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OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

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


Visit www.optumrx.com/en

OptumRx Reviews

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    How do I know I can trust these reviews about OptumRx?
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    Page 12 Reviews 1430 - 1580

    Reviewed Oct. 10, 2018

    15 minutes ago details. I can never win with you guys... I don't need that much of strips but you still send me 60 days supply when I just got 30 day supply from Walgreens... I'm giving birth next month. I only use this strips 'cause of gestational diabetes... what will I do to those strips? I have to pay 60 USD per week for doctor's appointment then pay insulin. We still have bills to pay to live and I have to pay 87 USD to strips that I won't even use. Your representative just suggest I can donate them then... so I will pay for the strips just to donate them?!! When I can use that 87 USD for diapers and formulas... you never made it easy for me. You are stressing me over and over again...

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    Customer Service

    Reviewed Sept. 29, 2018

    I have been trying to get this Rx filled for my husband all this week and now he is finally without this medication. He first had an Rx for this medication for 15 mg but he's taking two per night, so I called the Dr. ** office (his primary dr.) and they confirmed that they had sent an Rx to Optum for this medication and the increased strength of 30 mg. I have to this date not received any medication and I did talk to someone in the Rx department and they had said they were rushing this medication to us and that was about 3 or 4 days ago. Something needs to be done with how medications are filled. I get several calls for myself and I also have OptumRx and they keep wanting to know if I'm taking my medication. If there is so much concern then why is there so much of a delay in getting this medication sent to my husband.

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    Customer ServicePrice

    Reviewed Sept. 29, 2018

    Began with OptumRX at the recommendation of insurance company to reduce cost to me. Initial cost of medications listed looked great, when processed cost was ten times that initial listed cost. Called, or had them call me back since that is the only way to contact them, and requested all relationship with OptumRX be ended. Was assured that had happened, then a month later another order processed at twenty times what I pay at CVS; “called” again, was assured all ties were broken, all orders removed, all prescriptions canceled. No confirmation provided, no way of knowing if I am finally done with OptumRX; time will tell. At this time I have not yet received a prescription nor have I paid them anything, I cannot recommend this company to anyone.

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    Customer ServiceStaff

    Reviewed Sept. 29, 2018

    Like most Briova patients, I am seriously ill and my insurance company dictates this pharmacy. Customer service people barely speak English. Obviously, we are all being forced to use this pharmacy. It is dangerous to not be able to communicate with the people that are handling the medications that our lives depends on. Not to mention, the frustration and stress that we go through. There needs to be action against the insurance company that makes us use them and the indifference and lack of patient service we receive from Briova.

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    Customer ServiceProcess

    Reviewed Sept. 28, 2018

    This company always overpromises and underdelivers. It takes multiple days for them to process and send critical meds such as insulin. When you speak with customer service they will tell you a different story with each phone call. They don't follow up with phone calls when your meds are going to be delayed, when they have issues with your medications, can't reach your doctor, etc. My insurance requires that we use this company and all of my co-workers have experienced or are experiencing the same issues. We have complained to our insurance company and to OptumRx directly to no avail.

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    Reviewed Sept. 27, 2018

    After repeatedly paying for expedited shipping and receiving meds a week later, I finally gave up on them. Additionally, even though I had meds coming to my address, often they would ship them to my mom (who has severe Alzheimers), and I would find out about them sometimes a month later. Terrible company and service!

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    Reviewed Sept. 25, 2018

    Their systems are terrible and their personnel are not much better. They can only stay in business because they have a captive customer base. If they were operating in a free market environment they would be out of business in 6 months. IF YOU CAN POSSIBLY USE A DIFFERENT VENDOR, DO SO.

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    Reviewed Sept. 24, 2018

    Refused to process my $571.00 request for reimbursement. I was w/o Insurance for 5 weeks due to my employer’s inept associate’s failing to make my COBRA payment. I needed meds so paid out-of-pocket & submit reimbursement later. Request denied as using toward my deductible. Now I have no recourse and Optum knows that. Why did they lead me to believe my claim would be processed in the first place. Never had an issue taking my payments.

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    Customer ServicePriceOnline & App

    Reviewed Sept. 22, 2018

    I am extremely disappointed with this mail-order service for several reasons. First of all, their website and phone system are constantly breaking down and requiring me to delay calling in a prescription. Secondly, this last experience was a final nail in the coffin. I ordered my pills that I take for asthma, but was told that they were in a 30-day supply instead of a 90-day supply, as the doctor requested it. I ordered the tablets, but I changed my mind and called them back to cancel the order. A couple of hours later, I received an e-mail saying the order had been processed! I called them and told them that I cancelled the order, but they said it had already shipped. Now I have to eat the extra $3 for a 30-day supply, instead of paying nothing for a 90-day supply. They deliberately went against my wishes to cancel the order, and now I have to eat the cost.

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed Sept. 19, 2018

    I am a Crohn’s Disease patient. In order to live life similar to those who are healthy, I have a team of doctors, medications and pharmacies I depend on. I write this complaint about the pharmacy, BriovaRx. Briova is one of many pharmacies I use, generally I go to Walgreens and Duane Reade. I am forced to use Briova as the medication I take for Crohn’s is considered a specialty drug by my insurance company Oxford (United Healthcare). Briova has major issues with their system. They do not notify a patient of issues with a prescription or refill until it is time to schedule a refill. This is counterintuitive as it notifies the patient too late for the next refill. I was notified last Friday that Briova required action from me and my doctor’s office, my prescription was expired.

