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OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

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


Visit www.optumrx.com/en

OptumRx Reviews

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    Page 13 Reviews 1580 - 1730

    Reviewed Jan. 31, 2018

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

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    Punctuality & SpeedEase of Use

    Reviewed Jan. 27, 2018

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

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    Customer ServiceOnline & AppStaff

    Reviewed Jan. 26, 2018

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 22, 2018

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

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

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

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

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

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    Sales & Marketing

    Reviewed Jan. 21, 2018

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

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    Customer ServicePricePunctuality & SpeedOnline & App

    Reviewed Jan. 20, 2018

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

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    Verified purchase
    Customer ServiceStaff

    Reviewed Jan. 19, 2018

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

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    Sales & MarketingStaff

    Reviewed Jan. 18, 2018

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

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    Customer ServiceOnline & AppStaff

    Reviewed Jan. 18, 2018

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

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

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

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

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    Verified purchase

    Reviewed Jan. 17, 2018

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

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    Customer ServicePricePunctuality & Speed

    Reviewed Jan. 17, 2018

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

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    Customer ServiceStaffProcess

    Reviewed Jan. 17, 2018

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

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

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    Customer ServiceCoverageStaff

    Reviewed Jan. 17, 2018

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

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

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

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

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    Customer Service

    Reviewed Jan. 16, 2018

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

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    Customer ServiceStaff

    Reviewed Jan. 15, 2018

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

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

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

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    Customer ServiceContract & Terms

    Reviewed Jan. 15, 2018

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

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    Customer ServiceCoverage

    Reviewed Jan. 13, 2018

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

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    Customer ServicePricePunctuality & Speed

    Reviewed Jan. 13, 2018

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

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    Customer ServiceCoverage

    Reviewed Jan. 12, 2018

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

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    Customer ServicePriceStaff

    Reviewed Jan. 12, 2018

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

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

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    Reviewed Jan. 10, 2018

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

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    Online & App

    Reviewed Jan. 10, 2018

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

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    Customer ServiceStaff

    Reviewed Jan. 10, 2018

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

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

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

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

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

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    Reviewed Jan. 10, 2018

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

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    Customer ServiceStaff

    Reviewed Jan. 9, 2018

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

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    Customer Service

    Reviewed Jan. 9, 2018

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

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    Customer ServiceStaff

    Reviewed Jan. 5, 2018

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

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    Reviewed Jan. 5, 2018

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

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    Customer Service

    Reviewed Jan. 3, 2018

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 2, 2018

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

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

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

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

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

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    Customer ServiceStaff

    Reviewed Dec. 31, 2017

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

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    Customer ServiceStaff

    Reviewed Dec. 29, 2017

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

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    Customer ServiceOnline & AppStaff

    Reviewed Dec. 29, 2017

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

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

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    Customer ServiceStaff

    Reviewed Dec. 27, 2017

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

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

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    Customer ServiceStaff

    Reviewed Dec. 26, 2017

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

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

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    Customer ServiceStaff

    Reviewed Dec. 22, 2017

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

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    Customer ServiceStaff

    Reviewed Dec. 21, 2017

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

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

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    Customer Service

    Reviewed Dec. 18, 2017

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

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    Punctuality & Speed

    Reviewed Dec. 17, 2017

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Dec. 12, 2017

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

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 12, 2017

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

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    Customer Service

    Reviewed Dec. 11, 2017

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Dec. 8, 2017

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

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

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

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

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    Customer ServiceStaffReliability

    Reviewed Dec. 7, 2017

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

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Dec. 4, 2017

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

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

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    Customer ServiceCoverageStaff

    Reviewed Dec. 4, 2017

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

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    Customer ServicePrice

    Reviewed Dec. 2, 2017

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

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    Reviewed Dec. 2, 2017

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

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    Customer ServiceOnline & AppStaff

    Reviewed Dec. 1, 2017

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 25, 2017

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

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

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

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

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    Customer Service

    Reviewed Nov. 23, 2017

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

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    Customer ServiceStaff

    Reviewed Nov. 19, 2017

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

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    Customer ServiceCoverage

    Reviewed Nov. 19, 2017

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

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    Reviewed Nov. 17, 2017

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

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    Customer ServiceSales & Marketing

    Reviewed Nov. 16, 2017

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

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 15, 2017

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

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

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

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

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

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    Reviewed Nov. 14, 2017

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

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

    Reviewed Nov. 13, 2017

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

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

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    Price

    Reviewed Nov. 9, 2017

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

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

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

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    Customer ServicePricePunctuality & Speed

    Reviewed Nov. 7, 2017

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

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    Reviewed Nov. 6, 2017

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

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    Customer ServiceStaff

    Reviewed Nov. 2, 2017

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

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

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    Staff

    Reviewed Oct. 30, 2017

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

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    Customer ServiceStaff

    Reviewed Oct. 25, 2017

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

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    Customer ServiceCoveragePrice

    Reviewed Oct. 24, 2017

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

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

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

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    Customer ServiceCoverageOnline & App

    Reviewed Oct. 20, 2017

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

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

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    Customer Service

    Reviewed Oct. 18, 2017

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

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    Customer Service

    Reviewed Oct. 18, 2017

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

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    Customer Service

    Reviewed Oct. 14, 2017

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

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

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    Customer ServiceStaff

    Reviewed Oct. 13, 2017

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

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    Customer Service

    Reviewed Oct. 12, 2017

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

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    Customer Service

    Reviewed Oct. 12, 2017

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

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    Customer ServiceOnline & AppStaffReliability

    Reviewed Oct. 11, 2017

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

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    Customer ServiceOnline & AppStaff

