OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

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


OptumRx Reviews

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    Page 13 Reviews 2040 - 2240
    Verified purchase
    Customer ServicePrice

    Reviewed Jan. 4, 2016

    I signed up to fill my prescriptions with OptumRx by mail because of an OptumRx benefit update that they mailed to me with a $0 copay announcement for Advair Diskus starting January 1, 2016. The first prescription ordered was for the Advair Diskus. Guess what happened? I was told on the phone by their pharmacist that the updated Advair Diskus price was a misprint and it is going to cost me $200 00 deductible for my Advair Diskus prescription. Sounds like they do whatever they want to do. I don't recommend using them or any other prescription mail service that lies about copays!

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    Customer Service

    Reviewed Jan. 4, 2016

    Following receipt of a letter from OptumRx that they would pay the insurance co-pay, I placed a phone order. OptumRx faxed the MD for the med rx; MD's office failed to respond in a "timely manner" so OptumRx closed out the order. OptumRx then sent me an email requesting the "required" information to complete the order. After speaking to three different helpless OptumRx reps, I decided to purchase the meds from a local community pharmacy.

    Via email, I canceled the OptumRx order. However, when I went to pick up the order at the local pharmacy, I was informed that "another" pharmacy had charged my insurance! OptumRx had charged my insurance before the order was completed, "blocking" the ability to for an alternative pharmacy to fill the prescription. I called OptumRx; the rep admitted the insurance charge for the yet-to-be-completed order. The rep canceled the order, effective immediately. I was then able to purchase the meds from the local pharmacy.

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    Customer ServiceStaff

    Reviewed Dec. 30, 2015

    I made a call to the customer service department to order prescription that I take daily. The customer service representative did not get my request correct and they sent me the wrong Rx. On top of that they charged my account twice. I called customer service to fix the problem and spoke with another rep and that rep was unapologetic and did not state what she fixed about the problem. Bottom line OptumRx customer service needs major improvement.

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    Online & App

    Reviewed Dec. 29, 2015

    My company changed our mail order prescription service last January to this joke of a company. They cannot even get the simplest order sent out without a hassle. My doctor's office after dealing with them several times now refuses to send orders into them. They are tired of the hassles and errors. We now have to fill out a form and mail in our own prescriptions. Since having to do that I am much more aware of what a messed up place this is. No customer support, they blame you! Computer system constantly down and their app freezes up. What a joke of a company. I am working within the company to replace them next year.

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    Coverage

    Reviewed Dec. 29, 2015

    I have had many problems with OptumRx. The latest is a depression medication I use - Nay, NEED, was out of stock. I called their "pharmacy" department to discuss alternatives. The only one they offered is for me to pay hundreds of dollars for the brand name, which is not covered by my insurance. I quickly told them that not having the medication in stock is not my fault, it's theirs and that I wouldn't pay out of pocket for anything. Do you know what they said? "See if your local pharmacy has any." Basically, "Figure it out." They said this to a person living with depression. Something's got to be done about them!

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    Customer ServicePrice

    Reviewed Dec. 29, 2015

    Not once, not twice, but three times, OptumRx has ignored what I have put on the submitted order form for the shipping address. These mistakes have cost me countless hours of frustration, particularly since the medications are C2 level meds, which require a triplicate form and have to be fulfilled within 21 days or they are null and void. These have not been my mistakes - they even mailed this controlled med to a PO BOX! Every bit of the responsibility lies with OptumRx, and despite "filing complaints" which is the most that you can even hope to do, they continue to repeat the same mistake.

    They have no incentive to do the right thing: you cannot call anyone directly, and they are beholden to no one. Instead, I have to call and gripe to people who aren't responsible for the issue but have to not only try to correct the mistake, but listen to me complain about all of the other experiences I have had because now I don't trust them! They continue to meet or exceed my expectations, but not in a good way!

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    Punctuality & Speed

    Reviewed Dec. 22, 2015

    This is literally one of the worst companies I have ever dealt with. They have failed to send my prescriptions to me on time every single time I need them. They do not tell you if your prescription is up or if you need to contact your doctor. They just make you sit there and wait for medicine in the mail that is actually never coming. They are literally the most incompetent companies I have ever encountered and I do not know how they are still in business. I strongly suggest NOT using them. Ever.

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    Customer ServiceCoveragePrice

    Reviewed Dec. 21, 2015

    Was informed to submit prescription by mail to San Diego. Prescription mailed but OptumRX did not receive it after a 1.5 weeks. I requested the doctor to submit an e-prescription to OptumRX. Prescription received by OptumRX but Ciclopirox drug not covered; OptumRX states that it can be substituted for Jublia as it is covered. Called doctor to switch Ciclopirox to Jublia. Doctor switches medication. OptumRX denies switched medication as it did not follow guidelines. I followed every instruction by OptumRX to switch over the prescription and now I am told that Jublia was denied as the doctor did not follow the guidelines. I am now told to called doctor to determine what guidelines were not followed. The problem with OptumRX is the financial cost. Jublia cost is 10x more than Ciclopirox. So why would they state they 'cover' Jublia but not Ciclopirox?

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    Customer ServiceContract & TermsStaff

    Reviewed Dec. 20, 2015

    You could not do worse than to contract with this company to mail your medications. They did not mail mine. They promised they would mail them expedited, and they didn't. When I contacted them about this, they denied having ever having promised they would have them expedited. They also told me that neither my doctor nor my pharmacy could request an override because they had already mailed the medications. Different people told me my medications would arrive different days. One person told me they had no idea when my medications would arrive. Every person told me the other people I'd spoke to were incorrect. Everyone was very apologetic.

    After multiple phone calls, I called again and simply requested to file a complaint. After I filed this complaint, I requested a copy of it in writing. I was informed they could not provide this. I asked to speak to a supervisor who could authorize this. They said there was no supervisor available. They advised me to call in 2 days and request a copy of my complaint. After that, I received a phone call saying I could have asked my doctor to ask my local pharmacy, and my insurance company, to authorize an override. DO NOT USE OPTUMRX. AND DO NOT USE UNITEDHEALTHCARE, WHOSE MAIL ORDER PRESCRIPTION COMPANY THIS IS. They are not only incompetent but also unprofessional. And dangerous.

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    Customer ServicePrice

    Reviewed Dec. 19, 2015

    Called Optum RX to see if I could save money with a 3 month supply and was told that I could. I switched and when I received my first shipment, the price was 2-1/2 times what I paid at Walgreens that last time I picked up the prescription. They were not helpful when I called to question this and was told that was the price of the medication. I could never recommend Optum RX to anyone else.

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    Customer ServiceStaff

    Reviewed Dec. 18, 2015

    Tried to go into my account and was asked to reset my password, etc. Was unable to do so requested assistance. The rep I spoke to was extremely rude and unhelpful. Everything she suggested I try was not working. I explained that I was a senior lacking in techy related issues and she needed to be very specific in what I needed to do. She was difficult to understand and not at all helpful. She suggested part of the problem was I did not have an existing account. Really? I've been a customer for years. I finally ended the call with still no entrance into my account. Horrid website. Terrible customer service.

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    Reviewed Dec. 11, 2015

    Terrible service. They claim that they sent a fax to my doctor's office on Monday. My doctor's office got it on Thursday. My doctor responded on Thursday afternoon, but OptimRx can't find the fax. Okay, I'll just wait until next week to take my medicine. This is a terrible company. Constant red tape, constant incompetence which results in me not getting my medicine. The only reason that any would ever use this company is because they are forced to by a health insurance company which is committed to doing the least possible for their customers, maximizing profits and minimizing service.

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    Reviewed Dec. 7, 2015

    OptumRx has a poor Website (I have over 50 years in computer systems support). The most recent problem is the inability to see the prescription order status. As far as I can tell the problem is at least one week old. The excuse is their IT department is rebuilding the database.

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    Customer Service

    Reviewed Dec. 1, 2015

    My Doctor in NY mailed a prescription for a controlled substance signed by a nurse practitioner which would be delivered to me in Florida. I contacted OptumRX on Nov 25 to determine the status of the order. I was given 4 different status, from the prior authorization had expired, they were no longer stocking that item, they had not received the script to finally everything was OK.. I eventually spoke to a pharmacist who confirmed they had the script and it was valid and would be shipped shortly all while a supervisor from customer service on the conversation.

    On Friday Nov 27 I noted online that the status of this prescription was listed still as "in process". Not trusting OptumRX because of previous screwups I called again and was given another excuse why there was a problem. I eventually spoke to another pharmacist who said everything was in order and it would ship shortly.

    On Monday Nov 30 I noticed it still listed as "in process" and called OptumRX to be told that it could not be shipped because it was flammable. I insisted that was ridiculous and she contacted the pharmacist and was told the script was non-flammable and would ship immediately. The customer service rep said that because of the 5 hours I had already spent regarding this item she would attempt to expedite the order.

    At 2:11 that day I received an email that the prescription was delayed and would ship within the next 7 days. Again being suspicious of OptumRX I checked my online account and found the prescription was no longer listed. I called OptumRX again and was told the prescription was cancelled on 11/25 because they had tried to contact me and I had not responded. This is truly outrageous. I asked to speak to a supervisor and eventually a pharmacist. The pharmacist Elaine said the prescription had just been cancelled because the pharmacy law in Florida states that a controlled substance script must be signed by a doctor and my script was signed by a nurse practitioner.. In 6 days and multiple communications and no notification to me they had cancelled the prescription. If I had not called I would never know it was cancelled.

    NOW THE GOOD PART***** Florida Law 465.003 (14), F.S clearly states that any prescription written in another state does not have to comply with Florida law. In my case the prescription was written in New York and was valid by NY law.. even though it would be shipped to Florida. OptumRX is NOT abiding by the law of FLORIDA and NEW YORK. I notified OptumRX of their violation and they were unresponsive stating "that is the way we do it."

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 22, 2015

    For the past two years I have been ordering an Rx that's considered a controlled substance. Our health insurer - United Healthcare mandates that we use OptumRx because mail order is cheaper and OptumRx is owned by United Healthcare. No matter how official the doctor-written prescriptions and how frequent the doctor-OptumRx communications, OptumRx has NEVER properly filed my prescription. It's either inexplicably late in arrival or gets inexplicably stalled in bureaucracy and incompetence.

    Here's just a sample of OptumRx's folly. My Rx didn't arrive when it was supposed to. I called OptumRx (by then I was all out of medication) to find out what disaster had ensued that time. The customer rep. said the MD's script did not have a zip code and they could not process the script. BTW: I did not learn that until I called them. Fact: all of my MD's script forms have all his contact info. including location and zip code. OptumRx is by far the worst business I have ever encountered. I cannot believe they even exist. It's as if they invent ways to ** the customer.

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    Reviewed Nov. 17, 2015

    OptumRx is the worse prescription company. I have never been through so much trying to get my medication but unfortunately, I can not go to a regular pharmacy because of my insurance plan. I would not get my dog prescription filled with OptumRx. This company is horrible. Nobody should ever have to go through this much to get their medication.

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    Customer ServicePriceStaff

    Reviewed Nov. 17, 2015

    In 2014, I was prescribed a medication, and went around and around between the doctor and the pharmacy to receive the medication. My insurance plan would NOT pay for the generic, but would pay for the branded product. A strange situation, but my doctor prescribed one brand, then the generic, thinking that was formulary, than the approved brand. The pharmacy agreed to fill it, but noted that OptumRx had declined any participation. Because of the cost of the medication, I called, my doctor's nurse called, the pharmacy called, we were all told everything was approved, but when I went to pick it up, it was denied. I finally gave up after two months.

    In 2015, my doctor asked why I had not taken my medication because my symptoms had progressively gotten worse, leading to a loss in my quality of life. I told him the story and he suggested that we try again. I spent another two months and finally got approval for one month's supply, followed by a note from OptumRx that I needed to get the 3-month mail order supply. I opted in on the internet, called to make sure that everything was ok. The games started again. My doctor called and was asked to reauthorize and he did. Then I received an automated call on October 21 telling me my prescription would be re-filled within 10 days.

    On November 16, I called to ask where my prescription was. The operator told me that the filling pharmacist had put a hold on refilling the prescription pending authorization (from me?) to use the branded as opposed to the generic. (Because, as mentioned above, the insurance company will not pay for the generic, but will pay for the branded.) The operator told me OptumRx had called me to ask for my authorization. I told her that was not true, and that I had not received such a call on my cell or home. The last call I had received was one telling me the order was being re-filled. I was upset at her manner, but she interrupted me and told me to "Listen to her" in a manner that basically said "Shut Up". I hung up. She was rude, but we should not be forced to grovel for health care. Fortunately, I can pay the full price if my doctor continues to recommend this product.

    I am sometimes in a position to recommend companies like OptumRx, and I would encourage directors and executives in charge of health plans for their employees to think long and hard before they opt in to this company. The number of negative ratings on this site alone tell the story, but these people are criminal in their approach to healthcare -- and I hope anyone who feels a fiduciary responsibility to employees and their health would decline to use them.

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    Customer Service

    Reviewed Nov. 14, 2015

    They just don't care. Any other company is easier and more concerned with your problem. In early September 2015, they shipped to me the wrong medication in the bottle. The bottle was marked with the correct information, but the wrong medication. I almost had a severe problem, but I noticed the pills were not the correct ones. After calling I received the run around. I spoke to "escalations" and they assured me that the new pills were going to be shipped. NEVER apologetic, never concerned about my health. The new pills never came. Every time I called, I had to start from the beginning as there was no notes on my account! They almost killed me! A new person, on hold, escalations, a different call center, etc. This went on for 4 days. I finally gave up, when I realized I was being lied to and answers were all "I dont know". This restructured, re-incorporated company is not worth your health, your life, or your business. Stay away and live.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Nov. 11, 2015

    I have been dealing with this horrible company for about 2 years now and have consistently received the runaround from them. Admittedly, I am not good about staying on top of my medications and often end up calling them when I am completely out of my pills. Time and time again, it has been a hassle in one way or another. The latest incident was just the final straw.

