OptumRx Reviews
formerly Prescription Solutions
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About OptumRx
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an Optum company - the world's largest provider of integrated health services.
OptumRx Reviews
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Reviewed Dec. 30, 2016
I have read several of the previous complaints about Briova/Optum and absolutely agree! I have been taking my particular medication for over two years and have dealt with three other specialty pharmacies. There was never a problem until I was cursed by this so-called business. Seriously, what is so difficult about getting an invoice with each shipment? Every person I have talked to has told me, "We got it fixed, you'll get the invoice in three to five days and it will be included in all future shipments." Right! Don't hold your breath waiting! It isn't even possible to get in contact with a higher level of management (if there is one!) because you just sit listening to the horrible hold noise they call music. Come on Briova/Optum, come into the twenty-first century!
Reviewed Dec. 30, 2016
Everything about my experience with them has been horrible. Like other people have said, they sent my medication to the wrong address, it went out on Nov 29 and it is Dec 30th and I still do not have my medication and they won't resend it without my doctor's approval. Doesn't even make sense. They can see the tracking from USPS that I don't have the medication. If it requires doctor approval, I can call the doctor myself -- which I did and had the medication sent through the local pharmacy. I will NEVER EVER deal with these people again. United Healthcare should be more careful w/ who they choose to partner with.
Reviewed Dec. 28, 2016
I have tried to use OptumRx to save time and money says insurance company and OptumRx after 25 letters for my business. I am a disabled veteran with cancer and a missing limb from a brown recluse spider bite. I have been charged for expedited delivery of life threatening meds and never received. I have had pharmacist needing to speak to Dr and hold my meds without contacting me of a problem after calling 10 days in a row. You get a different answer or LIE each call. It now has cost me a hospital visit because the meds I have taken since 1993 causes seizures and I was out for 10 days. I think this place needs to be shut down, United Healthcare is my next contact since this was a promotion from them.
I could have gone to local pharmacy and received my meds same day if I weren't totally disabled in a wheelchair. My wife has to take off work to be here to sign for meds if they do come. My cousin is a Judge in Brunswick, Georgia and I will be consulting him about this after reading the reviews online. People can die from this company's lacks and nonconcerns for the patients. I ordered and was charged easy 22nd express delivery. It is now Dec 28th. I actually have a email with UPS tracking number and UPS says they have no package. UPS is concerned because it was due at latest to be delivered today. OptumRx says package was sent out yesterday. LIARS!!! UPS is always on time and can track to the truck your package. DO NOT USE THIS COMPANY. YOU COULD DIE WAITING ON YOUR MEDICATION. First month smooth, last month hell. This month they cut my meds. 35 tabs to fill and I still do not have it. THREE strikes and you are OUT!!!
Reviewed Dec. 27, 2016
I have been prescribed a medication that has to go through a "specialty pharmacy". This is the first joke. There is nothing special about them. My doctor/office staff has to jump through multiple hoops every time they screw up my order, not to mention I end up hospitalized every time they FAIL to get me my medication so instead of paying what should be a small copay I have thousands of dollars in medical debt for multiple hospitalizations.
The second joke is that communication between the departments of this "specialty pharmacy". One person tells you one thing and then the next time you call back (which you aren't supposed to have had to do) you get told something completely different. I do not understand how this can be so difficult. You are a pharmaceutical company, you should be able to make a system that gets the patient the medication they need without bending over backwards. I am a younger person who understands most of the ins and outs of the system, I can't imagine being elderly or disabled and trying to get this worked out. Thank you OptumRx for screwing up so many lives if this review board is any indication of how many of us there are out there.
Reviewed Dec. 27, 2016
I filled my prescription this morning and was surprised to find that the cost was twice the amount I was charged previously. My pharmacist looked at her records and saw that she ran the prescription the exact same way, and the previous fill was indeed half the amount I was charged today. I called OptumRX, and they were unable to help me. They informed me that I was given two grace fills at their mail order rate, and after that point, I needed to switch to either their mail order service or to CVS. I have seen no paperwork to indicate this was part of our plan. The customer service rep said she couldn’t provide any information about the plan, and I would need to speak to my company's benefits team.
Prior to filling at my usual pharmacy, I made sure that the pharmacy was in network and the estimated price from their online tool said the cost would be the lower amount because the prescription was a preferred brand. In response, the OptumRX customer service rep informed me that there are fluctuations in prescription prices. A 100% price difference is unacceptable. Furthermore, I am hesitant to opt into their mail order service due to the experiences of several of my colleagues, whose prescriptions did not arrive for months. OptumRX customer service explained that every prescription is different and I shouldn’t rely on the stories of my colleagues before making a decision.
Reviewed Dec. 23, 2016
My insurance changed me from a local pharmacy to Optum. When I contacted to set up an account the representative was very rude. She told me if I have insurance I already have an account with them, and that they already had all my information and prescription information. I was told it would be processed and I would receive my rxs in 8 days. I never received them. Then a letter came in the mail that they needed me to call because they did not have a phone number to contact me to set up delivery. I called back, again provided all my information. At that time I was told the prescription request was never sent to my provider on my initial phone call. Again I was told this would be sent and that I should receive my rxs shortly.
A week later I received an email to call. Again I had to verify my information. This time I was told that again the rxs were not sent to my provider, questioning if they had the wrong fax number for the pcp. I asked if they could call the provider to verify the fax number and was told they do not make outgoing phone calls. This was a month after my initial call, now almost out of my meds. I told the representative that I would do her job and contact my provider to get their fax number. I work in health care and find this company ridiculous!!! If one of my faxes does not go through I am responsible for finding out why and fixing it. Still waiting on my rxs...
Reviewed Dec. 20, 2016
This is the most incompetent group of people I've ever met. If anyone ever starts a class action suit against this company and now their new name BriovaRX I will gladly participate! If they haven't yet I'm sure it's only a matter of time before they kill someone. I've been trying to get medication now for two weeks which they don't seem to be capable to put in an envelope and mail out!
Reviewed Dec. 17, 2016
I renewed online. The medication went to the wrong address. I called and was told it would be corrected and the medication sent. I did not receive medication, but did receive 8 letters stating the medication could not be sent because I requested it too soon. I explained that I never received any medication. Nothing mattered. They stonewalled consistently and told me I would have to refill at a local pharmacy because I refilled online. This company should be out of business!
Reviewed Dec. 17, 2016
Seems to me like a long running scam based on my experience and opinion. These people send medication, sometimes the wrong medication and make it very difficult to get a refund. It took 3 weeks and multiple hours of follow-ups on the phone with these people to get my money back. They claim they can't email you or put anything in writing because they don't have email. LIARS! Only got my refund because I told them I would be leaving a negative review online, on top of filling complaints with the AG's office and BBB. STAY AWAY!!!
Reviewed Dec. 17, 2016
Signed up for OptumRx prescription services through United Healthcare. In 11/2016, signed up, place an order, my doctor sent the Rx and the Rx never showed up. Once I called, they said they never got my doctor's order. Once I called back, my doctor showed proof he did and resent the Rx to OptumRx anyway. OptumRx failed to tell me that they did not get the doctor order and I was unaware. I tried a second time in 12/2016 thinking it was a miscommunication and happened once again. Now I have been 1 week without medication waiting for it to arrive, to just find out that it is not coming.
Reviewed Dec. 16, 2016
I have many questions why/how Blue Cross/Blue Shield of AZ changed out a mail order service like Walgreens that worked flawlessly for years for this inefficient and mostly broken system. More than two months after the transition, the website refill form was not available. The first time I called, because the account I created was not even working, the woman on the phone, reading from the script, said I had to drop the last two numbers from my ID number for it to work. My next order online actually worked.
Last week, I returned to re-order 3 scripts. I went through every stage of the refill form, and each time I submitted, it returned a response to make sure my information was correct (no error indicated). I tried multiple times, with multiple web browsers, on 2 computers. Not once did my orders go through. I sent 2 messages through their web form, No response. I called the 1-800 number on their website, and was greeted with a survey, offers to sell my Time Warner Cable. It took a 40 minute wait to BCBS to find out the phone number on their website was wrong.
All in all it took well over an hour of my billable work time, a lot of cussing at inane phone menus, to submit a refill order, to do something that in the past took 5 minutes. I just got a response finally from OptumRX - their "secure" email made me create yet another account on cisco, to finally read a message of "Thanks for your response, we told our web team." I do web development for a living and can tell you this system is an archaic bad joke that I can tell here frustrates many people. BCBS is raising my premium rates 58% next year, with higher deductibles, less service, and grossly inefficient systems.
Reviewed Dec. 14, 2016
The state of Ohio went with Optum Rx to administer prescription meds for the employees of the state and their families. Through Optum Rx I have to use Briova Pharmacy for a prescription that has to be mail ordered from a specialty pharmacy. Every few months Optum refuses to fill my prescription and insists that I get prior authorization for the meds I have taken for several years now. The ONLY meds that help and don't make me sick when I take them. They NEVER send a reminder that I will need a new authorization soon, they just simply refuse to fill it.
Then I call and call and try to get my doctor's office to communicate with Optum, and vice versa. Usually I end up missing a week or more of medication because it is so difficult to get the two coordinated. And I end up getting excuses and rude customer service employees, when I get any response at all. I have to try to make these calls from work, where I have absolutely no place to make private phone calls unless I stand outside the office--ok in summer but not so ok in the winter. I am so sick of this hassle every single time.
Reviewed Dec. 14, 2016
I could go on and on about this place but would just repeat the other reviews. Somebody please file a class action lawsuit!!! I can't afford a lawyer!!
Reviewed Dec. 13, 2016
Dec 7, 2016 (Wed) I had a right knee total replacement. Dec 9 I was discharged in the afternoon. I had to travel for an hour and half to get home. Arrived approx 4 pm. My discharge papers included 4 scripts. My wife drove into Walmart pharmacy in DuBois, PA. Approximately 7 miles with scripts in hand from doctor. Walmart told her my prescription plan would not approve 2 of the 4. These two were pain meds. The insurance company needed to talk to doctor. It is past 5 pm on Friday, doctors office (60 miles away) is closed. Walmart told my wife it'll have to wait till Monday morning. Meanwhile I am a person who just had their leg opened up and filled with plastic parts. I was supposed to make it to Monday with no pain meds. I would like to let them try that. Upon getting home my wife spent over an hour and half to no avail with OptumRx rep. She went back into Walmart and had to charge (pay list price) so I could get pain meds.
It is now Tues (12/13) and I get a letter, actually 2 letters (form) from OptumRx regarding the two drugs saying they have to talk to my doctor and can't get a hold of him and that I may have to also. It is University Orthopedic Center, State College, Pa. A reputable business that can be worked with no issues. Can't understand why they can't get a hold of them. Also stated in letter if OptumRx is not contacted within 14 days (from last Friday 12/9) they will deny claim. I am 70 years old and have paid my Rx premiums faithfully ($37) for 3 years. I get their statements monthly saying Medicare paid such, I paid a copay of such and my plan paid nothing. Now when I need my plan they shut me down on a Friday afternoon in tremendous pain telling me I have to wait till Monday and threaten to decline case in a week if they don't talk with my doctor. What am I paying for? What the hell good are they?
Reviewed Dec. 13, 2016
I take several medications that help me remain alive. My 90 day mail order benefit switched to OptumRx July 1st, 2016 and I have had nothing but problems since. Although I have paid insurance that is active and inforce, OptumRx was responsible for me running out of life saving medication for over two weeks. Everyone I spoke to expressed how sorry they were, yet no one could fix the problems. I talked to 27 OptumRx Lead Supervisors, Managers and even the office of the President over 21 days trying to resolve numerous errors with OptumRX. Their right hand does not know what their left hand is doing.
Between OptumRx, their Specialty Formulary, and their Catamaran mail order service they send you back and forth over and over again as they delay the medications you need and ignore your requests expressing how very sorry for your inconvenience they are. If you have this company providing your medications, I am so very, very sorry. They are the worst company I have ever dealt with in over 50 years!
Reviewed Dec. 12, 2016
My pills do not look the same. Color and size are different. Did some checking, what I am receiving comes from companies in China and India that the FDA is repeatedly sending warning letters summarizing significant deviations from current good manufacturing practice.
Reviewed Dec. 9, 2016
This company is the worst. After 2 months, 30 hours and 45 people later no one can inform me how to handle compound drugs that need a prior authorization with pharmacies that do not bill through insurance. I have spoken to reps, lead people, supervisors, left message for managers - no one calls me back. I have been tossed around a million times, I have ran out of my medicine waiting for this company to get back to me, or complete the prior authorization. Still no direct, no answer - nothing!
Reviewed Dec. 7, 2016
Terrible. My birth control was going to be arriving late so on call #1 they charged me $25 so they could send 1 pack early. I get a letter in the mail a few days later saying that extra pack I ordered can't be sent early to me and they will send it with my other packs which DEFEATS THE PURPOSE OF ME PAYING TO GET IT SENT EARLY. Then call #2 they say they will send a pack to my local pharmacy so I can get it. My pharmacy has nothing. CALL #3 they tell me there's no way for them to transfer a prescription to my pharmacy. Wow.
Reviewed Dec. 6, 2016
Specific instructions given that meds needed to reach our home by December 1st and it didn't happen. Very poor service. Not worth the money they say you will save. And the process was started in October so they had plenty of time to meet the request. Also they have trouble with their online account information. Just a terrible experience.
Reviewed Dec. 5, 2016
I rely on drugs to keep me alive. I am a 70 year old person. I called to have my prescriptions filled and requested expedited delivery. It is 10 days since I placed the order and I don't have the drugs. When I call the only thing they seemed interested in is lying to me. They told me they sent the drugs out again overnight. That never happened. They tell me whatever they think will satisfy me just to get me off the phone. I told one person I could die without my medication and she laughed and said - "no you won't." If you are reading this review because you are thinking about using them - please don't. They are the worst company in the world.
Reviewed Dec. 3, 2016
Every time I deal with them, I end up frustrated and angry. I use them to fill my mother's prescriptions and this last encounter is typical. I called and asked for 30-day supply of 3 medications as she is currently in the Medicare Gap and we didn't want to pay the exorbitant prices for 90 days. 2 of these had refills on them, and 1 needed a renewal. I asked them to ship the 2 drugs, and when the new prescription came in to fill the third one for 30 days, it took 45 minutes on the phone and she still totally screwed the order. She ordered drugs that my mother no longer takes, wiped out the 2 refills so the medications she does need are not available for refill for another 30 days.
When I called back, they told me I should get a prescription from her doctor and take it to a local pharmacy to fill since they have a hold on refilling her prescriptions. Additionally it took another 45 minutes to an hour to try and get it straight and it still doesn't look like they got it right. I asked them to make sure they cancelled an order, but when I go online, it is still there. If they send me this drug on this order, it will cost several hundred dollars as we don't want it filled until the new year when she is out of the Medicare Gap.
Reviewed Nov. 30, 2016
Sent in for prescription refill. After 6 days got email stating a delay. Called them & was told ins wouldn't cover. Not true, all they needed was my permission to use credit card on file. I informed advocate that I only had 2 tabs left & doctor was adamant I take them. She said, would send express & get it in 3 days. Didn't come. Called & they never sent out overnight. Would now take 7-10 days. Spoke to 3 reps 1 of which laughed at me when I expressed my disgust with their irresponsibility. My husband & I will never use them again.
Reviewed Nov. 30, 2016
I would give a ZERO star if that option were available. Recently, they denied my much-needed medication for hypertension, recommending that my healthcare provider switch me to **, which adversely affects the kidneys. I present with Chronic Kidney Disease and even though they were informed, they refuse to reverse their decision. So, I have been without my hypertensive medication for over a week and I am not supposed to miss a dose. Again, they were informed and still do not care. It's obvious they are trying to force me onto a medication that will cause further damage to my kidneys and which could lead to my death. I've been experiencing headaches and wooziness.
Reviewed Nov. 30, 2016
Several months ago I had a problem with Optum regarding an ** prescription. After that I began sending them certified mail so that there could be no denial that they received the script. This month, for the first time I send not only my ** script, but two others. When I checked my account online it showed only the two non-** scripts. I called customer service and she assured me that all 3 scripts were in their possession and because the script hadn't been filled yet it wasn't showing on my account.
Today I got an email saying my order was on its way. The order had ONE script, the other two had disappeared. It turns out the Optum doesn't like my Dr. Even though I've been on the same medication for longer than I've had Optum because I winter in FL I have to have a local Dr. It's not the script they don't like, it's the DOCTOR.
Do you think that with all the information they require when you create an online account, email, phone numbers, addresses etc. that they could have advised me of this issue when they got the certified mail? Or when I called? Or when they emailed me that my "script" was ready. NOOO. I had to call to find out that they were mailing my scripts back, two days after my refill is due. If you are on pain meds, you know what that means. I despise these people, this network is a joke, there is NO customer service and I truly wish that all of these negative reviews would cause the states of KS, FL and CA to shut them down. Horrible people. Horrible company. Horrible service.
Reviewed Nov. 29, 2016
I have been treated like an ATM. Every medication that has any cost to it has been up for prior Auth more than once a year, although they say it's yearly. It's an attempt to get doctor and patient to stop using that drug. I'm disabled, and this is the second time in as many months that they've done me harm. I have been without my pain medication while waiting for a prior Auth to be approved. Same med I've been on for years, and this was done 6 months ago.
Reviewed Nov. 29, 2016
I signed up for automatic refills but they never mail the prescriptions on time and without further input from me. They email that prescriptions have been shipped and then email that there is a problem. But online there is not notice of a problem. Calling their support is frustrating. They ask for information (DOB, phone number) to be input before you speak to someone but then that person also asks for the same information. What is wrong with their phone system? Asking for a manager just gets you put back on hold for a different person but not a manager. I am returning to using my local pharmacy.
Reviewed Nov. 23, 2016
Not only do they not fill your prescription as prescribed by your doctor but they don't ship it on time. They don't notify you of any issues they run into. They also make it so painful to get your package (everything requires a signature and you can't do a signature authorization release). They are very intent on not giving out medications as a means to pad their margin. Optum is owned by United Health so they have a conflict of interest. It makes business sense for them not to fill scripts given they are the insurer and pharmacy.
Reviewed Nov. 23, 2016
** versions issue. There are 4-5 different packaging and/or potencies of this medication. In transferring from Walgreens ($24 for 90 days), I was expecting a fill for no charge, as was indicated on their come-be-with-us note to me. They instead chose the version of the drug that would cost me more than $200 for a 90-day fill. So I called. This is the problem: Absolutely no acknowledgement of the existence of the older, way cheaper version of **.
I demanded cancellation of the order, and that they cancel out the charge to my credit card. They agreed, and I will return to using Walgreens, where a pharmacist with a face, and subject knowledge will talk with me if/when there is an issue. So tomorrow, to Walgreens to reinstate the Rx, and file a contention for the charge with the credit card. AARP and United Healthcare are not well served by this partnership.
Reviewed Nov. 21, 2016
I've had this plan for a year and have had nothing but problems getting 2 of my rx's filled! I go thru a local pharmacy because I don't trust them! This last time it took 2 weeks in PA and then they denied it! Many phone calls, many hours spent for the dr office, pharmacy and myself wasted trying to get matters resolved! They don't pay attention to detail. You can never speak with anyone that has authority and quite frankly I think the people who do make the decisions are on some power trip! I spend a lot of $$$ for my insurance! I'm still old school I guess believing my health is between me and my dr and the insurance should just be responsible for getting my needs taken care of!
I see my dr every other month for my issues, and it has been long term. I have never had the problems with any other insurance company like I've had with this one! I read all of these reviews which are all so similar to my situation. It just makes my blood pressure skyrocket! Why does the patient or the dr all of the sudden have no control over this? I'm furious and feel helpless! If this is a sign of single payer healthcare and our government prying their way into our lives then I say no! It's time for some over state lines competition! OPTUMRX you stink and I will never recommend United Healthcare to anyone!!!
