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    Reviewed Feb. 7, 2017

    What the hell did the state of Michigan go with this company, had to get more approvals for meds that I have been on for 10 years. Plus I have trying to use their Website for two weeks. Keeps says try again later. WHAT A JOKE.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 7, 2017

    First, this company no longer covers my migraine medicine; however, OptumRx failed to notify me of this change in coverage. Second, my physician wrote the script for brand name only and OptumRx was processing the order for shipment at a whopping $1650.00. I caught the mistake and notified the pharmacy to stop the order. I contacted doctor's office and they sent in another script while I was on the phone for the generic (which I had already researched on OptumRx's website for $84.00). OptumRx called and left me a voicemail that my order required my attention, so I called (not immediately), and they wanted to verify my address, which they do often. I asked why (since they have my correct address on file). This time, the rep states "the computer wants us to verify it".

    She then said the generic prescription would cost $1,000. I said, "no way", I researched it and it costs $84.00. She puts me on hold a couple of times, and the next thing I know I am talking to another rep. I asked what happened, and Teresa said "well, she wasn't really familiar with your plan, so I am going to help you". She proceeds to do whatever they do, and tells me the script will be $1650; I said "no - my physician's office sent in a script for the generic and it costs $84.00." Teresa says "well, we didn't get that script (that was 5-6 days ago). Do you want us to contact your physician's office?" I said yes. Tonight, I checked their website and it states that the request to contact my physician's office may take THREE weeks! THIS IS RIDICULOUS!!! I pay $600 a/yr for OptumRx prescription insurance and this is the service they dish out! I am definitely getting another plan next year.

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    Customer ServicePrice

    Reviewed Feb. 7, 2017

    I have been forced to use OptumRx by my insurance co UnitedHealthcare, otherwise, I pay full price for my prescriptions. I have emotional and depression issues and my medicine helps me function. I sent in my original prescription hoping the authenticity would not be in question. It's been over two weeks now and I have made three phone calls inquiring about the status of my order. Mind you, I did so after checking online, something was off, which was why I called the first time. I was given lip service and told that I would receive my medication in a few days!

    A few days later, I checked online again and saw that it was pending... Again, I called and was told they would ship it overnight! A few days later, I receive an email informing me that there will be a delay! I go online to check my status a third time and it was nowhere to be found! So I call... Again! The excuse this time was that they have tried to contact my Dr's Office for verification and couldn't reach this office! What? Whatever happened to a doctor's prescription being authentic enough... Especially the original? So I call my Dr.'s Office, left them a message about the situation. In 15 minutes, they returned my call and told me that they spoke to the pharmacist and it was settled.

    That was four days ago... Still no medicine! Went online to check on the status... Wow, pending response it says! I have no idea what to do anymore. But I feel so bad for my family because I can't function and I need this medicine. Medicine I have been taking for many years now. I am going through withdrawals and it isn't pretty! If anyone has a choice out there, I would run away from this company.

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    Customer ServiceStaff

    Reviewed Feb. 6, 2017

    These people are awful! I have cancelled doing business with them because of their mistakes and ineptness, and they are still charging my credit card. I have had to call my credit card company AGAIN to dispute the charge. It doesn't matter how many times I call OptumRX, they don't take care of the problem. Also, they mailed medications and charged our credit card when we did not request the medications. I had to demand a return label to send them back. All of this takes multiple phone calls and my personal time because I had to make a trip to the post office.

    I rather just go the pharmacy and pick up the medications--at least there are no mistakes. DO NOT DO BUSINESS WITH OPTUMRX! Never, again! Their customer service is substandard because the reps promise to take care of the mistakes, and they never do. DO NOT REGISTER YOUR CREDIT CARD WITH THESE PEOPLE! I only wish I had read the 1,000+ reviews before I ever called the first time. Buyer Beware!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 6, 2017

    We were turned over to these incompetent folks after my husband's company switched Insurance companies on Jan. 1st, 2017. They have been NOTHING BUT AWFUL to deal with since then. My husband has had a kidney transplant, so he truly CANNOT miss his anti-rejection meds. I started calling this pharmacy on Jan. 3rd to get the transfer of his prescriptions going. 7 days later, I was still arguing with them, getting different answers from each new person I spoke to, and still not getting any prescriptions transferred. We finally had to have his Dr. call the prescription in to Wal-Mart, and pay out of pocket for the expense since our Insurance denied it because we didn't use OptumRx!! How hard is it to call and get 4 prescriptions transferred from his Doctor, to them??? Apparently pretty darn hard. They are incompetent, not helpful and not well trained.

    I think I have invested well over 20 hours talking with these people. To the point I have been in tears because I was so angry. I have made a formal complaint to my husband's company. I had to call them again today after I re-ordered a prescription through their online ordering site last night. I called to verify the order today, and they said "We don't show any reorder online". UGH!!! Another hour on the phone with them today. I absolutely cannot stand this horrible company. I was relieved to see that I am not the only customer of theirs who has had issues. RUN AWAY from this pharmacy if at all possible. If you are stuck with them, like us... Good luck! I feel your pain.

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    Installation & SetupStaff

    Reviewed Feb. 6, 2017

    My daughter had a bilateral mastectomy and went through reconstruction, which by the way failed, in 2015. She suffers from post mastectomy pain syndrome. She has tried multiple pain as well as trigger point injections. This company has denied her medications based on the following: no current diagnosis of back injury and the latest, no current diagnosis of breast cancer with life expectancy of 2 years. How pathetic is this? Thankful she doesn't at present have ANY cancer. What kind of background do these people have and the criteria set up is ridiculous to say the least. CHANGES NEED AND MUST BE MADE!!!

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed Feb. 5, 2017

    I finally got my doc to send prescription for two meds to OptumRx instead of local pharmacy. She said it would be filled in a few days. A week later, I got a letter from OptumRx saying there was a problem with my account and I had to call. I noticed that they misspelled my name. I called. After tedious voice mail, I finally got to a person who said I had to call my prescription insurance provider to correct my misspelled name, but insurer had it right. Called US Healthcare, took a long time, but thankfully had an intelligent person. He had to put me on a 3-way call with OptumRx to get them to correct the spelling of my name. Took forever, but it was done. Again, got a relatively smart person. Really, the process to correct some stupid typing error by whoever there entered my info delayed everything by a week.

    Then I was out for a day, and when I got back at night, I found a message from OptumRx that the first time they mail a prescription, one has to confirm. All those phone calls did not constitute a confirmation! I called in today, Sunday. The last time I talked to them, on Thursday, one med was supposed to arrive tomorrow. I ran out on Saturday. This is not good! So I called to confirm. Took forever to get through to someone. Voicemail wouldn't get me to a person until I refused to answer irrelevant questions. Took this customer service person forever to get my prescription rolling. It won't be here for another 5 days, she told me. A week without meds. Not good. What an unbelievably incompetent company. Good thing my meds are not for high blood pressure, because I know mine is up!