    I called Saturday when I realized that I had not received one of my prescriptions. Once again, I was given information during that call that was incorrect which led to another round of phone calls later that evening. I called this am after not receiving my 3 month shipment I was told Saturday that I would receive on Tuesday. After learning that apparently nothing I was told on Saturday was correct, I went off. Admittedly, I really lost my cool and was yelling at the poor phone rep when I demanded to speak to her manager. Manager gets on the phone and I'm still yelling, though I feel less badly about my treatment of her as she was very sassy and condescending toward me. Eventually my anger turns to tears of frustration and I swear this lady, Crystal, is laughing at me. She, supposedly, took care of my issue, though I have learned with this company never to trust what they say.

    I asked to speak to her manager and got another lady who, clearly, could have cared less that her company gives poor service. My next phone call was to my insurance carrier to see if I could change mail order carriers. Unfortunately, I cannot. My only option is to have my plan changed so that I can use a retail pharmacy. Doing so will cost more money, but, if it means not having to waste another minute with OptumRx, it is WELL WORTH IT! I don't normally waste this kind of time on situations such as this, but this company is HORRIBLE. AVOID AT ALL COSTS!

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    Customer Service

    Reviewed Nov. 11, 2015

    I received a statement in the mail stating that I owe $100.00. I was confused because I have to give them a credit card before they will place my order. I called and was given the runaround and was transferred from person to person. Each person had a different answer. I ended the call having to mail them my credit card statements to confirm I made the payments. I was not satisfied so I called back and asked for a supervisor. She told me she could not answer my questions because she could not see my statement, and the accounting office doesn't have a phone for me to speak to them. All she could do is have them send me a new statement which would still say I owe them money. I asked for her supervisor and she said they will call me back in 72 hours. Needless to say no one has called. All I want is someone to explain why I owe this money. The only reason I gave them one star is because I couldn't submit my review without putting at least one.

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    Customer ServiceSales & MarketingStaff

    Reviewed Nov. 7, 2015

    Prior auth requests for a "non formulary" drug is the biggest scam the insurance company has screwed us with!!! On 10-29-15 my son's doctor sent a PA to Optum for an approval on Accutane that my son is currently on. It was denied due to Not Medically Necessary!!! (** he has been on it for three months already and need to be on it another 3 months.) and the fact that they have been paying for the drugs but his PA date had expired. There is already a PA in place for him... just extend the end date. After a few more days, Doctor's office called to see why PA was denied... was told they didn't have enough information to auth it. Next day, nurse called with all the clinical info needed to see if it would get the approval, but the drug was denied again!!!

    Now I had to get involved... within a minute I found out what had happened!! All the clinical info given for my son was put under my husband who is 50 and doesn't see the doctor for acne... or is taking Accutane!!! At this point I realized I was talking to a bunch of incompetent asses and demanded a supervisor... Surprise... they do not have a Supervisor at this time that can speak to me! So I started my ranting: "Who looked at the PA for approval? What qualification did that person have? Why was the info put on my husband file and not my son's? Who is taking responsibility for this???"

    DO YOU KNOW WHAT HER ANSWER WAS??? "Due to HIPPA regulation I can NOT discuss this matter with you, I can only speak to the patient." OMG if they think I'm going to let this go they are sadly mistaken. Denying a drug that is critical to a patient's need is a tragic mistake. Optum Health should have known about. It's their problem to deal with when they have law suits on their hand. Patients having to suffer.. due to the fact that Optum Health hired idiots to take clinical info and processing them.

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    Customer ServicePriceStaff

    Reviewed Nov. 5, 2015

    I have been with OptumRx for a year now because my insurance UnitedHealthcare, through my employer, makes me use them for my prescriptions. Every month I pay for overnight UPS because my prescriptions are very expensive and I don't want them in my mailbox. Every month I have to call daily to make sure the scripts are correct, every month they tell me that they are sending them overnight. They take the money out of my acct and then send my meds ground which takes 6-7 days. This has put me in the hospital too and very ill many more. I have only gotten reimbursed once. They are awful. They won't let you speak to a supervisor.

    This just happen Sat then again to me today. I paid for overnight and was told that it was sent out the 31, then today and it would be to me by Friday. Nobody takes responsibility. Now I have to go back to my dr and pay to see him to get a 5 day script to get me through. I will have to fight with pharmacist to explain the situation. At this point I wish the cancer would just take me. Nobody should have to go through this to get meds in a timely manner. These mail order pharmacy are a joke and OptumRx is the biggest joke of all. No one know what they're doing. If you want you meds on time go elsewhere.

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    Customer ServiceCoverageStaff

    Reviewed Nov. 4, 2015

    There has not been a single script that I have sent in during the past 3 years that has been correctly processed. The customer service reps range from belligerent to helpless. Despite constantly updating the same information and pleading with them to contact me in a timely manner about delays they continue to screw up every last script. The worst situation was last year when they denied coverage for a med that my daughter had been on for years. We were forced to try at least 3 different meds - one of which sent her into a depression - before they finally agreed to restore coverage for the original, effective medication. This is unconscionable. They are not medical professionals and yet exert control over my family's medical care. Are there NO alternatives???

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    Customer ServiceStaff

    Reviewed Nov. 2, 2015

    Everyone on the first line customer gives a different answer to your questions. When you ask for a supervisor, you don't get the correct answer. I am required to use this mail order pharmacy because of my insurance. Very disconcerting that I am paying for this lack of knowledge.

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    Customer ServiceCoverageStaff

    Reviewed Nov. 2, 2015

    My doctor ordered some injections that I needed to get last week to check for thyroid cancer in my system. I do not, nor will I ever again use OptumRX to get any scripts... this was a one time thing. After they contacted me and wasted an hour of my day explaining what this shot was and that my insurance covered it 100% because I have met my yearly deductible, I get a phone call today telling me I owe $500. It turns out that my insurance DID NOT cover it 100% and they lied to me. I had told the lady who was on the phone with me that I will not get these injections if I have a large out of pocket amount that I owe because I've been cancer free for 11 years, so honestly... I feel that it's not even medically needed at this point in my life.

    She checked, double checked, and triple checked to make sure that I will not incur any charges out of pocket. Then she reassured me that my insurance company will pay 100%. I should have called my insurance company directly to find out, but the customer service representative made me feel like I could trust her. What OptumRX teaches their customer reps in dealing with their customers is morally wrong and dishonest. I don't know how any of those reps even sleep at night knowing that what they are doing is wrong. I will spread the word through social media and whatever social outlets I can, to let everyone know how awful this company is.

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    Customer ServicePunctuality & Speed

    Reviewed Nov. 2, 2015

    OptumRX made unauthorized changes to medication dosage and quantity for medications I have been taking for eight years. They delayed getting my medications to me and I went without for over a week. This month they have not acknowledged receipt of three of the seven prescriptions mailed (proof of delivery received) and overnight return shipping requested. Each time I speak to them, I get a different excuse for the delay but am assured it will all be taken care of. I seriously think there needs to be a class action suit filed against these people and would happily supply all my documentation for such an action. They are unethical crooks.

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    Customer ServiceStaff

    Reviewed Oct. 31, 2015

    I am now convinced private health insurance businesses should have nothing to do with our health care. Health Net owns both my health insurance company and OptumRX which is a conflict of interest. They frequently hold up medication deliveries without notifying the customer - ME. When I call up the customer service tells me they faxed my doctor but he didn't answer. I could never verify their records as to doctor calls or faxes. My Doctors never received phone calls or faxes from OptumRX. From my other pharmacies like CVS they do. Other pharmacies manage to make contact with my doctors very successfully and they contact ME also Unlike OPTUMRX. It is my opinion that they are holding up medications causing delays in medical benefit payments Saving HEAlTH NET millions of dollars by delaying payments and blaming it on Doctor's incompetence. Both my wife and I as well as several of my friends have experienced this many times.

    I believe this needs to be investigated and Optum healthnet type arrangements should be broken up. HEALTH NET cares not one bit about people's healthcare - just bottom line. The last time this happened I called OptumRX and had them fax my Doctor right there and then. Guess what? He received the Fax. Also when and if they do notify me via email about a prescription being held up they NEVER TELL ME WHY. I have to call then and wait 10-20 minutes on the phone to find out why. And every time it is about some nonsense about how the prescription was written And my Doctor L ** of East Islip uses the online Doctors OptumRX website. I saw him do it myself - Saw him enter the proper dosage correctly but somehow they said they didn't understand it. When it comes to OptomRX you can be sure there will be delays.

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    Staff

    Reviewed Oct. 28, 2015

    They were happy to take my money that I did not approve and left me with no money and refuse to refund my money. So I am 50 miles away from my home with no money to get anywhere or to eat. Left to dangle. These people are THIEVES. Just DON'T deal with them. I have alerted my bank for fraudulent charge and seek legal advice for pain and suffering. The last time I checked taking money that is not yours is called STEALING. Never again!!!

    I call to state that I only needed two of my medications and that was confirmed. A day later I find out they charged my card for three times the amount and sent all my medications. This left my bank account at zero. I have fought with them for days and they will not refund my money until I return the medications. The problem being is that I am about 50 miles from my home with no money to get anywhere or even eat. If were not for my friend I would be literally on the street until payday. I want to know how this happened and how they are going to prevent this from happening again to others.

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    Customer ServiceCoveragePriceStaffEase of Use

    Reviewed Oct. 28, 2015

    This is the second time in 6 years I've had my prescriptions benefits get switched from regular pharmacy to OptumRX, and I dislike it every time. Their online system works great and is easy to use, it's the only part that doesn't screw up. Their customer service reps waste my time every single time I call them. They cannot even process a credit card properly to get an order through!

    If you complain to them or have any opinion they ignore it. When you ask for a manager he makes it all the customers fault with no apology or any sort of remorse for their lack of education, knowledge, or help. It really is sad that so many people have to deal with this terrible company for prescriptions. I'd much rather sit at the local pharmacy for 15-30 min than on the phone with these incompetent people. For my personal plan through BCBS TX I will say the cost is usually lower for me, I always check their website before getting a medication called in just to make sure it is. If the local pharmacy is cheaper then I will have it sent there instead, but usually it isn't. I haven't been denied for any needed medications yet either. This is all based on my plan though and not really anything to do with OptumRX. So their Value and Coverage is good for me.

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    Coverage

    Reviewed Oct. 27, 2015

    This is the worst pharmacy I have ever dealt with, complete lack of coverage in some cases. My medications are 3-4 times higher than previous companies I have dealt with. Other prescriptions are so restricted you can't get enough to cover the problem. For instance, I need a cream I am only allowed 2 grams per day. I need 12 grams per day to cover my symptoms. I am actually looking for different employment so I can get the coverage I need. This insurance is the worst I have had in 33 years. I have had insurance for 33 years.

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    Customer ServicePriceStaff

    Reviewed Oct. 27, 2015

    While helping my newly retired parents start their healthcare needs, we have encountered nothing but irritation and trouble from OptumRx and their "I don't know what you mean, or what you are talking about" staff. Several drugs that my father has been on for years and getting locally at a CVS are in some cases one fourth the price that Optum is charging. They call repeatedly for the same thing and as we talk to one after another they all say that they have not received a phone call back from us, but please let them help us only to receive a phone call 30 minutes later wanting the same information. One day alone we received 21 phone calls! I have used more colorful words than most even know when dealing with them. Save yourself the headaches avoid United Healthcare and OptumRx at all costs!!

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    CoveragePrice

    Reviewed Oct. 26, 2015

    If you have a Part D prescription drug plan that uses OptumRx for mail order, carefully check the pricing. I found their markup is significantly higher than a retail chain such as Walgreen or Walmart for six of the seven drugs that I am taking, even for a three month supply. This is important, particularly if you are in the donut hole or coverage gap. It also means they are charging the Medicare far more for these drugs than other providers. Put another way, they are price gouging, and Medicare, as well as AARP should discontinue using OptumRx. Many seniors are probably using the mail order for convenience, not realizing the rip-off.

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    Customer ServiceStaff

    Reviewed Oct. 26, 2015

    United Health Care-AARP should not be using this service. Took over 3 weeks to get meds for elder and then did not fill some and sent some scripts back and requested them all back because will never do business with these people again. Have spent hours on the phone with them. Always a new excuse why did not sent meds or fill scripts. Still never did get scripts back after 8 phone calls. Guess they cannot print what was scanned in to computer.

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    Customer Service

    Reviewed Oct. 24, 2015

    This company couldn't be more incompetent if they tried. They just offered to overnight the meds I have been waiting on for 14 days. No explanation as to why they were just holding my prescriptions. The really bad news is, this is the only mail order company my insurance will pay for.

    Updated on 10/25/2015: I have been told four different excuses (one each time I have called), as to why my meds have not arrived. They were faxed in 16 days ago. I can't chose another company because my cheap ass insurance company prefers to use this slow ass company to save a dime but doesn't mind charging me premium rates. If you have a choice in mail order pharmacies, I suggest you RUN as fast as you can.

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    Customer ServiceSales & MarketingPrice

    Reviewed Oct. 23, 2015

    What a scam! Do not use this service. My medication through a previous HMO was $30/month. With OptumRX the same medication (copay) is $553/month. The medication I ordered was never delivered. When I called them I was told I would need to order an emergency refill at my expense. The cost of this medication is over $2200 for a 1 month supply.

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    PriceStaff

    Reviewed Oct. 22, 2015

    Since when did a prescription, written by a psychiatrist not count as a doctor's authorization for the patient to get ADHD medication? If my daughter's doctor felt that my daughter didn't need her ADHD medicine she wouldn't have given me a prescription! How do we allow insurance companies to question the doctor over the need for a medication? Doctors go to school long and hard to be able to prescribe medication only to have some no-nothing at an insurance company question it??? DISGRACEFUL!