Reviewed Nov. 17, 2016
Do yourself a favor and DO NOT trust these guys to get your prescriptions filled when they're supposed to be. In the past several months I've had to get at least 6 prescriptions filled as interim prescriptions from local pharmacies because these jokers dropped the ball. Half the time when I actually do get stuff, it's what costs the most and what isn't needed. I've got bottles of stuff I no longer take - that they keep sending even though I've told them - called them - and asked them to stop... But try and get those which I do need is like whizzing into an oncoming hurricane. Somebody needs to audit these jacklegs and shut them down.
Their website is awful. It never provides a correct order status, never updates, and flat out loses patient info and refill requests. I called them today about a refill request online two weeks ago - no record of it. Should have known when I logged in today and found myself having to rebuild my profile - the same one I built over 6 months ago. Look, if you have these guys as part of your health plan, go talk with your HR person and find another option. If you have critical prescriptions, don't let these clowns be responsible for filling them. You CANNOT trust or rely on these people for your meds. It's the truth... Read the other reviews - see how many are saying the same thing over and over. These people will leave you swinging in the wind if you count on them. Don't do it.
Reviewed Nov. 16, 2016
We are forced to use this pharmacy through work. We tried their mail service. Never did we receive our scripts on time. We had to call and fight to get them. We started using Neighborhood Pharmacy. Now they want pre-authorization from their doctors before we can get them. My brother a type 1 diabetic has been trying to get tubing and needles since June from them. They keep saying they are not due. The doctor office has called. He's called and I've called. Since June 2016 to date nothing has been sent. This company needs to go out of business because they sure don't help the sick. Doctors send in your prescriptions. Guess what, they never receive them. It takes the doctors a minimum of 3 to 4 times if they are lucky. Please can someone help us? Please!
Reviewed Nov. 14, 2016
I was pushed to them by UnitedHealthcare. Once they get your credit card, they will mysteriously sign you up for autoship, and costs will go up without telling you. They signed me up for autopay and autoship, the prescription went up 65% and didn't know till I got my credit card statement. They had to get my return 'authorized' and even then I had to call 6 times. They don't take back medication, even though they will charge your credit card in a flash. I don't trust this company, and there are just too many 'mysterious' things going on. Reminds me of Comcast!
Reviewed Nov. 13, 2016
I never wanted to be switched to this type of Rx service... but who am I to decide right? I just PAY for the insurance so other people get to decide for me, to make themselves MORE MONEY. My Rx has been held up 10 days. I called to find out why, and was told my Dr forgot to put the frequency of dose. They had faxed my Dr 2x's with no response. (Maybe he is away? Maybe family emergency for him or his receptionist?) Anyway, why on earth didn't they tell me from the start? I could have gone to his office in person and inquired. We have had so much trouble with...
-Something they were sending overnight--showed up 3 DAYS later!!
-They keep sending my husband meds that have been discontinued--7 bottles after his Dr informed them after the 1st time.
-I called to change the address for meds to be sent to my son at college... they still sent it to our house, so I had to send it to him.
-When you say yes to take the survey at the end of your call it hangs up, so you don't get to take it.
-Why are they policing themselves? They send surveys to us but it gets sent back to them. What good is that??
Does anyone know how to get this type of Rx service eradicated? Yeah, I know, too many big money companies to get passed, probably never happen. That's because our public servants and heads of these companies, aren't forced to use these suffocating services. Ugh... if only this country and its people, would put as much importance and money into healthcare as they do into making celebrities and athletes millionaires, maybe it wouldn't be such a struggle to get smooth, patient, friendly healthcare in the most advanced country in the world. Sorry, not sure how to add a receipt to be a verified buyer, especially since I haven't received my delivery yet...
Reviewed Nov. 7, 2016
I have been required to log in multiple times to get into the system. Then after filling out refill request and other questions had the site say "sorry, we are experiencing a problem". I have had refills held up because they wanted me to approve every single time my drug cost was over $300, even though every 90 days it was the exact same refills, same cost. Took multiple calls and complaints to get a note on record saying they could charge the card for the amount every single time without calling me. Why even have a website? People on phone have been nice. Just a waste of time to call over and over again.
Reviewed Nov. 4, 2016
My doctor wanted to increase my med, but since I was already having some side effect issues, he wanted to split it up into two doses. Strangely, OptumRx has a policy against this and requires the doctor to take time off from treating patients in order to man a fax machine and navigate a slow appeal system. My company needs to find a replacement for these ineffective fools. I'm working on that.
Reviewed Nov. 3, 2016
Tens of thousands of complaints about OptumRX amplify and restate my own as a United Health Care member: misinformation from the RX hotline, difficulty getting accurate coverage data, rejection of faxed authorizations for specialty drugs signed by in-network physicians, contracted pharmacies ready to fill the specialty order but informed the prescription is not covered, no method to reach OptumRX by email and never a supervisor within reach.
Upon paying out of pocket for my very expensive compounded drug (no other choice) I wonder about: There is no federal watchdog over managed care pharmaceutical companies and why is that? Irony of ironies, it was only Anthony Weiner years back who called this problem out in the House and charged that the "Republican party is a wholly owned subsidiary for the insurance industry." He restated this three times and no one picked it up. Huge lobbying machine in Washington.
Until we have universal coverage there will be no be a federal watchdog. UHC members (us) had no choice but to sign away rights to class action suits, replaced by 'binding arbitration clauses' that protect the insurance industry. Fines paid out by the insurance companies are nominal - cost of doing business - like postage. 16,000 complaints on Consumer Affairs about OptumRX? A few million dollars, chump change to the CEO. Until the penalties are meaningful, the fines are pocket change for them. Option one for some affirmative action: write, call, email, text, twitter -- your senator, demand we work toward universal coverage. Option two for some affirmative action: we need a class action suit to eliminate the binding arbitration option. Who will be the plaintiff? Anyone here on this complaint board fed up enough to contact a lawyer?
What is a class action lawsuit (according to legal dictionary): A lawsuit brought on behalf of plaintiff and a group of persons the plaintiff represents. For a class action suit to exist, this group must: share common interest with the plaintiff, be too large to appear in court as a group, benefit in some way for a successful outcome of the plaintiff's suit.
Any lawyers out there as frustrated as the rest of us, paying out of pocket for drugs that should be covered by policy? Or boomers out there tired of $1,000 a month drug expenses? What will happen when - ten years from now - one in five adults will be 65 and older? Do you really think the insurance company worries over the complaints painstakingly posted here? Let's start making noise. Until that happens nothing will.
Reviewed Nov. 3, 2016
The absolute WORST pharmacy in the entire world. My insurance plan works with them and has done so for about three years. I have never received a new prescription or refill that does not have me make repeated calls to straighten out screwed up policies of theirs. The website will say 'processing', 'being shipped' or 'shipped'... meanwhile it has never been filled. Absolutely the worst managed and staffed company on the planet, without exception!!! If given the choice, avoid doing business with them at all cost.
Reviewed Nov. 1, 2016
My transition to OptumRX was smooth, however the first few pills **, I developed a constant heart pain. Day 2 of heart pain, I felt compelled to go to the emergency room. At the age of 73, I was right to be concerned. Luckily everything checked out Ok. A few days later my ankles began to swell, a condition I have never had before even during pregnancies. I called OptumRX. The pharmacist was not helpful or even polite. She ask, "Well how long have you been on **?" I let her know that I had been on ** for 30 years. I was getting nowhere.
To sum up my experience, I will never ever take meds from OptumRX again. I was warned by a friend of the poor quality of drugs they dispensed but never thought they would kill me. I switched to save money, but financially, the emergency room co-pay was $250.00 and I had to go on diuretics for a short time. How many senior citizens have died from taking unsafe OptumRX medications? I still have the offending medication in my possession and plan to have it analyzed for it content.
Reviewed Oct. 29, 2016
OptumRx is the worst pharmacy in the world. Meds are never delivered on time, they keep no notes in files, they never complete orders when dealing with them on the phone. They tell you your order is coming and it never arrives. Only to find out that they never completed the order.
Reviewed Oct. 27, 2016
OptumRx is just part of the big pharma ripoff. Sad! I ordered a prescription from OptumRx on October 15th. By October 26th, I hadn't heard anything, so went back on their website, checked the status, and then wrote a complaint when I saw that it just said it was "in process". They didn't respond to the complaint with anything but an automated response by email. Then they started the order process again today, October 27th! I called this time and got all of the automated runaround that we all experience. Finally, I talked to a person who put me on hold, then came back and said he really couldn't do anything! But, he said, they'd "try" to expedite my order.
I should mention that my prescription is one of those that will cost me $1,760! Yes, it's the end of the year and I'm no longer covered for this script by my United Healthcare supplement program. You would think that for a full retail sale, they could get it sent! My local Walgreens is even more expensive, but at least they have it on the shelf and I could go pick it up today! But, since I want to save some bucks, I have to put up with this insanity.
Reviewed Oct. 27, 2016
I changed primary care physicians the first part of October 2016, and have been fighting Optum Rx stating that. Today, 10/27/2016 I finally received an answer that easily could have been told to me at the beginning of the month. It appears that I still had a renewal from my previous physician. Couldn't this been addressed originally and not have the run-around??? I can only hope that when it comes refill time all will go smoothly. Irately.
Reviewed Oct. 26, 2016
I was sent a prescription I no longer use. When I called customer service, I was told I could not return this prescription and they suggested I might want to donate it to a local pharmacy. Right! I get charged $100 and now I give it away. I asked for a supervisor to contact me and I've been waiting for two days for a call. I would not recommend this firm to my worst enemies.
Reviewed Oct. 26, 2016
I went in to see the doctor in the middle of August. It is now Oct. 26th I have not received my medication, many times it was placed on hold. And many times they said they could not reach my doctor, if I needed any sort of serious medication I would be dead. The worst most unprofessional company I've ever dealt with. No matter how many times you "think" you fixed the issue there's always a hold, never to be delivered. I personally have no clue how this is a credible business, so please save yourselves the trouble and NEVER use this service. Especially if you require life-saving medication. Worst service I've ever experienced! I do not have a receipt for I have never received my medication and am canceling the order and going somewhere else. But as you can see I have an order number, I went through this process and it was hell.
Reviewed Oct. 25, 2016
What a huge disappointment! After several years of receiving mail from my insurance on how much money I would save with OPTUMRX, I finally decided to give it a try. 8 days later, they cannot contact my Dr. I was just informed that they DO NOT HAVE A PHONE to call his office. Back to trusty Walmart. Do not waste your time! It must be a scam.

Reviewed Oct. 25, 2016
Very long story short. My scripts were requested. They claimed they talked to Walmart to transfer scripts and they called my doctor for new scripts just in case. Both were lies since neither was ever contacted. Finally, my doctor and Walmart called OptumRx with the info. Every customer service rep I talked to had a different story. Many promises were made that were never kept. No explanations were provided for these errors. I still do not have my medications! Walmart helped by giving me a month's supply until OptumRx could "fix it." Yes, it is a blessing having free mail order scripts - BUT NOT a blessing if I can't get the medication! I would suggest you start trying to get your meds delivered months ahead, so you will get them on time. Also, to add to the frustration, my scripts never appeared online so I could follow up online.

Reviewed Oct. 21, 2016
I just started using OptumRx mail order, thinking it would be much easier than dealing with my local pharmacy. Was I ever wrong! They use a pharmaceutical company called Zydus. This company is located in India and has many complaints on their purity and their facility in which they make medications through the FDA. I was shocked to read the report on the supplier, Zydus, and the fact that OptumRx is using them at 0 benefit to their customers and possible cross contamination of medications. Not to mention the lack of confidence I have with OptumRx after my first try with them. I'm on a few medications that I cannot go 1 day without and they took it to the wire with me on the first time! Do yourself a favor and use your neighborhood pharmacy. I do not trust this mail order pharmacy. Good luck!
Reviewed Oct. 19, 2016
I had good service from Catamaran, until they became Optum. The answers I have had from the "Customer Service" reps have been laughable, but it's just not funny. Each time I called I got different answers to my "issue." Today a "Customer Service" rep disconnected me. Another one told me to call Catamaran and then gave me an Optum phone number. They had my card on file last week, but now they don't. They gave me medicare information without asking if I was actually on medicare. There were SO MANY different answers, so much switching around, so much repetition that my head is spinning. And my questions are still NOT answered.
Reviewed Oct. 18, 2016
Most recently I have waited since Aug 23, 2016 for my new prescription for high blood pressure. First time I called to inquire,"you will have in approximately 10 days." Second time, I called they said they never received prescription (but they had it the first time) but they would call the next morning and RUSH. Third time, your Dr. or her office never returned our many calls and never sent prescription. Told "supervisor" I would call since they were obviously NOT calling her and Dr. resent on Oct 11, (same day). Supervisor was to call if any problems... would be sent RUSH. I called again, fourth time, and same thing... "oh, your doctor never sent". When I losing my patience, the reason became they had called her several times but she never called. This has been the same bull I have heard from this company EVERY SINGLE TIME my husband and I have needed medicine since January 1.
The first time using them, they sat on the prescription for over a month because, we didn't call to tell them it was okay to send. Is that ridiculous or what? If our doctors ordered, doesn't that mean we are waiting for the meds. They had our credit card on file at the time and if there had been a problem, they had our phone numbers they could have called. How does the government allow these AWFUL mail order pharmacies to provide such HORRIBLE service to heart patients who need their meds or the doctors wouldn't have prescribed? Who do I contact to get report this company is the PITS and should not be in business letting patients go for weeks and months without the medicine they need and make NO attempt to contact the patient. Oh I failed to mention, the next to last time I called to checked on my meds, they suddenly came up with, "they left a message with me on Oct 5 to call them."
I have a voice mail on home phone and cell phone but no message or numbers from OptumRX. PLUS my husband and I NEVER left the house that day so I knew they lied... not the first time. One night after my husband had NOT received his heart medicine for over a month as promised, it got so bad when they were trying to get us an emergency amount from our local pharmacy, the supervisor forgot to "okay" their company to approve, so I couldn't pick up. I call shortly after 4 pm and was on the phone with them until 8:20 pm with all their "forgot to's" to one problem after another, that I reminded the supervisor the pharmacy closed at 9 am and it would take me at least 15 minutes to drive and she had 20 minutes to figure out what she needed to do to get it approved on her end to release the medicine so I could pickup.
Our pharmacy called me and said he would not close until I got there and he was trying as well on his end to get them to get in together. Finally, the supervisor called and said it was approved and I could pick up. IF our pharmacist had not waited, it would have been yet another day my husband would have had to wait for his meds. He had the "widow maker" heart attack exactly 2 years ago and since January this is at least 3 times he has had to go without meds for the same excuses I have had with my meds. This company should not be allow to be responsible for life saving meds they without because of lack of follow thru to just not making no effort to resolve problems. I wish I would have known how bad they were and I would have saved all my notes. It has been a complete total nightmare dealing with the lack of customer service. I regret I have to even be required to give this company 'one star" review.
Reviewed Oct. 15, 2016
OptumRx never mail your order on time. When you call, some of their staff sounded sleepy. They do not care about their patients, but just business. They never initiate communication. You have to call and call again to beg them to get your order.
Reviewed Oct. 14, 2016
A few years ago I signed up for their service. It took about 18 months to get my script delivered. I had to get it at a local Pharmacy but was continuously sent letters that I should use their pharmacy. I had called about 12 times - to UHC and to Optum. Even had both on the phone regarding it being months without getting the medication delivered even though each time being told it was shipped, or processed, and any other lie they could tell me. Even after having them both on the phone NO one called back or checked as months went by and still never received the meds.
This last August was charge 3 times for a script ($175). Twice on my Visa and again on my HSA Visa. After numerous calls and checking with Visa that they did get the money - Optum sent me a statement with only one release at $175 so had Visa credit me, only to have Optum charge it again. Now I went to order and they send an email that the money was process $350. But then the site locked up and no order was registered. So order again and again the site locked up. Called and they have no record of the order, but I do have the email that the money was charged. Called again and no one ever is able to answer a question. Called a few times about the $175 charges and even given an accounting number once and even they said they weren't able to access the accounts online. Never any resolution, never any call backs. Must be the Worst insurance ever had.
Reviewed Oct. 14, 2016
On October 14, 2016 I learned from my family doctor that ** had gone generic. This drug was ordered through OptumRx in July and should have been filled with the generic and was not. The $575 difference in cost put me into the coverage gap. When brought to their attention their response amounted to "too bad, too late to correct". They have effectively stolen from me and they do not care. Surely United Health Care can do better than this?!
Reviewed Oct. 13, 2016
I placed an order with fast delivery method since I was leaving country. When the order was not delivered, I called back and was assured it would be there following day. Wrong. I placed another call explaining I needed order because I was leaving country. They said not possible with no explanation as to why order was never sent. They did say they would mail it at no cost, but it would not be there on time. I went to my local pharmacist. When I did receive my medicine, it was not the correct prescription. 20mg vs. the 40mg I usually take. Doctor said she turned in correct dosage. Now, I can't get on web site. Talked to someone who was no help. Transferred to another who said Optum site was not for me. I went to old Catamaran site which came up as the Optum site since they took over. Can't get online at this site either. HORRIBLE service.
Reviewed Oct. 12, 2016
I (still) have a problem with a certain prescription that has been ongoing. OptumRX denies the prescription almost every time I try to get a refill. (With the refill dates that THEY give me) I've tried at least 6 or more times to get the problem fixed. EVERY time I called, I got different answers and they keep denying a prescription that is covered in my plan. It is a valid prescription from my doctor.
I got one customer Service rep that was fantastic and took care of the problem and did an override so I got the medication I was entitled to... he also sent me a reimbursement form since I had to pay out of pocket to get my COVERED medication. Highly satisfied... I thought for good but the next month the same problems!!! Called customer service again... CS rep told me a different story AGAIN and was rude. Supervisor was no help and condescending. It's like this prescription is being held hostage!! The out of pocket would be about $300 a month. Mind you that the prescription is covered by my insurance!! I paid out of pocket the last time. Their appeal and resolution process is a joke!! The pharmacy hates to deal with them.
Reviewed Oct. 6, 2016
I wanted to use OptumRx for the convenience of having my prescriptions mailed to me and having a 90 day supply on hand. While I used to have a national chain mail my refills to me, the online pharmacy banned them from doing so. Taking the convenience away. Working with OptumRx is an experience that you could base a comedy series on. You can ask the same question to 5 CSRs and receive 5 different answers. Prescriptions very rarely arrive on time. Transferring prescriptions to OptumRx normally results in delays so long that you're forced to either do without the medication or pick it up locally, which then results in further delays of the mail order prescription being sent. The default answer for anything that is called in by a doctor's office is: "We did not receive the order." Changes to the dosage of medication is simply ignored.
Specialty medications that can only be filled by OptumRx (due to requirements of the health plan) are a nightmare experience and considering that you only receive a one month supply of this medication means that you have to go through this experience a bare minimum of 12 times a year. When speaking with CSRs from OptumRx I have very calm and even toned. I will admit that most of the CSRs have been pleasant as well. However there have been times when I've had to explain to them just how important some medication can be for some of their customers.
Myself and the transplant team that I work with literally spent a week trying to get them to fill anti-rejection medication that was days away from running out of. I was told about their integration of computer systems from a company that they acquired or was being acquired by. I had to remind them that I'm sure their shareholders are happy about this, however, this is not my major concern at the moment. I had to remind the CSR that the medication that I was waiting for has the sole purpose of keeping me alive and that the side effects of missing a dose is death. If I was trying to get a refill of ** in time for a trip then I could be disappointed. However, in my case I have to be in a bit of a panic since I wasn't planning on dying in the upcoming week.