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    Customer ServicePriceStaff

    Reviewed Feb. 5, 2017

    Bad customer service - incompetence. Last week I contacted OptumRx to order a tier three injectable medication I have been taking for over 45 years. I asked for the total co-pay and was told $131 for a 90 day supply. I agreed with the price, gave them a c/c # and hung up. On Monday 1/30/17 my wife called me from work and asked if I had authorized OptumRx to take $433 out of our account because that is what they had taken. Of course I told her no but I had agreed to a $131 co-payment and I would call them and straighten it all out.

    I called OptumRx again and explained that I had not authorized $433 but only $131 co-payment. They gave me reasons. I then cancelled the order and asked them to refund my money because of the possibility of overdraft. They told me it would take 24 to 48 hours to get the money placed back into my account. I told them it was unacceptable, hung up and called UnitedHealthcare. I described the situation to a representative at UHC and he contacted his supervisor and they called OptumRx together. Within 4 hours we had our money back.

    That was the good news. Unfortunately, on Friday 2/3/17 OptumRx again took $433 out of our account and when I called them they said the order was in processing and there was nothing they could do to stop the order and refund our money. I then asked for a supervisor to plead my case and after waiting for an hour on the phone was informed that they have no supervisors on staff after 5:00pm on Friday and I would have to wait until Monday for a phone call. At this point, with no money, no medication and, like everyone else who has written a review on this blog, feeling extremely frustrated.

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    Customer Service

    Reviewed Feb. 3, 2017

    The State of Michigan changed to OptumRx pharmacy beginning Jan. 1, 2017. I refill one script online that carried over from previous provider that has refills remaining and a week later I get a call that my prior authorization was denied. I called because I had no clue what prior authorization. Took 5 calls, one was disconnected to find out the only thing I could do was have my dr. Appeal OptumRx decision not to give me my meds I have had prescribed to me for 3 years now and worked so well for my horrific neck pain. Other meds I tried did not work. What right do they have to stop my dr. Authorized meds that have no generic. And you are not suppose to stop these meds. I am panicked. What is going on here??? And I could not speak to anyone re this decision???

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    Customer ServicePriceStaff

    Reviewed Feb. 3, 2017

    I am with the state of Michigan retirees (public schools). I have gone through Medco, Express Scripts, OptumRx now Briova and Walgreens specialty. I have nine different prescriptions eight with OptumRx and up till yesterday have used Walgreens specialty for a special medicine for a rare blood disorder. They have been outstanding. I called them yesterday and they said they no longer can serve me... must be Briova. The cost has gone up to $15,300 for a 30 day supply. With a detectable of $1800. Walgreens specialty have supplied this medicine for two and a half years for a detectable of $40.00. I cannot stop this medication... I can bleed to death. I called early this morning and they said they would call me back. That was nine hours ago???

    I ordered the other eight medicines from Optum on Monday with a deductible of $446.00 which I paid... I have been reading the reviews for the past couple of hours (all negative). What is going on with this company??? I only have eight days left and I am out!!! It says not to stop this medicine for any reason... I need some help with this matter (please).

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    Sales & MarketingPrice

    Reviewed Feb. 3, 2017

    OptumRx is denying all my medications. Optum denies doctors' requests for branded medications for patient. I show bad reaction with some generic medications, Optum does not accept it. They want me to get some other medication, even I accept to pay full cost out of my pocket. I have hard time to get branded medications from Optum, they deny all of them. Optum is the worst company I have ever had. Please consider before you chose this company. This company and Health Net are scam and cheating consumer. Watch out.

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    Staff

    Reviewed Feb. 2, 2017

    Thoroughly disgusted with OptumRx. Don't have list of all my meds. Failure to order meds I completed. Being disconnected from rep. Difficult to complete transactions. Slow to deliver meds. Never had this problem with Novixus. Why was Novixus discontinued???

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    Customer ServiceCoveragePrice

    Reviewed Feb. 1, 2017

    After struggling with severe and frequent migraine headaches for 30 years, finally my neurologist and I found treatment that has allowed me to work and stay out of the emergency room. For three years, I have been healthy using medicines that are pretty expensive. Thankfully my insurance covered them. Then at the first of 2017, along comes OptumRx to ruin my life. For 3 weeks now I've been on the phone, on hold repeatedly for up to 30 more notes every time, trying to reason with people who know nothing and have no intention of helping me. The company's "system" seems designed to delay, confuse and send consumers in blind circles. When I ask, repeatedly how to get my medication approved, they refuse to give me information that will give a good outcome. My poor doctor has spent hours with these fools filling out papers with repeated denials. They are cheap, rude and border on criminal being their tactics.

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    Customer ServiceStaff

    Reviewed Feb. 1, 2017

    THE worst customer service I have ever dealt with and the sad thing is I am tied into this for a whole year. Where shall I start. The rep I got last night talked to herself throughout the entire call about what she was doing. "When I type too fast the computer doesn't like me." "I have that done now. I will go over here and do this. Good that is done." etc. She took my credit card number and did not charge my medications to it.

    Next day I receive email from OptumRx to contact them because they can't process my order. Plus there were two orders on hold. Apparently the rep created two orders and order twice and forgot to delete one. Today I called to try to straighten this out. This rep did charge my card, then sent me to Webtech to help me with navigation. I didn't need that. I asked her why my screen still showed two orders and hers did not (she said), so she sent me flying over to Webtech for navigation, instead of investigating. That person wanted someone else to deal with the problem when it was actually her responsibility. Customer Reps don't know enough about their jobs. The ones I have talked to do not fix situations. They make things worse. I am so astonished that your company thinks that this is OK.

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    Customer ServiceStaff

    Reviewed Feb. 1, 2017

    I thought I'd give mail order a try because of the "convenience". With OptumRx it has been anything but convenient. First, they tell me that the doctor has not contacted them with a prescription for my meds. I have to contact him and set it all up. That's when I thought I'd just let it go. I already had a prescription at my local pharmacy and I thought it could just be transferred. It couldn't so I decided just to let it go. I'll just forego OptumRx and keep things as is. I get my monthly supply from my local pharmacist as usual.

    The next month I go to refill and the pharmacist says he can't because I got it refilled elsewhere. A couple of days later an OptumRx package shows up in my mailbox. And don't even get me started about it being the wrong thing (generic instead of brand -- thyroid medicine). That part is still unresolved. I have to pay out of pocket this month and next until my insurance clears the hold. It has been so frustrating to talk to any customer service rep when I call.