    So after we get a prescription for a different ADHD medication, we take it to the pharmacy and we are told that we can't get it until the doctor faxes back a form, and if she answers all the "guideline" questions correctly (It's all a game), then they will authorize the pharmacy to fill the prescription. Or, I can just pay full price of $398.00. Why am I paying for a premium every month - so I can pay full price for prescriptions? I just need one dose to give my kid so I can get her to school today before the day is over so she can concentrate on a math test. That's not going to happen because OptumRx doesn't respect my daughter's doctor's intelligence.

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    CoveragePrice

    Reviewed Oct. 20, 2015

    ** company. 100% incompetent. Will file small claims action 10-15. They had the nerve to hold my $$$ cover $100 and lied 4 time about sending me a return envelope to send my RX back for credit. They charges over $100 for a generic ** (offered by 15 different manufacturers) whereas COSTCO for 90 Tabs and 10 mg is $16. Your screwed by Optum and then they keep your $$$ as long as possible. I've cancelled my RX with them and am filing complaints with Medicare/AARP/United Healthcare.

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    Reviewed Oct. 19, 2015

    I've been on every pill known to man for my cystic acne. I finally tried Accutane, it is the only thing that has helped my condition. After 5 months I only had 2 more months of treatment. They denied my prescription and now I have to pay $1600 out of pocket for my medication or switch to a generic and pay $300 out of pocket. This is the worst company I have ever encountered.

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    Customer Service

    Reviewed Oct. 19, 2015

    We had to change to OptumRx in August of this year due to changes in, you guessed it, United Health Care. Was originally with Caremark, and was perfectly happy with their service. On Oct 8 of this month my doctor sent in a prescription for a drug that keeps me breathing. This was a new prescription to OptumRx, but I have been on this med since April of this year. Request was denied, they requested a prior authorization...told me I would have an answer with 72 hours after they received the info from the doctor. PA was sent to doctor on Thursday afternoon, 10/15. Before the response from the doctor's office was even received, the PA was denied. This is a tier 2 drug, and generic to boot, and no substitute. Was told "too bad"...

    I checked with our local Rite Aid Pharmacy, and lo and behold...they can fill for me. I can get a 90-day supply without the insurance at an out-of-pocket cost of $45.00. Now please tell me why I am paying UHC $60 a month for a service that they cannot provide with their satellites? I sincerely hope that they take another look at what they are doing and make some major changes. Either that, or I will be the one making the changes.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffReliability

    Reviewed Oct. 19, 2015

    In June 2015, when picking up a prescription at CVS, I was informed that my insurance would no longer cover my monthly prescriptions, and that from then on, I would need to use the mail order pharmacy with our United Insurance (OptumRx). I wasn't terribly excited about this, but thought I'd give it a try. So, I went through the process of manually mailing in prescriptions for 3 of my maintenance medications (one for anxiety, one for sleep apnea, and one for PCOS). It actually didn't save me any money (it was more expensive, in fact, but I had no choice).

    The first order went extremely slowly, but I did get my medications. However, I had to go to my doctor's office and ask for samples to hold me over until I got the prescriptions in the mail. My doctor said OptumRx is notoriously bad for customer service, and actually apologized for my experience. This was the first red flag. In August, I logged in and set up auto refills on my meds, to make sure (or so I thought), that I wouldn't be without my medications. I have a screenshot that shows where my request was "processed." I didn't give it another thought. A few weeks ago, I started getting down to just a few pills, so I logged in and it didn't show a refill being processed, or even that I had requested auto refills. So, no big deal I thought - I'll just go ahead and have them filled. I clicked to fill each one, and logged out after checking to make sure my credit card was up-to-date.

    A few days later I hadn't heard anything or gotten an email, so I logged back in, and it showed nothing had been done, and one of the prescriptions had been denied by my doctor, which wasn't true because I actually spoke to my doctor who personally had called in the medication. So, I had to bother him and ask him to call in again, which he did (thank God for great doctors). The next day, I logged in and it said my medications were processing. This was my last day for medications. Nothing that I take throws me into any crazy withdrawals, so I didn't panic.

    After another day and no word, I logged in again and it still said Processing!!! So, I called them and asked what was wrong. The lady I spoke with had no idea what was wrong... seriously??? She couldn't explain why things had been "processing" for days/weeks. This was last Friday (Oct. 16) in the early morning. I asked her to please do overnight shipping on these medications, as I was starting to get really antsy and could tell my anxiety meds were definitely wearing off. She said no problem and shipped.

    I checked the tracking on the package and it said that UPS would deliver on MONDAY!!! What??? So, when I looked, the package had come from Kansas to Cincinnati overnight, but I couldn't pick it up until Monday morning because OptumRx had not paid for Saturday Delivery. They used "Air SAVER," which basically means overnight is not really overnight.

    On top of everything, my medications required a signature, and would be at my home between 1:00 pm - 5:00 pm on Monday (Oct. 19). So, now I need to stay home and take a sick day to get my medications? I'm NOT having them sent to my job because I don't need anyone knowing what meds I take and how often. So, I called UPS on Saturday, and they said I could pick it up at 8:30 am on Monday at a UPS Store close to my house. I stopped this morning, and was informed that OptumRx had not paid for the overnight delivery, and again it was delayed and I can't pick it up until this afternoon late. I don't understand how this company gets away with this. From reading reviews, this is common and has happened to many people. How do we get any help with this???

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    Customer ServiceStaff

    Reviewed Oct. 19, 2015

    My husband had a kidney transplant 5 years ago and trying to get his medicine filled through OptumRX is a pain in the butt each month! Due to his insurance and OptumRX, they do not offer a 90-day supply, only a 30-day supply. Each customer service rep will give you a different song and dance and to get next day delivery they need approval from the shipment gods of Optum. I called Sunday to get his meds refilled and have them delivered on Tuesday. The girl told me that she sent a message to the pharmacy to have the one medication released. She confirmed everything was scheduled to arrive on Tuesday, even took our co-pay. I felt uncomfortable and called Monday morning to confirm everything was fine with the order.

    This girl tells me that there is a "HOLD" on it! WTF... NO PHONE CALL FROM THEM, OR EMAIL ABOUT THIS SO-CALLED HOLD. She wanted me to pay another co-pay and I told her I already paid for this shipment on Sunday. She places me on hold and realizes I did in fact pay and confirms that it will arrive on Wednesday. I told her NO, the lady I spoke with Sunday confirmed it for Tuesday. The only reason I was calling was because of all the BS I have gone thru with your company in the past and I just wanted to make sure the order had been released from the pharmacy.

    First, how can she fill the order and take a co-pay if it had not been released from the pharmacy. Second, the pharmacy has misplaced our prescriptions in the past. This company sucks and they need to train their customer service reps better and make sure they know what to tell their customers -- especially when dealing with medication wherein someone's life depends on it! When I call OptumRX, I am on the phone with them for at least 30 minutes. I have been on the phone for as long as 1.5 hours because they could not find the prescription, said there was an issue with the insurance, they had some sort of issues with the medicine on their end. These issues will never change, as I have spoken to supervisor after supervisor. They all tell you what you want for the moment to shut you up and get you off the phone. God help them if they could cause my husband not to receive his medicine and something happen to him!

    The only saving grace is when there is an issue with OptumRX, his doctor will call Walgreens and get the medication filled one time thru them. However, due to his insurance, and some sort of SCHEME Optum has worked out, that is frowned up. It would be different if it were just an antibiotic, but this is anti-rejection medications and he needs them! OPTUM GET YOUR HEADS OUT OF YOUR ** AND DO YOUR JOB!

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    Customer ServiceCoveragePrice

    Reviewed Oct. 16, 2015

    This company does not care about anyone except for the bottom line on how much money that they can make. I am titrating a drug that is very expensive and not too long ago approved by the FDA. I called 2 weeks ago and still do not have the medication. I am now out and have been for a few days. How many more days do I have to go without my medication? Well no one knows. I have insurance but they cannot figure out how to bill them and get me the medication. I wish they would be shut down. They have a monopoly on the mail order drugs as far as I can find out because they keep buying more of the businesses. I thought that this was illegal in itself. Let alone screwing the public.

    I am sure they get a kick back from the insurance companies when they get the patient to go buy the drugs themselves and they don't have to pay for them. I have heard about this years ago. I didn't think it was correct but this company is showing that it may be correct. There is something wrong with this company and how much horrible pharmacy services they give. Too bad we all can't get a class action against them. I just want the medication to help with my disease. Why can't I get it?

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    Customer ServiceStaff

    Reviewed Oct. 15, 2015

    I am a Juvenile Type 1 diabetic that has been living with this disease for over 35 years. Suddenly, I cannot get my insulin because OptumRX decides my doctor is not responsive to the "prior authorization (PA)" documents they threw at the office. The doctor's office did duly renew my prescription for NovoLog but, because they did not fill out the PA form, no shipment has or will be paid. No communication to me was ever sent. I have been waiting, and waiting, and waiting (my mistake) because the website stated it could take up to "10 business days" for the shipment to arrive.

    When it became ridiculous (my mistake), I called and a nice Southern gentlewomen calmly explained their dilemma. When I stated my diagnosis (Type 1 irreversible and genetic disease), she just sympathetically told me to get on my doctor. No apologies, no backup emergency plans, no nothing. I never had this with CVS. I want desperately to go back but United Healthcare will no longer pay for local pharmacists. It is mail order by these truly cumbersome, get-in-the-way guys or basically, die or pay out of pocket. Terrible to see it is happening to a lot of other folks too. Luckily, I can foot a one time bill of $300/vial of insulin while these fools work out the bureaucratic red tape they themselves created. What about people not so lucky???

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    Customer ServiceStaff

    Reviewed Oct. 14, 2015

    In 2014 I went to order my MS medication. I was told I had a balance and they would not deliver. Being that I am disabled, I currently had no income. After filling a complaint why the BBB, calling my insurance company and also many many calls to OptumRx, they settled the case out and wiped out the balance. I have been ordering my meds, monthly, since 6/2014. On 10/13/15, I called for my next delivery. I was told my account had a lock on it due to a balance. A balance that was taken care of over a year ago. Now they are refusing to send me my medication, again. They are rude, ignorant and not about helping their customers at all. How can you refuse someone their medication. Especially when I have no co payment.

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    Customer Service

    Reviewed Oct. 13, 2015

    Convoluted ordering, poor phone service, bug-plagued internet service. Small savings over going to the drug store. I thought I would give this service a try. Not worth the paltry savings. DO NOT ORDER YOUR DRUGS THROUGH THIS SERVICE unless you are ready to have constant headaches and need to save every single dollar.

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    Customer ServicePriceStaff

    Reviewed Oct. 11, 2015

    I would love to blame the customer service reps for being completely jaded, uncaring and rude, but I get the feeling that the company does not give them the tools to help anyone. After 8 hours of telling customers that can't do anything to help them, I would probably be jaded also. First they did nothing to contact my doctor to renew my scripts like they said they would. A week went by, on September 22 2105 I called my doctor and he called them. He told me they never contacted him. OptumRX processed the order that day. Then I got email saying that the order was delayed. No reason why, it is just delayed. So I decide to be patient.

    They finally shipped the order October 5th. USPS tracking number had an estimated delivery date or October 8th. Today is the October 10th and the tracking number has not updated. Still sitting Kansas City, I am in Florida. Okay, that is the fault of USPS. But I called OptumRX tonight and the operator tried to tell me it was delivered on the 8th. I said "no if you look it has not moved since the 5th, the 8th was an estimate". I had to instruct a customer service rep who works for an online retailer on how to read a tracking number.

    Terrible. I also work for an online retailer and when USPS loses a package, we suck it up and replace it, and file a claim with USPS. I suppose that is way too hard for OptumRX because this rep had no other suggestions other than call USPS and just wait. Just wait for your blood pressure meds maybe you won't have a stroke in the meantime. I asked why the order was delayed in the first place. I was told they had to process an address change. It took them two weeks to process an address that I requested online. I am convinced they have one employee working the website. I am certainly going to opt out of this program and go back to my local pharmacy, it is more money, but to circumvent dealing with this terrible company is worth any price.

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    Customer Service

    Reviewed Oct. 9, 2015

    Called on Sunday to refill meds, requested overnight as was out of some of the meds. Was charged $12.50 and told would be overnighted. Not received on Tues. Called again, was told had to be processed first then overnighted. No rx on Thursday. Called again, was told it was not labeled overnight and would take another 5 days to receive in the mail. I am furious and requested rebate of $12.50. Also will not deal with OptumRx again!

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    Punctuality & SpeedStaff

    Reviewed Oct. 8, 2015

    This mail order pharmacy promoted on the back of my new AARP MedicareComplete UnitedHealthcare dramatically failed to deliver medicines on time. Contacted them 3 times before finding out that my order was never placed as could not reach my doctors! Why not reaching me for help? At best they could distribute candies to grocery stores where time and accuracy is not vital. What a losers.

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    Customer ServiceStaff

    Reviewed Oct. 7, 2015

    I am a psychiatrist and OptumRx made it incredibly difficult for me to place a prior authorization. The patient subsequently went several day without appropriate treatment trials and it damaged the therapeutic alliance between providers and the family/patient. I made multiple calls to the company and they were dropped on multiple occasions when I was placed on hold, requiring me to restart the discussion. I am a physician and this impaired my abilities to attend to clinical care.

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    Customer ServiceStaff

    Reviewed Oct. 7, 2015

    I called and spoke with "El Jessie" (October 6, 2015 around 9:05 pm) and asked her to put a vacation override in the system for a mutual patient. She put the first override in but refused to anymore. She stated that I would have to call back and get another rep because "she wasn't doing any more." She refused to give me a answer as to why. I asked for her lead and she said she couldn't transfer me. I asked for a supervisor and she stated that she didn't have one. My pharmacy closed at 9 and I stayed until 9:40 trying to get a vacation override put in the system. After El Jessie disconnected the call I had to call back to speak with another rep so she could put the override in the system for me.