Also I would suggest never storing credit card information on their site if you do decided to go with the mail order service. As I mentioned earlier you will get a different answer from CSRs about pricing and other information as the number of CSRs that you speak with. Also checking prices on the website doesn't seem to actually match what they will charge you.
For example: A 30 day supply of a medication picked up at a local pharmacy cost me $3.00. That same prescription from OptumRx for a 90 day supply: $271.00. Checking their website I'm told that the co-pay is zero dollars. Speaking with 2 CSRs I'm told there's a zero dollar co-pay. The item ships and I'm alerted by my bank that $271.00 was pulled from my account. I spoke with 3 different CSRs. The first said that they made a mistake and will return the money, the second said that she has no idea what is going on with the refund and to "keep an eye on my bank account," the third said that she doesn't see a reason why I would receive a refund and the charge looks to be valid. When asked why there's such a difference in price between the local pharmacy and their "money saving" online service she couldn't answer.
After reading the reviews on this site it seems that OptumRx has always been a pain to deal with. So I have no confidence that things will improve and they will refine their service and provide training to make their service a bit more palatable to their customers. I feel sorry for any customers that they have that are easily confused as they may simply not catch mistakes or go days or even weeks without needed medication as the staff of OptumRx drags their way through another workday. While I do not enjoy hearing about companies folding since it is normally the lower paid employees that suffer as they have to scramble to find new employment. In this case I think it would be best for the public in general if this company disappeared.
Reviewed Sept. 30, 2016
Have never received a prescription where there wasn't a problem! They noticed my name changed and put the prescription on hold but didn't call me to tell me what the problem was. Always follow up because they always mess up my orders. I got the name thing changed and also asked if I could tell them which credit card to use and they did it. 3 days later got an automated call that said there was a problem with my order. I called and it was the name thing again and nothing done about how to charge it. Migraines are a major occurrence in my life need this medication.
Two weeks later, still have not received my meds. Was told by supervisor that my meds would be sent by two-day delivery. When that didn't happen, another supervisor said it was too late in the cycle for them to put a rush on it now, it would have to come by regular mail. This was on September 15th when this started and today September 30th, 2016 still have not received my meds. I'm going public with this. There can't be this many incompetent people at one company!!!
Reviewed Sept. 30, 2016
My physician put me on a new medication to control my thyroid. After finishing the first 30 day prescription, I called my doctor to have them order me a 90 day supply from Non OptumRx. After 10 days, still no prescription. I Called Non Optum and they said no prescription was sent by the doctor. I call my doctor again to have them order my medicine. This went on the 3rd time. So, I called my doctor and chewed their **. The doctor office tells me they sent the prescription THREE TIMES to non OptumRx. So, I call non OptumRx and they confess that yes, they had received all 3 prescriptions. Now I'm pissed off.
Non OptumRx now tells me that they were not processing my prescription because I have a $14.85 balance. WHY DIDN'T THEY CALL ME AND GET MY PAYMENT INFORMATION??? Update: Now 3 days later they send me a package with everything I need except for my thyroid medicine. I'm sure glad none of my investments are in Non OptumRx. It is not a customer focused business. I may not use them ever again.
Reviewed Sept. 29, 2016
As needed, I have a prescription for ** (180 tabs) but they expire before I finish them. The last order (10/6/2015) cost me $5.00 co-pay AND the plan paid $353.70. Today, the co-pay is zero (a new tactic to get us to the gap) and the plan paid amount is $636.70!!! I wish I could write in RED! This is typical of how drug companies in this country are price gouging and it needs to stop. Their pockets are bottomless and their conscience is without a moral compass. Remember this gouging will continue unless you contact your 'elected' officials and tell them their jobs are on the line - rant and rave. I am a frustrated 75 years old American citizen and am sick of the corruption in our country! Who speaks for us? Where are our advocates? Do something out of character - speak up!
Reviewed Sept. 28, 2016
I have been ordering prescriptions (90 day) through this company for several years. There were a few problems relating to order processing and timely delivery but not too bad overall if you were not in a hurry to get the scripts. The problems started when the credit card I was using came up for renewal and the credit card company reissued the card with an expiration date of 12/18. I informed OptumRx of this yet every time I placed an order the card was rejected. Several times I used a different card because I needed the medication. The order I placed yesterday was again rejected by the bank.
Finally I called the bank and asked for an explanation. They said that OptumRx continually puts the order through with an expiration date of 11/18 and therefore it is rejected. I called OptumRx customer service number and spoke to a very helpful lady who looked into it and confirmed that they had been using the wrong expiration date and she would fix it and ship my order. This morning I awoke to another e-mail from OptumRx saying "There is a problem with your order." Nothing had been fixed. I spent 3 1/2 hours on the telephone yesterday for nothing. I have had it with OptumRx!
Reviewed Sept. 27, 2016
This is the second time I have had trouble with OptumRx. Both times they promised to rush my prescriptions and both times the orders didn't arrive 5 days later. Both times instead of contacting me, they waited a few days to send an email that they had a problem with the order. Each time they blamed it on the credit card. The most recent time, while placing my order I emphasized that they could not use my prior card since it was no longer valid and gave them a replacement card from a different bank. They still tried to charge the order to the invalid card, so that is why they couldn't process the order. Even if I could excuse this mistake, I find it unacceptable that they didn't call me by phone immediately to correct the problem they created. We rely on our medications and they don't necessarily order them through their supposedly "Hassle-Free" program.
Also, their price quotes comparisons to other pharmacies, such as Rite Aid, dupe the consumer into thinking they are saving hundreds of dollars by using OptumRx. In fact, their quotes are inaccurate and Rite is almost half their price, if you use GoodRx or some other free prescription drug card at Rite Aid. And Rite Aid will call you immediately if there is any problem, you don't have to worry about when the delivery will be ready, and you have a bonafide pharmacist to talk to rather than a dumb telephone clerk who has no knowledge of pharmaceuticals other than what is listed on their website.
Reviewed Sept. 24, 2016
I have been trying for 3 weeks to get my son's insulin prescriptions filled to no avail.
Reviewed Sept. 22, 2016
The same medication at two different doses was discussed by my physician. There was never an order for the new dosage, just a conversation about doubling the dose for a week to see how it affected the outcomes. OptumRX filled the "prescription" for the second dosage, and charged my credit card without ever contacting me. They told me it was MY responsibility to contact them if my Physician ordered something that was "on hold." OptumRX documented in their files that they contacted me on the 19th of the month and left a message regarding this "refill." That documentation is fraudulent and patently false. Then, in order to get my money back, I have to wait for the prescription to arrive, wait for a second "bag" to arrive, place the original medication in the second bag and take my happy ** to some post office to mail it back to them.
Reviewed Sept. 22, 2016
I don't know if AARP &/or United Health Care reads these reviews but if they do PLEASE contract with someone other than Optum - their website is a joke. It is ridiculous. I've spent hrs. on it trying to write to them. Twice while writing, I get notice to click on "stay connected" or they'll cut me off. I click on it, nothing happens other than them deleting my messages I was in process of writing. When ordering refills online, I get to end & get message "unable to process at this time." So once I called and went thru whole ordering process.
Now I know that if you wait a day, you might get email saying "your order's being processed." So why that message. It freezes up at odd times, takes forever to get to your act. Or find anything on the website, there's apparently no record of your messages to them or their emails back to you because my acct. page, messages tab, always shows 0 messages. I've had other mail drug experiences and this is not the norm. It's a time-wasting joke. The website probably gives many people coronaries - think about that Untied Healthcare!
Reviewed Sept. 21, 2016
I am absolutely appalled with OptumRx as a whole. They mistakenly auto-filled a prescription without confirming my insurance. They then billed my previous insurance, United Healthcare, who paid them and now United Healthcare (whom I was not covered by at the time) is contacting me to pay them back. They mailed this prescription to an address where I was no longer living, without my consent and without checking my insurance.
I have spent over four and a half hours trying to rectify their prescription and billing error and have gotten nowhere. While attempting to fix their mistake, I called, waited to speak with a human then was transferred from one person to another, continue to wait on the phone and eventually the call was dropped and I had to start all over again. After 3 hours of calling and being put on hold and transferred I was finally transferred to a "Manager" who said they would assist me due to my frustrations. Eventually after being placed on hold numerous times and spending an hour and forty minutes on that call alone, the call was dropped.
They clearly do not take proper notes while speaking with their "customers" because each time I am transferred to another individual I am asked to explain in detail why I am calling and am asked the same exact questions as the individual who had just transferred me. Their "customer service" is the worst I have ever dealt with. If I do not pay United Healthcare for this mistake made by OptumRx, I was told this will go to collections. I feel sorry for anyone that has to deal with this company.
Reviewed Sept. 18, 2016
The two prescriptions were for the same drug with two different strengths. The computer ordering system is not overlooked by a human. This resulted in no one supervising this. My wife did not notice this. If she had taken both of them she would have overdosed. We will not use them again.
Reviewed Sept. 12, 2016
Has placed me in the specialty script group... although I am taking a very common generic (since Optum would not cover the orig prescription) and charges me $85 for a 90-day supply while I could go to a local pharmacy and buy the very same generic, a 90-day supply for $43.
Reviewed Sept. 11, 2016
Other reviewers are right on the money. I ordered my blood pressure medication on August 12 and never received it. I sent two emails which were ignored. Optum's website even shows that the USPS has no record of ever receiving the shipment. Finally, I called on September 1. Call center employee Cheryl told me she would expedite the replacement shipment. Today is September 11 and still no replacement shipment, not even a text alert that shipment has taken place. Finally, I had to contact my doctor, who arranged an emergency prescription through a local pharmacy. To be fair, other low-bid services my husband's company has hired (Medco, CVS and Catamaran) have also been horrible. Low-bid = low service. Unfortunately, there's no way to overcome it.
Reviewed Sept. 9, 2016
OptumRx is constantly calling me at home to try to get me to fill more prescriptions. I have repeatedly told them to stop calling me. They are violating my privacy and making marketing calls in a very unprofessional manner. I have told them repeatedly that I fill my prescriptions online when I determine I need a refill. I do not want to enroll in automatic refills and I do not want them to bother me at home asking if I want to refill a prescription. They don't listen to me and constantly call me. Today, the woman from OptumRx wouldn't listen to me when I told her to leave me alone and kept telling me I had prescriptions I could refill and I kept telling her leave me alone and she kept asking the same question over and over. I finally asked her "don't you understand English?" Only then did she hang up.
In addition, as others have mentioned, then constantly are late on sending prescriptions. And now, they deny prescriptions all the time of expensive meds and keep making me take inferior meds for a time until my doctor then submits info why those meds aren't working, even though the doctors all send arguments from the beginning that the cheaper meds won't work. They waste my doctor's time just to save money. They are disgraceful for their marketing calls and for refusing to let doctors prescribe more expensive meds without jumping through hoops and first making patients take the cheaper meds for months that don't work. They should be sued.
Reviewed Sept. 7, 2016
My doctor sent a prescription for four meds to OptumRx on August 1, 2016 and as I write this, it is September 6 and I still have NO medicine. They sent it to the wrong address twice and will not expedite the order to me. I have already paid for this order early in August. They are playing God with people's medicine. I am finished with this bummer company--cheaper is not always better--at local pharmacies you walk-in with a prescription and come out with medicine. They should be held to a higher standard when lives are in the balance.
Reviewed Sept. 6, 2016
OptumRX is unbelievably awful. Horrible website which you could not get on while they "upgraded" to this new disaster of a website. New website that I still cannot access my prescriptions to see what needs refilling. People need to be able to get prescriptions in a timely manner. I still cannot believe that AARP has them as one of their choices. It is easier to fill your prescriptions at your local drugstore.
Reviewed Sept. 6, 2016
I must say that this company is totally and completely terrible to deal with on all levels. No one gives the same answer and notes are never made on files. Lost RX's are a total nightmare. Neither OptumRx or USPS will take responsibility. Mine was lost for 7 days, no update on tracking status and Optum will not send new one out for 10 days. One of mine was a heart medication. Told I can pick up an emergency supply at my local pharmacy which is 50 miles away round trip. But United Healthcare and Optum wanted me to pay $13 for 10 pills for something I was not responsible for. I call rep says she will have USPS taken off and RX will come UPS with no charge for me. New RX ordered and it is coming USPS again. Liars and thieves all of them.
Reviewed Sept. 5, 2016
This Rx company is a monopoly therefore they do not care what service they give. It is a shame to be working as an health provider and cannot get my prescription. The customer service people are a uneducated, cannot think beyond the script and do not care.
Reviewed Sept. 3, 2016
Apart from the fact that I get better service at McDonalds and Amazon, and that they suggested a lower-cost, but no-longer-approved antipsychotic as an alternative drug to the ** I take for diabetes, OptumRx is notorious for price gouging. The last time I went to renew my prescription for **, they'd doubled the price. I talked to someone, and the price came back down to what I had been paying. I refilled a ** prescription, but instead of sending me ** at $67.52, they sent me the MORE EXPENSIVE generic ** at $290.54. You cannot return unopened pharmaceuticals you don't use. So I called customer service. Lashanna told me that she'd send me a return shipping envelope and that they'd refund the $290.54 to my HSA as soon as they received the ** when I return it.
Reviewed Sept. 2, 2016
Their website is always being redesigned for new and improved issues and it never works. Their phone support is usually very laid back, unconcerned and borderline rude. Once in a while a good rep can be found but not usually. To order a prescription usually takes me at least 20 minutes online and I end up having to call and then the fun starts. If I can ever get the Rx it's ok but believe me, I would cancel this and get something else for my father if I knew how. I can't even find an old order number on the site today to fill in the requested box below. I had to go to my paper files to find an old order.
Reviewed Sept. 1, 2016
Nothing but a hassle! Hassle Free program has been turned into such a hassle! I am a diabetic & must (not a choice) have insulin to live. The most economical way to purchase insulin is through 90 day supply. The last order was shipped with the incorrect vials, numerous phone calls to OptumRx to find out what is happening... Never the same answer, never the same person to talk... It goes on & on! Two weeks before I need insulin again I make a phone to make sure I have no problem & again problems! I once again have had to go to my local pharmacy to purchase insulin, because the 90 day supply was not shipped! To speak to a supervisor is no help! Just another person with a different reason! Super frustrating to say the least!
Reviewed Aug. 31, 2016
Optum what can I say. TERRIBLE, HORRIBLE, no customer service skills, no nothing. Supervisors are useless. Unable to operate their own systems. I cannot believe they are even still in operation. I have sent my complaint to the insurance commissioner.
Reviewed Aug. 31, 2016
I truly believe that these companies do not care one bit about the patient. The amount of time, effort and phone calls it takes to fill one prescription is just obscene. I bet people will actually die while waiting for them to fill a prescription. It is a minimum of 45 minutes to 1 hour on hold before anyone even picks up the phone. I need to order specialty medication for my husband once per month and I cannot tell you how many times he has gone without the medication because they are incapable of filling a prescription.
Their ridiculous procedure is as follows: Your doctor uploads a prescription to the specialty pharmacy. They take a minimum of one week or longer, if you do not call everyday inquiring about its status, to even process that prescription. Then they fax the doctor (mind you the one that JUST prescribed the drug) to authorize the prescription. The doctor can complete that fax and immediately send back to them and then it will take a minimum of 3 days to a week before anyone even looks at it.
Last month, it took them over two weeks to process the authorization. Then their pharmacist has to review the prescription. That takes days to occur and then maybe you can get one of their reps (most of them really don't care and have quite the attitude) to actually place the order for you. I had one tell me last month, after waiting nearly a month to have a prescription filled, that what did I expect from them.
How would they magically know that I needed that prescription filled (if she had even bothered to look at her notes, she would have seen that I called twice a day, everyday for a month checking on the status). My advice is that if you can get your medication any other way, to do so. They say that their phone lines are taped. I only wish the CEO of the company would actually listen to the calls. I guarantee after reading this message board, that there are so many people just like myself who are fed up with this company!!!!
Reviewed Aug. 25, 2016
After reviewing many of the recent experiences, much of which I have experienced, I just want add my specific personal situation to the data trail. In this situation, I have been using hassle-free refills without issues until my last refill of a generic Rx (90 days/180 tabs ** 20 mg) which is also available OTC. Specifically, my last refill showed up with an unannounced price increase of almost 30% which they cannot explain. The new price was also now higher than the 30-day price at a local pharmacy... which they also cannot explain. Since this is a widely available common drug and there were no changes in my insurance nor industry news of manufacturing constraints, I was a bit miffed for how they could arbitrarily increase prices without any back-up to justify nor any notification about the price change. I am only glad that my issue is relatively small $$ compared with others.
BTW, while the new price was still 35% below what Costco shows, I asked what the "cash price" was if I ordered the Rx without insurance and was told $1565 - or 30 times more than the insurance rate and 22 times more than the OTC rate. (On the UHC website it is not quite as bad... Only 4 times more expensive than OTC.) The "no hassle refill" is classic bait-and-switch. Sign you up at one price (bait) and then raise the price with no explanation once you are signed up (switch). The big issues are the complete lack of price transparency and the games insurance companies are playing with prices. They want you to think you are saving big $s... But the reality is they artificially inflate the price to make you think you are getting a great deal.
This is why we need to go to a single-payer health model - to get common cost versus price transparency, as well as why we need stronger consumer protections. It also directly reflects why our trust of insurance companies is so low... Needless to say, hassle-free is anything but hassle free... Unless you don't care about what you pay. It should not be like that.
Reviewed Aug. 24, 2016
The "customer service" reps are clueless! I could go on and on but I'm sure anyone who's tried calling in and spent the minimum 45 minutes with these folks know exactly what I mean. Most seem half asleep and could care less about the mistake they're about to make because trust me it's going to happen.
Reviewed Aug. 22, 2016
OptumRX is now BriovaRX and they are the worst. They messed up my order and refuse to straighten it out. They charged me $30 instead of my $5 ** copay. I've spent over 5 hours on the phone with these incompetent, negligent idiots, to no avail.
Reviewed Aug. 20, 2016
I am new to OptumRx and have been dealing with them this year 2016. It has been an adventure into incompetence. They obviously do not make notes or talk with each other. You must repeat the same information in several phone calls. They tell you that they are sending out the medicine and then they hold it up for the same information as you previously provided. This has happened on several occasions not just once. Many of the pharmacists do not speak English well enough to communicate. It always takes multiple phone calls to get even the simplest order completed. If you have ANY other options do not use OptumRx.
Reviewed Aug. 18, 2016
Had ** and was receiving prescriptions without trouble. Since Optum has taken over it has been a hassle. Last month one prescription was two weeks late and it is late again this month already. The customer service is not friendly or helpful and the hold times are unbearable. The customer service has come up with three different reasons on three different calls to what the reason is.
Reviewed Aug. 18, 2016
Set up auto refill when I first moved to UHC/OptumRx in March. Thought 3 months at a time automatically would be great. Received the first prescription - $65 co-pay for 3 mos. and on 6/28 I should have received the 1st refill. Nothing came - called the next week and was told the price was now $166 because they raise their prices on January 1st and July 1st. The outrageous increase, notwithstanding my refill was due on June 28 when the price should have been $65. They appear to have withheld my refill so they could make $101 more than they would have had they sent the refill out on time. I am still fighting with them for the 6/28 price and have yet to receive my refill from OptumRx.
Luckily for me, GoodRx has my medication for less than OptumRx/UHC's July price so I am not without the medicine I need and have taken forever. OptumRx even had the audacity to suggest I change to a different "cheaper" medication that is not even a generic equivalent of my medication and has been shown to be completely wrong in most patients.
I am very lucky to be healthy. I go for annual exams and have three very simple prescriptions. UHC/OptumRx has denied 2 of the three, even though I got prior authorization and they are trying to stick it to me on the third. I don't think holding my prescription so the cost would be $101 higher is legal. Just not sure what Federal or State Department can help me. If they did this to me on my very first refill, they're definitely doing this to others. So how much of their profits are on the backs of unsuspecting patients who feel they have no other choice but to pay the new price so they can get their medication? Each call to straighten this out is an adventure in what not to do in customer service. I will call my Senators' offices tomorrow to seek their advice. I offered to go away quietly for three months at the $65 it was supposed to be, but so far, they have refused. I can't go away quietly now.