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    Customer ServiceProcess

    Reviewed Jan. 31, 2017

    I mailed in 12 prescriptions along with the required order form. After two weeks I checked on the scripts and learned they hadn't even been processed yet. I attempted to call several times and wrote two different emails. After the third week of no action I asked them to return the prescriptions so I could have them filled elsewhere. It took them eight days to respond to that request and so far I have yet to receive the scripts. This company is 100% incompetent and they are not to be trusted with anyone's life dependent prescription drugs. This is the worst meal-in pharmacy ever!

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    CoverageStaff

    Reviewed Jan. 31, 2017

    So the company I work for has OptumRx for our prescriptions. WRONG MOVE!!! Last year I had to convince this stupid company insulin in the US has NO GENERIC!! It took 3 month for them to realize I was right and they were wrong. I did get letters telling me stuff wouldn't be covered this year. No letter for anything and guess what. None of my diabetic meds are covered, Insulin, tablets, test strips NOTHING!! I had my doctor send a prior authorization to the insurance company and the insurance company told me I have to now appeal the denial but most likely they will not approve it. I told the agent if I am put in the hospital then I am getting a lawyer because I am tired of this **. This is the worst insurance company EVER!!

    I deal with insurance all the time so Prior Authorizations are common but to tell me once again I have to have generic insulin and generic ** is stupid. It isn't made you idiots. I have type 1 diabetes. The ** has helped me a lot. I have lost a lot of weight and the insulin has been decreased, the insurance company should be happy I am not going to the er or going to the doctor more than I need to because my sugar is way too high. If I am put in the hospital and miss work, worst of all scare my child because I am in the hospital I have all the paper work from the prior authorizations where my doctor told them this is a medical necessity you know so I don't die!! If you or your company are looking at this for your prescription needs DON'T. Find another insurance company!!

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    Customer Service

    Reviewed Jan. 31, 2017

    OPTUMRX customers are asked to call 1-888-279-1828 if they are seeking assistance. When you call, you have to go through a lengthy series of questions asked to you by the OPTUM automated voice machine. Then, if you get to speak with a human, the human may not understand your question, and you may not understand what the human is trying to say. That is because you are speaking with someone in the Philippines whose native language is Tagalog, not English. Good luck!

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    Contract & TermsOnline & AppStaff

    Reviewed Jan. 29, 2017

    CalPERS required its members to switch to OptumRx for prescriptions as of 1/1/2017. Our prescriptions were to supposed to transfer over seamlessly from Caremark but not a single one did for me and several for my husband never did. This required us to contact multiple doctors and request new prescriptions. I have been trying repeatedly for the entire month to enroll myself and my husband online and set the other one up as an account manager.

    The website doesn't work most of the time and when my husband can actually log on several of the tabs and buttons do not respond. I have never been able to log on and he has been unable to set me up as his account manager after repeated attempts online and after multiple CS reps have told him. They were mailing the paperwork out for him to sign. I have spoken to at least ten different C/S reps who have all told me different reasons for myself not being able to log on, mostly that their website is overwhelmed with all the inquiries.

    Why does CalPERS change to a new online pharmacy when they can't insure that the website will be able to handle the volume? This has happened every five years when CalPERS' contract with their existing online pharmacy provider's contract expires and they change to another provider but this time really takes the cake. I would have rated OptumRx a zero but was forced to give them one star.

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    Customer ServicePrice

    Reviewed Jan. 28, 2017

    My husband and I are new to OptumRx. It is our only choice through employer insurance. Changing prescriptions has been very difficult. They have sent emails about my orders to my daughter-in-law's account (no we don't live together, have the same email or street address or phone numbers) and I have received emails address to her. Isn't that a HEPA violation?

    It has taken multiple calls to get prescriptions approved and then the delivery dates are 2-3 weeks out. They suggested that my docs call a local pharmacy and order enough of each prescription to get me by. That was done, but then the pharmacy had to call and argue with OPTUMRX because they said I couldn't get a refill until 3 months later. To top it all off, our prescriptions have doubled and in some cases tripled in cost. I finally got one prescription order okay, but they placed a hold on it because they didn't know if the credit card I had given them was the one I actually wanted them to use.

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    Customer ServicePriceStaff

    Reviewed Jan. 27, 2017

    I don't know how this company with such a bad customer experience, no problem resolution skills, and very poorly trained employees is still in business. I had to make at least 5 calls to refill 1 prescription, was disconnected multiple times, employees were unprepared to take any customer information or answer any questions.

    Since communication by phone was close to impossible, I finally created online account and tried ordering online, which was equally frustrating - the price that displayed and I paid, increased by $620 after I placed the order! Since no one was able to explain how after I authorized the payment, the payment changed I canceled the order and would prefer to pay more but not to use this awful company again ever!

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    Customer ServiceStaff

    Reviewed Jan. 26, 2017

    I have been calling Briova to get my husband medication since the beginning of January. I keep getting the same answers. "We need to get your doctors approval." I call the doctor's office they say "we called it in", but "I'll call again". I call Briova, they say "We need prior authorization," I tell them I talked with the doctor's office, they say wait 2-3 days and "call us back". Today is January 26, 2017, no medication for my husband. The same answers from Briova. He is now approaching his second missed dose. The right hand doesn't know what the left hand is doing. I have talked with many different people from Briova, each one gives me a different phone number or tell me I have the wrong number. I don't know what to do! If I had a choice I would not use this pharmacy, I would not recommend Briova or OptumRx to anyone.

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    Coverage

    Reviewed Jan. 26, 2017

    Only 26 days into the year with my prescription drug program. Two medications I tried to get and both are DENIED. One is a medication I have been on for over 3 months. And, now, this company declines it. Why do I pay insurance if nothing will be covered? Who is the drug company to say what medications I need/don't need? My Dr. prescribes things for a reason. Then they ask for prior authorization. My Dr. jumps through hoops to do that and it is STILL denied! I am BEYOND aggravated. This is completely unacceptable!

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    Customer ServiceStaff

    Reviewed Jan. 26, 2017

    My insurance plan (United) just switched to this evil organization of completely incompetent buffoons. As of Jan 1, they were my mail order company and I was promised a seamless transition via a lovely letter from said buffoons. I have had to call 4 times already to get my prescriptions refilled (heart medication). Each time I call, I get another conflicting story. These people flat-out lie to you. Today I received 1 of 7 prescriptions, apparently I need my DR. to call yet again for the others. Two nights ago they told me something completely different. This company is so bad they make Comcast look like a premier customer service outfit. Unless you need **, you probably die using these people.