    I did speak with a "lead" to voice my opinion, however I think nothing will be done to correct this horrible experience. I have worked as a pharmacy technician for over ten years and this is the first time I have had to deal with an uncooperative, rude representative. I worked for an insurance for 5 years doing the same job that "el Jessie" is doing, so I know first hand that this type of "customer service" is not acceptable.

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    Price

    Reviewed Oct. 6, 2015

    I phoned OptumRx in late September to check on my co-pays for four comparable blood pressure meds. I clearly gave the dose and requested the amounts for a ninety-day refill for each. Her quote for Valsartan for 90 days was $45. However, I was billed $115, which turns out to be the amount for 90 days. All of her other quotes were correct for 90 days. Obviously, she gave me the quote for 30 instead of 90 days which I had requested. The consequence is that I was charged $70 more than I was told. Had I realized upon ordering, I would have picked Lisinopril, which is less effective but which I could have had for no co-pay. I FEEL I AM OWED $70 BY OPTUMRX!

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    Online & AppStaff

    Reviewed Oct. 4, 2015

    On 9/25/15 I ordered 2 medicines I take. Since it was a Friday I ordered I thought I should check it. I checked on 9/29/15. They said I ordered 2 other meds. Both these other medicines are ones I USED to take and the doctors took me off them over a year ago! That's another thing about the way Optum has their website, you can't remove meds like you used too. You can remove them but they usually re-appear. If this had happened to someone else it could have been deadly! Some of our members can't see real good and this could be devastating!

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    Staff

    Reviewed Oct. 4, 2015

    Despite my phoning and writing a new address on a new prescription, OptumRx sends my medications to an address at which I am no longer living. And, I am without meds for a dangerously long time. This has happened more than once and I really do not think they have well trained staff to handle the mail orders. Eventually, I do get the drugs at the correct address, but this causes much stress and extra trips to a local pharmacy which means extra costs. This has happened for more than two years and I probably should find another pharmacy to deal with.

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    Customer ServicePriceStaff

    Reviewed Oct. 2, 2015

    In early 2014 (when I was unemployed), I ordered 2 prescription refills from OptumRx. When the medications didn't arrive after one week, I called OptumRx and was told that since ONE of the medications was out of stock, they were holding onto it and not shipping until both drugs were ready for shipment. In the meantime I ran out of both drugs and had to get 30-day emergency refills from my local pharmacy, at a cost of $245.78; remember that I was unemployed at this time.

    OptumRx has refused to reimburse me for the cost of these medications, even though it was due to their own incompetence that this occurred. They even admitted, in writing, that the service I received was below their standard, but still refused to reimburse me for the cost of the emergency refills. All I got was an arrogant letter from some flunky in their customer service department.

    Since this incident, there have been 2 separate occasions where I had to endure a wait of ONE MONTH or more to receive a prescription refill. This is unacceptable; OptumRX is clearly unable to manage their inventory supply to meet the demands of being a high-volume pharmacy. They are the most incompetent and arrogant retailer I have ever dealt with, and a disgrace to the industry.

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    Reviewed Oct. 1, 2015

    I keep appealing and they keep denying my prescription. They say they need the diagnosis and they do. My doctor has shown me the paperwork he has sent to them and they still deny me. I have lupus, fibromyalgia, osteoarthritis in the knees and a number of other problems. The first three problems I mentioned has me suffering from inflammation everyday. I have told them that inflammation pills cause bruises and they still say no to a gel or patch form. I will be switching asap. All of this has caused more stress. They don't deserve a star.

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    CoverageStaff

    Reviewed Sept. 25, 2015

    This company is garbage. I have never been so outraged in my life. Their "policies" leave the consumers BROKE and in my case, months behind on bills, because we have to pay out of pocket for medications they so conveniently refuse coverage for all of a sudden. My husband has been on a medication for 5 years - everyday for 5 years. Now all of a sudden they deny coverage. He cannot go one day without it, which left us paying a ridiculous amount to keep him out of the hospital. First chance I get, we're leaving.

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    Customer Service

    Reviewed Sept. 22, 2015

    Mailed my scripts Sep 6, OptumRX received order Sep 11. They finally notified me that they had a problem on 9/16 because they needed a "prior authorization" for the amount of the med prescribed by my Dr. even though he written the script. Today I called to find out where this was because I'm almost out & they said they've denied the amount. They said the Dr. did authorize it but their Pharmacists wouldn't authorize it. THIS IS THE WORST COMPANY EVER! They just want to deny claims & make money at members' expense! SHAME!

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    Customer ServicePunctuality & Speed

    Reviewed Sept. 18, 2015

    I renewed my 3 prescriptions by phone 1 week ago knowing that I had sufficient medications for 10 days. Having not found my RX at my PO Box today I called again. I was informed that the prescription was being held awaiting a Co-Pay from AARP United Health. I had already given them my VISA credit card info. so it could be charged. They never notified me of the delay despite having all my contact information. Had I not called I would not have any of my Meds. It seems to me if they were concerned about patient safety they could have charged my VISA card and then reimbursed me after receiving my Co-Pay. So much for OptumRX and AARP United Health.

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    Customer ServiceStaff

    Reviewed Sept. 18, 2015

    UHC changed my policy mid year. They got OPTUMRX to retroactively reverse all payments I made for the first half of the year. It resulted in all deductible money being wiped out and I was told to repay again. I had to fight them both for months with no results until I got a lawyer. The same afternoon they were notified by my attorney they issued me a check which I got a week later... TODAY! Friendly telephone agents but totally corrupt management. Thieves actually.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 16, 2015

    On 9/10 I placed an order via phone for 4 items... They said it would arrive by 9/14 because they gave me 'expedited' shipping at no charge. On 9/15 I called back because it did not arrive and found out that the order was canceled. The reason was because they needed payment authorization... EXCEPT the order was paid for on 9/10 (cc record). They said they tried to contact me on 9/11 & 9/14 via phone... EXCEPT my iPhone 6 had no message and no recent call from their area code. So I complained on 9/15 and got a supervisor on the line and was told that the order is reinstated and would ship overnight.

    Plus if I would call my local Pharmacy, ask them to call 1-888-326-1196 and speak with a Customer Service Rep for the Pharmacies. They would be able to get me a small amount of medication at "no charge". I called my local Pharmacy that night to make the arrangements... My local Pharmacy called the number the next morning and was told that those reps were not in as of yet... so they left a message. I called the 888 number and was told I should call 800 797-9791 because the number I called was not the right department... No return call. I called local Pharmacy and was told this information. I called OptumRx and spoke to a supervisor to learn that there were no refills left on the medication I needed. I understand that because they used up the refills covering up their mistakes.

    BUT did anyone let me know that via phone, msg or txt??? NO. They waited until I called in again. Can you imagine the amount of time I have spent to get a simple order filled. They took my money and then dropped the ball, made mistakes and gave me false information by telling me I had "unlimited transfers" thus making it sound like I had refills, when this was not true. They need to change their system to provide better assurance of contact with the consumer when problems arise... Text? Phone Msg? Email? Or all three. Plus make changes on how they go about canceling and established order.

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    Customer ServiceCoverageOnline & App

    Reviewed Sept. 15, 2015

    OptumRx is the company listed on my insurance card, but my insurance apparently doesn't cover mail-order prescriptions with this company. It took four phone calls, three disconnections, and over an hour spent on the phone speaking with approximately fifteen different people for this to be discovered because the website is absolutely useless. It allowed me to input all my prescription information, but when I tried to request a delivery order, it just said that all of them were expired. When I tried to contact them to ask what that meant, I received a form email that was the opposite of helpful. 0/10 not recommended.

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    CoveragePrice

    Reviewed Sept. 13, 2015

    I've had OptumRX for a few months, and went to refill my monthly prescription at Walgreens like I always do. Instead of my medication being ZERO dollars it went up to $30 (which I later learned was the cost without insurance). The pharmacist said OptumRX required that I now get my prescription through the mail, which I NEVER signed up for. I called OptumRX and they said I needed to get a NEW prescription through my doctor, even though I still have plenty of refills. I use birth control and, as many people know, birth control medication is TIME SENSITIVE. I ended up paying the out-of-pocket cost out of desperation and fear I would not get my prescription in time. I'm calling and complaining about OptumRX to my insurance company, no doubt. No one should have to be forced to do anything when it comes to their health. OptumRX absolutely needs to be clearer on their policies before dishing out their services.

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    Staff

    Reviewed Aug. 31, 2015

    My insurer switched to OptumRx within the last year and I have had repeated bad experiences. Six months ago I ordered my medication and it was delivered with a signature required. I work during the day. Repeated attempts to deliver it were unsuccessful and it was eventually sent back to the company. Because they had already billed my insurance I had no choice but to pay for it out of pocket so it would not be interrupted. I called them to find out what I could do to prevent this from happening in the future. They told me it had happened because my order included clonazepam, which is controlled. I was told if I no longer ordered the clonazepam, it could be delivered without a signature required.

    My next shipment arrived and was delivered without problems. Except that they delivered and billed for medications on auto-refill that I no longer take, and had removed from my profile. This time I reordered my medication and paid extra for expedited shipping. When I looked at the UPS tracker it again said "signature required by sender." There were no controlled medications and the first person I spoke with said they couldn't see why they needed a signature but there was nothing they could do about it. I would have to wait through multiple delivery attempts until the meds were returned to OptumRx.

    I then spoke with a supervisor who told me it was because my meds were worth more than $1000 that they needed a signature. Nowhere in the ordering process does it say that. It only says what I have to pay, not what the drugs are worth. Once again they have billed my insurance company so I cannot get it at a local pharmacy and I am facing going a period of time without my medication, which is supposed to be weaned off and not stopped suddenly. I am so done with them. I will pay more and get my meds from my local pharmacy who doesn't play games with me.

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    Reviewed Aug. 27, 2015

    OptumRx has failed again. I have been using my local pharmacy this year because OptumRx has the worst website I have ever seen. I decided to give them a try again tonight as I have a new prescription. I was on long enough to find the price of the drug. I was then "knocked off" the website and after many tries just gave up. This is so frustrating and has happened so many times that it is ridiculous. I will be going back to my local pharmacy again for this new prescription.

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    Reviewed Aug. 26, 2015

    Ordered 3 month supply of blood pressure and cholesterol medicine in June 2015. Cost was deducted from checking account. Everything good. Then beginning of August 2015 received cholesterol medicine in mail and a deduction in my checking account for the cost of the medicine. I did not order more medicine or authorize a deduction in my checking account. In fact I had been out of refills and had not seen my doctor in about a year. I was in the process of finding another doctor closer to my work and was going to have new doctor prescribe medicine. I called OptumRx and complained that I had not ordered medicine and was out of refills anyway, and how did this happen?

    They told me I had checked auto refill and auto renew online. I told them I had not and that was not true. Why would I order just one of the two medicine that I use and why when I still had over a month supply left? I asked that I be refunded. The customer service woman (Micky) asked if I would like to talk to a supervisor. I said yes. Then Micky got back on said they cannot take the cholesterol medicine back because that is illegal but they will refund my copay back to my debit card (checking account) and it would appear within 3 to 5 business days. After 5 business passed I received no refund.

    So I called back and was told they won't refund money until I return medicine. I was angry telling them I was told not to send back medicine because illegal. They said they will send me something to send medicine back. About 1 year ago OptumRx had sent medicine that I had not used in over 2 years and they would not refund or accept medicine back. My bank retrieved the money from them for me. I guess I have to call my bank again to see if they can help me. Is it legal for them to take my money from my checking account and send medicine to me unauthorized, without any e-mail or text etc... Warnings? And then not refund or accept medicine back.

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    Staff

    Reviewed Aug. 23, 2015

    On my last order for my insulin, 3 month supply, I was charged twice the same day $115.00. OptumRX said it would take 4 to 5 days for my credit to come through meanwhile my credit card bill shows up showing the double charge. Now I have to pay the extra $115.00 dollars in Sept. What a bunch of **. I will never order from OptumRx again. They don't give a crap about their customers. I hope they go under and fast before they harm any more seniors.

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    Customer ServicePunctuality & SpeedOnline & AppStaff

    Reviewed Aug. 13, 2015

    Attempted to renew my prescription through the app, but then had to use the website. A few days later I received an automated phone call, which then put me on hold. They then asked to charge my credit card, which I have on file and requested be charged on the website. 2 days later I received another phone call and was put on hold. I again was asked to charge my credit card and was told that the representative from 2 days before did not complete my order.

    Separately, when I initially set up my account, the website was erring and I had to speak with 2 different representatives, who neither one could set up my account. A week later, it magically worked. In summary, you will be forced to have multiple contacts through ridiculous systems and spend hours to get your 1 prescription filled. How about when you call me, be ready to talk to me? Instead of calling me and immediately placing me on hold. I rue the day my employer mandated we use this worthless company.

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    Customer ServiceSales & MarketingPunctuality & SpeedStaff

    Reviewed Aug. 13, 2015

    I do not have any relationship with this company and they are calling me over and over asking for my personal information. When I finally asked them why they are asking for this information, they could not tell me why. They even asked for my credit card number to verify what they had on file. I told them they need to send me something in writing as to what this was about and the person on the phone couldn't figure out what to do. She put me on hold for a supervisor that never showed up. Is this a scam or an attempt to gain business? As far as I can tell so far, I do not have any service or business with them. There is no reason for them to call me. I am very concerned and want this to stop and for some form of investigation be done as to what they are up to.

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    Staff

    Reviewed Aug. 13, 2015

    I have been trying to get my long term medication for almost a week! They don't care that I have now run out of my meds. They said I needed a prior auth. Got that done, then they said the medication was missing 2 letters on the Rx. Got that corrected, then denied again- oh the dr didn't give them enough info (even though my Drs office told me how many personal questions they were asking) then they resubmitted the PA, DENIED. This time because the name brand wasn't on the RX... That was corrected. Now it was denied again due to not having enough info from the dr. They want to make sure I've tried other meds before they give me this one.