Reviewed Aug. 15, 2016
I was told by the prior authorization dept that what I needed was a benefits appeal. The benefit appeal was denied due to not having a prior authorization. I was then referred back to the prior authorization dept. This process took 6 weeks, more than a dozen phone calls and is still not resolved. In the meantime, I do not have the medicine that I need. If you can deal with a different provider, I would. One day, the clinic tried to call OptumRx 5 times in a row and was hung up every time. They are a nightmare to deal with.
Reviewed Aug. 12, 2016
They don't know how to fax the doctor's office or when they finally do, have no clue about what to do. I finally got the fax through and returned to them from my doctor. The next day I get a call saying that FABB isn't covered on Medicare Part D and I would have to pay the cash price of $52.00. I explained that I didn't order it on Part D, but through the AARP program.
Half a day and many phone calls later, I'm told that it's all been fixed and promptly get given 4 different prices. I suggested that they figure it out and give me the actual price, which is clearly stated on their barely functioning website. I was told that a supervisor would look into it and confirm a price. Six hours later...still waiting (for a medication that I'm just about out of having figured that a three week head start on getting a renewal should be sufficient. Yay OPTUM/United Health Care/AARP.
Reviewed Aug. 12, 2016
I would give ZERO stars if I could. Worst experience ever... Haven't even been covered 14 days and they are already making BIG mistakes. Ones that should not have been made. Spent two days now on the phone and continue to get the run around. They do not document conversations well so PLEASE, take your own, detailed notes. Waiting to get reimbursed on a mistake they made. Thankfully, I have a wonderful pharmacist who caught their error and called them immediately himself. Unfortunately, I have spent many hours on the phone trying to rectify their error.
This has been one of the worst first impressions and it is clear they have improperly trained staff (as they told my pharmacist the people I spoke to will need to be retrained... so should the person who trained them). When dealing with time sensitive medical issues and medications, this is the LAST thing you want to deal with. I sure hope you make this right OptumRX, as I am not impressed. I wish I had something good to say about this company.
Reviewed Aug. 1, 2016
In 2 years, we have not had one transaction with this company that was not a hassle. In one instance, the hospital called in a prescription and 2 days after I got home I called to check on it -- they had to have the Doctor call in to verify that he had written the prescription. They gave us a number for him to call. The number that he called put him on hold -- 15 minutes later he hung up, called me and told me he could not get through. Then I had the hospital send the script to my local WalMart -- Voila! It was ready in an hour. We are seniors and have found that Walmart can fill our prescriptions for equal or less than Optum. If you get someone you can understand when you call in, you are indeed lucky. I have no problem with United HC, but their Pharmacy program is an abomination.
Reviewed July 30, 2016
I just read the review by Linda of Marysville and I couldn't agree more. It's been a constant hassle with OptumRx for the past year. My husband takes a number of prescription medications. Between ordinary refills and prescription renewals, no employee ever seems to know what is going on. I seem to get different information every time I call. They call the number I instructed them not to call, they don't email me when I was told they would, communication is lacking to say the least. I was even accused by one agent of carrying on a circular conversation. I admit I probably did, but she wouldn't answer my question. Last, but certainly not least, the website is the most user "unfriendly" I have ever seen. I feel we have no choice, we have to go with our supplemental insurance plan. I am complaining to them. I would not recommend this company to anyone.
Reviewed July 29, 2016
What is so frustrating about this company is I don't have a choice and my United Health Care my insurance will not pay (They Own OptumRx). I have gone through a 7 month debate over them taking 2 payments for 1 medication in Jan. that took almost all of my HRA/FSA dollars for the whole year. Then to add insult to injury they put on my RX account that I still owed them 1500 after taking over 3000. I have a disabled husband, and every time I tried to fill a prescription I had to talk to a minimum of 3 people and explain everything and get an override. Every time I was told they would fix it and call me back, none of which happened. Some days I would call in just to see if I could maybe get it fixed to no avail. I got lots of 1st name last initial and call back numbers. However none of the call back numbers went to them.
After days, months and hours of holding and transferring between departments I finally gave up and called the corporate offices of UHC. At that point I did get someone who actually fixed all the mess they had made with my account. It did take him a week to unravel the mess they made. But they did finally fix it to where I didn't owe them money and I could order my husband's prescriptions online. That took from Jan 12, 2016 to July 28th, 2016.
If I had any option to pick my own Prescription provider I would. Up until my employer forced me to use OptumRx I used Walmart Pharmacy for a great number of my prescriptions which was inexpensive and responsive. It is really sad that we are forced to allow incompetent people to have our sensitive medical information and have no power to direct where we put our prescriptions. I pay a significant cost for a health care premium each month and have a significant deductible. I just wish I had choices of any kind.
Reviewed July 29, 2016
You can't count on them to do what they say. I finally cancelled my RX order so I could go back to my pharmacy. They assured me this was done. When I went to my pharmacy they said it wasn't cancelled and they couldn't fill my Rx, which I was already two days behind on. Now I'm listening to my co-worker who has been trying to get her prescription since 9 a.m. It's now 3:50 and she's still trying. They keep her on hold for as long as 25 minutes. By all accounts this is one of the most unprofessional and aggravating companies you could possibly work with. I'll stick with my neighborhood pharmacy.
Reviewed July 26, 2016
In reading the other reviews it sounds like this is a completely mismanaged company and that this company should not be allowed to handle something as valuable as a person's well being in prescriptions. They are too important and they mess them up ALL the time. It doesn't matter if I call a month in advance, they manage to mess it up.
I am always having to get a temporary prescription to cover the lapse. I have to on average place at least 10 phone calls to fill one prescription. I work and my day is filled with back to back meetings. Finding the time to continually call, be put on hold for 20+ minutes over and over... This months I am up to over 10 calls to OptumRX (yes just like the other complaints they blame the doctors). I am down to one pill and today had to take time out of my work day for many more calls - 4 to the doctors office, 2 to the local pharmacy, and run to pharmacy to pick up because of the incompetence of OptumRX.
In doing so I find that the local pharmacy is WAY cheaper to use than OptumRX. The only reason I was using this company was for convenience. Their screw ups have taken that away. So goodbye Optum RX. You are a worthless provider. They are not accurate in what they tell you. They first told me (after several calls of their "system being down, please call back") that my prescription was being sent overnight. Oh no... Now new person, now being told that it is going to go ground and then I get notification from UPS that they made it signature required (it is never signature required - usually comes regular mail). So I won't even be there to sign for it because I work all day. I will have to track it down.
This shouldn't have to be this hard to refill a prescription I have taken for years. I wish I knew the name of someone to complain to because this is really unacceptable. Basically the day that Catamaran combined with OptumRX I have had NOTHING but trouble with them. Almost a year ago. I would be fired if I messed up my customers orders the way they continuously do.
Reviewed July 25, 2016
I am a heart patient who had triple bypass surgery in 2011. In 2014, I wound up in the hospital twice with Atrial Flutter and a heart rate of 150, which I can assure you isn't any fun and put me at high risk for stroke. My Cardiologist prescribed ** to treat this and stated it was the only drug of its kind and the only drug that would do what I need done. ** covered it for one year and then refused to continue, in spite of the fact that I recently visited my cardiologist and he wants me to stay on the drug. His office made several appeals to the ** declination of coverage, without success. I guess they know more about what I need in order to stay of the hospital than my cardiologist does. My only options now all involve surgery. Don't do business with this company!!!
Reviewed July 25, 2016
Will not refill a prescription that I have been using for years - every phone call is answered with a different reason. They deny the refill, then call to say it is cleared. When I call to confirm they again deny the refill and cannot explain why someone called (twice now) to say that it has been processed. No one seems to know what the other is doing - no supervisor to speak to, no complaints dept. They override a doctor's prescription as they think it is the "wrong" medication or decide you don't need it. Same dose, same stuff that my doctor orders and has worked for years. I am now forced to take another medication that has bad side effects while I wait and fight to get the one that works for me.
Updated review: July 24, 2016
I wanted to update my original review since the company resolved my original issue. After a few phone calls the company upgraded by shipment to overnight delivery and I received my medicine today! So all that end well is good. And so I upgraded my rating to 3 stars. They still have a way to go, but this is a definite improvement.
Original Review: July 19, 2016
I needed to renew a 90 day prescription. And it took a couple of weeks for the Rx script to reach them. (Not their issue.) When they relieved it on 7/7/2016 I needed a short term prescription so that I did not run out. So I had a 2 week prescription filled at the local pharmacy. This caused my 90 day order to be delayed until refill on 7/15. This kicks off a renewal that takes 5-7 business days to reach me. So I check and called 7/16, 7/18, 7/19 and could only see the order in process. EVEN though I would have no medications left on 7/21. Finally they changed the shipment to overnight! Just so that I would get the meds by 7/22. (Still waiting for confirmation of the shipment.) So I am likely to have to get another short-term prescription 7/22 which may start this whole cycle again.
I had to call again and again and the call center doesn't have access to the actual work being done, so they can't supply the information needed and so there is NO transparency for the customer and they can't get the information they need to correct their systems. If you can use a different company. Prior to a merge with Catamaran my experience was better, but not too much better. Now it is worse.
Reviewed July 16, 2016
I'm NEW to United Healthcare and when they asked me to try home delivery by OptumRx - I did--and what a PLEASANT SURPRISE - a courteous and knowledgeable E-mail the same day, confirmed that my medications were approved, available, with NO CO-PAY, SENT THE FIRST MEDICATION THE FOLLOWING DAY with a refill slip (as to when I should request the refills). I am 86 years old, Korean War Veteran and have been using the VA for more than 40 years and that system could LEARN from OptumRX, and SHOULD!!!
Reviewed July 15, 2016
For several years, I have never had a complete on time prescription refills. When they do not arrive at the appointed time, I call. Each time someone or something is blamed. I am, the doctor is and whoever, but certainly not them. On one occasion, I actually talked to someone who knew what they were talking about and who was able to find a solution. One time in years of dealing with these people. They are a subsidiary of United Healthcare which has an equally bad reputation among customers of the healthcare industry. Care being a misnomer. My insurance carrier has opted out of managing part D of the policy. So I have no option to get another mail order drug provider. I am stuck and done so expertly by the drug company cartels. I am totally disgusted.
Reviewed July 13, 2016
This company is a joke, where I called in when I was at the pharmacy getting my prescriptions after being discharged from the hospital they indicated that if I paid out of pocket I would be reimbursed for the money. I then spent over 250 dollars, and had to copy all my prescription labels and mail out 4 individual letters and receipts to find out I would only be reimbursed for 25.00 because that is their cost. I asked "why would you tell me over the phone to pay for something that I would be reimbursed for that I wasn't going to be!"
I absolutely would not have done this without the guidance of these incompetent idiots over the phone. Then I call to get an explanation and it's some useless guy who keeps trying to talk louder than me and repeats the same thing over and over. I have switched to my wife's insurance plan now so this way I can have adequate coverage in the future for prescriptions and not deal with this low life company ever again. I pray they go under soon.
Reviewed July 13, 2016
I have been on the same 2 common medications for 5 years. My credit card information is correct, and there is always room on it for my medication expenses. I filled out the forms for auto-refill. Not once in 5 years has it been automatically refilled. They either don't have the right address, or something is wrong on their side, but they never tell me what is wrong. So I am switching to Walgreen's 3-month supply because it is about the same cost as OptumRx without all the screw ups. I am looking forward to getting my medication ON TIME. And I am looking forward to reclaiming my 1 hour/month I spend on phone calls to OptumRx trying to correct whatever is wrong.
Reviewed July 11, 2016
While I can't say I've had a problem every time getting a simple refill, there have been problems numerous times. I just went through a week's worth trying to get an early refill before leaving on vacation. I spoke with 4 different people, each gave a different answer on how to get it done. Just today I spoke with 3 different people who couldn't resolve the problem and told me they didn't know why. This is specialty medication and critical for me. Finally, one of their "problem resolution" specialists was able to get this delivery through, but no answer as to what the problem was, so I may run into again. They keep pointing the finger at the insurance company, the insurance company points back to them, and no real resolution. After a week of phone calls, sitting on hold for hours, I am thoroughly disgusted and frustrated.
Reviewed July 7, 2016
This company should be reported as one who continues to make intentional errors only claiming it is the doctors that are mis-prescribing. They are keeping idiots in their call center to deflect and deny claims purposefully. Customers are irate and we are dealing with babbling idiots who read scripts and disconnect phone calls. OptumRx - PEOPLE NEED MEDICATION TO SURVIVE - ESPECIALLY MY 7.5 MONTH OLD BABY!!! STOP abusing the consumers by making inaccurate claims, denying claims and not shipping our medication as prescribed. Every single time I fill a prescription with OptumRx, it's completed screwed up. It's comical because at least they are consistently screwing them up!
My doctor prescribes 10 vials of a drug - they send 2 and then claim that the doctor only prescribed 2. You then have to go fight it and spend hours on the phone between them, the doctor, their pharmacy baboons and the local pharmacist who is trying to override what they won't mail you. This behavior has now been repeated 5 times for me and my baby is only 7.5 months old. I think this tactic is old. Insurance companies denying claims first in hopes that some people won't fight it. You're hedging against denials - old disgusting tricks and tactics to increase your revenue numbers!
How is it that Consumer Affairs has not yet investigated them for insurance fraud and manipulations I don't know! Stop screwing people over and send the medications the doctors prescribed. Stop sending crappy versions of the same product. When I get the drug in my pharmacy, it's clear -- when I get the drug from OptumRx - it's staining my daughter's hair in white. OptumRx is unprofessional and fraudulent!
Reviewed July 7, 2016
They have messed every prescription that I have sent to them and it's been a battle to get it corrected. This time I transferred a script from Rite-Aid and it was the incorrect quantity. When I called to point this out one of their pharmacist told me to call Rite-Aid to have them call OptumRx. I kindly explained that I'm the customer and their client and it should be on me to contact my local pharmacy. They told me and I quote "As a 1-time courtesy we will contact them for you" - seriously a 1-time courtesy, again I'm the client.
To make a long story short, even after getting the right quantity figured out they still mailed the incorrect amount. To save $10 for a 3 month supply I've now spent well over 3 hours on the phone. I so wish I was on my old insurance plan with a good mail order pharmacy - But this is the issue when the insurance company is allowed to own/run the pharmacy. If you have a choice on insurance and OptumRx is the provider - RUN as fast as you can unless you want to do local pharmacy stuff which they are fine.
Reviewed July 7, 2016
With UHC... switched from Walmart to OptumRX mainly because UHC kept pushing them. Not bore you with details, but my wife is on a lot of scripts due to an organ transplant... Generally hits the Gap about Nov/Dec each year - due to me watching it really close - well I totally screwed up. First they get you because many (generic) drugs are zero cost to you for a 3 month script. But here's what they don't tell you... These are actual prices taken straight from our insurance docs. A prescript for ** at OptumRX - 3 month total cost to insurance company is: $17.00 - our cost $-0. ** through Walmart: 3 month total cost to Insurance company is $1.65 - our cost $9.00.
** cost to insurance company with OptumRX $138.00 - our cost $-0. With Walmart $36.00 our cost $18.00. Wife takes in the range of 12 meds monthly - like I said, organ transplant. So how is this a screw job? The ** cost of $138 (what insurance paid) is subtracted from your available amount of $3310 before hitting the 'Donut Hole'. Whereas with Walmart the amount subtracted is $36.00 + $18.00.
So while it seems like you are saving money... and you may be if only taking one or two generic drugs a month, in the long run it is costing you money. Like I stated earlier, she generally does not hit the Gap until Nov or Dec each year... This year she hit it last month - in June. So to save 20 here and 20 there, I have really cost us hundreds of dollars as we will be paying full price (minus the medicare discount) for her scripts the rest of the year.
I should add, she is taking the exact same drugs since day one of her surgery - nothing new. Since day one she did not hit the Gap until the end of the year. The drugs have not gone up, not taking anything different - it's simply the amount OptumRX charges for their scripts - a much higher amount than nearly anyone I have researched over the last few months. Do yourself a favor, stay away from this company.
Reviewed July 5, 2016
These people are total idiots!!! I have not once used OptumRx without a problem. I dread when comes time to refill prescriptions. I spoke with rep earlier today. She went from one story to the next and the next regarding a prescription refill. All I wanted was an answer on why I received an automated phone message stating my doctor had refused refills. The jerks... they had no reason to contact my doctor... **. I had refills remaining on both prescriptions I had requested.
Talking with my doctor's office, somehow it was noted in my file that I WAS REQUESTING DUPLICATE PRESCRIPTIONS. I have NEVER dealt with OptumRx without a problem arising. A few months one of their pharmacy techs called my doctor's office to advise a prescription interaction. My doctor thoroughly investigated. Never found any evidence of an interaction. What kind of ** do they have filling prescriptions? I have no confidence that I am receiving a correct prescription.
I will investigate to find the proper agency to file a complaint. THIS PLACE NEEDS TO BE SHUT DOWN. They have no expertise in handling the importance of running a pharmacy. Today I was told my order will be in my mailbox. Get off it, you jerks. They put in the mail July 1. We had a holiday weekend, And it will delivered on July 5th. WHAT LIARS. I have never received a shipment on time after allowing ample time when I make a request. My doctor has had to write a script for a local pharmacy to cover a period of time that I was left with no meds.
I am paying a premium, then had to make a trip to retail pharmacy, pay dearly for the script because these incompetent people screwed up. They need to change their rating system to allow ratings of negative zeros. But if these jerks get negative zeros, they still will not get it. I am reporting to Consumer Protection in my state and any other agency I can find.
Reviewed July 1, 2016
I wanted to ditto every complaint I have read here. I experienced them all. In addition I could barely understand the person I was talking to, or in the end arguing with. She could not pronounce the names of the meds, but insisted on telling me what schedule it was, although I know she was wrong about it. She said it was illegal for them to request a refill from the doctor. This after having that exact thing happen successfully for several years previously.
I am fearful for any customer, due to the likelihood of a harmful error occurring, most likely from non-compliance of meds because between the doctor blaming the pharmacy and the pharmacy blaming the doctor, how many patients will end up quitting altogether? No meds, no treatment. I would ask them to realize how important their job is, and hire qualified techs to be the front people, but I see that cost cutting is their only objective, and customer service and safety might not even be on the list. There I said it.
Reviewed June 28, 2016
These people are morons. They sent refills that needed refrigeration in non refrigeration packaging. They were told I would be out of town for a long weekend so don't send it to arrive when I would be unavailable. They sent it anyway. It was ruined. Now I am being runaround to get a replacement free refill or my money back. I never want to deal with them ever again.
Reviewed June 23, 2016
I've used mail order pharmacies before, but this one is a joke. Called as a new patient since my company switched to United Healthcare, and was told to fax in my new scripts. I had a few calls saying they needed my credit card, and then only one of the two were covered... Finally, when my prescriptions never came, I called and they said they couldn't honor the prescriptions since I sent them, not my doctor... Not the original direction.
I asked them to work with the doctors' office and didn't hear anything for 2 days, so called and they said since there was more than 1 fax number listed, they weren't able to fax it. No notifications, always reactive to my calls, so I finally gave up. If United Healthcare forces me to use a mail order pharmacy, I will refuse using this company. Outrageously bad service and as a Senior Manager in an organization, I can tell the leadership is very weak. It makes me think that United Healthcare has its own issues since they have chosen this company as their pharmacy partner.