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    Customer ServiceStaff

    Reviewed Jan. 24, 2017

    I think OptumRx has the worst customer service with regard to the well being of the patients they serve. My spouse has been on several medications for RA. They are denying the next in line med to prescribe by his physician. They send paperwork to us to fill out regarding information the physician can only complete. Optum states they call the physician, the physician says they didn't. They say they did and so on and so forth. For a month now this has been going back and forth and the patient is suffering for it. What do they care, pick up the phone and call the physician. They are so incompetent. Where is the compassion for their suffering patients. I have never been so infuriated by their lack of communication, respect and compassion for the customers they serve.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 24, 2017

    Left on hold for 25 minutes each time I was transferred. I was transferred 3 times because either representative did not have an answer or didn't want to do the work. Very very frustrating. Issue never resolved. Not sure who I have to work with. So disappointed this is our new insurance. Hope they hit it for a bargain because it's not worth a penny!

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 24, 2017

    A phone order was placed on 1/10/17 for several prescription medicines. Customer service rep acknowledged the order and repeated the list of meds to be shipped. A price was given and we were told the order would be shipped within three days. 8 days later on 1/18/17 the order was received less one critical blood thinner. Another phone call to OptumRX customer service and we were told that she could not tell why the medicine did not ship but that she would immediately ship out that order overnight and we would certainly have it by 1/20/17. No meds on 1/20. No meds on Sat 1/21. No meds on Monday 1/23 but we did get a letter saying that the drug was not covered by the plan and that we could file for an exception. We had been on that med for a year and OptumRX had contacted the Doctor on the first RX to get that out of the way.

    I called OptumRX customer service and was met with a customer service representative named BECKY that took no responsibility for their failure to ship the drug. "We were given a paper when the exception was originally filed that stated an expiration date." It was our responsibility to know that the exception had expired. It was not the responsibility of OptumRX to get the exception nor to notify us that the drug was not being shipped.

    OptumRX had our phone number in their computer. They had our email address. They had the Doctor's name address and phone number. But they called no one and shipped no drug. Meanwhile the critical blood thinner required was provided only through a special 75 mile trip to the heart doctor's office for one week of samples. They are almost gone and of this writing, no drugs are being shipped. To get them shipped, I must contact the Heart Doctor and have him contact the pre-authorization department at OptumRX and then if they approve, they will ship it.

    This is not the first time that this incompetent organization screwed up the shipment but I do think it will be the last. I may have to pay more at the local pharmacy, but I will not have to deal with an organization that is so disorganized and so uncaring. I got the feeling that it would be of little concern if one of their customers died because they couldn't get their medicine.

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    Staff

    Reviewed Jan. 23, 2017

    As an adult, I have been taking medication for ADD for over 3 years. When I went to pick up my monthly prescription at the pharmacy, I was told there was an issue with my insurance and that they were unable to fill my prescription. I immediately contacted OPTUM and was told that my psychiatrist needed to fax a pre-authorization form to OPTUMRx before my prescription could be filled - this was the FIRST time I had heard anything about pre-authorization being necessary (although OPTUM claimed it has been a policy for years). Needless to say, my psychiatrist faxed the pre-authorization form to OPTUM asap and was informed it could take 24-72 hours to approve...that was 5 days ago and I still do not have my medication!

    After following up daily, I was informed yesterday that it could actually take up to 7 business days unless my case is considered urgent and that the medication is vital to my health. Well, yes it is...as it affects my overall ability to function at work, at home, and in my daily activities as a parent. I am astonished by OPTUMRx's lack of professionalism and blatant disregard for the well being of its members (patients). It is extremely unsafe to put patients like myself in a situation where they go for DAYS without their PRESCRIBED and AUTHORIZED medication(s). My psychiatrist is submitting an expedited appeal so hopefully things will be resolved by today as it is negatively affecting my life. Bottom line, be prepared to go without your medication for an extended period of time - regardless of the negative impact it may have on your overall functioning.

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    Reviewed Jan. 23, 2017

    I have read all of the other complaints and AGREE 100% with all of them. The pharmacy denied me medication because I did not meet the criteria to take it but in fact I had met the criteria and OptumRx had even filled the criteria medication. After lying about this for 3 months it finally got approved. In a different year so instead of 0 copay 2016 its now $400. I am being punished for this dysfunctional company of OptumRx. How can pharmacists get away with this?

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    Customer ServiceStaff

    Reviewed Jan. 23, 2017

    This company seem to get anything right. The service is poor. They don't track notes. I was called three times to confirm my first prescription and now I just received an email saying they cannot process my order. When I called I was told they did not have a shipping address on file. I was told that since it was my first order they had to confirm. However this is my second. When it comes to getting them to contact your doctor they are clueless as who to contact. My original order took 6 weeks to process because they contacted the wrong doctor on multiple occasions. The excuse was that I did not provide the proper middle name of the doctor, yet I gave them the phone number and address. I was told someone must have forgot to update the notes. Poor communication, poor customer service and no value to using this company in my opinion. I can't wait to get off this forced form of obtaining my medication.

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    Customer ServiceCoverageStaffProcess

    Reviewed Jan. 21, 2017

    I have two children on daily medication. When we switched from Cigna to United & OptumRx, OptumRX forced us to switch to a pricier BRAND name drug that was competing with our generic drug. (Doesn't that seem completely backwards for an insurance company to do?) We had to experiment on my children with dosages of this new drug to find out what amount of this new drug would help them. It was incredibly cruel to make them adjust to a new medication all over again. When I asked my doctor and pharmacist why on earth would an insurance company force us to change from medicines that work to a more expensive medication, they both said that OptumRx must have some kind of deal with the manufacturers of the brand name drug. Despicable!

    That was only the beginning of my troubles with OptumRx. Every time my doctor faxes in a script for a 90-day mail order, we do not get the medicine without spending several frustrating hours on the phone with their Customer Disservice. And then it always takes so long that we run out of medicine and I have to get a one-month's supply from my pharmacy to cover the gap, even though I started the process 3 weeks in advance. I have to call and call the mail-order pharmacy who one day said "you'll get it tomorrow" and then when tomorrow came and I still didn't have it, I called OptumRx again and I get some crazy explanation that my doctor never faxed in the prescription. (You had it 3 days ago!)

    Other times when a script did not get filled, I was told that my doctor faxed in an expired script (lie), that my doctor cancelled the prescription after faxing it over (LIE) and the very best one - that my doctor after faxing over the prescription declared that she has "discontinued" prescribing that medication. LIES. My doctor hates OptumRX. My pharmacist hates them, too.