    Hellooo. I've been on this one all year! Why would I switch and "try" anything else if this is working for me? They refuse to allow me to speak with whoever is reviewing and denying me. The reps don't read or take notes, the ppl reviewing/denying are acting like they are stepping in as my DR! I'm pissed! I hate this company!! Unprofessional, irresponsible, incompetent, liars! I'm out of my meds now and I want them to be held responsible for their mess! The worst EXPERIENCE I HAVE EVER HAD WITH ANY PHARMACY COMPANY!! The worst!

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    Customer Service

    Reviewed Aug. 12, 2015

    My daughter is medically complex and many of her issues must be treated with medication to keep her healthy, out of the hospital and ALIVE. Trying to get medications ordered has been a nightmare -- my doctor would send in one thing, they would say another and I'd be calling back and forth because they wanted to send me the wrong dosage. They also refused to fill 3 of her medications because the FDA didn't 'recommend' it for children her age, even though these medications were working the best. So we had to switch medications (because we couldn't afford $1200 a month for medication) and she doesn't have complete seizure control now and she also is in pain every day now. After 2 weeks, we FINALLY get the right dosage/strength and got a shipment from them. We were told to set up an account online to make it 'easier'. HAHAHA!

    Set up the account under me (mother) and told after that because my husband is the holder of the insurance, I can't access my kids, only HE can. BUT he can give me "caregiver access" and that would allow me to. So we have to create ANOTHER account for my husband even though he doesn't do this stuff. Do that, give me Caregiver Access and can't get to my kids. Login under his, STILL can't get to my kids. Call them, they tell me it'll be fixed. 2 months go by, still not fixed. Now my daughter needs her medications reordered.

    Email OptumRX, two weeks later, they tell me they've fixed it. Login under me, CAN'T GET TO MY KIDS. Login under my husband, NOW my kids are listed twice! Try every single one of them, it says "Access Denied. You don't have access to this" even though my kids are under 6 years old and can't even use a computer. I can't access their accounts under my husband's account who is the insurance holder. Try logging out and back in, now no matter WHO I click on, it takes me to my son's account only. STILL CAN'T GET TO THE ONE ACCOUNT I NEED TO -- MY DAUGHTER. She now only has 3 weeks of medication left and I still can't reorder it or pay OptumRx. Their site sucks, their people suck and my kid NEEDS these medications.

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    Staff

    Reviewed Aug. 11, 2015

    I have now received 2 damaged shipments from them. The capsules are all melted. OptumRx is the only mail order pharmacy I am aware of that does this. They all use cold packs. I live in Texas where it is 106f today. They don't care. The "pharmacist" says since it's not on the list, all they can do is keep sending more. The fact that every shipment will arrive melted, seems to be of no concern!!

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    Customer Service

    Reviewed Aug. 10, 2015

    This mail order group is substandard. I have repeatedly called about my prescription medications that have been renewed by my provider and I have made an appointment after 2 failed requests "not received" by this group. Personally saw the requests send over, only once again being denied by OptumRx. No one cares about this issue until you reach a supervisor who contacts the office to get yet another renewal. Also, was denied a medicine I has an authorization for, was billed full amount, only to get a letter from AARP saying that was incorrect, and would need to fill out 2 pages for refund. Forget it! Returned it all! AARP has NOT been an advocate for me either.

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    Customer Service

    Reviewed Aug. 5, 2015

    I ordered one medication through their site. The cost was $175.00. I received a box of every medication I have ever ordered from them, total cost $541.31. I called their toll-free number and was told that because I had ordered through their site they would not give me refund or let me return the medications.

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    Customer ServiceCoveragePriceStaff

    Reviewed Aug. 5, 2015

    Our daughter is covered thru my husband's insurer UHC insurance and to be "cost effective" they required that her daily medication for epilepsy be provided through OptumRx mail order prescriptions. We went from paying $140 for a 90-day supply at Walmart to paying $1700 for the 1st 90 days in 2015 and $699 every 90 days thereafter. This is not cost effective. The customer representative remarked when I was flabbergasted at the cost of the 1st prescription, "Well what credit card would you like to get the points on?" - Really rude. I hung up on her.

    I think that OptumRx is lining their pockets. We even to sign for the meds now when they are delivered because they are a category 2 medication. This is such a rip off. I called my prescription provider and the same medication is $477.20 for 90 days thru Caremark. We should let our daughter (age 22) just go on ObamaCare & Medicaid. Her drugs would cost $200 for 90 days thru welfare. She can't afford insurance on a minimum wage.

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    Customer ServiceCoverage

    Reviewed Aug. 3, 2015

    My daughter was prescribed Amitiza by her physician. It was denied by my insurance.. OptumRX said they had to get a prior approval from the physician and sent them the letter. After Dr. sent letter back, OptumRX declined the medication stating that she had to take linzess first for two weeks and if that didn't work, then they would re-evaluate the need for Amitiza. By the way this process took 4 days! I explained to OptumRX that she had taken linzess a couple of years ago, and it made her very sick. They said that there was no proof, and also explained to them that her present doctor was a new doctor so she would have no record taking Linzess.

    Rudely they said that there was no other option and the linzess would be approved. Then finally by Friday, the dr's office called the prescription in for Linzess. I called the pharmacy at 5:30 pm and they told me that the Linzess was declined and had to get prior approval. Now very angry I called Optum back and they said, "Yes, it had to get prior approval," and now at 5:30PM the doctors office was closed and will have to wait till Monday. Their response was "You can pay cash!" I find this whole process very unacceptable and many other at work are having a problem with this new insurance. It's HORRIBLE. By the way, my daughter still has no prescription filled! Thank God she wasn't dying!

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    Customer ServiceStaff

    Reviewed Aug. 2, 2015

    I had an approval for my medication for a year under the pre authorization department. As of this month they changed my formulary and was no longer approved so I had to ask to get my rx sent back to me. That took over 3 weeks to get back. They took over $125 out of my bank account. I asked for a refund. I was told it would take up to 7-10 business days to receive my refund, even told by one rep that it should be back in my account by the following Monday. I called that Thursday. Was told, "No sir, we don't deposit funds back in your account and we will send it via check."

    I waited a week. Called again. This time I was told that they approved my refund and now it would take up to 3 weeks for them to send it. Never have I ever dealt with a company that takes 2 months to even send a refund. These people are incompetent and what's worse is you have no other option if you have UHC you have to seal with these clowns. RIDICULOUS.

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    Installation & Setup

    Reviewed Aug. 1, 2015

    I am no longer able to log on to the OptumRx website, getting the same message for over the last six (6) months that there were too many redirections. I have been using the same computer and browser for four (4) years. They send me instructions to try a work-around, but they do not work. The sign-in process was at best so-so to begin with. In this day and age, not having a good user-friendly website, is not a good thing.

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    Customer ServicePunctuality & Speed

    Reviewed July 30, 2015

    I ordered a prenatal vitamin on Tuesday, July 7. After 2 weeks and still no vitamins, I called and was told that they were in the process of sending it out and was told that it would arrive by Friday, July 24 at the absolute latest. I asked why it was taking so long to ship and the woman said she didn't know. Friday came and went and still nothing. So I called on Monday and the woman I spoke with apologized and said they would overnight my order and it should be at my door the next day (Tuesday). Well, Tuesday came and lo and behold, still no vitamins! I called, for what would be the third time, and asked to cancel my order because I realized I would never receive it. I also wanted my money refunded, because even though the prescription was taking so long to send, they charged my account immediately on July 7th for $75.

    The woman I spoke with told me that my order was on a truck and currently in transit, so I should definitely receive it the next day. Since, she told me it was in transit, I agreed to not cancel the order. Well, what a mistake because the following day it once again never showed up! I called for the fifth time and the man I spoke with basically told me that the previous woman had lied because it had not even shipped yet and wasn't on any truck. At this point I demanded it to be canceled and have my account refunded. I was able to cancel, and will never use OptumRx again. They caused an unnecessary headache and thank god I had vitamins left to take or I would have went over 3 weeks without a prescription. I have never dealt with a more inept company in my life.

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    Online & App

    Reviewed July 28, 2015

    They are one of the worst companies I have ever dealt with and their website is horrible. I was denied the correct dosage of a drug. I need to take a dosage via injection every week for my condition. They will only approve it for every other week. I had United Healthcare before through my employer. At that time I used the specialty pharmacy, CVS Caremark. United Healthcare with them approved the correct dosage but now deny it through OptumRx. Why? My condition did not change. In fact it has gotten worse.

    If I drop half of my dosage then I really will suffer and experience unnecessary, additional pain. I have been at the required dosage for the last 14 months and it was approved. How can they justify reducing my dosage when I have a chronic illness? The only reason has to be financial. I have lodged a complaint with my state's Attorney General because I feel I am being discriminated against due to a pre-existing condition. Dealing with OptumRx has been nothing but a nightmare!

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    Customer ServiceStaff

    Reviewed July 28, 2015

    I called to have my doctor contacted for prescription refill. I explained VERY clearly that I have the same doctor but he is now with a different doctor group at a different hospital. I advised name of hospital, name of group, and phone and fax numbers. They would fax form. I explained that the fax line is quite busy and I have been at the office at times when faxes are not getting through. I asked to have a call put through to the office after fax has been sent to make sure that they have actually received it. "Sure no problem." Maybe no problem for the girl I spoke to but it is a very big problem for me to be without my glaucoma medication.

    Several days pass and I call 2 days ago and get another actress with the same song and dance routine... and yes, She will fax again and make sure that a call goes through because the normal procedure is to wait a week or two before calling. I could be blind - or even dead by then. This afternoon I call and no call had ever been put through. The man with whom I spoke said that the "advocates" (hahahahaha) do not make out calls - only the pharmacists. This is a new version of the song and dance. So I ask to be transferred to a human being able to help solve this problem. I get transferred to someone stating that she is a pharmacist and will leave a message to have someone call the doctor's office tomorrow... sure she will - and I also believe in Santa Claus and the easter bunny. The only reason I am giving one star is because I can't send this through with none.

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    Customer Service

    Reviewed July 28, 2015

    July 22 placed order... acct. debited. July 23, 24 and 27... credit promised but as of July 28 I am still waiting. Calling the call center is useless. When will I get my credit? I really do not want to do business with you. As a senior on only SS I cannot afford what you are putting me thru.

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    Customer ServiceStaff

    Reviewed July 27, 2015

    I have 1st hand knowledge that the members are being shortchanged. The reps are told to keep all calls under 5 minutes. How do you give good service, including educating members about their prescription drugs and the plan benefits in 5 minutes? Sometimes they have information that will save them a ton of money on prescriptions but internally are told to get them in and out. They are told that it's better to give bad information fast than running up the phone time with long explanations, no matter how good the information. Sometimes they're told to help 10% and get the rest off the phone so they can keep their numbers low. This way they can tell the client/Plan they're doing a good job and keep shareholders happy.

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    Coverage

    Reviewed July 24, 2015

    Company changed insurance to United Healthcare who uses OptumRx as their pharmacy. They only allowed 1 pill per day of ** but I take 2 per day and have done for 5 years, meaning I had to pay for the other 30 pills costing me over $150 per month! My doctor suggested I change to ** which IS covered but this meant I had to wean off the ** before starting on ** and this was not a pleasant process and caused myself and my family a great deal of stress. Also they denied ** to me because I was already taking ** as part of my anti-depressant regime and I had not attended a stop smoking program. Aaaargh!!! I know I shouldn't be smoking.. but really!! All this prior authorization nonsense is exactly that...NONSENSE!

    As a consequence of so many others in the company complaining about similar things, fortunately our insurance is changing back to Blue Shield which we have had before and NEVER had to deal with nonsense like this. What is the point in paying insurance when you are denied everything or made to jump through rings of fire to get what you want thereby exacerbating the very disease you had in the first place? They should be taken out of business immediately!!

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    Customer ServicePriceStaff

    Reviewed July 24, 2015

    My wife had a prescription of synthroid already in the system, and I had a new one for Benicar for 90 days. When the Dr., 11 days ago, re-sent hers in for 90 days they (OptumRx) denied her and said that our plan paid for only 30 days through a retail pharmacy. We were told that we could only get a 90-day supply through mail order. We have been getting 90-day supplies from our retail pharmacy for almost a year with no problems. United Healthcare. Suprv. told Khan at OptumRx not so - that we have no quantity limits. Also informed us that no pre-authorization needed.

    OptumRx are liars and uncaring. Wife almost out of meds. He told us 48-72 hour resolution. Wanted us to pay for pills for emergency supply when it has been 11 days ago that Dr. sent in Rx to retail pharmacy. High heat index will destroy any medicine sent through mail. Pitiful customer service. Want to hold people hostage. We will file these complaints and get the ball rolling to have Optum not ever reconsidered for our company's pharmacy provider again and put them on the BBB list. Will let my HRI benefits manager know this in detail - how they have blatantly and illegally withheld refilling of our meds at our local retail pharmacy.

    Pharmacist, pharmacy techs, doctors., nurses, United Healthcare reps & supervisor, Human Resources Mgr., and both of us have been on phones for HOURS TRYING TO HAVE REFILL ON Rx FILLED @ SAME PHARMACY AS BEFORE! Going through mail order pharmacy was going to cost us more $ also on some Rx's. It would take 10 days for a new Rx to be sent and 7 days for a refill Rx. to be sent. Each of these only take a day to fill & pickup @ local pharmacy. Our local pharmacist has known us for over 20 years. No mail order pharmacy can ever know a patient/customer in this same way. Our U.H.C. benefits are being violated!