Reviewed June 23, 2016
I called a total of 10 times over 5 days. With a wait time of almost 30 minutes, I probably used a vacation day. On the 10th day I was informed my prior authorization had expired and my doctor needed to updated. This has got to be, hands down, the worst customer service experience in the western hemisphere. The thought of giving this company even one star makes me cringe. I'm sure with no insurance or charity care I would have gotten much better service. There should be a negative star rating.
Reviewed June 22, 2016
OptumRx has been a nightmare to deal with. Orders are constantly deleted and need to be resubmitted. Excuses for not sending medication and not contacting me about any delays are common. Prices are never the same for the same medication and dose and some prices have been exorbitant. Periodically they will delay orders and say they need approval when they have been sending the same medication for years. My doctor is so fed up with them that I worry they will give up trying to submit prescriptions. The amount of time I need to spend to get a simple prescription filled is driving me crazy. We frequently go without medication because of the delays. I can't think of a company that I have ever had so many problems with. It's unbelievable!
Reviewed June 21, 2016
My benefits switched to United Health in Jan 2016. In Feb 2016 I opted-in to OptumRx due to significant cost savings on my daily meds and no longer being able to get 90-day refills at my local pharmacy. I was also told Rx would arrange for future refills automatically with my doctor. At the time of opting-in (Feb 2016) it was explained it would take 10 days to process my first order. Three (3) weeks later I followed-up on the status of my Rx and learned my order was never put through. They could not provide an explanation as to what happened and I experienced a one week gap without daily meds pending my Rx arrival.
Two weeks ago I followed up on the status of my meds. The OptumRx rep apologized for OptumRx's delay and agreed to overnight the Rx's at no additional cost to me as soon as she received the refill fax order back from my doctor. My doctor was away and upon returning (6/13/16), a faxed approval for my 2 daily meds and disapproval of a 3rd med, WHICH WAS NOT NECESSARY OR WANTED REFILLED was sent to OptumRx. I received an email on 6/14/16 from OptumRx to contact my doctor as refills were not approved.
On 6/14/16 my doctor's office advised they did refill my daily meds and would send another fax to OptumRx. On 6/14/16 I received an email that my Rx were approved. Three (3) days later, Friday 6/17/16, meds still did not arrive and I called and the OptumRx rep I spoke with claimed these 2 daily meds were denied three (3) times by my doctor. Immediately following this call I received an email from OptumRx stating, same as the first email, that my Rx's were not approved and to contact my doctor.
My doctor did not have office hours Friday (6/17/2016), so I left them a message on their answering service wanting to know what was going on. Friday was day 4 without daily meds. Today, Monday (6/20/2016) my doctor's office called me at work, confused as they did fax Optum order refills two (2) times. Following the 6/20/16 call to the doctor's office, I called OptumRx and the rep insisted OptumRx received three (3) denied refill request faxes from my doctor's office. I requested this Optum rep take another look at what the doctor sent over as there was a serious contradiction of accountability.
When the Optum rep rechecked the faxes (all 2 or 3 faxes depending on who I spoke with) she acknowledged the 2 daily meds were refilled and the 3rd unnecessary med denied. The Optum rep advised she would send the 2 daily Rx's to their pharmacy to get filled. When I brought up the original reps agreement to send overnight upon receipt of the doctor's fax, I was told that wasn't possible and the Rx's should arrive Thursday (6/23) or maybe as soon as Wed (6/22/16). I advised the rep I was already on day 7 without Rx's and experiencing adverse effects. The rep could not expedite this Rx. Given the incompetence, poor servicing, lack of accountability as well as putting me at personal health risks, I advised the rep I was discontinuing my Rx's with OptumRx and would be transferring my Rx's back to my retail pharmacy.
My next call was to the retail pharmacy and requested refills to the two (2) daily Rx's. When picking up the Rx's this evening, the pharmacist told me they were being denied from my insurance and if I wanted them filled today, had to pay 100% retail cost out-of-pocket. Following the trip to the retail pharmacy, I called the United Health. They advised I had no Rx coverage because I opted-in with OptumRx mail order. I asked how do I opt-out and I was transferred. When talking with the OptumRx rep on the phone, he said I need to opt-out to have Rx coverage through a retail pharmacy, then proceeded to sell me on the service and cost benefits of staying with OptumRx! I expressed my dismay with Optum with the opt-out rep, and aside from the mishaps that transpired, the character, capabilities and conduct of this OptumRx. United Healthcare organization and their employees is alarming:
1. Having advised the Optum rep earlier today (6/20/16) that I was discontinuing my Rx's through Optum - why wasn't I informed or assisted in the opt-out process? My preference was very clearly made known.2. When expressing to the Optum rep this evening during the opt-out call how wrong it was I paid 100% retail price for my Rx's at the pharmacy when I am paying for Rx benefits - why was no remedy offered?
3. I had to press the Optum rep on how I get reimbursed for my out-of-pocket Rx costs. The Optum rep then rattled off a form on Optum website that MUST be submitted within 30 days to get reimbursed.
This lack of integrity, competency and transparency experienced is disturbing and abominable. United Healthcare, we healthcare consumers deserve to have access to expanded network choices of competent (honest) providers at the same cost/benefit availability as your owned/controlled providers.
Reviewed June 16, 2016
Optum is the most unqualified group I have ever dealt with. Sometimes there are those that just don't know stuff, but these idiots don't even suspect what to do. They have taken what used to be a fairly simple thing such as ordering prescriptions that the previous company did well, and made the most screwed up and frustrating mess I have ever seen. I have talked to people there in efforts to just get my order placed and found them chock-full of people that are as dumb as a mud fence. On top of this Optum now is telling me the simple prescription that I have gotten for years is a "plan exclusion" and not covered. What a bunch of worthless stupid people.
Reviewed June 15, 2016
When my insurance company started with OptumRx, I really liked the convenience. However, as time went on, each experience became more complicated. My doctor would send a prescription, and they would not receive it even though my doctor's office received confirmation. I would have to keep calling and calling. As others have said, once you pay with a card, your card is kept on file and they refill it without authorization. Also, the customer service is not consistent. Some people are kind and helpful, other people have been very rude and condescending. I called my insurance company and told them I am going back to a regular Rite Aid, CVS or Walgreens. I shouldn't have to chase people to beg for my medication.
Reviewed June 15, 2016
This company has changed its name several times. Each time it treats you as though you are a new user. When it was called two of the last three names it worked fairly well--informed you when prescriptions needed to be refilled etc. No longer. They don't seem to have online ordering. You have to call and wait and wait. Then they don't let you know that a prescription needs to be renewed. They don't tell you when a medication is out of stock. Out of stock? How can this be? They promise all sorts of emails and phone calls but don't actually send them. Absolutely ghastly. I will not use this service again.
Reviewed June 15, 2016
Early May I called about refills on my regular meds. I wanted to do check by phone like I had done before and was told I couldn't that I needed to mail my order in and to make sure to allow plenty of time for mail. So early to mid May I mailed my check with my refill order form that they provide. I waited for my prescriptions thinking each day they will be there when I get home. I was completely out of all meds my **, my blood pressure medicine and a couple other meds I am on. I missed work June 2nd due to the side affects of being without meds. I checked my account to verify that my check for over $400 had been cashed so I'm like "I should have them tomorrow". So tomorrow comes and still no meds. So the next day is Saturday and I am very ill and starting to have a nervous break down. I call OptumRX to see when I will be receiving my meds and after being on hold for 40+ minutes they inform me that my meds were never ordered.
I asked them about cashing my check and of course they couldn't give me an answer. I asked them what they were going to do for me seeing I am extremely sick and been without for over a week. The best they could do for me was order them with express delivery and should have them Tuesday and to call my doctor about getting a prescription to hold me over. The doctor called me in 2 of the most needed prescriptions that cost me an additional $160. Customer service was not helpful or sympathetic at all that time. So Sunday I get a confirmation email saying my order has been placed and ready to ship. When I originally spoke to them they confirmed I have a credit of over $400 since they didn't fill my reorder. Sunday I get an email that there is a problem with my order and that I need to contact them.
Monday I go to work and check my account again to verify I was correct that they had cashed my check on May 24th and my meds are now on hold again for payment. I call again, another 1 hour hold time and the rep this time is helpful and said that the copay hold could be released. And I explained there should be a credit there for over $400 to cover my entire order. She said that was correct and that my meds will be shipped. I asked "now you are sure I won't be billed for them again" and she said no. I receive my prescriptions in the mail now Friday June 10 and what is with them but an invoice for $421.00.
It is now Tuesday the 14th and I will be going in late tomorrow to try and get this all straightened out. I have asked to speak with supervisors on multiple occasions with being able to speak to 1 person momentarily with no help. I asked what state the company is in to report to the Better Business Bureau as well as who is the chief operating officer and was told they could not give me any info. I need help.
Reviewed June 15, 2016
That is why I get my medicine overseas now at a fraction of the cost without a prescription and it is 100% safe. Hmm, go figure! They have their own FDA guidelines overseas just like here. I will continue to give my $ to the drug makers overseas because that is what the insurance companies in the US pushed me to do, plus I'm saving $. Way to go scumbags!
Reviewed June 14, 2016
Ordered meds by phone March 31 and was told delivery date is June 3. Called on June 7 and was told not shipped but will deliver on June 10. Called on June 10 not shipped but will ship overnight. Called June 13 not shipped but will ship overnight. Called June 14 not shipped. I told the rep on the phone that if I do not receive the order by the 15 I do not want it. Cannot deal with people that only apologize but cannot act including their stupid supervisor. Any person could have take it to the post office or call UPS or FedEX and sent it a long time ago. I hope the CEO of that company reads this, although he approved the training to keep apologizing and do nothing.
Reviewed June 7, 2016
My husband & I went on medicare in Jan. and unfortunately our gap insurance uses OptumRx. Since the beginning of the year every order that has had to be placed we have had a problem with. Phone numbers to call are always changing making it very difficult to not only get through but to ever get a human being. We're supposed to get renewal reminders, which we're not. Website ordering is a crap shoot as to whether it will work or not. When you successfully put in a renewal, why does it take so long to receive it.
I was with Caremark before and when an order was in you received it within a few days, not almost 2 weeks later. A generic solution for my scalp that I have used for years went from a $10 co-pay with Caremark to almost $50. I have not ordered it and am suffering the repercussions that ensued. There is no cheaper alternative as that is already a generic!?! As a retired person I am not rolling in the money now needed to pay for certain meds on top of paying for insurance.
Reviewed June 7, 2016
My doctor faxed in my script on 6/2/16. When I called to make sure they received the order, I was never told that my medicine would take approx. 2 weeks to get to me. I asked if the script could be transferred they assured me it could and would send over to my local pharmacy. I specifically asked if I could go and pick up the script, they said yes. Get to the pharmacy, no meds. They didn't send anything over. Called back, they say, "Oh we can't transfer a script, the pharmacist needs to call." Gave me a number to give to the pharmacist. Guess what, wrong number. Go to pick up meds again. Pharmacist says wrong #.
Call back, they give the right number, but then tell me, since my script is for less than 90 days, I can't fill with them. OMG. Why didn't you tell me this on 6/2/16??? It is now 6/7/16, no meds, pharmacist says they keep transferring her to different extensions when she calls and she's been on hold for 20 minutes twice. This place is a joke. Do not use them. They obviously need a tremendous amount of training to get this operation on track. Save yourself a headache.
Reviewed June 6, 2016
The website sent me an order confirmation. Couple days later, I decided to check the tracking... Turns out it hadn't even been ordered! Wow! Then the customer service acting like I didn't know how to use the internet. I was like "Hello! I got a ** confirmation email! Do you want me to forward that to you???" Wish I could change back to Caremark!
Reviewed June 5, 2016
My husband and I retired last September, after he had a stroke and couldn't return to work. We started Medicare with a high-end United Healthcare Supplemental policy and Part D policy. The first time I tried to order my life-saving asthma medication, I was advised it wasn't available. I was subsequently told it was a "Tier 5" and would cost me close to $500 for the first three months, then $75 per inhaler co-pay each time I reorder. I declined and have used one of their less expensive, also less effective inhalers, only paying my entire deductible at once for the first three inhalers; subsequent orders will be $25 per inhaler co pay. Additionally, it's impossible to order online. Either you get misdirected, or drugs you haven't ordered get ordered, and every time I've had to contact OptumRx by phone to straighten out my orders.
Retired people are not rich. Paying thousands for medications, after also paying for insurance, isn't possible. Having to use medications that are subpar is a travesty. When people with cardio-respiratory diseases cannot get their prescribed medications because they are not "preferred" by the insurance company can cause death, yet these companies are not held to task for this treatment. OptumRx is the worst offender yet!
Reviewed June 3, 2016
Caution - Super high prices, bad customer service, website does not work, processed my refill without authorization. I received a happy letter dated April 5, 2016 stating that Catamaran and OptumRx "combined". It also stated that I will get "world-class service, safety, quality, convenience and potential cost savings." I am supposed to order refills online as before. Every little thing is going to be alright, right? No, not right. First I could not get the website to process my (generic) refill. Second, I called. Yikes! Their price was 11 times the price from July, 2015 from $27.30 to over $300.00. How can that happen? I have insurance and it's a generic. When I questioned the price they had no answer for the huge increase. When I asked for a supervisor, none were available.
I refused the refill on the phone and went to a local pharmacy. The local pharmacy tried to fill the order and saw the refill was not available. Turns out OptumRx had processed the refill without my authorization. They called and instructed OptumRx to back out the order. This was done and the refill was processed. Two days later I received a robocall from OptumRx stating that my order was shipped and billed. I called and asked that they not ship the order and refund the charge. After getting nowhere with the person on the phone I again asked for a supervisor. None were available. After several hours of back and forth on the phone I was told they would send a return shipping envelope and process a refund. I hope it's over.
Reviewed June 2, 2016
This is the worst company ever. They will fill prescriptions for you that any doctor sends without consulting you. They will bill and rebill medications that you don't need. Customer service will tell you that they have resolved your situation only to find that no, they did nothing. Companies should stay away from OptumRx. They have no regard for your health by delaying needed medication, then charge you exorbitant amounts of money you don't have.
Reviewed June 2, 2016
I was receiving my one medication at Walgreens for 60 dollars a month. Kept getting notices that Optum could save me money. I called and verified it would save 10 dollars a month. So I signed up. My doctor had been giving me a 3 month supply at Walgreens. Optum received only a one month prescription and my charge was $145.90. I thought that would be for 3 months. But today received information to be charged again. For one month my prescription is 145.90 dollars BUT for 3 months it will be 150.00 dollars. If I would have continued with Walgreens and a human being would have charged me that when I picked it up I would have asked and been explained the cost and refused the medicine and reported back to the doctor to write a 3 month prescription. (Even when the doctor only gave me a one month prescription to Walgreens in the past I was only charged 60 dollars.)
I have been on this medicine for over 10 years. It helps me to not have bone loss. DO NOT EVER USE OPTUMRX. IF UNITED HEALTH CARE SUGGESTS IT TELL THEM NO. YOU NEED A HUMAN BEING WHO WILL ACTUALLY EXPLAIN TO YOU WHY THE CHARGE IS 2 AND A HALF TIMES HIGHER AND THEN REMEDY THE PROBLEM. They are not in the business of medicine. They are ripping off their clients. I called Optum twice today and even United Health Care. They will not refund any money even though I was told it was a 50 dollar a month prescription. No one will help me. I was given an address in Salt Lake City to write a complaint.
Reviewed June 2, 2016
OptumRx prescription service is one of the most dysfunctional services I have ever seen. They fail to deliver your life-saving medication on a timely manner and when there is ever an issue, they fail to notify you. When you contact the Customer Service, it's like they are reading from a script and neglect to resolve the issue. Stay away and use a different service.
Reviewed June 1, 2016
This company can't seem to get their records straight. They do have it down to an art to blame our doctors or the customer. They sent without my permission a refill that I did not need nor did I authorize them to charge my credit card. I have been trying to return the medicine but can't get them to tell me where I need to send it. They said they will not refund the money but will hold it on my account. I told them I probably will never use them again but they said they still won't refund it.
Every time you call you get a different answer on how the problem is or is not being handled. They have deleted the order on my latest statement and claim they now have a new order from my doctor. This is totally untrue. I've been using this drug for over 10 years and it has not changed. Truly awful customer service and shady business operation.
Reviewed May 31, 2016
I have called OptumRX and spoke with numerous people trying to get a list of Tier I contraceptive medications. After 2+ hours I was finally able to get a supervisor who informed me they are unable to provide me with this information. My doctors office is able to get this from other prescription drug companies. This was an incredibly frustrating experience and one that is prompting me to see if I can switch drug providers. Think twice before using this company.
Reviewed May 28, 2016
Worse ever!!! Daughter got a kidney transplant and needs her meds. Every month it's calling them 2-3 times and 30 minutes or more every time. Called last Thursday, they said can't fill them but will fill them and send them out this last Monday. Waited, called them yesterday and they said needed my confirmation on the address and would send them and we would have them today. As you know, no pills. Called them they said they couldn't send them till next Tuesday. And that someone called me today (no one called). So then she says the can transfer the prescription to a local pharmacy.
After another 20 minutes on hold she says, "ok", they will be there. So I go to get them and apparently they can't transfer prescription like that. So my daughter has only enough meds for the morning. And we have to go to the emergency room for some pills. I am a very unhappy mom right now. But they are closed until Tuesday because of the holiday. Grrr. The medication is to fight rejection of her kidney.
Reviewed May 26, 2016
My husband lost his job, so we paid for our first round of Cobra. This company repeatedly said that our account was inactive. What a sham! If you've ever paid for Cobra, you know how expensive it is. It enrages me that they can say that I'm not covered, and the next I'm cover because my benefit management called them. Oh, and if you tell them to look at my previous call's notes, they cannot see anything... How convenient. Also, they claim that there is no lead or supervisor to transfer you to. WTF?? That's BS. And after asking repeatedly for an address to file a complaint, I finally got this: Benefit Appeals OptumRX "member services" PO Box 3410 Lisle IL 60532.
Everyone on here should file complaints!! I wish I could give them negative stars!! PS - Consumer affairs, please note that my order # below isn't exactly why I'm reviewing above. However, It is a paper correspondence that is denying the order of some medications. They just say we need to "clarify" some questions regarding your coverage. That just means they somehow said that I wasn't covered when I was! And Austin ** is one of the CSRs that said I was uninsured.
Reviewed May 23, 2016
I can't remember any company I've dealt with that is so messed up. What once was (Prescription Solutions) a nice automated process is now a mess. Every re-order involves phone calls. I trace an order and it says "in process." When I ask what this means, they are waiting on me to authorize my payment amount. They never call or send an email that it's my turn to do something, just wait for me to call. Too bad, this could be a nice mail order service if it wasn't so messed up!
Reviewed May 22, 2016
After my company switched over to OptumRx, it's been problem after problem. Two quick examples; they were incorrectly applying prescription costs to my deductible. Ended up sending a refund check then deducting that amount from my applied deductible. This ended up taking me from having met my deductible to not having met it without my knowledge. In that time, I agreed to have an MRI done to definitively rule out MS. I agreed to it because I knew I had already met my deductible. But because of the ** at OptumRx, I have to pay nearly $1000 for an MRI I likely wouldn't have done if I knew they revoked my deductible status.
Second, just today I received a letter stating that the medication I've taken for years and years (same medication, same dose) will not be allowed in the dose/quantity I take. So now I have to double the dosage to reduce the monthly quantity so I can continue filling my prescription. If it was a viable option, I'd go with no insurance and pay for everything out of pocket. OptumRx is so pathetic, literally no insurance would be a huge improvement.
Reviewed May 21, 2016
OptumRx is the company connected with AARP/United Healthcare regional PPO. They refuse to get their records correct and overcharge, and will not work with you in disputes. They are the worst company to deal with and continue to not credit your account properly, and now put in Collection.