    On 12/22, I called OptumRx to find out why I didn't have the medicine for a script faxed over in early December and they couldn't actually give me any kind of explanation. "It's sitting right here, I wonder why no one processed it," she said. Since it takes them a minimum of 5 days to get your medicines to you, I asked if she would let my local pharmacy fill the script and also still fill the mail-order script. She said she would, "just ask your pharmacist fill the script. Should be painless." That took three visits to the pharmacy and 6 phone calls from me and my pharmacist to OptumRX. Weird definition of "painless."

    Finally, the override code came through on the pharmacy system and he filled the script, on 12/22. I called OptumRX on 12/22 and said "be sure to fill my mail-order script." "Oh, yes, we will" they said. On 1/21, I still don't have the medicine and I call them and they say my prescription expired on 12/15. "How is it possible you let my pharmacist fill the 30-day one on 12/22?" I ask. No explanation. No answers, No solutions. Just more phone calls that I will have to make on Monday to my doctor and to my pharmacist to get a 30-day supply because we are out of medication AGAIN thanks to OptumRx.

    Every time they mess up, I have to pay a co-pay for the pharmacy and a co-pay for the mail-order. And since they didn't process the December one and the deductible year started over, I have to pay the whole amount for this new supply this time. I wish I knew why OptumRx hates my kids so much that they don't want them to have their doctor-prescribed medication.

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    Customer Service

    Reviewed Jan. 21, 2017

    When I signed up to receive my prescriptions by mail order, I had no prescriptions that needed renewal. It was noted that physician authorization was needed. Then I noticed that my credit card was billed for my entire deductible and the medication that was not needed. Called, spoke with customer service, I was told that a return authorization would be sent, but I did not receive it. Called again and there was notation made that a return needed to be made. I was disconnected twice. What a mistake. The worst experience.

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    Customer ServiceCoverage

    Reviewed Jan. 20, 2017

    Thousands of State of Michigan retirees suddenly had our prescription coverage changed to OptumRx. A quick Google search to this site revealed a terrible reputation and very poor customer service. I've already received a notice that my generic anxiety medication (w/ no negative side affects) is NOT on the OptimumRx drug formulary. I'm sure there are many others who are in similar straits re: their meds. Yes, there are appeals to OpumRx which will take months but my goal is to target the state level managers who decided that a very poorly rated company was "good enough" to handle our drug coverage benefit. If you are a State of Michigan retiree and have similar problems, please write a letter to the decision-makers! Benefit Plan and Design, P.O. Box 30171, Lansing, MI 48909. The more voices that complain to decision-makers the better!

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    Reviewed Jan. 20, 2017

    My company recently retained OptumRx for prescription services to save money. Honestly, things go smooth if the drugs you are taking are Tier 1 or Tier 2, however if you have even a Tier 3 prescription prepare yourself to be jerked around by them requesting a "prior authorization" and after obtaining it, they will reject it. This in turn burns up a few more days while you have to contact your doctor to submit an "appeal" to their denial, which they can deny as well. I find it odd that a pharmacy company can make a decision affecting your health that countermands a physician who has been treating you for years. A "prior authorization" means nothing to this company.

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    Customer ServiceStaff

    Reviewed Jan. 20, 2017

    Was charged for a medication I should not have been charged for. Been in contact for reimbursement for 2 months and have not received it. Extremely RUDE and UNHELPFUL customer service reps. Would NEVER RECOMMEND USING THIS COMPANY OR SERVICE.

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    Customer ServicePriceStaff

    Reviewed Jan. 19, 2017

    Our prescription service switched to this company this year, not by choice. With this company you have to get maintenance medication from them, through the mail order service. All of our daughter's maintenance meds are life saving meds. There have been nothing but problems so far. I am very frustrated with this company. The customer service is the worst I've seen. All I want is my child's medicine that WE PAID FOR. They seem not to understand that this is medication that people need for survival. They act as if it's candy or something. I have spoken with these people multiple times a day for over a week and the stories they tell you don't even make sense.

    The prescriptions so far have been more expensive even though the tier is lower with them. I received one med from a order and the rest have been on hold for some reason. I still don't understand because depending on the person, the time of day and the direction of the wind it's something different they tell you. The sheer level of utter incompetence is astounding.

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    Staff

    Reviewed Jan. 19, 2017

    My excellently rated Health Insurance Company has contracted with OptumRx to manage prescription services. My doctor has prescribed a medication that I have been taking for upwards of to a year with absolutely no hassle upon refill. This changed without notification in any way to me. When I attempted to refill my Rx in the new year, the company refused to fill the medication as prescribed by my doctor. I spent almost two hours yesterday on the phone and over 1 hour the prior day attempting to obtain the needed pre-authorization paperwork my doctor needs to complete.

    My doctor as of yesterday had phoned in my Rx twice, faxed the pre-authorization 3 times many of which Optum states were not in the system - essentially isn't and nobody at Optum could even explain why the company has changed the allowable amount in terms of this needed prescription. There has been no notification to me so that my doctor could be aware to once again experiment with other medications (none of which manage the daily nausea, vomiting and weight loss as this medication in question does so well). After speaking with more than 8 people - all of whom gave me differing information, my predominant question was not answered.

    I'm so surprised and frankly disheartened that my highly regarded Ins. Co has entrusted OptumRx to assist their members with pharmacy services as my first experiences with OptumRx have been absolutely ineffective and discouraging and the staff did not appear to understand the procedures and/or could not impart this to your members. If I had a choice, I would change immediately this pharmacy that works with my insurance company.

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    Customer ServicePriceStaff

    Reviewed Jan. 16, 2017

    United Healthcare basically forces us to use OptumRx. My children are prescribed very expensive medications but I have decided to pay more at Walgreens than to work with this awful company. I tried to have them fill a very simple prescription for the convenience of 90 pills and not the 30 UHC will co-pay at Walgreens. Optum called my home phone, but then they disconnected me. I called them back twice before getting a pharmacy "assistant". The woman was extremely rude and belligerent. I had to ask the same question, in different ways, about five times because she said my prescription was cancelled.

    I must mail in an original paper copy from my doctor, which I just sent a week ago. She was basically yelling at me to call my doctor because the prescription was cancelled. Not who cancelled it, why it was cancelled, just "not her problem" and "call my doctor". It didn't make sense, but she was more concerned that I wasn't listening to her than she was to listen to me. 15 minutes later Optum called me back and another representative said she had a problem processing an order. Yes, it was the same order. I corrected the address and they said it was on the way??? I write this warning for anyone who has a choice. This is one of five years worth or monthly headaches with these people, and United Health Care! Beware.