    Reviewed Oct. 10, 2017

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

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    Customer ServicePriceStaff

    Reviewed Oct. 9, 2017

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

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

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

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

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    Customer ServiceCoveragePrice

    Reviewed Oct. 9, 2017

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

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    Customer Service

    Reviewed Oct. 8, 2017

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

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    Customer ServicePriceOnline & AppStaffReliability

    Reviewed Oct. 7, 2017

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

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    Reviewed Oct. 6, 2017

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

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    Customer Service

    Reviewed Oct. 4, 2017

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

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    Staff

    Reviewed Sept. 28, 2017

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

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    Reviewed Sept. 26, 2017

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

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    Customer ServiceStaffProcess

    Reviewed Sept. 22, 2017

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

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

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

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

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    Customer ServiceStaff

    Reviewed Sept. 17, 2017

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

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

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    Reviewed Sept. 15, 2017

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

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    Price

    Reviewed Sept. 15, 2017

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

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    Customer ServiceStaff

    Reviewed Sept. 14, 2017

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

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    Customer ServiceStaff

    Reviewed Sept. 14, 2017

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

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

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

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    PriceStaff

    Reviewed Sept. 14, 2017

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

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    Customer Service

    Reviewed Sept. 12, 2017

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

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    Customer ServiceCoverage

    Reviewed Sept. 7, 2017

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

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

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    Customer ServiceCoverage

    Reviewed Sept. 6, 2017

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

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

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    Customer ServiceStaff

    Reviewed Sept. 5, 2017

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

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    Customer ServiceCoverageStaff

    Reviewed Aug. 31, 2017

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

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

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    Customer Service

    Reviewed Aug. 30, 2017

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

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    Customer ServiceCoverageStaff

    Reviewed Aug. 30, 2017

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

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

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

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    Customer Service

    Reviewed Aug. 29, 2017

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

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    Staff

    Reviewed Aug. 26, 2017

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

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    Customer Service

    Reviewed Aug. 22, 2017

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

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    Reviewed Aug. 21, 2017

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

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    Customer ServicePriceStaff

    Reviewed Aug. 21, 2017

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

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    Customer ServiceStaff

    Reviewed Aug. 17, 2017

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

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    Customer ServicePriceOnline & App

    Reviewed Aug. 14, 2017

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

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    Customer ServicePriceStaff

    Reviewed Aug. 11, 2017

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

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    CoveragePriceStaff

    Reviewed Aug. 6, 2017

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

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

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    Customer Service

    Reviewed Aug. 2, 2017

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

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    Customer ServiceCoverageStaff

    Reviewed Aug. 2, 2017

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

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

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    Customer Service

    Reviewed Aug. 1, 2017

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

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

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

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    Customer ServiceContract & TermsStaff

    Reviewed Aug. 1, 2017

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

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

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    Customer Service

    Reviewed July 31, 2017

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

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

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    Customer ServicePriceStaff

    Reviewed July 29, 2017

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

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    Customer ServicePriceStaff

    Reviewed July 29, 2017

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

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

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

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

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    Customer ServiceStaff

    Reviewed July 26, 2017

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

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

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

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    Customer Service

    Reviewed July 25, 2017

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

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    Customer ServiceCoverageStaff

    Reviewed July 23, 2017

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

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    Customer ServiceReliability

    Reviewed July 21, 2017

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

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    Customer Service

    Reviewed July 18, 2017

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

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    Customer ServiceContract & TermsStaff

    Reviewed July 17, 2017

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

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

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

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

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    Customer ServiceOnline & AppStaff

    Reviewed July 11, 2017

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

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    Coverage

    Reviewed July 7, 2017

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

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    Reviewed July 6, 2017

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

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    Customer ServiceCoveragePriceStaff

    Reviewed June 30, 2017

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

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

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

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

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

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

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    Customer ServicePriceStaff

    Reviewed June 28, 2017

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

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    Customer Service

    Reviewed June 25, 2017

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

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    Staff

    Reviewed June 25, 2017

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

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

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    Customer ServiceContract & Terms

    Reviewed June 22, 2017

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

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    Customer Service

    Reviewed June 22, 2017

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

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    Customer Service

    Reviewed June 20, 2017

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

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

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    Reviewed June 20, 2017

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

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    Customer ServicePrice

    Reviewed June 15, 2017

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

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    Staff

    Reviewed June 15, 2017

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

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    Customer Service

    Reviewed June 15, 2017

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

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

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    Reviewed June 14, 2017

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

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    Customer ServiceStaffProcess

    Reviewed June 11, 2017

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

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

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

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

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    Customer ServiceSales & MarketingStaff

    Reviewed June 10, 2017

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

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

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

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    Staff

    Reviewed June 10, 2017

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

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    Price

    Reviewed June 10, 2017

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

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    Customer Service

    Reviewed June 8, 2017

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

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    Customer ServiceCoverageStaff

    Reviewed June 8, 2017

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

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

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

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    Customer ServiceStaff

    Reviewed June 3, 2017

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

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    Online & App

    Reviewed June 3, 2017

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

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    Customer Service

    Reviewed June 2, 2017

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

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    Customer ServicePrice

    Reviewed June 1, 2017

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

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

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    Customer ServiceCoverage

    Reviewed June 1, 2017

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

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

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    CoveragePrice

    Reviewed June 1, 2017

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

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

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    Customer Service

    Reviewed May 31, 2017

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

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    Reviewed May 31, 2017

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

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    Reviewed May 25, 2017

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

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    Customer ServicePrice

    Reviewed May 25, 2017

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

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    Customer Service

    Reviewed May 24, 2017

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

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com