    I informed Briova that I am due for my next dose the following Wednesday. I was assured this was not a big problem and that they would turn the new prescription around as soon as it is received. I was not informed about their 72-hour turnaround time. This was brought to my attention today, Wednesday, September 19th, 2018.

    I called Briova on Tuesday, September 18th, 2018 to inform them that my doctor sent in a new prescription and to check whether there were any issues that I can help resolve by coordinating with my doctor. I was told there were no issues with the prescription but that it could not be passed onto the pharmacist until the next day. No proper reason was provided for this even after I explained my situation. I was told my prescription would be flagged urgent and I can expect it to be processed the following day with a delivery date of Thursday, September 20th.

    Without a choice for anything else I hung up the phone with the knowledge that my dose would be a day late. I am currently going through a Crohn’s flare which is worsened by stress and can have me hospitalized for weeks. I called Briova today (Wednesday, September 19, 2018) to check on my prescription. I was informed that nothing was done with my prescription and it was never sent to their pharmacist. I was given the same script about flagging my prescription urgent and how this is not their fault as the pharmacy required 72 hours to turn around a prescription.

    The issue here is clear. Briova should have notified me weeks ago when my last prescription was filled. It is standard for a pharmacy to notify a patient that the medication they are receiving does not have any more refills. This allows a patient to contact their doctor to receive a new prescription while giving the pharmacy enough time to process it without causing stress or missed doses for the patient. Why does Briova not follow the same guidelines? Why was I notified 3 business days before my next dose if the pharmacy has a policy of 3 business days to process new prescriptions? Additionally, why is no one at Briova taking responsibility for not processing my prescription after I was told it would be processed? If I did not call to check on the prescription today, Briova would not have known they did not process a life-saving prescription.

    I called Oxford United Healthcare to notify them that the specialty pharmacy they do sole business with is doing this to their patients. I doubt United Healthcare will take any action. It’s unfortunate because I have read multiple accounts of this occurring to other patients of United Healthcare and Briova. Multiple things need to happen to help all the sick people who depend on these drugs to keep them alive and healthy.

    United Healthcare needs to take responsibility for the business relationships they have, especially if they will only use one company to fill their specialty drugs. Briova needs to update their system to one similar to every other pharmacy. Walgreens for example will text, call or email a patient within minutes if there is an issue with a prescription. It is unreal that a pharmacy can notify a patients days before their required dose that action is required from the patient or doctor, knowing that an earlier notification is possible during the previous refill processing.

    I have spoken to both Briova and United Healthcare, but neither seem to care about this recurring issue or the patients they are forcing into this stressful and life-threatening issue. Even if United Healthcare chooses to overlook what is being done to their members, they should care about their bottom line. I can’t imagine it is better to force people into hospitalizations and ER visits due to this negligence. The costs alone should get the health insurance’s attention. I’m hoping this complaint will get to the decision makers of these businesses and initiate change.

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    Customer ServiceStaff

    Reviewed Sept. 16, 2018

    I talked to a customer service rep three different times. Everyone seemed helpful on the phone but they have some serious issues following through. No one could give me a clear answer on why my prescription wasn't going through and I never received a call back like the rep said. They finally said my insurance no longer allowed my medication to be shipped through the mail because it's a controlled substance. This left me with questions because a month prior the same medication was shipped with Express Scripts. Recently while talking to a rep she said she would send over my prescription to a local pharmacy. It's now five days after the fact and the pharmacy said they never received a request. This all took 3 weeks. It's a terrible business model especially when they're messing with people's health.

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    Customer ServicePriceStaff

    Reviewed Sept. 15, 2018

    When I call my prescription company I expect knowledgeable people to be handling my call. I certainly wouldn’t think this was too much to ask. I called to reorder a prescription for **, 20mg. today. Because my medications are unbelievably expensive I had already reached the limit where I am now in the donut hole for medications. My cost for this med was to be $432.00, which I could not afford to pay. I asked a simple question, “Is there a generic brand for **?” I waited while the representative checked with the pharmacy. He came back and told me the medication was **. I told him I would call back and order this after checking with my doctor.

    A few minutes later I thought I would call back to see if there was a 10mg. tablet of **? The representative said there was and the cost for 90 days would be $67.00. I was very surprised at the difference in price between the 20mg. ($432) and the 10mg.($67). I asked him to tell me why the price was so different and he said he didn’t know but would transfer me to the pharmacy department. Once connected to the pharmacy, I asked the same question again and she said the cost for the 10mg. was $413. I asked how he could make such a mistake and she said it was a miscommunication. I then asked her about the generic that I was told of, **, and she said, “That’s a blood pressure medicines not a blood thinner.” At that point I was very upset that not only was I suggested an incorrect medication for my illness, I was given wrong pricing for the cost of the drug.

    Again, she said this was a miscommunication and apologized. This was a potentially very serious communication error on OptumRx part! I asked to speak to a supervisor to relay what had happened. After being held on hold for a short period, a person named, tom, (he refused to give me his last name), told me that I asked for an alternative drug for ** and the representative did nothing wrong! HE DIDN’T HAVE ANY ANSWER FOR THE PRICING ERRORS. I’m taking this time to write this note as a warning to any person ordering drugs from OptumRx, the representatives answering the phones either are not well trained or the information available to them is very lacking. Since this company is owned by United Healthcare I would have expected better service.

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    Reviewed Sept. 14, 2018

    It seems like most people in my office are experiencing their prescriptions being denied. Thank goodness we're not a prescription needing family. Two of my prescriptions were denied by this horrible company. It's now going on 1 month and my doctor said my levels are dropping, but gave me samples to hold me over. Only to find out that the samples are good but what if I need them for a period of time. She can't give me samples until the levels get to where they need to be. I never had this problem under my old plan but my company went with this crappy prescription company.