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    Punctuality & Speed

    Reviewed July 24, 2015

    I am supposedly enrolled in the OptumRx "Hassle Free" 90 day refill program. It seemed to work OK for the first few refills. However, my most recent refill never happened. Their system indicates that my last refill was 3/26/2015, but they are not scheduled to ship until sometime in August. Are their systems unable to add 90 days or are they purposely messing with ship dates to minimize their expenses? My family members and I have had many other problems getting our prescriptions filled with OptumRx. They seem to have all kinds of ways to delay getting meds sent to their "customers". Most definitely NOT a "Hassle Free" company to deal with! If I could fire these guys I would in a second, but my company insurance make me use them for all prescriptions longer than 2 months. This kind of "service" has to be causing health issues for people that can't get the meds that they need on time.

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    Staff

    Reviewed July 23, 2015

    The company questions when the doctor prescribes formulary prescriptions, requires pre-authorization repeatedly and has in some cases, questioned the prescription choice of my specialists, sending them for review to doctors outside of their specialty. For example, having an emergency room doctor in a 3rd rate hospital in Arizona question the medication prescribed by a cardiologist at a top-tier hospital. They make the process burdensome for customers whose companies are paying top dollar to their parent, in this case UnitedHealthcare. They interfere with the process of filling prescriptions and create extra work for physicians.

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    Customer Service

    Reviewed July 22, 2015

    They have the worst service ever. I take 2 maintenance drugs. I started dealing with them January 2015 and every prescription/refill has been wrong. From mailing them to the wrong address, sending the wrong drugs, to canceling prescription that were needed, trying to bill me for their mistakes and the list goes on and on. Every interaction with them requires a minimum of an hour on the phone. I did not have these problems with my local pharmacy.

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    Staff

    Reviewed July 21, 2015

    United HealthCare has made us switch to OptumRx for our medications and I have yet to have a pleasant experience. I love my Walgreens. They are easy to refill and have a Pharmacist available to talk with all the time. At OptumRx, I have yet to get a prescription that actually works like it is supposed to. They have replaced my estrogen patch with one from Alvogen that does not even stay on - I have already gone through 3 in two weeks, and it is not working like the ones I received from Walgreens - Mylan is the manufacturer. The progesterone they are sending me replaced the original one I took from Walgreens and guess what - I have had break through bleeding and a return of all my symptoms.

    I have asked them to not refill so that I can go back to my Walgreens and get what works. Apparently they are saying there is no difference in these medications - however, when I talk with other patients, doctors and actually dig deeper the adhesive on the estrogen patch is what delivers the estrogen - when it isn't sticking it isn't delivering the estrogen. I hold United HealthCare responsible as much as OptumRx - they have not fully vetted this company and I do not feel that OptumRx has any idea what they are doing. This is a terrible pharmacy service and I do not recommend anyone using it.

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    Customer ServiceStaff

    Reviewed July 21, 2015

    I have had several bad experiences with OptumRx and their customer service including waiting several weeks for prescription preauthorizations, not refilling and sending prescriptions out in a timely manner, waiting on hold over 10 minutes when all I needed was my ID number which was not printed correctly on my renewal card. I really do not appreciate their long hold times and sometimes never getting back to you. I had bad experience on the phone with them last year that I couldn't wait to give my review at the end of the call and the representative purposely put me on hold so I couldn't review her and I had to hang up after 15 minutes. I have honestly never had such bad experiences with other insurance companies and if I had a choice I would not be using them in the future. I really think someone should fully look into their practices as they are definitely nowhere near where they should be.

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    Customer ServiceStaff

    Reviewed July 20, 2015

    Out of medicine a week, wife out also. Have been trying for a month or order, every excuse you can imagine has been used. Absolutely refused my request to talk to a person in higher authority. Do not return calls, give wrong information etc. My wife and I have been with OptumRx since Jan 1. Have not had ONE satisfactory encounter yet. Tried being nice, no results. Tried being a pest, no results. Toll free numbers are simply a firewall to prevent dissatisfied users from contacting responsible parties. I assure you that I will do all I can in the future to legally cause OptumRx to lose customers and business. Never have I had to deal with such gross incompetence and totally unacceptable business practices. NOOO. I will not go away, nor will I cease. Watch for my next moves!!!

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    Staff

    Reviewed July 18, 2015

    I contacted them 6 times in 2 weeks (first dealings with them) to make sure I would get my meds before my trip 2000 miles away. I was assured and given promises of overnight deliveries twice since they neglected to ship or contact me. The time for my trip is Monday (it is Sat 5:30) and even though they gave me a tracking number, UPS does not have the package. Apparently if they print a label they count it as shipped even though they never give it to UPS. They have billed my health insurance so I cannot even go to the pharmacy and get my meds. These people are not only incompetent, they are criminal since many people - myself included, rely on our meds to stay alive. They should be put out of business and prosecuted for criminal acts.

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    Customer ServiceStaff

    Reviewed July 18, 2015

    I was contacted by OptumRX and solicited to move my prescriptions to them on the pretense that it would save me money over my current pharmacy. The salesperson explained the process and I stated I would be interested except I did not want anything to be automatically ordered and billed. I don't believe in auto pay programs as I like to track payments and orders for any products or services to ensure accuracy, etc. I was assured that no prescriptions would refill or be shipped without my consent and that I would receive a phone call 2 weeks prior to any refill. This day I received medications I do not want or need. They are unopened. I called and was told I could not return or receive a refund. I was also told I had signed up for "hassle free auto refill!"

    I NEVER agreed to this! They were quite rude in saying I must be lying as they could not have made this mistake. I asked if they could verify any signature or other authorization showing I had authorized this. No, they cannot. So, they have made unauthorized charges to my credit card, sent me drugs I don't want or need and refused to refund my money. This is criminal. At the very least, it is unethical. I believe I should have some recourse, but have no idea how to address this problem and their "supervisor" was quite rude, despite my calm and polite - repeated - requests.

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    Reviewed July 16, 2015

    This Company SUCKS, It seems they can DICTATE to us, the consumer, what is and is not going to happen when you place your orders. They say they will not pay for that, you must use something else. How do they get away with that. Seems to me if my doctor prescribes it, that is the medication he wants me to have, not what they will allow. This Company should be audited and forced to do business where the customer and the doctor's requests are accepted without question.

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    Customer Service

    Reviewed July 16, 2015

    This is second time with 3 of your staff to even get this open. I have account and can never access it. Correct ID and SN do not work so I get new that don't work. Lol qa damn mess. This is dangerous for me because I cannot get meds as needed unless I call at last minute after more failures here. NOT EXCUSABLE.

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    Customer Service

    Reviewed July 15, 2015

    I just spent more than 25 minutes on the phone trying to find out the status of prior authorization. I was blind-transferred to three different people whom I could. I am completely out of medication and just do not know what to do. Please help.

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    CoveragePrice

    Reviewed July 14, 2015

    My husband's company switched from BCBS to UnitedHealthcare, so our prescription coverage switched from Medco to OptumRx as of Jan 1. I take a number of medications, many of which are specialty medications. Because of their classifications, and the dosages I require, I know they need prior authorization (they always have, even through Medco). I've been on these medications for YEARS. Optum is refusing to cover the full amount of one, won't cover two others AT ALL (fortunately I was able to switch one without issue), and I'm still fighting with them over another (which they want me to complete "step therapy" before they will cover… I've been on this medication since 1999, I'm not going to try other medication when I know this one works).

    I had to change the treatment I was receiving for my autoimmune disease because they refused to cover the immunoglobulin therapy, and the specialty pharmacy bills the new treatment incorrectly EVERY MONTH! I work in a retail pharmacy and if we did that to our customers, they would leave in a heartbeat! Unfortunately, I have no choice, I HAVE to use them because they are my ONLY option through UHC. And I can attest, based on my knowledge of prescription medications as a certified pharmacy technician and prior experience with other insurance companies, that their prescription formulary is a JOKE! Some of the medications they cover are out of date and not in line with current recommended treatments. New or brand medications are rarely covered, and if they are, they are cost prohibitive, as are narrow therapeutic index medications. In some categories, their "Tier 1" medications are not even available!

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    Skye increased rating by 1 star.
    Price
    After a positive interaction with OptumRx, Skye increased their star rating on Aug. 27, 2015.

    Updated review: Aug. 27, 2015

    Update: After writing this review and writing a letter to the actual CEO of Optum Rx, I received several helpful phone calls from Shauna. She followed up diligently and determined that there had been a mistake with my insurance company's placing my medication inadvertently on the wrong tier. Optum sent me a refund check of the difference in amount. I greatly appreciate her efforts. I will increase my rating to "Dissatisfied" because while I appreciate the efforts to solve my problem, the only way that happened was by my making extra effort to pursue the matter and there was no way provided to me by their customer service to register a complaint or start an investigation. Bottom line: I don't feel comfortable using them for my business any more.

    Original Review: July 11, 2015

    I have a prescription that is on automatic refill. Evidently the formulary changed so that the amount that was automatically charged my credit card was a $200 increase from the last time I filled the prescription, or more than a 225% increase. I was never notified that the amount had changed, especially so substantially. Jose, the supervisor to whom I was speaking informed me "I don't have a boss" (who knew that the CEO of OptumRx works on phones on Saturday evening) and refused to do anything other than cancel the prescription for future automatic refills. They will not credit my account or accept the medications back from USPS even if I refuse delivery.

    In other words, OptumRx just took 200 extra dollars from me without my consent and without my having any recourse whatsoever. How is this legal? I know it's not ethical. I didn't sign up for automatic refill with the proviso that no matter what the cost, I'll pay it. No one would do that, so why is that remotely the logic here?

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    Staff

    Reviewed July 11, 2015

    I have been taking 3 of the meds I now get from OptumRX and something is off. They no longer work at all like the ones I was getting from my local pharmacy. While mine are not life threatening the ones my husband takes are. I am going back to my local pharmacy and BTW I am SO glad I did not give them my credit card number!

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    Customer ServicePrice

    Reviewed July 11, 2015

    If you can avoid using this company, please do!!! They told me they would call me before my refill was due and they never did. They tried to charge me for brand when I only get generic and it is double the price. I asked for it to be delivered without a signature requirement, but that didn't happen and I was on the phone arguing for an hour, only to be told it is not their problem. Then they double charged me and refused to refund the money. They flat out told me I was lying about being doubled charged, even when I offered to send proof. I am now dealing with the BBB and they are refusing to answer my request for a refund or contact me.

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    Staff

    Reviewed July 10, 2015

    I have ordered my prescription June 28. On July 10 I called to see where it was as I need it on Sunday. I was told I will have it July 8. Today they said "it should be there Monday." Cs agent just apologized and said "sorry." This has happened three times now. They are horrible at getting your prescription to you in a timely manner and offer no fixes.

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    Customer Service

    Reviewed July 10, 2015

    I placed an order for Novolog on June 20, 2015. When it hadn't arrived by July 7 I called to find out where my insulin is. I was told that for some reason the order failed to go through and I was assured that I would receive a bottle by today. However nothing has arrived. I reminded the advocate that insulin is a life sparing drug! I have been a type one diabetic for 48 years and I have never been so angry at the lack of compassion or of interest on the part of the company chosen for me by United healthcare. This is unconscionable!

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    Coverage

    Reviewed July 9, 2015

    I was told I would not be covered for prescriptions unless I used mail order Optum Rx UHC company. I no longer could refill my Rx at local pharmacy. I was not informed I had the option to "opt out" if I chose to. I was sent the wrong Rx and was unable to take my normal dosage at the normal time and the delay caused serious stress and health consequences that I am still recovering from. They would not credit my account for charges or accept responsibility for the incorrect Rx until I was so upset they finally agreed to review my case and request more information. I have opted out now but am extremely upset by the lack of concern for "customer" health and lack of accountability.

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    Reviewed July 8, 2015

    I ordered three prescriptions on June 24 after my previous order three months prior ran out. Numerous times they say and advertise delivery in 3 to ten days. It's now July 7 (13 days later) and the web still says in progress. I called today and was told, "Oh that was just shipped and will be there in three days." I said that was unacceptable and that I wanted them to overnight all three to me now. All she said was that they had just shipped them. I pointed out 16 days is not 10 days and repeated my request for an overnight rush order. Silence.

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    Customer ServiceStaff

    Reviewed July 8, 2015

    I call and had 2 refills done and shortly thereafter I checked my bank account only to find I had been charged twice for the same bill. When I called back no more than 10 minutes later, I was told that was standard practice and the second charge would drop off after shipping. I asked for a supervisor and was connected to Jose who told me there was nothing he could do. I asked to speak to his supervisor and was told he had no supervisor, he was as high as it got. I asked again and was told the same. I find it hard to believe he has no boss!!

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    Customer ServicePriceStaff

    Reviewed July 7, 2015

    I have been taking a medication for more than a year which has been covered on the drug plan with a $40 copay. As I reached the donut hole this year the copay suddenly became $750 (which is supposed to be 75% of the wholesale cost). Just as a precaution before I called Optum I checked 4 online medication sites and the local Costco. Every single one charged less than $200 RETAIL for 20 more pills than I got from Optum. The phone call to Optum was polite as usual, but I was told that "their" wholesale cost was more than $1000.00!!! The rep had no explanation for the discrepancy and because I had agreed to the charge when I refilled it online, I was stuck with it. I'm currently looking for executive names to contact because this is clearly consumer fraud.

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    Customer ServiceStaff

    Reviewed July 7, 2015

    Called multiple days in a row, getting very different answers to questions. Placed an overnight shipment order that in actuality takes 4 days. Customer support representative was very rude. If I could, I would give zero stars.

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    Price

    Reviewed July 4, 2015

    Bought medication ($200) for my son thru OptumRx last feb, had not met deductible. Was told in august same med would be $1400 as deductible wasn't met. Cash price $1100. Cost with good rx $400. Could never get explanation from OptumRx why cost was more than cash price. This year deductible met. Sent in rx in mid June for son's med. Prior auth done correctly. OptumRx lied & said prior auth not done correctly. MD office spent over an hour calling multiple numbers to get straightened out. Med not filled until July when son was out of med. Due to OptumRx's lies & procrastination, can't get December refill while deductible will be met. Absolutely hate/Despise this so called company. They don't deserve 1 star. They deserve negative 5 star.