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    Customer Service

    Reviewed Jan. 16, 2017

    It took over 10 minutes for you to get through to anyone. First you had to verify everything with a automated machine and after being on hold redo it over again. I had to use OptumRx because of my insurance through the company I worked for. I had two credit cards on file because they didn't ship without payment first which was ok with me. After changing insurance company. I get a bill for 33.04 that they said two Rxs never got paid for over 3 months ago. I don't get a first bill till the end of the year and which I called and they said they missed collecting, but couldn't tell me which Rx it was to call back later and talk to billing. Next letter I get 10 days later from debt collector because the RX was shipped in October and the bill was over 90 days old, but I got no bill for 90 days and they had a credit card on file. They always asked which one to use. I will never use this place again. Rude customer service and billing department.

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    Customer Service

    Reviewed Jan. 16, 2017

    I pay $61/month for Rx insurance as part of Part D Medicare. For the last 3 years, I have filled my prescriptions at local stores and paid the co-pay BECAUSE OptumRx is a disaster. They take 2 weeks to process a new prescription. And then they automatically send prescriptions without contacting you first, even if you don't need the prescription. They did this to me 4 or 5 years ago, and that's when I quit dealing with them. After my insurance rate went up so high, I decided to try OptumRx again to try to save some money. Within the first month, they automatically sent me 2 prescriptions that I didn't order. The second time they did this, AFTER I had specifically told them not to, they gave me a hard time about paying for this Rx.

    I had even removed my credit card from my OptumRx account so they would have to call me before sending anything. It didn't stop them, they still did it and wanted me to pay a $42 co-pay for a prescription I had just filled at Walmart. I stood my ground and asked for a supervisor. The supervisor readily understood and said he would send me a return envelope and just to put the Rx in it and send it back. I emphatically told the supervisor to be sure that my account states not to send me prescriptions without a phone call from me requesting it. We'll see if that happens. By now the Rx in the package is ready for renewal with no copay.

    Do you think I would be able to get OptumRx to figure out a way to just let me keep it now and remove the charge? I think they will make me send back this one and have to send me out a new one. BTW, I spent over an hour on the phone with them demanding that they accept a return. I had not opened the package. So IF they do this to you, ask for a supervisor and make them accept the return. It is THEIR fault, not yours. They shouldn't make it your problem.

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    Customer ServiceStaff

    Reviewed Jan. 14, 2017

    My insurance recently changed and when I went to pick up my monthly prescriptions I found out that I would need to do mail order. Of course I am out and need the script today. The pharmacy told me to call them and opt out. (Call 1)They wouldn't let me but did say that I could send a script to a Walgreens and pick up my 90 day. (Call 2) Walgreens called them and printed a document stating I had to at least set up the mail order acct.

    (Call 3) The rep I talked to apparently can only use ghetto language and was nearly impossible to understand. She set the account up and said I had a 0 co pay and could walk to the counter and get my script. No Luck! (Call 4) I want a supervisor. 10 minutes I get the ** women on the planet who basically said that everyone and everything we have done was wrong and I need to suck it up and have my dr call a script into them and they will release an emergency 30 day refill. She was terrible and not sympathetic to how everything was handled. I literally have opted to just not take my medication and go through the online order. Rudest most unhelpful company I have worked with.

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    Punctuality & SpeedStaff

    Reviewed Jan. 12, 2017

    I have been insured through a Medicare Part D supplement for the past two years that I obtained through AARP. The company is OPTUM RX, a subsidiary of United Healthcare. I have never experienced a more incompetent set of individuals in my lifetime. Medications are delivered late, medications are sent when not ordered, the employees are unable to offer solutions, and once, they stopped processing a delivery because they thought that I was uninsured (even though the premium payments are paid monthly by social security). When I asked to speak to a quality assurance officer, I was told that there was none. It's hard for me to believe that a company as incompetent as it is, can still be in business.

    Furthermore, they raised my monthly premiums by almost 25% from 2016 to 2017. I not only received no notification of a premium increase, but when I called to complain, I certainly was not given a reasonable explanation. The bottom line is this: UNH (United Healthcare) is a huge company that makes a lot of money. The CEO has a salary of over $5,000,000 yearly. They are interested in one thing and one thing only....making money and they don't give a damn about individual complaints. I believe in AARP, but they made a huge error in recommending UNH for Medicare Part D supplements.

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    Customer ServiceStaff

    Reviewed Jan. 12, 2017

    Really OptumRx? Really? I am FURIOUS! I should NOT have to call back five times for one prescription to be right! I should not be sent the wrong prescription that no one prescribed! And I should not have to make sure I get the brand that costs me less. (After all I'm not a pharmacist and don't have knowledge of all the different brands. That's called good customer service. You're supposed to be the expert.) Now I've gone from costing $0 due to the reform act to $120!!! A phone call before charging me would suffice! Or better yet, act like a REAL pharmacy and do some work to make sure your customers are getting the best prescription for their needs like most local pharmacies do. And get some intelligent people working there who are capable of taking responsibility and not passing off the blame on someone else because they are only a call center.

    I've worked at a call center. It is up to YOU to make sure the orders are correct. Period! Proof of your lack of professionalism is the fact you ** off my doctor by calling him for the same prescription 3 times! He called to complain to me! Mail order is supposed to SAVE you money!!! I've never ever had this ** experience before with my old mail order company! And I never will again!

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    Customer Service

    Reviewed Jan. 11, 2017

    Absolutely the worst customer service, I don't think they know how to do their jobs! It takes multiple phone calls to fill prescriptions from patient and dr.'s office, they aren't even sure how fax the request for the refill! This is prescriptions that patients need to live their lives and take care of their diseases. It is horrible. Someone high on the food chain needs to be fired!! I hope that someone there figures this out or that there is a class action lawsuit waiting to happen!

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    Reviewed Jan. 11, 2017

    United Healthcare forces me to use them for expensive medicines and they have the ability to screw up everything from not sending the medicine to claiming it's not paid for to double billing. Best of all if they screw up and you need the medicine asap they tell you "no problem there is an extra charge, pay now" even though it's their fault.

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    Customer ServiceStaff

    Reviewed Jan. 10, 2017

    I was recently pushed to Briova for a specialty drug I was prescribed. The first time I called to fill my prescription, I was transferred 3 times and landed with a representative who had no idea what she was doing and was quite literally reading off of a script. She then put me on hold for 30 minutes so that I could talk to a pharmacist who had "questions" for me. Only, the pharmacist had no questions for me and rudely expressed that she didn't understand why I was calling. Shockingly enough, I received my medication the next day. However, I had no such luck with the refill. I placed the refill order online, and received a voicemail the next day from Briova. I called back and was thrown on hold for 45 minutes before speaking to a real person. The lady was nice and told me all they needed was my consent to have my meds sent to my doctor's office, and that they should be delivered by the following Tuesday. Great!