Reviewed May 18, 2016
There have been a whole host of issues but I don't have all day so I will give you the most recent. After 20 minutes of pushing 1 for English, inputting all sorts of information and waiting on hold for 20 minutes - the customer service rep tells me that the pharmacist needs to call the 800 number to request my prescriptions be transferred to my local pharmacy. I called my local pharmacy and they tried to get the prescriptions 3 times with 3 different customer service reps only to be told they will not release them and to advise me to call my doctor and have them rewritten... What a crock of **!
Reviewed May 17, 2016
When my insurance was trying to convince me to use OptumRX I made several phone calls to the company and spoke with several people and pharmacists in order to be sure everything would run smoothly and I would not run into all the horror shows I read about being if my medication was more than two days late I would have to be hospitalized. I was reassured at least 15 times. However, I should have known when I was given four different addresses to overnight my scripts to, one girl actually said to me... "Being you live in Florida and that is in the west you will send to such & such address". I called back and got another person and she asked me how to spell Florida!
I overnighted my scripts and three weeks later no medication. I made 3-4 calls per day and every time was told something different. The whole mess caused so many problems physically and monetarily. I never received my medication. They said they did not fill pain medication, regardless of the fact that I called and spoke to countless people telling them how important it is that I receive these meds and they reassured me I would. All I can say is to listen to all the complaints. They are for real.
Reviewed May 16, 2016
I wasted my physician's time and my time trying to get a prescription processed. It was faxed over three times by the doctor and once by me, and they claim they do not have it. DO NOT WASTE YOUR TIME OR MONEY!! Other retailers offer better prices and better services.

Reviewed May 16, 2016
Since creating my online account with OptumRx, I have rarely been able to place an online order. I can access my profile but not my prescriptions 9 times out of 10. I was shut out yesterday and again today. That means calling their customer service line. Both times that I have ordered through a human customer service rep, the OptumRx employees were professional. HOWEVER, it was very evident from their comments that their own internal systems are extremely slow to respond to input. Today I was told four times that "the computer is still processing." I know not every customer remains patient when hearing those words, even when it's not the rep's fault.
I decided to take OptumRx's phone survey following my conversation with customer service. After repeating the same explanation of their 1-5 rating system multiple times, the robo-voice told me TWICE that she couldn't understand my answer. I had no more time to waste on OptumRx and hung up. No one has ever informed me that I have a speech impediment, therefore I am not surprised that OptumRx's phone survey system works no better than their online system. I guess I'm grateful that the customer service reps could manage to enter my orders at all.
Reviewed May 15, 2016
They suck. Worst company ever. Do Not use this company. They are inefficient & just plain stupid. Prescriptions I needed were delayed because some idiot sent it out signature required when it was not necessary. I have asked them repeatedly to notify me of a problem by phone or email. They send a letter 3 weeks after the issue. And they are extremely expensive. My doctor sent in a script and they just didn't fill it. They make it difficult to use online so you have to talk to one of the morons. RUN FROM THIS COMPANY.
Reviewed May 14, 2016
After waiting since Feb for Enbrel-Sureclick to be sent to me, I'm close to be bedridden with my RA and am losing use of fingers and hands - not to mention the pain. My Doctor, Rheumatologist, has sent several faxes for approval for this med. Because I am 80 years old, I continually get put off by your people. Please tell me what more I need to do, besides die from painful joints and stiffness.
Reviewed May 10, 2016
Went to pick up a antibiotic at pharmacy. They used our prescription plan as they are supposed to do. Prescription was $108. Shocked. I said I can't afford that. Went home and looked prices up online. Went back and asked to get Prescription without using Optum and it came out to $60! How can a prescription plan that is supposed to save you money overcharge you by so much! Will be looking at every Prescription from now on.
Reviewed May 9, 2016
I have been trying to get a prescription ordered through OptumRx for over 3 weeks now! I watched as my Doctors office faxed the order to them. They say "we never received a order". I get a fax number from them and again I watch as my Dr. office fax the order, get a confirmation - it says it went through "OK". OptumRx says "we did not receive the order". I go to a different Dr., get the prescription, I watch them fax it to the number I am given. They say "we never received a order". I go back to the second Dr, they fax it again and then they give it to me. I send it 32 times with a cover sheet stating "we need a response of receipt". NOTHING! Now I look here on Consumer Affairs, and see my experience is probably a good one, because I haven't given them my credit card yet, so they won't make "Made up Charges on it". Thank God I only got this far with them.
Reviewed May 7, 2016
These uncare professionals will charge you multiple times for 1 medication it seems by company Policy. Yeah my doc sends in 2 prescriptions. Both come in doses not manufactured by the pharmaceutical company. Prescription 1, 750mg, so I need 500mg and 250mg. Prescription 2, 1.5mg, so I need 1mg and 0.5mg. So Optum charges me 4 times. This is the ONLY pharmacy that has done this. So I ask the customer NO SERVICE guy why this is and he freaks out on me like I am a criminal, then get transferred to the pharmacist. Surely he could give a reasonable answer. No! He says that it's my doc that messed up. What? Yeah so I'm told doc needs to write it as take 3 separate 250mg and 3 separate 0.5 mg.
Nice, meanwhile I'm getting double charged with no courtesy. Health no care specialists. And criminals! Hey it borders on insurance fraud and with ATTITUDE. My health plan requires me to use these criminals. Otherwise I'd take my business elsewhere. Hey by the way, these are transplant mess so my body won't reject my transplants. Not like Healthcare is cheap, these bastards just charge you double for the exact same quantity of medications. Corruption! Then blames me and my doc, why do these companies exist? Whatever you greedy turds!
Reviewed May 6, 2016
Don't waste your time with this company. Ever since my job switched to them they can never get my order right. Always takes a minimum of 3-5 phone calls before prescription refill is sent. They filled my Flonase refill and never told me it was not covered by insurance because it was sold over the counter and charged me $100++ and you can buy three of those for $45 at Costco, same med. Now they filled my daughter's Pro air inhaler three weeks ago and charged me $100, made 8 phone calls because I never received the med because we moved to a diff state.
I was promised a refund but until now no refund was issued. Every time you call it seems like nobody knew what you are talking about. One customer service rep told me I should not even be charged because I was already charged a month before and they only sent me a month supply and the additional they sent was part of the 90 day supply. Very frustrating because I was overcharged, I never received my meds and I spend a lot of time with them on the phone. Stay away from this company!!!
Reviewed May 4, 2016
I am so disappointed in the customer service or the lack of customer service. I was laid off on April 18th and my benefits would be ending on April 30th. I had 2 prescriptions at my local CVS pharmacy. Each prescription written by different physicians from different offices. I called OptumRx to have them transferred so that I may receive a 90 day supply. I was advised that I needed to have CVS send them to OptumRx. Apparently this happened but the fax from CVS was not clear on one medication and OptumRx needed to reach out to the DR on that prescription for directions. OptumRx reached out to the wrong DR causing a delay. That delay has now resulted in leaving me without medication for 4 days and now my insurance coverage has ended. I have resisted doing business with OptumRx for that reason and now I am a victim of their terrible customer service. OptumRx has no business being in the health care industry.
Reviewed April 29, 2016
OptumRx has worst customer service that I've ever experienced, that includes my experience with businesses in the 30 other countries that I've traveled to in my lifetime. They refuse to make something right even if they were in the wrong. They'll only try to justify their mistake by blaming it on another party. Do NOT use this company unless you plan on never needing customer service (good luck because they like to send out the wrong medication). They are incompetent, careless, insensitive, and "too big to give good customer service." They've lost my business forever along with the business of anyone I have the chance to reach.
Reviewed April 28, 2016
Stay far away from these guys. I was very happy with my local pharmacy but I kept getting notices that unless I opted out I would be switched to OptumRx. I signed on and opted out. But they have no record of it. So I caved in and let them fill my scripts. The end result? Every script (I have been taking for 2 years for cancer) is a problem... and I am spending more to do it. Now I have to figure out how I untangle myself from this mess! Do yourself a favor! Run, don't walk, away from these clowns!!!
Reviewed April 27, 2016
As a result of my retirement, OptumRx, Catamaran Rx is not a choice for me. Almost every time I attempt to login, my ID and/or password are not recognized. It responds that I am not a member which results in a phone call and waiting on the phone for verification. After that, prescriptions are sent slowly, not at all, or referred back to my physician to rewrite a new script because they can't find the last one sent, sometimes within days of issue. Totally incompetent.
Reviewed April 27, 2016
I'm writing because I have tried everything and have found absolutely no customer satisfaction, even at the highest levels. My mother lives 300 miles from me and I am her caretaker. She is elderly and has Alzheimer's. In order to make life easier to me and less expensive for her, I decided to move her meds over from the friendly neighborhood pharmacy to OptumRx. Big mistake. They got the first order right, except that apparently the meds got lost somewhere in the senior village because the label cut off the number of characters at some point and didn't include the correct name (the head nurse who runs the clinic there).
We got that solved. I switched from the nurse's name to my mother's apartment. The next batch of meds - also a 90-day supply - were sent out but when I looked online it indicated they were being shipped to me, 300 miles away. I immediately phoned OptumRx but customer service insisted that I was wrong and that they were being shipped to my mom. They insisted that what was in their records was not what I had seen online. I said it would be easy for them to just look at the USPS shipping profile for the shipment. They refused. They told me to stop being upset or they'd have to hang up on me.
I asked for another customer service person who said the exact same thing. Next I asked for a supervisor. The supervisor said the exact same thing, that I was mistaken, and that the meds were indeed being shipped to my mom. When I asked why they allow us to modify the shipping address online if that's not what is used for shipping purposes, she said that I would have to ask Tech Support. Two nights later, Saturday night, a USPS Tracking notification was sent to me and I saw it on my phone and clearly it was being shipped straight to me. It was 1 a.m. and I phoned OptumRx Customer Service once again. This person was actually decent and was the first person to look into the shipping records and said, absolutely, they are on my way to me, and told me the address, and yep! That was me. Not only that, but a 90-day supply of a 2nd medication had also been shipped to my address.
She said that she would request an expedited order of each meds to be shipped to my mom. The order would be processed and shipped on Monday and my mom would receive them on Tuesday. When the first batches arrived at my home, I should contact OptumRx and they'd send me an envelope and I'd ship them back to them for the credit. She also told me to call OptumRx Monday morning just to confirm everything. Monday morning I did call OptumRx but got a totally different story. THIS person said that only a 10-day supply of each medication was going out to my mother! This rep said that when I got my supplies, I should mail them to my mom and send the shipping receipt to OptumRx for a reimbursement. When the meds arrived at my home, that is, two batches of 90-day supply, I mailed them from the post office. They arrived at my mom's apt two days later.
Problem is that the "ten-day supply" was also a 90-day supply! Now my mother had two 90-day supplies of both meds, and Medicare would surely reject the claims and bill my mother or directly you! This time I went to corporate. Corporate put me in touch with somebody who wondered if my mom could ship the meds back to OptumRx. Sure. My mother has Alzheimer's and she's going to do this? And I am not going to pay an aid at $25/hr to do this, not when the whole mess was Optum's mess, and when the aid is supposed to be taking care of my MOM, not undoing Optum's mistakes, and when the reason I'm using Optum in the first place is to save my mother money and me aggravation!
Then he said that he would see if the pharmacy would certify that the meds would last 6-months and that if so, they would hold the 2nd billing for 3-months. He said he would get back to me today. The day has come and gone and although I've phoned three times, he has not gotten back to me even once. No messages no nothing. I'm pretty sick of OptumRx. Their customer service stinks. They are poorly trained and rude, and even the corporate level doesn't help. If you have a nice friendly corner drug store, stick with them. Next I'm going to the FTC. This company should NOT be dealing with medications and with sick and elderly people.
Reviewed April 26, 2016
I have been trying to get an RX delivered to my Doctor's office by OptumRX for months now. Literally months. I started this back in December. After I never heard from my MD, I called them in February and they said OptumRX needed my approval to ship the medication. The medication that I ordered. Then they shipped it in early March and the doctor never received it. I have called them. I'm not sure. 7 times at this point? I've spent literal hours on hold. They keep saying UPS can't find my doctor's office, which makes no sense. At one point they promised to ship the medication out via Fed Ex, but never did. At one time one of their "Resolution Experts" was supposed to call me back. Guess what happened. Oh, but meanwhile I keep getting sales calls from them about switching more of my rx business to them. Great! So I can't get any of my prescriptions? That's fabulous! Think of all the money I'll save!
Today I called them, Sat on hold 33 minutes (you pretty much have to sit on hold, they've never called me back.) They assured me they had "fixed" the doctor's address that I have verified numerous times and the doctor would have it tomorrow. We'll see. I don't even know who to complain to. I guess my company's HR people, although I don't know if they'll care. TL; DR: If you are in a life or death medical situation and OptumRX is involved, you should make peace with your maker. As another reviewer said, they are anything but optimal. Maybe that's why they misspelled the word.
Reviewed April 26, 2016
The nightmare began when my husband lost his job on December 15th, 2015. I was under the impression that our current health policy would continue through the end of December. I was wrong about that. I placed an order for my son's extremely expensive growth hormone. It of course was not covered as my policy had ended. In no way do I blame the pharmacy for my insurance coverage being dropped. My complaint is about how they handled everything afterwards.
Had I known at the time that my order would not be covered, I would have cancelled the order. But Optum gave me no notification at all. First mistake. At the time, I also had coverage in a price assistance program run by the drug company. They would have picked up the bill. Optum assumed that they wouldn't, since I didn't have insurance. I guess many companies will not. But they didn't even check. They billed it to cash, and sent a paper bill two months later. Second wrongdoing was not even checking into the assistance program. I had a pharmacy benefits card with an ID number, group number, and bin number just like regular insurance. They had it on file and could have attempted to run it through. That's the problem -- they didn't bother to try.
When I got the paper bill in April, several months later, I contacted the assistance program. They said they would be happy to cover it. They just need a detailed claim that included the date of service, medication, name, and patient ID info. The bill they sent only included the account number and balance on the account. I called Optum to have them send the claim/invoice that the program needs but they outright refused. They claim they never do invoices. What a load of crock. What sort of crap business doesn't send out invoices? This is a very shady, corrupt company. I call BS on their practices.
The bottom line is that without the invoice/claim info that the private drug program needs, they will be unable to pay the bill. Then I will be expected to come up with over $1800.00. Yeah. Because people have that kind of cash lying around. Never do business with OptumRx, or their partner United Health Care if you can avoid it. The only thing needed is for them to send a manual/paper invoice/claim. How hard can that be? Swindlers!
Reviewed April 19, 2016
I called up on April 11, 2016 informing the pharmacy that I had lost my insurance and am currently using medicaid. I was sent a pharmacy discount card and asked if we could use this. I gave the CSR the information on the card and was told to wait at least 2 days before I called back to see what the discount was. I tried to transfer my prescription to a local Target but was told they could not transfer it to another pharmacy. I called back on April 19, 2016, the current CSR informed me that there was no record in my account of the previous call except that the call was disconnected. After spending close to an hour on the phone it was discovered that I could transfer my prescription and that the discount card and the medicaid insurance is not accepted. $280 for a 3 month generic prescription.
Reviewed April 16, 2016
I am forced to deal with OptumRx because my husband belongs to the Transit Workers Union (Local 100). The company and workers are very unprofessional, incompetent. I have had problems with them numerous times in the past, but today, when I followed up with the 3 prescriptions faxed in by my Pulmonologist on 3/30/2016, I was told by one of their representatives that my prescriptions were cancelled because, when they tried to contact my Doctor (about a question they had) they were told he was on vacation. The prescriptions were faxed in at 2pm while I was still in the office and my doctor was in the office that day until 6pm. He was scheduled to leave for vacation on Saturday 4/2/2016 and had office hours all day on Thursday 3/31/2016. I have chronic asthma and these prescriptions that were ordered enable my to breathe on a daily basis.
When I asked the OptumRx representative "what was the date that you tried to contact him? And what the reason was?" I was told that they were unable to give me that information because my file was closed due to the cancellation. I then asked the representative why I was not contacted immediately via phone or by physically mailing me a letter, that my prescriptions were faxed to your company over 2 weeks ago and that someone should have given me the courtesy of getting in touch with me since I need my medications to keep me alive. All the representative could say was she was unable to answer my questions due to the fact that my prescriptions were cancelled. Then the representative told me to have my doctor give them a call when he returns and he is going to have to re-fax them again.
I am very irate that the person(s) who was working on my order did not even have the decency to contact me or give the doctor a follow up call to see if he had returned. From past bad experiences with OptumRx I always follow up to see what the status is whenever I am prescribed medications because of the lousy service and incompetent representatives that they have working for them. This is the last straw, OptumRx should not be allowed to get away such inadequate service. Please look into this matter. Thank you.
Reviewed April 16, 2016
My situation started at the end of 2014 when my spouse asked for a refill on his medication and this one medication he had to have in Name brand only and they sent in generic although we were never told it was going to be changed and after taking the medication for about one month we noticed that the medication was not working. So we went back to the doctor and he said that changing to generic on this medication would cause problems so our doctor send another prescription to them name brand only.
We got a call and the pharmacy said in Dec 2014 that we owed them money from June of 2014 we needed to pay which is concerning since every time I order I had to pay upfront and never once between Jun and Dec 2014 did they say anything about it.. Hmmm and then when I called to order for this month and paid again upfront same day over 100.00 they emailed me a few days later to call them and they would not be able to ship my order until I do.
So I called. Spoke to a customer service rep who was not happy with his job it seemed and we finally after getting a manager to look at my account came to the understanding that I had already paid on the day I called in for the refill and I informed him that this was not something that should have held up the process of shipping out the medication since it was an issue on their end anyways and this had been an ongoing issue of always having problems when I tried to get refills. And at the beginning I informed him that I did not have the money in my account and not to run my card and he did anyways. Now I am in the process of trying to get my money back and the overage fees that were also charge since I did Not have the money in the account. This has been so frustrating and I hope No one has to go through this.
Reviewed April 16, 2016
I am technologically confident, but I have never encountered a less user-friendly online refill system than OptumRx. Whoever designed their system needs to be sent back to school. After trying to log in for over 20 minutes and getting different, conflicting messages, I just gave up and will end up calling their 1-877 number tomorrow. What a disappointment. UnitedHealthcare (AARP Medicare prescription drug plan) uses OptumRx. Regrettably my former prescription drug plan stopped carrying my drug so I had to change Medicare Part D coverage and my mail-order pharmacy. I miss my old plan that offered easy, quick, error-free online ordering. OptumRx needs to really upgrade their online footprint.
Reviewed April 16, 2016
So I have high blood pressure. I've decided to take it seriously this time by going to my Doctor and taking the medicines he prescribed. Everything was fine until he wrote me a second 30-day supply. Of course I opted to pay the higher premium so there would be little issues. Boy was I wrong. My pharmacy won't fill it because Optum won't cover it. I called Optum and explained that we were tweaking the meds to work for me but they still would not override it because it is not a 90-day prescription. Now they were sorry but assured me that once I get that 90-day script they would cover it and at least I wouldn't have to go back to the pharmacy for three months. A lot of good that is doing me now when I need that medicine and could cause complications if I just stop taking it. If your insurance uses these guys stay away!!!!
Reviewed April 11, 2016
In March the RX for my son was $256; in May it was $335 and in January the next year it was up to $611! Same RX, same count/number of pills. It more than doubled in 9 months... absolutely INSANE.
Reviewed April 9, 2016
Not user-friendly - online or by phone. Phone calls - put on hold several times. Transferred to person after person from "Lead" to pharmacist. Called to cancel a prescription (because of cost), OptumRx mailed it anyway. Billed me $125. I called and requested return pkg. Was told they would mail return pkg to me within "one to two weeks" (Really? It takes that long?). Customer service now tells me they have no record of my call to cancel.