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    PriceStaff

    Reviewed July 4, 2015

    I am so sorry I had to go to United Healthcare and their mail order pharmacy. They say their doctor doesn't agree with diagnosis so they refuse to fill the script. They say they can't fill the script with the diagnosis of migraines however it is used for tension headaches (duh how do you think my headaches progress... first tension headache then medication keeps it from going to migraine). My doctor changed the diagnosis to tension headaches. My prescription was put on hold for a prior authorization which takes you into a non-ending loop which has been going on for 5 months. I might add that this med is ridiculously low cost (pennies a pill).

    Where do they get their doctors? (I know my doctors credentials!) I will be so glad to sever ties with UHC, the only sad thing I have to deal with them till January 2016. I will be going elsewhere for health and pharmacy plan and wish anyone luck that has to continue to deal with this plan. I would give an order number but it's still in the loop of prior authorization and diagnosis does not agree with their doctor.

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    Customer Service

    Reviewed July 3, 2015

    This company is a joke!!! I had a heart attack last year and am on some very serious medication. 2 times when I called they were out of the medication and one time when I ordered, for some reason the order didn't process due to my bank card. They never contacted me. Just waited for me to run out and call them. If there is any way to avoid this company, do it!!!

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    Customer ServiceCoveragePriceStaff

    Reviewed July 1, 2015

    The scum at OptumRx were using my bank account as their personal A.T.M. and twice took funds out at their leisure. I reported once to the D.O.J. in Oregon. They received a flimsy excuse about more training for the employees, but I never got my money back. The D.O.J. asked me if I wanted to go any further. I said no as they have banks of lawyers and the poor, retired working class will lose 90% of the time against large corporations. The second time was a reply from ** to the first review I wrote. She proceeded to take an extra $10.00 from my account. It then cost me $20.00 to put a stop payment on all further attacks on my account.

    My wife and I left UnitedHealth, OptumRx and eventually AARP. We have our coverage with Kaiser Permanente and it's like going from pitch black to a sunshiney meadow. They follow up on every issue. I receive calls about all changes to my meds. from the pharmacist. We are making some changes (diabetic meds) and I talk to the people every other week. They call me. It's almost like they care. I could go on but I'm not sure that this will be posted and it takes a long time for me to write this much. Thanks for listening.

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    Punctuality & SpeedStaff

    Reviewed June 30, 2015

    I am a diabetic. I must take Glucophage 2 grams daily. My endocrinologist ordered the medication on June 10, 2015, electronically. I ran out of the Glucophage on June 14 and I tried getting a short time supply from local pharmacy. OptumRx denied the medication to the pharmacist. I called the patient's advocate at OptumRx and I was reassured that the medication would be sent overnight. Today is June 29 and I still waiting. This company is dangerous! They are playing games with people who are sick! I hope someone in the DEA reads these lines and suspends their license! Consequences? My diabetes is not well controlled.

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    Customer Service

    Reviewed June 29, 2015

    Worst company I have even dealt with. These guys are terrible.. Also if you choose to take the survey after the call, if the customer service is bad they disconnect you before the survey. This company is the very worst and your service depends on who you get that answers the call. Every review that I have seen for this company is horrible.

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    Customer Service

    Reviewed June 27, 2015

    OptumRx has over charged my account since 2014. I spent 3 hours on the phone with United Healthcare. This gentleman name **, stayed on the phone with me as we 3 way called Medicare, United Healthcare, OptumRx, AARP/MedicareRx Plan through United Healthcare. The problem is I have severe nerve damage to my legs caused by my diabetes. OptumRx has overcharged my co-pay since 2014, and they have acknowledged this however, until I pay OptumRx $187.00 they will NOT send my medication to me. According to OptumRx, I must pay the past due amount before they will send my medication to me and once I pay this wrongful amount due, the whole balance, then they will adjust my account properly and send me a refund.

    I have now been over 3 weeks without my medication and I give it another 2-3 weeks before I'm going to be in a wheelchair. OptumRx knows this, United Healthcare, AARP Medicare through United Healthcare, they all know my situation. I have been put on another medication, one I can get from my local pharmacy. This medication does not do well with my mental health. The fact that I can't get Lyrica from my pharmacy is the most idiotic thing. I can get everything else from my local pharmacy. Thank God I can get my insulin from my local pharmacy or I'd be dead.

    I have one more call to make Monday morning and that call will be to to the corporate attorneys where my husband works. I have official forms that explain my Rx charges I have 3x coverage, United Healthcare, AARP, and extra help from the state due to my disabilities. It's disgusting they have admitted the overcharge, but won't send my meds until I've paid this overcharge, then they will issue me an credit for the overcharge. I pray my attorney can and will crush OptumRx. Unfortunately due to someone or some source, I can only get my Lyrica from the worst mail order Rx.

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    Reviewed June 25, 2015

    I was repeatedly advised by OptumRx and that I was required to use mail order Rx services. I was told repeatedly that I could no longer use my local pharmacy. This became difficult due to their general incompetency; however, more importantly, consumers must know they may be able to OPT OUT and must contact their insurance carrier directly about this option. I only discovered this when I contacted my insurance company to complain about OptumRx's services and was told I could opt out!

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    Staff

    Reviewed June 23, 2015

    I had 300 seizure partial seizure clusters a day every day. I screamed a lot and stopped being able to walk. I finally went to a ''chronic pain'' specialist. Then a neurologist and was given meds that I could tolerate as I'm seriously allergic to so many. I was on a med regiment of meds. I took for 5 years and got so much better that I only had maybe one partial seizure a month. With the first year I realized the main pain was in my back which I originally told the doctors. The pain had gotten so bad. I forgot where it was. I then had a very serious back surgery that I hoped would make me better as I didn't have anything to lose. It worked but I took these meds for 5 years, without going up or down. When the medicare/medicaid people enacted Obamacare, OptumRx was the only choice and you had to do it.

    Optum refused to let me continue to take two drugs as I was too old. I had no advocate in the doctor or his staff. I changed doctors. The new one advocates for me but Optum will not listen and just makes more paperwork. No respect for me and my age or my doctor. I only have $7000+ per year. I now have the seizures coming back. They are slight but I began screaming again. I wet my pants again. I have sparkles in front of my eyes. I tried with the bad doctor to take what they wanted me to try but I was so allergic to it that once at urgent care they decided I had pink eye. I did not. I pay for it but sometimes every other month. There is no care or thoughtfulness or kindness with OptumRx. They wish for you to order from them. I get my meds from Phil's Pills. I have a photo of the receipt from Phil's Pills but this is hard to learn to do.

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    Customer ServiceStaff

    Reviewed June 19, 2015

    I get better service from Walmart ordering a case of bubblegum than this inept incompetent joke of a pharmacy. Dumping them and their insurance conglomeration owners as soon as possible. Four calls, two escalations and they still haven't filled the prescription. They have lied to the nurse who called on my behalf, claiming they shipped it. And today, admitted to me that three other people at OptumRx had lied to me and to the nurse. Their escalation team is worthless. Their pharmacists and order processors are worthless. I'm already writing an actual paper letter to their corporate office on OptumRx way as well as to the ATTY GENERAL.

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    Customer Service

    Reviewed June 18, 2015

    I was refused my medication prescribed for diabetes after filling it for 2 months under same insurance and was told to contact prior-auth at OptumRx. Was told that the formulary changed & could only get med if I enrolled in mail program. That was a LIE! Found out it was just a guise to get me enrolled in mailing-NO CHANGE in formulary. OptumRx are swindlers. Supervisor ** was rude and a liar. I complained to my health insurance about these 3rd party dupers.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 17, 2015

    I have only been with them for 2 months and have had NOTHING but problems. Our prescriptions at our pharmacy were frozen within 2 days enrollment so they could not refill. Almost out of some meds. Called Customer Service. "No prob" they said. They would send them free 2 day ship. 10 days later still no scripts. Called again. No record of previous call. Said they couldn't send them until we paid for them. I asked to cancel and was told I couldn't since we'd already enrolled (not true). Paid the money and again told free 2 day ship. 1 week later still no scripts.

    Finally received but only 30 day supplies (I paid for 90). I spent hours trying to work my way up the CS food chain. Each rep/supervisor/manager was ruder than the next. They were nasty and argumentative and made no attempt to resolve the issue. I was even hung up on twice. I asked to cancel and go back to our pharmacy and was told, if we did, there would be NO REFUND for the scripts already paid for. Still no resolution. This is the WORST customer service I've EVER experienced. If United HC doesn't drop them, I'll drop United HC.

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    Customer ServiceStaff

    Reviewed June 16, 2015

    The people working have no customer service or consideration for patients. They hung up on me four times today and when I finally get a person, they lie to me.

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    Customer Service

    Reviewed June 15, 2015

    Today, 6/15/15, I was told by **, "the only way to do it is to have the pharmacy (Sams club) call or fax them". I said that did not make any sense because they are giving you my business. She would not call Sams club.

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    Customer ServiceStaff

    Reviewed June 14, 2015

    Preauthorization: I met the criteria for PA of a medication but it was rejected twice. First I was told they need more information on previously tried meds. Provided that and it was rejected again due to quantity limits. Why did it take 2 phone calls?! Copay disaster: I called to verify copay. I knew copay was 0 according to my plan but I also knew the online pricing tool was showing $700+. Rep gave me the 700 and I had to guide him on how to problem solve their issue.

    I knew another med in the same class was covered and suggested they look at that one. He came back and said "oh yeah it is zero" then assured me it would be ok when pharmacy ran it. It wasn't and it took 1.5h on the phone with these people because no one could figure out how to update the system so the pharmacy would get correct copay. I finally got a supervisor that was knowledgeable and took care of it but that was after I spoke with 2 other supervisors and was bounced from department to department. This company treats life critical medications like they are no big deal. I am beyond disappointed with the service.

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    Customer ServiceSales & MarketingStaff

    Reviewed June 13, 2015

    Every time I call the specialty pharmacy there I feel like I’m on trial for asking for a refill. Not to mention, the agent on the phone never seems to find the info needed to get my refill completed in a timely fashion, 3 out of every 4 times I call for a refill, I end up calling the doctor b/c the agent says "We can't send it out w/o doctor consent". How do they not have consent? The doctor sent out the prescription for a year supply in which I already paid for. I just got the prescription 3 months ago with 3 refills left on it where I can do the injections at home now. They sent the first one out, now the second needs consent. WTH!!!

    Why am I not getting my medicine w/o a hassle that I paid for in a timely fashion? The agent was NOT professional at all as well, I won’t mention her name but this is ridiculous. If OptumRx is incapable of training their agents on what to do, insurance companies should look elsewhere. I'll probably have to spend another 50 bucks just to go back to the doctor just for a refill that is ALREADY AT OPTUMRX. If you ask me, feel like it’s a big scam honestly, I can’t even give them one star for such poor service. This is terrible service on Optum’s end, even my doctor doesn’t understand why this happens with Optum.

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    Reviewed June 10, 2015

    This company appears to be in the business of absconding with as much cash as possible from UHC and their customers. I highly recommend you write to the U.S. Attorney General's office, as will I. No need to go into the details, but it's clear... something very fishy here. I've just spent over an hour with UHC and learned they DO have other options, and also, you can have your doctor "buy and bill" so none of us have to put up with this.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed June 9, 2015

    Today I received an electronic call from OptumRx and then I was placed on hold by the automated machine for 5/10 minutes. Then the customer service person finally gets on the phone and starts questioning who I am when they called me and do not have any record (even of who I am or the questions I already answered to identify myself). Entirely disrespectful of my time. I then ask for a supervisor because of the complete lack of customer service and I am told one is not available. I proceed to address the reason for which they called me (it took them an additional 10 minutes to determine why they had called). Thereafter I proceeded to talk to **, the supervisor, who tells me that there was no place or person I could complain to about what had taken place. Clearly this is an organization that does not care about the customer.

    Moreover, because United Healthcare patients are practically forced to use this pharmacy, i.e., because UHC owns OptumRX, they are using their dominant economic position to not allow the use of other competitors in the mail order pharmacy business which (1) deprives me from getting advantageous pricing for some of the drugs I must use, and (2) they deprive the consumer from being able to pursue more responsive companies. It sounds like an antitrust issue to me but what do I know. The minute I can stop using them I will.

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    PriceStaff

    Reviewed June 8, 2015

    They say that it's no hassle but it's so much hassle to get prescriptions. I've told people I want to be on automatic refill but nobody ever seems to put me on that. And I went to unsubscribe myself and my daughter. They told me I couldn't because I wasn't the main person on the account but yet the letter was addressed to me. They said I couldn't do anything with my daughter's account because she was over the age of 13 and they couldn't give me any of her information. I have all her information so I don't know what they were talking about.

    Finally had to talk to a supervisor. Gave her my complaint. Wasn't really that helpful until I actually start raising my voice regarding my daughter. I asked what era are we in that a mom can not deal with the insurance company. Finally she took me off of everything and I told her I was never using them again. Don't care how much it cost me to go get my prescriptions filled because it was very much a hassle dealing with them.

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    Customer ServiceStaff

    Reviewed June 4, 2015

    A few days ago, I received a letter in the mail from them telling me a medication I had order couldn't be filled because it was too soon to be ordered. I DID NOT PLACE AN ORDER FOR IT. It had been an automatic refill. A short while ago, I got a voice message saying that a medication my doctor had recently prescribed was eligible for automatic refills. I go into my account and find out that NONE of the drugs I take are available for automatic refills. These are all generic drugs including one that they told me I had to switch to or I'd be forced to pay the full amount for the original drug.