    However, it has been a week, and no meds have been delivered to the doctor. I called Briova back today and spoke to someone right away. Told him the issue. He put me on hold, and then hung up on me. Called back. Spoke to another representative who informed me that I should have never received the first package to begin with because it was never pre-authorized by my insurance. What?! This place is a mess! And it utterly baffles me that a place like this is allowed to do business. Thankfully, my drug isn't a life or death situation, but I can't imagine how infuriating it must be for people who are taking drugs for serious illnesses. If I could leave 0 stars, I would.

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    Customer ServicePrice

    Reviewed Jan. 10, 2017

    Teaching customer service and satisfaction across the country leaves me floored at the lack of that concept at this organization. Hours on the phone, price loopholes that allow them to charge you for 90 days even if you only get 30 days, customer support that is generally rude and does not have the flexibility to uniquely respond to a customer's needs and the outright refusal to acknowledge any changes in your account via mail or email "check the web" is the canned response and they have the audacity to ask me to waste my time on a satisfaction survey after an hour long no resolution phone call! My drug costs have gone up over 22% since enrolling in the "cost saving auto ship program". Avoid this organization like the plague!

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    Reviewed Jan. 9, 2017

    Two times now we have received drugs we DIDN'T order. One was a drug my husband no longer takes. Too bad, so sad they say. We get to pay (or our plan pays). Nope you can't send them back unopened package and all. I called them and placed our drugs on a special hold. ONLY ship drugs we order. No idea if they will follow through on the promise. I'm thinking they won't.

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    Customer Service

    Reviewed Jan. 8, 2017

    This company is terrible about communicating with patients. They just let the prescription sit in their pharmacy and don't even call when there is an issue. I never did get my prescription even after speaking to the pharmacist and confirming that my prescription would be here overnight. Didn't happen, called them and they gave me another lame excuse. So I ended up going to my local pharmacy after speaking with my dr's office to resend it to the drive to pharmacy, which they did happily and I went to pick it up when they called. It was within 24 hrs. Don't deal with Optum if you don't have to. I know there are no copays with them, but it isn't worth it. My prescription was only $2.87 at the local drug store. I wouldn't even give them one star if I didn't have to.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 7, 2017

    One of the worst prescription drug companies I have dealt with. 8 phone calls today trying to find out which drug is accepted and covered under my plan... Not one rep was able to tell me. I had to look up names on my own and submit to CVS and only to be turned down for coverage. No one was able to tell me what drug I should tell my doctor to prescribe that would be covered under my plan. Extremely frustrated and eventually had to pay out of pocket... Horrible service.

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    Customer ServiceStaff

    Reviewed Jan. 6, 2017

    OptumRx received a new RX from my doctor on December 20, 2016. They failed to fill the RX. My insurance changed on January 1, 2017. When I called OptumRx on 1-6-2017 to ask where my RX was, I was told that they have it. It is in the system. They see it. They said "there was a mistake." I pointed out that the mistake was their mistake, and since they made the mistake I asked them to send my RX at no charge. They said there is nothing they can do. This is a terrible customer service policy. The company will not take responsibility for its mistakes.

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    Reviewed Jan. 6, 2017

    Absolutely the worst pharmacy I have ever dealt with. There are too many reasons to list but do whatever you can do to avoid spending any time or money with them. I've also been sent prescriptions twice that I didn't even request and I was required to pay for them regardless of the mistake being theirs, not mine! I also take care of a family member who used this pharmacy, and experienced continual problems with his meds. If you are considering using this pharmacy, I encourage you to reconsider.

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    Customer Service

    Reviewed Jan. 5, 2017

    I am not one to write reviews but I have had it with OptumRx. This absolute disaster of a company is not worth the few bucks saved by using it and the "convenience"... don't get me started. Refills: I have 3 scripts refilled every 3 months, that's it. Not a very difficult account to handle in my opinion. Yet every time it comes to refill I receive at least 2 letters (that arrive the same day) in the mail and one e-mail per script (that totals 9 messages from them) saying there is an issue with the refill(s) and to call. So I call only to be told they don't know what went wrong, but they fixed it. This happens EVERY time.

    Payment: When and which of my accounts the money comes out of is always a surprise. Sometimes it will come from my default card as it should. Other times it comes from a different card that is only still on there because the website logs me out every single time I try to delete it. And then there is the always surprising mailed statement saying I owe them for one of the three auto refilled scripts I received a month ago. Why it was not just put on the card with the others that were auto refilled at the exact same time is beyond me.

    Website: The OptumRx site makes me want to throw my computer across the room. It can be so slow and constantly logs you out. I just logged in and clicked on "manage accounts" and it logged me out. I had been logged in maybe 15 seconds. Stay away from this awful company unless you want to end up constantly irritated.

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    Customer ServiceInstallation & SetupCoveragePricePunctuality & SpeedStaff

    Reviewed Jan. 5, 2017

    My doctor prescribed me a monthly injectable shot, and I have to use this company with my insurance from work (United HealthCare). The prescription was issued in August. After both my doctor's office and I had to continuously jump through hoops for nearly THREE MONTHS, I finally got my first injection in December. My first shot was in December when it was supposed to have been my fourth shot that I should've started in September, October at the latest. One of the reasons for having to jump through hoops had to do with me having to "give them permission" to ship the medication to my doctor, them continuously not documenting that I gave them permission, having the exact same situation with my doctor's office, and then continuously having to "resubmit" everything after giving permission. I have dealt with insurance companies and pharmacies before, and I have NEVER had this problem.

    I called BriovaRX on 12/15/2016 to make sure that my next medication would be sent to my doctor with no problems. I spoke with a male, and he stated that the hassle was a one-time problem, and that from then on, I did not have to call and give permission, and that my injection would be automatically shipped to my doctor within a certain time frame so that it will arrive in time for my next appointment. I made the mistake of believing him, so I did not get his name (I will say that the supervisor I spoke with today had a record of that phone call on that date. More on that later).

    I called a second time last Tuesday 12/27/2016 just to verify again that the injection would be shipped with no problems. I spoke with another male, and he also confirmed what the first one told me on 12/15. When I went to make my appointment today for my injection, the office said that they never got it. When they called, the office said they had no record of me ever calling and that they would have to resubmit everything under my 2017 benefits.