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    Customer ServicePriceStaff

    Reviewed Sept. 12, 2018

    For the employees that work at OptumRx who dislike getting yelled at, I have a fun story to tell. You changed my meds to be a controlled substance without an email, phone call, or letter in the mail. Not knowing about this change I had to then rush order my meds (which means I had to pay an extra fee on already expensive meds). Nobody could explain to me why the meds changed. It took me TWO years to finally have a rep to tell me why I was no longer able to get my meds at my local pharmacy. Talk about stress. Stress causes seizures and those meds are suppose to control them. No meds means more seizures. Thanks Optum for "caring" about my health. The fun part of this story is that the post office lost it (and do so about every time) and when I called for help, nobody could do anything. I do get an email after they are delivered. Well, sort of. Meds got delivered on a Monday, Tuesday at 3am I get an email saying they were delivered.

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    Staff

    Reviewed Sept. 10, 2018

    Checking my record OptumRx has a doctor listed that I have no idea who she is and she is NOT my doctor either. WHY! My prescription is denied each time because OptumRx system does not recognize my doctor's name because OptumRx has the wrong doctor listed on my record. It took OptumRx over 6 months to have the online system work for me. OptumRx claims that my record was transferred over from the other company but this is false. Why do I am charged more now for the same medication and all the problems I have to face for refills???

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    Customer Service

    Reviewed Sept. 8, 2018

    Every time, literally, every time my husband is expecting an 'automatic refill' there is a problem. Since I have had no problems, I initially blamed him, but after repeated episodes of trying to fix the problem (with me on the call), I have come to realize it is OptumRx. The newest REPEATED problem is that they are showing his insurance is not active. Our ins is thru UHC which they, on the phone, confirm THAT THEY OWN!! He checks his auto refill online-It's stuck-We place the order manually-. It's rejected-We call-they tell us the ins is not active-They force the ins to be active in the system, reset the order & the next time, the same thing happens ALL OVER AGAIN. They apologize repeatedly, say they will submit the issue to IT & explain they can't guarantee it will be fixed. RIDICULOUS! The RX is for high blood pressure which is being made worse by this INSANITY!

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    Customer Service

    Reviewed Sept. 7, 2018

    Problems accessing website, account not recognized after 2 years with company. No resolution on access for 3 weeks, no response email or calls about resolution. Renewals of ongoing prescription not being filled out, told filled already. No one to speak to other than customer service. Do not use them.

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    Customer ServiceCoverage

    Reviewed Sept. 5, 2018

    Prescription for **, a rescue inhaler for asthmatics, took 6 weeks to get to the correct address, even after verifying the correct mailing address with every phone call. It took a pharmacist, someone with a Pharm D. to get my address right. I was told one part of the computer system doesn't talk to the other which is why there was a mix-up. Took another 6 weeks for a different med. They initially weren't calling my primary number and when they started doing so after a few weeks, the automated system began speaking before my cell phone recorded, cutting off their company name and only leaving a phone number. Thinking it was a solicitor, I didn't call back right away.

    Unfortunately, I was forced by my insurance company to used Optum under the threat of forfeiting medication payment coverage if I continued using my preferred pharmacy. With my final transaction, I ordered a medication where there is a quote on the Optum website for $70 for a 90 day supply. Optum charged me $70 for a 30 day supply. Since my local pharmacy only charged me $35 for a 30 day supply, I called Optum for an explanation. I was told that this is how my insurance company, Claim Central, set up this benefit and that I should ask them about this charge. Optum customer service transferred me to Claim Central but the automated system did not recognize my selections and I remained in an automated loop.

    Feeling disgusted, I decided this wasn't worth the fight. I made multiple attempts to pay the $70 online. There was a problem with the Optum website so I called in and had a live person handle the transaction. Paying Optum money was the only easy interaction I experienced. There is more but I'm done. Hope someone reads the notes on my Optum account.

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    Customer Service

    Reviewed Sept. 5, 2018

    I had their automatic mail program shoved down my throat. I am on blood sugar, blood pressure and cholesterol medication. I get what I need on the last two but have 9 months excess on blood sugar. I called them to stop the blood sugar and they stopped everything. No choice - all or nothing so now I get nothing. There should be a law to allow us to use our local pharmacist and not have our medication sit for hours or days in 100 degree or more mailboxes.

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    CoverageStaff

    Reviewed Sept. 4, 2018

    I have been waiting three weeks for authorization for a medication. They did not contact my doctor because my doctor should "just know" it needs auth. There are hundreds of plans. There is no way they would "just know" it needs auth. I work in healthcare and we get notifications from insurance companies if a medication needs prior authorization. I have never not been notified. They kept blaming it on their policy. They either have a bad and dangerous policy in place or someone dropped the ball at the plan putting my health in jeopardy.

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    Customer ServicePunctuality & Speed

    Reviewed Sept. 4, 2018

    They completely ignored my request to not have my Rx filled, I NEEDED to get it from a pharmacy. Now they are refusing to cancel it and no one can confirm where it's being sent. 90 days of a controlled substance, so a HUGE deal if it's lost in the mail. Why would I worry that would happen? Because that's EXACTLY what they did last time. They sent it to the wrong address despite 3 calls from me trying to get them to PLEASE not send a controlled substance to an apartment I no longer live in. This company needs to be shut down. The services they claim to provide are too vital.