Reviewed April 8, 2016
Signed up for Hassle-Free Refill and after two weeks went to their website to see if the "hassle free" Rx had been filled and sent. Not only was it not sent but since I signed up for "hassle-free" there was no way for me to manually initiate the process. Forcing me to call to get the Rx filled. Hassle-Free cost me 45 min and if I did not investigate I would have run out of medication. Not the first time I have had issues with Rx refills. In fact in the 9 months I have been using this company, never have they got a Rx correct.
Reviewed April 6, 2016
I started using the mail order option mainly for savings and because they advertised hassle free prescription fills. It has been anything but hassle free. This last time, I mailed my RX as instructed on the 21st of March. I'm in Texas and the RX goes to California. It's now been almost three weeks and every time I call pharmacy support they keep saying "just wait, give it a few more days to arrive." I know I get things by USPS in a day from Montana, but somehow it has taken three weeks to travel a few states over?! The last time this happened the postal service showed delivery within 2 days, my biggest gripe has been the personal information you have to include on the mail order slip. I just want to know if I need to cancel a credit card because it's in the wrong hands?!
They've been NO help and God forbid your life depend on these medications because they take their time processing it. I am currently trying to find another mail order pharmacy, I'm to the point of switching insurance companies if this is my only choice. Not helpful and certainly not hassle free. Worth it to fill at local pharmacy and get back same day!!!
Reviewed April 5, 2016
My company insurance switched to this company a few years ago and it has been a nightmare since day one. I am a diabetic and they are constantly mishandling my insulin prescriptions. I'm calling constantly to get things in order. I'm told that the order will be expedited then I still have to wait another week for it to arrive. This making me have to call my doctor to call the local pharmacy to have much-needed insulin that costs a lot of money when I have to pay for it twice. I wish there was another option to use because this company will be the death of me.
Reviewed March 31, 2016
They have a bad habit of holding prescriptions without processing them until you call and remind them. A relative needed some life-saving medication (chemotherapy drugs) and they were not shipped until she called to complain, where they grudgingly agreed to overnight "just this once". She wound up switching to a local specialty pharmacy and paying a lot more - she couldn't risk it again. When we were switched to Optum for mail order, I sent off about 5 prescription forms. One of them confused the people there, so they held ALL the prescriptions, for WEEKS, until I called them. No communication whatsoever. And much the same thing happened recently with my daughter: she mailed 3 prescriptions. Two were filled. The third was not - with no explanation. She's just run out of the medication. Bottom line, OptumRx is fantastic as long as you don't actually care about receiving your medication on time (or, ever).
Reviewed March 31, 2016
I have tried to be patient with this company but they make it very difficult. When I call in a script or refill I get different status of the script from different people. Their prices seem to be much higher than other mail order pharmacies also. I get phone calls about a medication being sent out but no information as to what was sent. I call in and am told a certain med was processed and will be sent out shortly via a recorded message but when I don't get the script promised and call back I'm told I need a prior authorization by my Dr. and it was not being processed. I have been out of a certain med for 5 days now and I actually had a refill on it that was ok until June 2016.
My scripts get sent to me under the generic name with no reference to the Brand name, like a 74 yr. old woman can remember the generic name. This company should be shut down. They seem to do everything wrong. Mail order is supposed to be cheaper, but the aggravation is not worth it. When I finally read other people's reviews and they all felt like I do, I was relieved to hear it was not just my bad experience with this company, they just don't have their act together.
Reviewed March 29, 2016
I was misled by this company. After their deceptive practices, I agreed to get my medications from them. They are a joke, and I have yet to receive any medications from them. There is always a problem. They are not an honest company, and I am sorry to have wasted my time thinking they were legitimate! Stay with your local pharmacy.
Reviewed March 27, 2016
The worst. User name and password don't work even though I constantly reset them. Responses to email saying I have a refill due never work. Their website is always down for update, repair or something else. There is NOTHING good about OptumRx! United Healthcare: BRING BACK EXPRESSSCRIPTS!!!
Reviewed March 23, 2016
I have been working with OptumRx since January to be able to afford two of my prescription that as of Jan 1st went to tier 4 drugs. My doctors have sent in appeals and phone calls to get tier exceptions and they either deny them or never received for appeals. I have never received such poor customer service and a company that refuses to help the consumer. The drugs are Restasis and Myrbetriq.
Reviewed March 21, 2016
I ordered diltiazem 60mg to be taken three times a day which would have required no co-pay. Instead I was sent diltiazem 180 mg to be taken daily and was charged $117.34. I called and was told there was nothing they could do about it! I'm really afraid they will do this again by automatic renewal! They put this charge on my credit card which they had on file from previously. I just received my credit card statement so haven't paid yet. There was no authorization to put this on my credit card.
Reviewed March 18, 2016
I have been using mail order pharmacies for many years now but, since my husband got a new job and his Ins was changed to UnitedHealthcare we were forced to used OptumRx instead of our neighborhood pharmacy in order to receive 90-day scripts. The first scripts that were faxed over from my Dr's office were completely screwed up. I got a call stating that they received the scripts and wanted a credit card number and quoted me the price. I waited for 2 wks and called to see where they were in the process as I was starting to run low. I was told they never received the scripts. I was irritated and told the girl on the phone that she was wrong because I got a call from them stating that they had the scripts and had gotten a credit card to charge the price for them.
She politely told me that she would need to call my Dr's office and get the scripts. I could go to my neighborhood pharmacy and pick up a 30-day supply of the medications to hold me over in the meantime to which I was pretty angry stating that it defeats the purpose of trying to save money on copays if I have to pay for three 30-day scripts just to turn around and get charged for three 90-day ones especially when I knew that they had the scripts 2 weeks prior because they called me. The very next day I got 2 of the scripts in my mailbox right after I got home from picking up the scripts from Walgreens so you can bet I was pissed.
Another month went by before I ever saw the other medication and I kept getting a call from their pharmacy with a recording that said press #1 for a message. I pressed #1 and got absolutely nothing. So I called to see what the heck was going on. It took them over a half hour to tell me my medication was on back order and that I should have gotten an e-mail. I didn't, nor did I get a phone call and now I needed another 30-day script. I finally got my 3 medications on track.
Last month I got a script for Axert so I called to see how much my Ins would allow and how much it would cost. I was quoted 84.00 for my script of 12 pills. So I decided to go ahead and get it. Well I got my 3 refills and a note stating that they needed to speak to my Dr about the Axert and they were unable to contact him. They didn't try very hard because they have a dedicated line for messages and they take faxes from the pharmacies but, I called for them. It took 5 weeks to get that medication and to my horror the price was 175.00 and of course it was charged right to my card on file. I called extremely pissed off and was told that all calls are recorded so I told them to listen to the call they had the date on their computer when I called them.
I was told that I could have purchased the medication retail cheaper than paying the copay with them but also the girl that I spoke to had given me the completely wrong price. All I got was "I'm sorry" and "We will take your complaint and have her re-educated." Well I did some checking after getting off the phone and the only good thing that came out of that call is the fact that I can buy that medication cheaper online somewhere else. In fact I can buy 30 of them for 85.00 vs the 175.00 they charged me for 12. This place is nothing but a customer ripoff and pocketing your money with no customer service whatsoever. Take my advice and take your business somewhere that appreciates it.
Reviewed March 17, 2016
On 2/28, I placed a mail order prescription renewal for several medications. Customer Service on 3/7 informed me that it was still being processed and that I had to request a mail serve not received override from the local pharmacy for a week supply until I received my mail order. The local pharmacy found it difficult to contact OptumRx to process the override. On 3/16, I had not received the prescription mail order and was told again by Customer Service to get another mail serve not received override. After being on the phone for 45 minutes and transferred to multiple departments, they told me an investigation into the delivery would take another 3 more days before someone would call me back.
Customer Service informed me that I could not cancel the order until 3/24 to purchase another 90 day supply from the local pharmacy. In other words, OptumRx stands by their practice not to provide timely processing and delivery of medication to their customers. Customers have to wait 25 days from ordering to canceling mail orders before they can redirect a 90 supply of medication to a local pharmacy.
Reviewed March 16, 2016
I have been trying to get a prescription ordered by my Dr. for over two weeks. The prescription is for 4 shots of Aranesp as I have Chronic Kidney Disease and get extremely anemic. The pharmacy only wants to give me two shots which will not help in my situation or the Dr would have only prescribed two. We have been fighting them together, my Dr has personally called and appealed this over 20 times on the phone and fax as have I. We have probably spent more than 30 hours on the phone between him, his nurse and myself.
This is a joke that I have insurance, that cost me an arm and a leg and can't get a medicine that is prescribed by my Dr. I have been at a low 6.8 % hemoglobin which should be 12-14 and have been extremely tired. This also is life threatening as the Hemoglobin is the major substance in red blood cells, and its level indicates the blood's ability to carry oxygen throughout the body, if this does not happen, the organs can fail due to lack of oxygen, mainly the heart. So I guess I just get to die waiting for a medication that I just won't get enough of. Thanks United Health Care!
Reviewed March 16, 2016
I submitted and paid for my prescription renewal on 3/4. They were mailed out 3/7. Today is 3/15 I still don't have my prescriptions. I was told "not our problem. Here is the tracking #, call the USPS. This is your problem now." Me to them: "You can't send prescriptions as junk mail to be delivered whenever and then wash your hands of the process." Them to me: "It left California and now is in White plains NY (I live in Chicago). No estimate on delivery time. But good news, we will send out new prescriptions 10 business days after shipment. (We'll ignore the fact that the P.O. does business on Sat.) So that means the 19th but we don't ship on Sat. So it will be Monday the 21st."
Me to them: "Wait, 10 business days (even if you ignore the fact that the P.O. does business on Sat) is the 18th, Fri. You do ship Friday right?" Them to me: "We don't count the first day of shipping." Getting the picture? They don't care if I live, die, or go to hell. One of the least caring companies that I've ever dealt with and this is an area where they really should care.
Reviewed March 15, 2016
Where to begin... I receive messages from OptumRx that my prescription has been called in and filled and then never get the meds. I call to find out, "oh you have to call to ok refill, even with a CC on file." Why have a CC on file? Prices are extremely high, even on generics. Most irritating - their policy is to provide meds with an expiration date 6-9 from ordering. That is old stock to me. I have used Medco and CVS mail order for 20 years. Prescriptions were always good for a least a year or longer. OptumRx uses old stock. I was on hold for 45 minutes when I asked for a supervisor. They never picked up. Policy is no one will call you back. The customer is treated like crap. I hate OptumRx.
Reviewed March 13, 2016
I've had Optum about 3 years off and on. Usually, the worst experience I have is they keep calling about meds I don't need refilled yet. But, on February 23rd, I contacted customer service by phone to order a med that had no co-pay. At the end of the call, the representative said, "I won’t be needing your credit card today, since there is no charge for this order." On the 25th, I checked online for the status of my order, and found to my shock that another medication had been added somehow. It was a medication I have not been on for several months. For this medication I was charged $76.00 and my plan was charged $953.09. I'm on Medicare. Medicare has a "doughnut hole" in which you get no coverage after using up about $4K of coverage - which includes both what you pay and what your plan pays. So, I stood to lose $1,000 of my coverage for a med I can't use. Not to mention it would go to waste.
Since I knew the representative I had spoken to was clear on the fact I’d only ordered one medication without any co-pay (due to her statement I owed nothing) I immediately contacted customer service when the package arrived, and did not open it. The young man I spoke to told me that I had definitely ordered the medication via phone and thus could not return it! I told him I most certainly did not order it and then he said there was no way it was sent without either me or my doctor ordering it. Really? There was a record at Optum's online site showing that med, and that it had refills. Why was it "impossible" that someone from Optum accidentally added it to my order? I was hot at being accused of not knowing what I was doing, or, worse yet, lying. I reiterated that I absolutely did not order this expensive medication that I don’t even take anymore.
I kept insisting I didn't order it, and quoted the first rep as saying she didn't need my credit card since the med I did order was at no charge, and he handed me over to someone else who told me that the policy was no returns, and if I was adamant, they would look into it and call me back. They might or might not allow me to return it for credit. You betcha I was adamant! I asked if they recorded calls and they said yes, but they might or might not have a recording kept of my call. I could only pray they had it. They never called me back, so I wrote a letter to the corporate office and later one to Medicare. I finally received a return label, to my great relief. I guess I never will know if they found that recording, but I think they did.
I don't think that any prescription outfit should be able to deny seniors returns of unordered, unopened medications by way of policy. It seems they get away with this at present. I find it unconscionable. So what if I had been forgetful or not on top of things and ordered that med? That happens to seniors all the time. Why should they be able to take advantage of that? What skin is it off their nose if I return it unopened? I think from now on, I will stick to going to my local pharmacy. I don't want to take the risk of this happening again, and them deciding that their error was mine.
Reviewed March 12, 2016
My doctor prescribed generic ** for me on March 3, 2016. I have been calling OptumRx daily since the 10th to find out why my prescription is still listed on their website as 'processing'. I have had calls that took me to somewhere in India, only to be told their computers were down and to call back hours later. I have had calls answered in the US, being told the medication had been mailed out, only to call back in the evening and be told, "I don't know who said that because it hasn't gone out, but it will go out today and you will receive it tomorrow". That was 3/11 and no medication delivered.
I called again and was told that it had not gone out, but was going out this very day (3/11) and I would receive it 3/12. I was assured that the website would reflect the fact that it was on its way. So here it is 3/12 and the website still says 'In Process'. How can this company continue to do business with a track record of lying to consumers? Our health is at stake and yet nothing seems to be done! How is this possible?
Reviewed March 11, 2016
Need all prescriptions pre-authorized regardless of time frame. I have taken said prescription. Same doctor same medicine. Representatives at this company cannot or will not help with answers regardless if it's the member, the pharmacy or the doctor. They also have computer issues that I am told slow down answers and coverage info for the doctors and pharmacy. Their only response is to hang up and call back to talk to a different customer service rep. So that means another 30 minutes or so to talk to someone else who is just as unhelpful as the first person.
Reviewed March 10, 2016
I have spent over 3 hours on the phone today trying to get my family's RX needs taken care of. I was told by our plan administrator that we could opt out of mail order as I wish to pick up all of our RX at our local pharmacy, having had SO many problems with mail order in the past (wrong RX, overcharging, inaccurate pill counts, RX arriving late or not at all, etc.) Today, I have been cut off twice on the phone, spent over one hour on hold, had to endure endless, repetitive questions, been given false/inaccurate information about our plan parameters, etc. I was told by a customer service agent at OptumRx that I had to speak with a "Prior Authorization Technician" to get forms faxed to our physicians' office for them to fill out, authorizing them to cover our RX at the local pharmacy. When I FINALLY got through to the PA Tech, I was told that this was incorrect, and our plan didn't allow for this at all.
Called our plan administrator, and was told, "yes, it is allowed." Called OptumRx back, and was told that I needed to fill out an Opt-Out form online, but that it wasn't available yet. WASN'T AVAILABLE YET??? Several hours later, I received a call that the form was available, and proceeded to have everyone in my family opt-out out of mail order, hoping this was the end of all of this.
Later this afternoon we received an email from our plan administrator stating that as of March 1st we were no longer required to go through mail order and didn't require an opt-out form. I called OptumRx back about this, asking why, when I had my RX refilled on MARCH 3RD, it was denied, when my as of March 1st, I was eligible to go to my local pharmacy for all our RX. OptumRx had no answer other than "we must not have updated our system yet." My pharmacist actually called OptumRx on March 3rd and was told we were not covered except for mail order. Now I have to fill out copious forms, get the pharmacist's signature, and tear the labels off of my RX bottles (receipts aren't good enough) all in order to get reimbursed by OptumRx for something that I should not have had to pay for in the first place and wouldn't have if OptumRx system was updated with current information.
Reviewed March 4, 2016
It's funny, the warning on this forum says to be accurate (I am) and fair (I am) in my comments. Optumr\Rx is anything but FAIR! We have had the same insurance for 20 plus years and have been incredibly fortunate. On 1/1/16 that all changed when my husband's employer chose United HealthCare. I can truly say we had been spoiled and now understand nightmares we have have heard about. Our daughter had a transplant in late 2014 and some complications in late 2015. Needless to say, we have used our share of healthcare services over the past 20 years due to her health. However, never once was a claim or medication questioned. We always knew we were covered and we would not have issues at the pharmacy.
Then 1/1/16 came and our lives changed. I have spent COUNTLESS hours on the phone with OptumRx. I have heard more lies than I could ever begin to repeat. Her transplant team has spent hours on the phone too with OptumRx. Amazing how some phone operator can tell a world renowned transplant surgeon he is wrong. HUM! Then there is the turnaround time on these meds. I am still waiting for them to send a medication that is three weeks past due. I read reviews here saying that they were being charged without permission. We just wish they would send her medication and not worry about calling us or emailing us every day about the cost. We know the cost is exuberant but we also want our daughter to live.
We have had 6 copies of the same approval letter mailed to us, how is this cost effective? We get computer-generated phone calls from them asking us to hold for their call about her meds and then they come on the phone line and tell us they didn't call us, why are we calling? They have hung up on us. They will say anything they can to get you off the line. They used the wrong address and blame it on United HealthCare files yet United HealthCare doesn't have that address anywhere in their record. I could go on for days, but you get the picture. I feel for anyone dealing with an ill child or ill themselves with serious medical issues that have to deal with this company. However, I will not be a consumer that just goes away. THEY WILL NOT WIN when it comes to my daughter's healthcare/pharmacy needs.
Reviewed March 3, 2016
My physician sent prescriptions to OptumRX. As a registered nurse I know my medications, and exactly what the physician ordered. For my own privacy I cannot name all the specific drugs, but one was a blood pressure medication. My doctor wrote for Atenolol 50 mg one daily, which would cost me about $4.00 for a 3-month supply. OptumRX took it upon themselves and called my physician and asked if he would like me to be on Metropolol 50 mg XR. The physician agreed to the change, now my medication costs $60 for a 3-month supply.
I needed to contact my physician and have this changed back to Atenolol. Another medication the physician wrote for twice a day and OptumRX called my physician and again changed the original order to once a day. The third medication was written as 1 mg 3 times a day, and again OptumRX called and had the order changed to 0.5mg twice a day. It is my understanding that a pharmacy dispenses medications, they do not prescribe medications.
My physician's office has been called by OptumRX numerous times, not for order clarification, but to dictate what they want the physician will prescribe. The numerous phone calls take away from the in office patient focused care. They are a distraction to the office staff, and create needless work. I do not want to become known as the dreaded patient with the horrible pharmacy. If this continues my physician may opt out of seeing patients with OptumRX as their pharmacy.
Reviewed March 3, 2016
I feel like the people handling the prescriptions just do not care about other's well being. My heart doctor sent my Losartan prescription over in early February. It's now March and the first time I called they say they didn't get the Rx over the internet. The second call they said they got it. I haven't received it yet so I called again and the third time I called they said it was canceled and they had a Rx of Lipitor for me. That's not even a medication I've ever taken. I order the same Rx every time.
So my choice is to run out of my medication in two days and wait for them to get the order right which sometimes takes up to 3 wks for them to send out, or for my doctor to send my Rx to my nearby pharmacy and pay full price. OptumRx obviously doesn't care if I have a heart attack or have a fixed income. Way to go Medicare!!! Do you know you are sending us to a faulty company that doesn't care about seniors. Optum must not be making enough money on my Rx. They make something that should be so simple, so hard. Seniors have enough problems as it is.
Reviewed March 2, 2016
I have told them numerous times "do not send me the prescription my dr ordered for Spiriva", I told them I do not have that kind of money. The Dr prescribed it back in November of 2015. February 22nd, 2016 I received a package in the mail with the Spiriva in it and a receipt that they charged my card $275.00. I immediately called them to tell them I have told them NOT to send it and they did anyway and charged my card. I said I wanted it credited immediately. (On Jan 25 I gave them my debit card # for a script for my husband that cost us $350.) Not I'm not sure if they took this $275 from my checking account or put it on my credit card as they had both numbers. Had they taken it from the checking account what if I didn't have that kind of money in there to cover something I didn't order.