    When I called BriovaRX today (01/04/2017) to question them about it, I was transferred three different times. I was transferred to some sort of "Specialty Pharmacy" department, where I was then told that my prescription was handled by a specialty "department within the department." This made no sense, and I immediately questioned the legitimacy of this company. I was transferred to a third female, where she put me on hold for 15 minutes until I gave up and hung up the phone to try again. When I did call again, I was transferred at least twice before I spoke with a female whose name sounded like "Sammy." All she could say was that there was nothing she could do and they would be resubmitting it under my 2017 benefits. I kept questioning her, and she would repeatedly recite that there was unfortunately nothing she could do verbatim as if she were reading from a script.

    I told her I was not going to pay for a prescription that was 100% covered in 2016, and that should've been mailed the last week of December 2016. She then transferred me to a supervisor named Lynyse **, and she was extremely rude to me. She flat out said - quote - that it wasn't their fault and there was nothing they could do. She acknowledged that she did see a record the phone call that I made on 12/15/2016, but there were no notes in the call from the agent, and she said that she wouldn't be able to pull up a recording of that call. I questioned in my mind how she would immediately know that the call wasn't recorded, as well as why, if she saw a record that I made a call and no notes from the agent, that agent's name wasn't documented on the call. I work in law enforcement, and I have worked in call centers. Call centers (ESPECIALLY call centers that deal with medical and personal information) record their calls.

    I also know that any computerized transaction that is done (whether it is a sale, call center phone call, etc.) will show who handled that transaction, whether it is their name or employee number. She also somehow could not find the call on 12/27, even though I have it in my call record in my phone that I called on that date. She also informed me that since I couldn't provide the male's name that I spoke with on 12/15, that it's not their problem. Again, that should already appear on the call record. She said the only thing she would do was to give me a number for CoPay assistance so that they would try and offset some of the CoPay that I would now have to pay. I told her that I would not be forced to pay a CoPay for something that should've been sent out in December 2016, and that I shouldn't be forced to pay a CoPay for something that took three months for me to get in the first place, as those were three months worth of 2016 benefits.

    I told her that the company is either incompetent, or they have been lying to me. She again said it wasn't her fault. I now run the risk of not being able to get my injection in time, facing the side effects of going off the medicine, and having to start all over again and going through the side effects of being on the medicine all over again. This doesn't take into consideration the havoc this could wreak on my body and my health. This company is incompetent, unethical, and downright dishonest. I am also submitting a formal complaint with the Better Business Bureau, the Ohio Attorney General's Office (I live in Ohio), my insurance company, etc. If and when this company becomes involved in a class action lawsuit, I will be more than willing to participate.

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed Jan. 4, 2017

    I was forced to use OptumRx by my healthcare provider and have been using them for a couple of years now. I have tried to sign on to their website and order my prescriptions about 200 times now and their website always rejects my email which prevents me from registering. I have called them multiple times and they always tell me that it will be fixed when I make my next order... wrong! This makes no sense to me since everyone else I deal with on the internet has no problem with my email address. Luckily, every prescription I receive has a reorder form included which I am forced to use. I guess I will continue to use snail mail but after reading some of the other complaints about this company, I am losing confidence and wondering if I will get my drugs on time... Very frustrating.

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    Customer ServiceStaffReliability

    Reviewed Jan. 4, 2017

    Family member got changed from Caremark to OptumRx for 2017 home delivery meds and meds administrator. Told an online acct could be opened on Jan 1 2017. Also received a personal letter to her in late December that one of her meds would drop a tier and be cheaper. So far, results: Initially failed to get account open with all correct info. Finally able to get in once. Not much info in there so entered a contact person in appropriate field. Next day - unable to get into account. Repeatedly tried and Occasionally would get in but had to re-enter all the member ID and personal info to which the site replied the info was already there. Re-entered info and logged in again with prior info gone. Logging in is a MAJOR problem. I called and emailed for help and NEVER had anyone get back to me. The med that was supposed to drop a Tier per official letter is still at original Tier. NOBODY can explain why.

    They assigned a case number and issue remains in limbo. Made numerous follow-up calls - all useless! Even the web account issue was of no help by their web people. Was told it is a common issue being worked on that many have and could take weeks if not months to fix. Decided I will use local CVS or Walgreens to fill both monthly and 90 day prescriptions! This outfit needs big time help! Caremark was better than excellent online and with service and one family member still has them. Fortunately all my Caremark prescriptions were transferred at MY request to local CVS in late December so that I am not a "hostage" to OPTUMRX for 90 day supplies (even though local pharmacy is a bit more money). A truly incompetent and terrible outfit and never reached anyone on phone that was competent or ever received replies by email to multiple requests! Incredibly bad service!

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    Reviewed Jan. 3, 2017

    Yes, 2016 WAS a rotten year, but not as bad as... dealing with OptumRx as a newly minted old person with a United Healthcare MedicareRX card. Silly me, thinking I could have my pills delivered to my door, I tried to use their very frustrating website to register. FAIL. So I called "customer support" on the phone. Even SHE could not get it to the website. So, she gave me an account number and we tried again. FAIL. This group seems to have generated some really virulent enemies out there. They must make so much money from the weak and helpless, they just don't care. OK. BYE OptumRX. Don't shade my door ever again.

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    Customer ServiceStaff

    Reviewed Jan. 2, 2017

    The state of Michigan chose to go with a new prescription insurance, OptumRX. This OptumRX is terrible. I have been trying for two weeks to register and get my RX authorized online. Any move I make I get the message: "We're sorry. The system cannot identify the member with given data." When I call Customer Service, I am transferred over and over again, hung up on, and the excuse they can't hear me. I call back and get put on hold for excessive amounts of time. The battery on my phone died. Called them back on another phone and started all over again. Geez Louise. I explained to rep that she was the eleventh (I document everything) person today I talked to. This time she assigned a ticket number and told me I should hear in a couple of days. We will see. I am VERY FRUSTRATED!!! Being a state employee, I can handle a lot of red tape, but this is ridiculous!

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    Customer ServiceStaff

    Reviewed Dec. 31, 2016

    This firm needs to be closed down! I have ins through work and had no choice. I have a life necessary drug that I must take and everything they could do to cause an obstacle is almost a delight to these people. Do their operators even know that people can die without medication. It took them an entire month to do a prior authorization, this was after calling them every single day and my Dr's office calling them 3 times a week. The Dr's insurance coordinator was so upset that he was threatening to have the Dr call into their CEO about this. Heaven help you if you have to work with them. They should be investigated because they have probably had patients have to go into the hospital because they couldn't get their scripts filled! How many people could have died as a lack of good business practices and God given common sense. Thank goodness my company changed insurance firms and as of Jan 1st I don't have to deal with this poor excuse of a company!!!

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com