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    Staff

    Reviewed Aug. 29, 2018

    I was mad, three experiences, three mistakes and felt I could either be a part of the problem or part of the solution. So, I called back to Optimum RX, asked to speak to a Supervisor. Supervisor Ramona ** in Salem Oregon, came on the line and took charge (and ownership) of the mistakes. She was nice, real and efficient. Optimum RX, treat her well... She is a credit to your company!

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    Customer ServiceStaff

    Reviewed Aug. 27, 2018

    Every time I try to place an online order it is horrible (won't take sign on, page not working, error, etc). And when I call half the time the people can hear me so I have to call back till til they can.

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    Customer ServiceCoverage

    Reviewed Aug. 27, 2018

    Prescription coverage is a frustrating experience with this mercenary corporation whose goal is to deny that very prescription coverage retirees thought they were entitled to. Twice this year upon discharge from hospitals the prescriptions written by surgeons were denied dispensing by OptumRx. Their response is the MD has to fill out forms justifying the dispensing of a particular drug. Oh yeah, the Surgeon performing multiple operations daily is going to stop and jump to their tune? We have had this response shoved in our faces for every new prescription from our family doctors. They just say no prescription company knows that Doctors are not anxious to jump thru their hoops so the patient winds up paying out of pocket. Scumbags.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 20, 2018

    For over 1.5 years I have been unable to use their website to manage my prescriptions. First it was down for several months entirely. Then it came back online and now I can see my husband and daughter scripts (they have none) and can't access mine. Hours of time on the phone with their rep has done nothing to fix the issue and I gave up trying. I take 5 medications and it is hard to remember to call and order them.

    Now, I'm dealing with an issue relating to a maintenance drug I can't stop taking. I am having trouble filling at their new retail partner. I made 3 phone calls and got 3 different answers (first two incorrect, still waiting on a call back for the 3rd) and I still don't have the medication I am now out of. Either way, this is not professional and an appropriate way to treat patients. It shouldn't take 3 days to place an order for a refill!

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    Coverage

    Reviewed Aug. 18, 2018

    For the 3rd time, we have sent hard-copy prescriptions in with a note on the cover sheet they provide which has a specific line that says "Put these Rxs on hold on my profile. I do not need medication sent at this time". We always highlight this line and write a second note also stating that we don't want them to send any medication at this time. We will order it when we need it. Of course, they never pay any attention to these notes, and all they can say when you talk to a pharmacist who can see the scanned image of this cover sheet is "Sorry, I guess the data entry technician just missed the note". Does this mean they also don't enter any of the other information on the cover sheet, such as allergies, medical conditions, etc?

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    Reviewed Aug. 17, 2018

    I am already out thousands of dollars out of pocket for my wife's prescriptions, which are not applied to my insurance deductible and maximum out of pocket, because OptumRx arbitrarily requires a pre-auth, arbitrarily denies the prescription, and then stalls and lies about the appeal process. This is with long-standing prescriptions (a matter of years), and the same medicines that were approved a prior month. Every month, something is denied. Even when the prescription has already gone through the pre-authorization process, been approved and the previous prescription filled.

    You can go for weeks and months following their demands - the doctor has to contact them in writing, the doctor needs to write these specific words, and do it again and again when OptumRx claims that it didn't happen... And it's all smoke because at the end of that process, they'll tell you that it's out of their hands, the wrong process to begin with, and you need to contact United Health. Who will strenuously deny all knowledge or responsibility. If you ever do get it straightened out, heaven help you if the doctor prescribes 29 days instead of 30, or changes the date, because you'll be slapped with another "pre-auth" denial. As far as I'm concerned it's pure unadulterated fraud.

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    Reviewed Aug. 16, 2018

    OptumRx holds your health hostage. They require you to buy 3 months of pills at a time, when many can barely afford 1. They requested a "reason" for birth control from my doctor, and would not fill until the doctor gave them a reason. You are unable to opt out of the mail order pharmacy. They leave your drugs outside on your porch through their mail service, a drug which you need a prescription for, is not open to thieves to grab by just taking it from your porch! Unbelievable. When I asked to opt out, they said that I could not opt out, and that I am required to purchase through them.

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    Customer Service

    Reviewed Aug. 16, 2018

    I called a number of times since January when OptumRx took over for Express Scripts (Very Bad Move). OptumRx can't manage to do what they are being Paid to do... So what is the point!!! Horizon Blue Cross and Blue Shield is paying OptumRX to make their customers very UNHAPPY... And helping them to be unhealthy. OptumRX STINKS at what they do!!!

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    Customer Service

    Reviewed Aug. 15, 2018

    OptumRx is having poor website and having lots of problem. I cannot even make online payment. Your order will suddenly disappear from order status. Customer service does not have any knowledge. They will just keep you rotating from one department to other. If you ask any question why I am not able to do this they simply say they do not know. If your medication is on hold they will not even inform you. I am really disappoint with their service.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 11, 2018

    Called to find out why I only received half of the number of tablets I ordered. Was told the order was filled for the amount prescribed by the doctor. However, the customer service representative did not have the correct formulary information. When I pointed out that my plan had a Bonus List she found the correct info. I asked why I did not get informed before the order was filled. I understand the order has to be filled as prescribed for the number of pills. However, I did not get an opportunity to cancel the order so I paid the full amount for half of what their website listed. The CS rep switched me to a supervisor who was very condescending when I tried to explain my situation. He told me "that is your problem". I will not use them in the future. Their website is misleading in my opinion.