After waiting for over 45 minutes on hold for a supervisor I talked to Kayla who assured me she would make sure that card was credited within 24-48 hours. Called again March 1 and was told I have to wait for a KIT to return it then I will be credited. I had my insurance plan member call them and in a 3 way call I was told they have to follow procedure and I won't be credited until I mail the medicine back, BUT I have to wait for a KIT to come to my house. Since I rec'd the medicine until today March 2, 2016 and no kit yet and no credit to my credit card company. They didn't follow MY procedure either by sending me a medication I have told them I did not want way back in November. I'm thinking of getting in touch with either the Attorney General's office or my lawyer in regards to this problem.
Reviewed March 2, 2016
Because of a change over to the United Health Marketplace Insurance, our prescriptions needed to be transferred to OptumRx (a bit of a misname since they are anything but optimal). My first attempt to transfer my standard prescriptions cost me over an hour on the phone trying to understand how I could transfer my CVS prescriptions to their mail order service. I finally gave up, went to Kroger's, and they quickly called CVS and had my scripts transferred no problem. My wife needed a prescription through their specialty pharmacy, and after talking to CVS she was told OptumRX needed to call them and they would transfer it.
OptumRx refused to call CVS saying that she needed to have CVS call her or her doctor could write another prescription. This is after 10 minutes on hold and being disconnected, then calling back. Is it any wonder that our insurance costs are as high as they are when it takes days (if not weeks), doctors, pharmacists, and many phone hours to do something as simple as transfer a prescription (which by the way our Insurance company was United Health for the past 10 years). It is one thing to pay for insurance, but another to pay for incompetence.
Reviewed March 2, 2016
I have given this company numerous opportunities to follow through with some type of reliable service. I will wait patiently for days and days to get correspondence about the status of prescription that I mail to them (I know they receive it because I send it with tracking information). Finally, I end up calling and get told they will put in a rush to process it and ship it out. Again, I will wait patiently to receive it and get a shipping confirmation. Still, I get nothing. I call back and go through the same explanation over and over and over again.
The company has an EXTREMELY DISCONNECTED system. The turn around time for me to get my prescriptions ends up taking 1 MONTH. One person with the company tells you something, then you call back and get different info. There are too many delays with prescription processing. If I could go across the street to the local pharmacy, I could get it in an hour. 1 month processing time, including multiple phone calls and delays is ridiculous for a prescription.
I pay for overnight shipping every time. For some odd reason, they always wait until Friday night to ship your prescription out, so you won't get it until Monday night. That is not overnight shipping, and I know UPS delivers on Saturday and Sunday. It doesn't matter when they receive the prescription on their end, if you look at my account, they always (without fail) wait until a late Friday night to ship it out.
I would never use this company if it weren't for my insurance company requiring me to use them as my mail order pharmacy. Again, I have been more than patient with OptumRX. I have unfortunately had to deal with them for almost 2 years, so it's not like I'm just formulating this review based off of one experience. It has been MULTIPLE stressful experiences and wasted time. Terrible company. I would not use them if I had other options.
Reviewed March 1, 2016
I have been with Optum for years!!! Have taken the same medication since 2005, same insurance for years!! My copay for my armour thyroid 90 day went from $14.00 to $80.00!!! Are you kidding me!!! Who can afford this!! I need this medication to live and they said they review all name brand medications every year and adjust the price??? This is an outrage!!! I cannot take a generic due to allergies and they are just plain sick with how much they upped this cost of this medication!!! We are paycheck to paycheck and this is not ok!! I will go as high as I can to do something about this!
Unbelievable what these pharmaceutical companies get away with!! My husband works his ** off so we can have good insurance and this is what we get??? They up the price of my medication $66.00 because they felt like it?? Because its a name brand?? It's been a name brand for many years!! Just another way to screw us!! If the copay is $80.00 how the ** much is actual cost of this!!! Without this medication I will die... So now what?? We can't afford this now!!!
Reviewed Feb. 29, 2016
This company should be shut down! My fertility Dr called in a medication for me that I medically needed to sustain my pregnancy. The medication is covered by my insurance and I have used it 2 years ago. When the pharmacy tried to bill them it was rejected despite it clearly being covered. I spoke to multiple reps telling me it was covered. So my Dr called it into the pharmacy I used the last time it was filled. Same problem! Rejected despite it being covered. After spending 4 days trying to get the issue resolved on Friday I was told it needed to be ordered through their pharmacy in order to be covered since it was a specialty medication.
Then I'm told that it won't be sent out until the following Monday and I wouldn't receive it until Tuesday. So I said I should just sit and wait and pray I don't have a miscarriage because of your guys error and incompetence. I was then told I could call around pharmacies in my area that had it in stock and pay $140 out of pocket and be reimbursed. By the way this is Friday evening! So sure enough over the weekend I had a miscarriage and lost my baby. Then this afternoon they call me and tell me they can arrange to have it sent out and my copay is $10! So basically I had a miscarriage for $10!! I am furious this company is so incompetent and has people's lives in their hands. They should be shut down immediately!
Reviewed Feb. 26, 2016
My cousin is a Medicare counselor, and together we chose this plan for my Part D prescription. I only take a few prescriptions, and Prempro is the only expensive one, which is why we chose this plan. It specifically stated that it covered this medicine. Now they say they won't - not recommended for people over 65. Excuse me? This is medicare! They keep denying another prescription I have taken for three years without ANY side effects. I actually tried one that they suggested and had a very bad reaction. But according to them I have to try the others. OPTUMRX IS NOT MY DOCTOR - THEY HAVE NO RIGHT TO PRESCRIBE.
Reviewed Feb. 24, 2016
This was my first experience with this company and the last. I requested refills for 3 prescriptions and received none. The only thing I received was an e-mail stating that I should receive one of them within 7 days of today's date. I called and requested refills on the 15th and was told by customer service that I would be contacted if my doctor did not respond to their request within 2 days. I was not contacted. So after I received the e-mail indicating it would be late, I decided to log into my account and check the status of my order, and what did I discover, I was only going to receive one of them. So, I decided to call and was told "your Dr. did not respond to our request, and one of your Rx is a controlled substance, and the order must be mailed in."
And also another Dr. also did not respond. I asked "why didn't you call me," as I was told by your rep, he said "we did." I told him "you did not." I should have been told from the beginning of my order that my Dr. has to mail in the prescription, and when I was in his office, I would have told him. These people are incompetent. I have been waiting for my medication only to discover I will not be receiving it. He then told me to call the Dr. I am done with this company.
Reviewed Feb. 18, 2016
I ordered three bottles of a prescription from OptumRx. They sent me one of the three I ordered. When I called and asked why I got charged for three and sent one they said there wasn't enough prescribed to me, but were still going to charge for me the three bottles. I asked why they didn't call to tell me there wasn't enough in the prescription to refill the order I had refilled with them (as they were the ones to call me to refill the order not the other way around). They said my doctor should have been the one to call. Meanwhile my doctor says they didn't get in touch with him whatsoever regarding the matter (even though OptumRx "claims" they did).
Because I no longer trusted OptumRx at this point, I called them to make sure the order went through once it was placed and OF COURSE it didn't and they now need my doctor to call a completely separate thing in order for the "placement to go through." Why they didn't call me when this issue came up instead of me having to call them to find out about the issues is beyond me. My doctor is now out of town and I can't get my order in time to take the pills. Which all could have been solved if OptumRx was transparent and clear and communicative. They are a terrible company and I learned the hard way to never use them again. If you're contemplating using them DON'T. Just go through your local pharmacy. At least you'll know what the deal is with your medication and not have to guess whether something is coming or not.
Reviewed Feb. 17, 2016
As of 2016 OPTUMRx became our family's prescription insurance because of a deal struck with my employer. Apparently this means that my doctor is no longer qualified to prescribe a medication I've been taking for over 5 years twice a day, although he IS qualified to prescribe it once a day for whatever reason. As I'm sure this policy has netted OPTUMRx additional zeros to it's bottom line, not only is it an outrageously bad policy, but the way and timeliness in which it was communicated to me and my doctor means I'm now without the medication I need. I'm sure the policy meets all laws and regulations.
So, only recourse is to ensure that my company drop OPTUMRx as a vendor, which I'm making every effort to see that happen. I'm also through social media and consumer advocacy, trying to make the public aware that OPTUMRx feels it's better equipped to dictate a member's medication and dosages than the member's own doctor. It's one thing to insist on generics, but dictating dosages and frequency is completely unacceptable and the runaround a member gets when attempting to ascertain why their medication is being denied just adds insult to injury.
Reviewed Feb. 17, 2016
Their pricing is triple what I paid last year with Express Scripts. So, I tried cancelling an order b/c I could not afford the nasal spray. I was told by the first rep that she did cancel it and the money would not be taken out of my account. 2 days later, they withdrew the payment. I call back in, I talk to a 2nd rep. He tells me that they could not stop the shipment in time; but that he would personally talk to the accounting group and have them refund my payment immediately; knowing that as soon as I receive the shipment; I would return it. None of this happens. A few days later, I am on the phone with a 3rd rep. She says they have delivered, even though I have not seen shipment. The rep says that a supervisor got involved and will approve accounting to refund my money. I asked to speak to a supervisor, I have to wait more than 10 minutes for them to tell me the supervisor won't talk to me.
So, I ask that the supervisor send me a written document (via email) that this will be taken care of. And she tells me that the supervisor won't do that. I have now been on the call for 37 minutes. I tell the rep that I can only trust her word at this point that this will be taken care of. She concludes the call by saying "If you would like to take my survey, please remain on the phone" and then she hangs up. Dial tone. (Exactly what I expected). It has now been one full week since the last time I spoke to them, still no refund. I am not surprised. I have received the nasal spray and am waiting for them to snail mail a return slip to me so that I can return the medication. If you have an opportunity to select who you get your prescriptions from, DO NOT, I repeat, DO NOT use OptumRX!!! They are incompetent and have poor customer service skills.
Reviewed Feb. 17, 2016
My wife has been trying to get a prescription refilled for three weeks. Kept getting emails to call customer service to resolve an issue holding up the refill process. She called, was told everything was fine, then the prescription never shipped. She would get another email saying call to resolve an issue, same thing. Turns out there were two different accounts. I asked how that happens, I can't create an account. Was told they don't know how it happened but they would have to have IT fix it, ask that we give them 48 hrs. and then try and get the refill again. That was Feb 5, today Feb 16 which is way more than 48 hrs problem was still not solved. Customer service agent got real testy with me when I asked for explanations as to why it can't be fixed. I am really disappointed with my company's choice of United Health Care and OptumRx. Yes United Health Care deserves a 1 star rating too, but I'll save that for their site.
Reviewed Feb. 13, 2016
All reps have headsets, so almost impossible to hear!! When my tier II price exemption for ** lapsed after one year, OptumRx failed to notify me (as required!), and then billed me the huge new price, without telling me about the 15x price increase. What swell guys. Bad for me: Good for the drug company. Will drop United Health Care ASAP.

Reviewed Feb. 7, 2016
My wife and I more than 5 years with the AARP Medicare D insurance, and we'll definitely will not renew in December. This mail service company is extremely unreliable, and you may die either because your medication is not delivered, or of heart attack after dealing with them. My wife has been taking Synthroid since her surgery 7 years ago. Now even after 3 faxes and a phone call from her doctor's office they tell that: the medication is new; the customer is new; still they have no prescription. All there are plain lies. I called not less than 12 times, and the issue is not yet resolved. I can't imagine it is an American company. We have no choice but to go to a retail pharmacy that is more expensive. I've tried to complain to AARP - they do not take complaints.
Reviewed Feb. 4, 2016
Summary: Avoid this mail-order pharmacy as if your life depended on it. I had a heart transplant in 2005. I am not eligible for Medicare or Medicaid, so I signed up through the Marketplace with United Healthcare in January 2015. I re-enrolled with them in 2016. OptumRx is the go-to mail-order pharmacy for United Healthcare. As of today, 02/04/2016, I have had problems getting them to send me my anti-rejection medications for nine of the previous 14 months. That is to say, twice a month for the last nine months.
They insist that I am eligible for medicare, and so they deny my prescriptions. I am not, though if I were, I could walk into a Walgreens and walk out with my prescriptions. It takes between 2 hours and eight days (yes, eight days) to resolve an issue. Most of the time they have to do an emergency override at the last minute and send my prescription to my local pharmacy. Last month they informed me that I had used up my last emergency override. I find it amusing that they have an allotment of emergencies per customer. So far this year they have provided me with one of the four requested medications, and that was by way of my local pharmacy. To recap, OptumRx exists to provoke you into a heart attack. As a secondary consideration, they occasionally send out medications.
Reviewed Feb. 3, 2016
I always have my meds shipped over night so I know when they will be here so I will be here to sign for them. The last 3 times, they charged me the overnight shipping fee but sent it regular mail instead. Each time when I called to get credit back for the overnight shipping charge that they charged but didn't use they said that they would make sure to write a note in the file so this won't happen again. Well, that didn't work because it has happened both times I used them since then. Now, they are about the only pharmacy who does not accept e-prescriptions for my son's ADHD meds. Their website NEVER works, and their whole company seems antiquated!
Reviewed Feb. 1, 2016
This insurance is terrible. Our company just switched and they are denying my prescription. What is the point of having insurance?!
Reviewed Jan. 27, 2016
After receiving a letter in the mail telling me I could save over $1000 a year I decided to switch some of my prescriptions to OptumRx. It has been an absolute nightmare. I have been on the phone with them multiple times trying to get one particular prescription filled. They have said over and over that my doctor did not approve it. I have spoken to my doctor's office several times (twice today) and they have proof they did approve and faxed in 3 refills. I even had OptumRx on speaker with me so they could hear what my dr office was saying. OptumRx hung up on me after hearing me tell my dr office to leave this prescription at Walgreens.
When 3 months is up (OptumRx) refilled most for 3 months you can be sure I will be back at Walgreens. The time and effort I have put into this is unreasonable. They say there are no supervisors to speak with, however if you are insistent enough they will give you one (although that didn't help). I wouldn't even give this company a one-star rating. The worst.
Reviewed Jan. 25, 2016
The doctor up the prescription in. This company put a hold on the script which kept the script from being filled for him Saturday Sunday. Sunday and half of Monday we spent on the phone with them because the doctor called them at 8 o'clock Monday morning and okayed the amount to be lifted and this company's operator added an extra 20 on the Saturday so they wouldn't fill so Monday the doctor called them at 8:30 in the morning and said it was OK. Went to the pharmacy to get it filled and this company still had a hold on it and said we were only allowed 20 because of their operator put in on Saturday night and put us on hold for over two hours to try to find where the doctor called that morning my name.
Reviewed Jan. 25, 2016
Our company has signed up to have OptumRx as our pharmacy provider. They have been our provider since January 1st. In order to get pharmacy pricing you must be able to set a default pharmacy. I cannot set a default pharmacy and have reported it to our HR team at my company. I have also reported it to OptumRx 3 different times. I've talked to a supervisor in the IT department and apparently this is just a big joke to him. The team trying to fix the default pharmacy issues set mine to a pharmacy that is over 200 miles away and told their management it was fixed. The company is a joke.
Reviewed Jan. 25, 2016
Let's face it OptumRx is an e-commerce company selling millions of dollars of prescriptions. Their website is so broken it's a total joke. I'm embarrassed that my health plan uses them for mail order. Maybe someday the login will work and I can actually give them money. I wouldn't be surprised if they went out of business though.
Reviewed Jan. 22, 2016
This company is a joke. I mailed two prescriptions in to be filled and after 2 weeks had still not heard anything from them. I called and was told that they were being processed and would be in the mail promptly. I waited another week, and called them again. This time she would have them taken care of right away, and they would be overnighted to me and I would receive within the next couple of days. Well, guess what, they didn't show up again. So I called again, and was told this time that he could see the new scripts (that were still not processed), but were being held for verification of address. I have ordered from them for over a year, had not made any address changes in that period of time.
Asked to talk to a supervisor, was told they couldn't help either as there is no one there on the weekend and we would have to call back on Monday. Prescription was for my blood thinner. They really didn't care! Still no meds and a whole weekend without and who know when or if they will fill them. I AM DONE WITH THIS COMPANY!
Reviewed Jan. 19, 2016
This company repeatedly lied to my wife about filling her prescription. They kept giving her the runaround and transferring her to different people. For over a week they promised the prescription was being sent that day and then never sent it, and never called to say they were not sending it. They would promise that it was being overnighted and when it did not arrive they would say that they missed the delivery. Finally, after my wife was without her medication for several days I threatened to sue them, and a supervisor authorized us to pick the medication up at a local pharmacy as a one time convenience for us. They also had my wife's birthday wrong and said we could not change it. These people are illiterate, incompetent, and dishonest.
Reviewed Jan. 12, 2016
I submitted a prescription Rx claim for reimbursement that was denied. The form letter that I received from OptumRx stated that my claim was denied since I had failed to provide specific information. I keep meticulous records and saw that no, I HAD included the supposedly missing information in my reimbursement package.
When I spoke with the OptumRx customer service rep she said that she could not provide me with a phone number for the claims denial group. She said she could "send a form" to them on my behalf. I said "but don't you work in the same company as this other department? Isn't there a company directory that would list the phone number for the department that denied my claim?" "Oh no" she said. There is no such listing of phone numbers. I then responded that I knew how this would work: she would send a form on my behalf and then I would get another response saying that too much time had elapsed so my claim would be denied again.
I then asked to speak with her supervisor, a person named Latoya, who then cheerfully responded that no, she could not provide a contact phone number but that I could send a letter to United Health Care's Appeals and Grievances Department. I said why would I want to do that as I wanted to speak with the group that denied my claim. I said there needed to be some accountability by the group that said I had failed to provide requested information while I indeed HAD provided that information in the first place. So Latoya said that was all she could do - just refer me to United Health Care's Appeals and Grievances Department's PO Box.
What a scam. So you do the right thing, fill out the pages and pages of forms, provide all the requested information and then some anonymous clerical worker doesn't do his or her job and then you, dear consumer, have no recourse beyond sending more copies of your already substantial paperwork to yet another PO Box where yet another clerical worker will... screw up and screw you. But those investor profits keep on growing!!! Way to go OptumRx and United Healthcare. Oh and Latoya, someday you will need health care coverage and help and just know that one day you, too, will find yourself in this kind of infinite loop of for-profit health care insurance insanity. Just know that I will be out there somewhere laughing and wishing you a great day!!!
Reviewed Jan. 11, 2016
I was sent a letter from AARP MedicareRX plans through UnitedHealthcare stating that I could save money by using OptumRx mail order service. When I ordered the medication, there was no dollar amount next to the item. I just received the medication this morning and find that the cost was twice the amount than I paid for the exact medication through Walgreens Pharmacy. I called Optum and they stated I could not return the medication, even though it was twice the amount I would pay elsewhere. They stated that since I ordered it (which were their instructions) via the internet, that I could not return the item. I am disputing the full amount and would be happy to return the unused item to them but they refused my offer.
Reviewed Jan. 8, 2016
I have to track all conversations in a spreadsheet, along with order #'s & costs quoted to me. I can't get 3 Mo. prices at local drug stores because United HC has a monopoly on that. If I want a price break, I have to go through their pharmacy FUBAR.
Reviewed Jan. 5, 2016
I am trying to use their specialty pharmacy for a medication I need to take once every month and it has been an absolute nightmare. I am on the phone with them every day each month trying to figure out what else they need know to send a prescription one at a time every month. Insurance company no problem, drug company no problem. OptumRX = DYSFUNCTION.
OptumRx (formerly Prescription Solutions) Company Information
- Company Name:
- OptumRx
- Website:
- www.optumrx.com