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    Reviewed Aug. 11, 2018

    I've just had my third prescription filled where OPTUMRX is my Medicare Prescription Drug Plan provider. This time my prescription costs are three (3) times what they were approximately 270 days ago! This is a plan that I was "placed into" by my teachers' group. My prescriptions are maintenance drugs, nothing esoteric. I've already started to do my research so that as soon as I can, I can get out of this plan. I get my prescriptions refilled at a CVS for the people who "mail in their prescriptions" are having horrible problems (some issues are life and death) for they have been mailed the WRONG medications!

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    Customer ServicePriceStaff

    Reviewed Aug. 9, 2018

    Ridiculously high pricing which varies from day to day and service rep to service rep. Much wasted time trying to get the medication needed. Note to employers that provide this service as a benefit to their employees. Based on the service and pricing, employees will have a negative impression of the employer. Details below.

    For 2 medications, Walmart charges $10 for 3 months, OptumRx charges $120 per month. Another medication that was prescribed "every 4 hours as needed" and, according to my doctor, if needed more than twice a week, the type of medication should be changed, i.e. under normal circumstances, it should not be taken more than twice per week.

    When talking to the customer rep, I asked for one dispenser. I received 6 dispensers. According to the OptumRX rep, a pharmacist calculated that the medication would be taken every 4 hours (day or night) and sent enough medication (6 dispensers) to meet that calculated need for 90 days. The medication expires in Jan 2020, so the medication in 5 of the dispensers would expire before it could be used. During the first phone call to place the order, the cost of one dispenser was quoted at $46, the cost of the 6 dispensers was billed at $96. During the second phone call regarding the receipt of 6 dispensers when one was ordered, the service rep offered to sell 2 dispensers to me for $37 and I declined. The service rep agreed to send the paperwork necessary to return all 6 dispensers.

    5 days later, I received a voicemail from someone claiming to be a pharmacist at OptumRX asking me to call and ask for a pharmacist. On the return call, the service rep asked me if I wanted to keep one of the dispensers at a cost of >$70. A total of 3 phone calls which took about 2 hours, 3 different prices, and the medication still needs to be returned and a credit made to my account. In addition, I'll need to source my medication somewhere else.

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    Customer Service

    Reviewed Aug. 4, 2018

    I have tried twice to get my prescription over to them and my doctor tried numerous times. Still they never somehow got them and sent me an email for fax. I faxed to them and only to be told that because I am not a doctor, my fax will be discarded anyway. This is one of the WORST companies I have experienced if not the worst. How can one company manage to be worst than a cable company? Mind boggling.

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    Customer ServiceReliability

    Reviewed Aug. 2, 2018

    I feel better knowing I’m not alone. Horrible experience. Been trying to get my prescriptions to mail order and my doctor wasn’t responding because there weren’t any prescription listed in the request. I travel for work and trying to sort this out has been a nightmare between time zones and office hours and such. Evidently OptumRx is incapable of troubleshooting. Low hanging fruit if OptumRx has any desire at all to improve with more than marginal results. But likely there is no incentive to improve given how insurance works. Apparently, I’m not paying enough to include customer service as a benefit.

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    Punctuality & SpeedStaff

    Reviewed Aug. 1, 2018

    Have used OptumRx for years for med. prescriptions. A little rough in past but much better now. They are helpful, pleasant to work with, and caring. An occasional bump in the road, but rectified quickly. When receiving a prescription I receive numerous paper instructions. Ok, I get it but you should use both sides of paper. I don't read most of it. It's become redundant. I'm aware I can get that info online but frankly I don't want all that stuff sitting in my PC.

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    Reviewed July 28, 2018

    Most negative reviews are justified! I agree with - Scot of Rockwall, TX. OptumRx dispensed a recalled medication to me. My doctor submitted a new prescription. OptumRx is unable to fill the prescription. I checked with a local pharmacy. They would be able to refill the prescription. We asked OptumRx to transfer the prescription to the local pharmacy. OptumRx refused, hiding behind Nevada Regulations. “A prescription can not be transferred unless it has been filled, at least once, by OptumRx!” Result: I have a choice of taking contaminated medication, or do without. Conclusion: OptumRx does not care about the well-being of its customers! Think, several times, before using OptumRx.

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    Customer ServiceOnline & AppStaff

    Reviewed July 28, 2018

    OptumRx's website is nonfunctional. A rep admitted on the phone that it is not working properly. This has been going on for several months. I suggested that they add a message when the website is accessed that you may experience problems and may need to forego attempting to refill prescriptions online. No doubt that suggestion will not be passed upline or if it is it will be ignored. There is no excuse for a company of this size to allow its website to be unusable for months on end.

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    Customer ServiceStaff

    Reviewed July 26, 2018

    It’s been 7 months and the worst 7 months of dealing with a pharmacy company. Express Scripts rated an A+. Optum can’t be rated as there is no rating that exists below 1+. No communication and even the communication specialist can’t tell the truth. Read all the reviews and they all represent a poorly managed company. They agree supposed to deal with pharmaceuticals sent to patients. Hopefully they send out correct pills but not sure.

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    Customer Service

    Reviewed July 25, 2018

    I am very disappointed with the way OptumRx handled my prescription for a maintenance medication that I need to take every day. I placed the order online and supplied all required information including my credit card number. They also had my email and phone number. More than 2 weeks later I received a snail mail saying they have been trying to reach me. However there were no voice mails and emails. After calling them i found out they needed to know my preference for generic vs branded. This information should have been asked upfront in the ordering process! How much more back and forth should I expect. Secondly their systems don't let me chose a shipping method so I am stuck with the standard delivery of 7 days. I really miss Express Scripts they were fantastic and also delivered in 2 days.

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    CoveragePrice

    Reviewed July 24, 2018

    I am submitting this review in hopes that the Michigan Public School Employee Retirement System (my plan Administrator) will rethink their choice of using OptumRx as our pharmacy benefits manager. Each and every experience I have had with this company, over the last three years, has been stressful and frustrating. I was diagnosed (20 yrs. ago) with a chronic immune disorder, Rheumatoid Arthritis (RA). Due to this, I have been prescribed multiple medications to address the different manifestations of MY Rheumatoid disease. Like other immune disorders, RA affects each person differently and uniquely. I receive medical care from a multitude of physicians, which includes a Rheumatologist, Dermatologist, Orthopedic Surgeon, Hand Surgeon, Gastroenterologist, Primary Care Physician, etc.

    For some crazy reason, I recently decided to again try using OptumRx to fill all my maintenance medications. Purchasing a 3 month supply is cheaper and only available to me through OptumRx mail-order. I should have known it would be a huge mistake. Immediately, I was denied coverage on a medication (I’ll refer to it as DO) that I have taken for 25+ years. I was informed that drug was specifically “excluded” from coverage in my OptumRx benefit plan. I asked for a copy of my benefit plan and was told “they didn’t have it” and I would have to obtain it from MPSERS. That led to MPSERS directing me to get a copy of the plan from OptumRx. Suffice it to say, I still don’t have a copy of my benefit plan. After the denial, I called OptumRx and asked for more information as to why DO was not covered and how to file an appeal. I also posted appeals for help on OptumRx’s social media sites.

    For future reference, my advice is: don’t do that. Since creating “noise” regarding the denial of that drug (DO) on July 12th, 2018, I have had 1) One prescribed medication delayed because OptumRx “didn’t like the administration directions that my doctor had put on the prescription”. 2) A preauthorization for specialty drug to treat my RA denied until after two other similar drugs are tried (my rheumatologist considered these but initially rejected them due to possible side effects, and her clinical experience with efficacy). 3) A letter regarding my prescription for a narcotic pain medication that is taken nightly to allow me to have uninterrupted sleep, threatening me with “your benefit plan may limit the amount of ** medication that can be dispensed within a given time period.” Obtaining the same amount of medication will require prior authorization from my physician.

    It appears to me that I am being targeted and that OptumRx is now scrutinizing every prescription I am filling at any provider. If this harassment continues, I will explore any and all options available to make them cease this discrimination. In conclusion, I absolutely do not recommend using OptumRx in any capacity. For those that must, I sincerely wish you much luck.

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    Staff

    Reviewed July 20, 2018

    I'm leaving a 1 star because I can't leave a negative star review. Everything from the website to the paperwork is designed to stop members from collecting on the benefits they paid for. Website currently will not correctly display last 9 months of claims for medications. Fails to display correctly for last years claims. Only displayed correctly upon custom year tab. Doesn't display any actual prescription information. Claims prescriptions that have full year of refills are expired after 5-7 months. No way to pull up images of actual prescriptions even though MD's office says RX is for 12 months.

    Prior Authorization for ADHD, (Attention-deficit/hyperactivity disorder), made difficult for adults diagnosed, due to ridiculous question about being diagnosed earlier than 12yrs of age. Since I'm nearly 50 there was no ADHD diagnosis when I was 12. There has been nothing but difficulty and problems dealing with this company. No wonder our hospital system dropped them for Caremark. But OptumRX couldn't even handle the transfer of user prescription history correctly. They failed at that basic database transfer task. I'd love to be part of a class action suit against this company. They are worse than useless, they are actively working to defraud their customers.

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    Customer ServiceStaff

    Reviewed July 19, 2018

    They don't care about their customers. Found out wife is taking a generic med that has been recalled. Called Optum and confirmed they had sent her tainted meds. Asked why they did not reach out to the people they knew they had sent bad meds to, no answer. Asked if they were going to replace the tainted meds. Was told had 3 options, 1 destroy them, 2 continue taking them, 3 return them. Chose to return. Asked if they were going to send replacements or at least a small amount to tide until the return was processed. Was told they had a limited supply and could send me a small amount to tide over till I could get the full script amount, but could not overnight any nor could they say when they would ship.

    Was told to go to Dr and get a new script for name brand and go to a local pharmacy. Did so, the name brand is out of stock in Little Rock, AR and the Dallas Fort Worth area. Called Optum back to see about getting a few days worth until could try and locate somewhere else. Now they say they can do nothing. Their suggestion is to continue taking tainted meds, unacceptable. I have contacted attorney to investigate both the mngr and Optum's total lack of professional ethics and actions. Won't use again as prefer my wife NOT take their tainted meds.

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    Reviewed July 18, 2018

    Don't use this company if you want to live! Issues I've had: 1. Lost prescriptions (six times -- different prescriptions -- various family members). 2. Lies about them sending out medications. 3. Sent wrong prescriptions -- three times! 4. Extremely defensive instead of solving problems. 5. Refused to dispense heart medication -- required getting a lawyer. 6. Every single month a different problem. That company needs a management audit. Their practices are one of the worst I have ever encountered. Ever.

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    Customer ServiceCoverage

    Reviewed July 17, 2018

    We have had nothing but issues with this company. From unauthorized refills, to overcharges to not refilling Rx's as stated. Most recently we had to call 7 times to get our Rx refilled. The Dr's office sent the Rx 3 times. They claimed they didn't receive it. Each time my husband called he got a different story. Today he spoke with a supervisor. She stated, "Oh yes your Rx is here. We received it some time ago." At one point they sent a triple order totaling over $500. Do not give them auto Rx refills as they overcharged our account. Also, every time I get my Rx the pills are different shape, never really know if they are what was prescribed. Do not trust them. This is a horrible company, but had no choice d/t insurance. Wanted to give them a zero but couldn't. DO NOT USE OPTUMRX.

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    Customer ServiceStaff

    Reviewed July 13, 2018

    I switched my prescriptions (supposedly) about two weeks before I was going to need my order, having been told by the customer service rep. that it usually takes four days. When I had not received my prescription after seven business days I called to find out what was going on. It took the rep. some time to find me and when he did he said nothing was scheduled for delivery. I told him I was due to run out in a few days on one of the prescriptions and he said no problem, he would overnight them. After waiting another three days I called back... I was told by "Shelly" that they had not heard back from the Dr. having sent a request on the 11th. So what I should do is go ahead and order these meds from my previous provider. At this point she disconnected me so I could not take the survey. I'm just very disappointed.

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    Price

    Reviewed July 12, 2018

    AVOID THIS COMPANY IF YOU WANT TO LIVE! They lied about a prior authorization for my transplanted kidney medication and REFUSED my medication because they said it was too expensive. One of their reps. asked me if I could take a vitamin instead! What nerve! I was forced to use this ** show of a company by the State of NJ and will probably die because of their cheap and reckless decision. Screw NJ and screw OPTUMRX!

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    Customer ServiceCoverageOnline & App

    Reviewed July 11, 2018

    This has got to be the worst plan I've ever chosen. It's confusing: the worst part of the confusion comes with how to find a prescription. The plan uses two names: Walgreens and Optum Rx. Nowhere on the insurance card does it mention that the longer-term, mail in prescriptions have to be filed through Optum Rx. It took me a long time to find this out. Optum's website is almost completely unusable, when it's even working. My wife was just diagnosed with asthma, and come to find out that NONE of the medications that she could be prescribed are covered by Optum/Walgreens.

    What kind of insurance company is that? Charges for medications are somewhat arbitrary. Phone "help" is really useless, in some cases, possibly harmful. Example: when I was researching asthma inhalers, the person I was talking with told me that one inhaler was covered, she thought. I looked it up, and it turns out that the medication she mentioned was specifically for Chron's Disease. AARGH!!!! Another time, my doctor wanted me to take a certain medication with a 150mg dose twice a day. They denied that prescription, but did allow me a 300mg tablet with the instructions of taking it once a day. (I simply cut that one in half). The website is terrible, when it works. I can't wait to drop this plan.

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    Customer Service

    Reviewed July 9, 2018

    I have been using OptumRx since 2013. I live in MI. I don't know if problems are regional or not. I have had very positive experiences with them, be it by phone, text or computer! They have called me if a fax for prescription refills sent to my dr office had not been responded to, and asked for my help. I have not been advised by the drs office that they had responded, just saying that they would put the prescription through. I have not had problems with orders being messed up in any way! In fact, I had to leave home for personal reasons several times. Each time when I asked for refills, using my tablet or laptop, I put a new address into the mailing address. I did receive my medications without problems at my temporary address. OptumRx has called me to see how things were going, and inform me of other benefits on their site that I might be interested in! I am really shocked all the complaints, I really don't understand it!

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    Customer Service

    Reviewed July 9, 2018

    Most recent- I ordered a prescription refill online at OptumRx, they contacted my doctor for renewal, consent received 6/26/18, was billed and told order would arrive by 7/6. Contacted OptumRx by phone 7/6 when order did not arrive. Told order was never filled, they were sorry, they would expedite the medication to be delivered by 7/9. On 7/8 received e-mail order would arrive 7/12. Due to OptumRx incompetence, I am left without my medication for over a week. 3/12/18- I placed a prescription order with OptumRx, my copay was $40. My credit card was double billed $40 on 3/12. It took 6 weeks, more than 5 phone calls to OptumRx and United Healthcare, then letters to OptumRx, United, and Medicare Fraud Hotline to finally get the $40 charge off my OptumRx account. During this time, OptumRx placed a "restriction" on my account and would not fill ANY of my prescriptions until they figured out their error.

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    Sales & MarketingPrice

    Reviewed July 2, 2018

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

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    Customer ServiceStaff

    Reviewed July 2, 2018

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

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

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    Customer ServicePriceStaff

    Reviewed July 1, 2018

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

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

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

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    Reviewed June 30, 2018

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

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    Customer ServiceOnline & AppStaff

    Reviewed June 29, 2018

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

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    Customer ServiceOnline & AppReliability

    Reviewed June 23, 2018

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

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    Customer ServiceStaff

    Reviewed June 21, 2018

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

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

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    Customer ServiceStaff

    Reviewed June 20, 2018

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

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

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

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

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    Customer Service

    Reviewed June 14, 2018

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

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    Customer Service

    Reviewed June 13, 2018

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

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    Punctuality & Speed

    Reviewed June 12, 2018

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

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    Customer ServiceStaff

    Reviewed June 11, 2018

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

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    Customer ServicePrice

    Reviewed June 9, 2018

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 6, 2018

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

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

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    Customer ServiceStaff

    Reviewed June 6, 2018

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

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    Verified purchase
    Customer Service

    Reviewed June 4, 2018

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

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    Customer ServiceContract & TermsPriceStaff

    Reviewed May 31, 2018

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

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    Customer ServiceContract & TermsCoverageProcess

    Reviewed May 26, 2018

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

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

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

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

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

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

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    Customer Service

    Reviewed May 24, 2018

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

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

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    Staff

    Reviewed May 22, 2018

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

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

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    Customer ServiceOnline & AppStaff

    Reviewed May 22, 2018

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

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    Customer ServiceStaff

    Reviewed May 21, 2018

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

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

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

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    Customer ServiceCoverageStaff

    Reviewed May 17, 2018

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

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

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    Customer ServiceStaff

    Reviewed May 17, 2018

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

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

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

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

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

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    Customer Service

    Reviewed May 7, 2018

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

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    Price

    Reviewed May 5, 2018

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

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    Customer ServicePricePunctuality & Speed

    Reviewed May 5, 2018

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

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    Customer ServiceStaff

    Reviewed May 2, 2018

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

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    Customer Service

    Reviewed May 2, 2018

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

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    CoveragePriceStaff

    Reviewed May 1, 2018

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

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

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

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    Customer ServiceStaff

    Reviewed May 1, 2018

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

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 30, 2018

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

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

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

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    Customer ServiceStaff

    Reviewed April 26, 2018

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

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

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

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    Customer ServiceCoverage

    Reviewed April 24, 2018

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

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

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

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    Online & App

    Reviewed April 22, 2018

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

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    Reviewed April 22, 2018

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

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

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

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    Customer ServicePricePunctuality & SpeedOnline & AppStaff

    Reviewed April 21, 2018

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

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

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

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed April 18, 2018

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

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

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

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    Customer Service

    Reviewed April 16, 2018

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

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    Customer ServiceInstallation & SetupStaff

    Reviewed April 12, 2018

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

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

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    Customer ServicePriceStaff

    Reviewed April 12, 2018

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

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    Customer ServicePriceStaff

    Reviewed April 10, 2018

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

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

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

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

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    Customer ServicePunctuality & SpeedProcess

    Reviewed April 9, 2018

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

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    Customer ServiceStaff

    Reviewed April 6, 2018

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

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed April 5, 2018

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

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

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

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    Reviewed April 4, 2018

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

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    Price

    Reviewed April 4, 2018

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

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

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    Customer ServiceStaff

    Reviewed April 3, 2018

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

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

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed April 1, 2018

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

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed April 1, 2018

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

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

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    Customer ServiceContract & TermsStaff

    Reviewed March 26, 2018

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

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

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

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

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

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

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

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

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    Customer ServiceCoverage

    Reviewed March 26, 2018

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

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    Reviewed March 26, 2018

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

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    Customer Service

    Reviewed March 25, 2018

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed March 24, 2018

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

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    Coverage

    Reviewed March 23, 2018

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

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    Customer ServiceStaff

    Reviewed March 23, 2018

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

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    Customer ServiceInstallation & SetupStaff

    Reviewed March 22, 2018

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

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

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

    Updated review: March 22, 2018

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

    Original Review: March 21, 2018

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

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

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    Customer ServicePunctuality & Speed

    Reviewed March 20, 2018

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

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    Reviewed March 19, 2018

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

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

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    Customer Service

    Reviewed March 18, 2018

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

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    CoveragePriceStaff

    Reviewed March 16, 2018

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

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

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

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

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

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    Customer Service

    Reviewed March 15, 2018

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

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

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    Reviewed March 14, 2018

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

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    Customer ServiceStaff

    Reviewed March 13, 2018

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

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    Reviewed March 12, 2018

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

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    Customer ServiceOnline & App

    Reviewed March 12, 2018

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

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    Customer ServiceCoverageStaffProcess

    Reviewed March 12, 2018

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

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    Reviewed March 9, 2018

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

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    CoveragePunctuality & SpeedStaff

    Reviewed March 6, 2018

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

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

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

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    Customer Service

    Reviewed March 6, 2018

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

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

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    Customer ServicePunctuality & Speed

    Reviewed March 5, 2018

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

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

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    PriceOnline & App

    Reviewed March 2, 2018

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

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    Customer ServiceOnline & AppStaff

    Reviewed March 1, 2018

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

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

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    Customer ServiceSales & MarketingStaff

    Reviewed Feb. 28, 2018

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

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

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

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    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed Feb. 27, 2018

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

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

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    Customer ServiceStaff

    Reviewed Feb. 27, 2018

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

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

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    Customer ServicePriceStaff

    Reviewed Feb. 26, 2018

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

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

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    Coverage

    Reviewed Feb. 24, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 22, 2018

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

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    Verified purchase
    Customer Service

    Reviewed Feb. 22, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 21, 2018

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

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    Customer ServicePrice

    Reviewed Feb. 20, 2018

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

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    Reviewed Feb. 19, 2018

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

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    Customer ServicePriceOnline & App

    Reviewed Feb. 19, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 17, 2018

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

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 17, 2018

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

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

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

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    Customer ServiceContract & TermsCoveragePunctuality & SpeedStaffProcess

    Reviewed Feb. 15, 2018

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

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

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

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

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

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

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

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

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

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    Price

    Reviewed Feb. 15, 2018

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 14, 2018

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

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

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

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

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    Customer Service

    Reviewed Feb. 12, 2018

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

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    Customer ServiceOnline & App

    Reviewed Feb. 12, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 11, 2018

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

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    Customer Service

    Reviewed Feb. 10, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 9, 2018

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

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

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    Customer Service

    Reviewed Feb. 9, 2018

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

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    Customer ServiceStaff

    Reviewed Feb. 8, 2018

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

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

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    Customer ServicePriceStaff

    Reviewed Feb. 6, 2018

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Feb. 2, 2018

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

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

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

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com