    In the past I have received letters telling me a drug is eligible for refill so I try to refill it and then I get sent another letter telling me it is too soon to be refilled. What is wrong with this company??? I think they delight in wasting money sending out contradictory letters that to irritate their members. I am really fed up with them. I don't mind UHC but come October and open enrollment, I'm dumping United Healthcare just to get rid of OptumRx.

    Updated on 07/24/2015: Can someone advise me on this? I had a prescription that according to what their web site said was eligible for refill on 06 June. I order (online) the refill on 08 June. Then I get a letter from them dated 09 June telling me that the prescription wasn't eligible for refill but that they would send it as soon as it was eligible. They didn't refill it until 29 June. When I called customer service, I just got a run around as to why the delay but when I asked when it could be filled again, I was told it was 90 days from 29 June. So what I am thinking is that they are intentionally slowing down refills by about a month so during the course of a year, instead of four refills, I only get three. Is that legal?

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    Customer Service

    Reviewed June 4, 2015

    These ** have been jerking around my mother for years, and apparently (according to other recent reviews) have gotten even worse. I was not at all pleased to hear that today she was in TEARS on the phone with someone telling them this was the THIRD time that she has asked that her medications NOT be sent (including NOT be charged to her credit card) UNTIL she ASKS for them. After the THIRD time this has happened, supposedly they JUST received this information TODAY ** AFTER they had mailed the medications and charged her credit card. Apparently there is some new Medicare requirement that requires her doctor (Mayo Clinic) to FAX prescriptions directly to the provider, whether or not they are needed immediately and whether or not they are eligible for refill. Fortunately these ** have plenty of captive ELDERLY audiences to EXPLOIT.

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    Customer Service

    Reviewed June 4, 2015

    Every time I have dealt with them by customer service contact they have made a mistake. This is the 3rd prescription mail order company my insurance has used in the past few years. They certainly must be the cheapest because they are the worst. I really enjoyed the dog barking in the background in one of my conversations. Part time kennel and part time pharmacy?

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    CoveragePrice

    Reviewed June 2, 2015

    Our insurance forces us to use Optum and every time I order my medicine they mess up something. They let my husband do without his Enbrel for two months because they wouldn't accept the patient assistance program from Enbrel. It would have cost us 200 dollars a month out of pocket and we couldn't afford that. Now they decided to give it to us again after he suffered in pain. They charge my bank account immediately for medicine but it always takes me calling them back to get it and it's just so frustrating.

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    Customer Service

    Reviewed June 1, 2015

    I have never filled a prescription through Optum without there being a problem of some sort. I take medications which keep me alive, mistakes cannot be made. No you cannot delay filling this without telling me. It is truly frightening to realize that your life is in the hands of someone working in a call center somewhere who neither knows nor cares whether you live or die because they will get paid either way. United Health Care doesn't want to hear about it, if you have a problem with Optum they just refer you back to Optum. When you're trying to tell them that their system, their sub-contractor, doesn't work.

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    CoveragePrice

    Reviewed May 27, 2015

    I am a physician in private practice. This company has taken over filling the prescriptions for a number of my longstanding patients. Suddenly, they are rejecting refills for GENERIC medications these patients have been taking for years, medications that have benefited them. These medications had been covered by other insurors or other pharmacy benefit managers (PBM's) for years without reservation. Now, I am finding myself filling out forms to obtain "pre-approval" for large numbers of patients for generic medications. I have to "prove" that less expensive generics failed in these patients before they will fill my prescriptions for them, even if the patients have been doing well for years.

    True, these are not the cheapest generics, but most pharmacy benefit managers don't try to ratchet patients down to the cheapest of all generics the way OptumRx is now doing. They are delaying refills and risking provoking relapse in stable patients for no good reason other than to save themselves pennies. They are using tactics that other insurors use to reduce the use of highly expensive brand name drugs on only slightly more expensive generics, putting stable patients at risk. I see no purpose to this other than the company's bottom line. In my view, this is the most miserly PBM I have yet encountered. Patients should avoid it if they are in treatment and want to stay healthy.

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    Online & App

    Reviewed May 23, 2015

    I have been with UHC since 1999 and have used the mail order since then. I have not never experienced a problem until this year. The changes started automatically, the web site for OptumRx got an upgrade and ended up like a litter box, then the prior authorizations, and on and on. I specifically asked if my medication formulary remained the same as the previously year and was told there were no changes so I signed into another year. Boy what a surprise when one after another I had to have prior authorizations for meds I have been on for years. I wonder if AARP is aware of the way you are treating their members? If they don't yet, you can bet they will soon. I will definitely be shopping new Part D plans when the enrollment period starts for myself and my spouse.

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    Customer Service

    Reviewed May 22, 2015

    In April, our doctor faxed new prescription [Optum requires 2 per year] for a med he has been taking since 2003. We ordered new presc. be filled and called Optum after 3 weeks as we had not received med. "Refill in process". Called once a week thereafter with same reply. Finally some clerk told me they didn't expect any of this med before middle of June and I should get a new prescription from our doctor and fill it locally. They refuse to contact Dr. or our local network pharmacy who had this med.

    Fortunately our local pharmacist was amenable to calling our Dr. for 30 day prescription which we obtained. Yesterday May 21, received a "Special Information About Your Order" letter from OptumRx home delivery saying med is backordered and not available and they ''may not be able to refill presc. later when supply issues resolve'', and to call their "dedicated pharmacy call center". It's bad enough that Optum can't keep meds on hand to refill orders, but to keep lying to clients is not only unethical and disgusting behavior, but likely risky to their health. Why does United Health Care allow Optum to conduct business like this?

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    Customer ServicePriceStaff

    Reviewed May 22, 2015

    OptumRx is the exclusive online pharmacy for United Healthcare insurance. United Health owns OptumRx and its patients are forced to use OptumRx for certain medication. Sad part is if your medication is new or expensive, Optum has several steps of authorization in place to ensure one doesn't get the medication easily. I found out my meds requires authorization when they cancelled my order without informing me. When I called they told me my doctor needs to call or fax in authorization. After my doc calls in, Optum told me there are info missing and they have faxed more paper to my doc. When I called my doc, he told me Optum doesn't intend to pay for my meds because it's expensive and he can't do anything more for me. He said for me to stop taking my meds.

    I told Optum about this and was told they have nothing to do with me not getting the meds. Between Optum pushing my doc to the point of not wanting to do anything more for me, and my request for med being cancelled, I am being left out in the cold with a condition that requires this med to survive. Optum Rx is a nightmare of a company to deal with. Untrained staff who reads off computer screen and tells you I'm just reading my screen and has no idea how to get things done.

    OptumRx makes getting your medication so difficult that they count on you going away. If you are told you need Optum Rx for your Meds, good luck and start the process ASAP and wait for surprises like you never seen before. My other doctor says in the industry there's a term called Optum Fear. They also put fear in doctors so they would stay away from OptumRx too. Good luck America, this is our biggest insurance company taking our premium every month and tries to get away from paying our medication. There's nothing I can do but to find a cheaper alternative.

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    Reviewed May 21, 2015

    Two of my regular prescriptions were refused by this shady so-called company. Apparently the former name was found out about, and they changed it, to fool a few more people for a while. Avodart and Dulera, which was refused payment of, and an approved medicine provider was unable to issue the prescriptions. Even though I'm NOT using them to provide the meds, they STILL have the authority to prevent the medicine from being issued! Just what will it take to run these businesses out of operation? I WILL be changing from UHC and GOLDEN RULE as quickly as possible and will spread the word about the underhanded and shabby practices of these two companies!

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    Customer Service

    Reviewed May 20, 2015

    Twice this year my doctor has sent a new prescription to OptumRx and on both occasions the item was not dispensed and subsequently appeared as a refillable item in the order status. When you call to complain they can offer no satisfactory explanation as to why this item was not dispensed. Based upon previous reviews I have read I am not sure why Medicare continue to permit this pharmacy to participate in the Part D program. This will be my first and last year with this pharmacy.

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    Customer Service

    Reviewed May 19, 2015

    Have been ordering meds since Jan of 2015. I have never had to sign for meds from the USPS. My last order I had to sign. Mailbox is not near the house. Carrier leaves a notice. I have to sign notice for carrier to leave meds in box whereas I have never had to. Called OptumRx and they inform me that if it is a controlled substance or meds are over $2000, I have to sign. My meds are NOT controlled substance. My meds do NOT come to $2000. ** and manager ** just kept giving the same line. Not resolved!

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    Customer Service

    Reviewed May 19, 2015

    Since OptumRx took over from PS the service has been terrible. Every time I refill a prescription online, when I send in prescriptions or my doctors fax them it takes close to two weeks or more to receive my meds via USPS. I am constantly calling to find out why I haven't received them, returning calls regarding refills and/or finding out "they are lost in the mail." When you can't order refills before a specific time frame, obviously they are needed soon. Complaining directly to the company has been a waste of my time. Unfortunately this is the only pharmacy we can order our 3 month supply thru via our insurance. It is so very frustrating and they need to clean up their act!! Prescriptions need to be filled and mailed within a 24-48 hr. time frame from receiving them.

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    CoverageStaff

    Reviewed May 18, 2015

    I was on two medications for years. I am not very healthy. All of the sudden they said they would not cover the correct amount and the other lidocaine patches from china they said they will no longer pay for them. I just received a broken neck while I was saving money to have my leg worked on. The ankle is gone, very painful and they do not care. I use to be very happy with them until they joined the money making game. People we have men coming back from war with parts broke and or missing. They will treat them like they are treating us. Yes pain med usage is up but the population is getting older and we are at war. Not fair at all...

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    Punctuality & Speed

    Reviewed May 16, 2015

    OptumRx promise me that the service was great. I would get my prescriptions 3 months at a time. Never would I have lapse in taking my medication which is very important to me because I'm bipolar and I have Rosacea and severe anxiety problems. Well my prescriptions were lost in the mail. I was told 10 days after the medication was lost in the mail that they would be able to resend my medication. I was promised my medication on several occasions would be overnighted.

    Took off work to receive the medication. Missed 3 days worth of work. My Rosacea is flared up. My anxiety is real high. Panic attacks every day for the last two weeks. Depression has set in. I don't know if OptumRx understands that when they're three weeks late on medication it honestly could mean someone's life... My life!!! I hope OptumRx gets my medication to me soon. They promised me for the 5th time that it was being overnighted. I discourage anyone to ever use OptimumRx. It's a joke to them and really I only saved 10 bucks.

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    Verified purchase

    Reviewed May 12, 2015

    I changed to OptumRx through our health insurance. The savings wasn't great but I signed up for the convenience. What a mistake. They failed to tell me that I had to sign for certain medications. They filled a prescription on 4/27, then sent it through USPS on 5/6. There was difficulty tracking the package which I finally received on 5/11, after chasing down the mailman. They were unwilling to help me with tracking but did contact me three separate times for payments. I would not order any medicine that was vital as they really don't care if you get it or not after they ship it. Two weeks is too long to wait for an order. I can get shoes through Macy's in two days for heaven's sake. Also, I could not have the order automatically refilled, I had to contact them. I'm back to Walgreens. Good idea but ask questions and be aware of the restrictions of the drugs you have to order. Also, note their policy for lost shipments/replacements.

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    Staff

    Reviewed May 12, 2015

    I wish that I could give zero stars. To say that I am angry is an understatement. Briefly, here is what happened. I have been on a NECESSARY med for years. They now come in generic, so Optum is not paying huge money for a script that is still under patent. One day, BOOM, they (as in those who are not my doctor, have never seen or treated me, do not have the full history) deny that this med is necessary. Then, after I have run our of said medication, invite me to go through an appeals process. "Isn't there an alternative?" they ask. They are soulless, greedy ** who will someday pay for this.

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    Online & AppReliability

    Reviewed May 10, 2015

    Have given up on OptumRx online for my husband and myself. Have spent a considerable amount of time with tech support trying to create accounts telling me that my accounts have been successfully created only to tell me when logging in that my username and password that I just created is not valid. And if by chance it accepts my username and password it takes me to another window asking for more information only again to tell me it's invalid. I even downloaded the app, which by the way got very poor reviews but thought I would try it anyway. The reviews were right so I deleted it off my iPad. So until they improve their site I will be calling in my prescriptions. This has been very frustrating. I hope all our complaints will improve the site...I think it would be easier to break into Fort Knox.

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    Price

    Reviewed May 10, 2015

    Absolutely the worst. My insurance company made it difficult to continue with my current reputable pharmacy and move to Optum. They promptly refused to fill my prescriptions, making my blood pressure move significantly higher. It will probably cost the insurance company more in the long run & I, of course, will suffer the most.

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    Customer ServiceStaff

    Reviewed May 6, 2015

    Never heard of this company until I was forced to use them for one of the two prescribed medications for my daughter. The first one went through Caremark and I had no problems with anything. They have great support and customer service. I started dealing with Optum and first of all had the wrong benefit information when I told them that they got defensive and told that this is the information they got from UHC. I asked them if they could double check with my insurance again.

    They basically said this is the information they had. They were right and I was wrong. I proceeded to call my insurance and the rep I spoke with told me that she didn't understand where they were getting that information. She even called Optum and talked to the same rep and was treated the same way than me. She was annoyed they were giving patients the wrong information and she was going to make a note in the system. I cannot have medication shipped to us until I agree to pay them thousand of dollars from benefit information I have no idea where they got it from.

    Caremark has a specialty pharmacy and they know how to treat customers. Companies like Optum should not be in business and big commercial insurance like UHC should definitely not use such a low standard and poor customer service company like this. How can they stay in business? I cannot believe all the reviews in here are negative there is not a single one positive. At least I am not the only one with bad experiences and I realized they are the ones with the problem not me.

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    Verified purchase

    Reviewed May 1, 2015

    In the last month, they have tried sending (and charging) me for 3 different prescriptions that I did not request. I am getting pissed. My insurance company requires I use them but they are running some shady crap. I have talked to 2 different managers, both of which have advised me it was just a one time error and everything is now fixed. Does anyone know what (if any) action I can take?

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    Reviewed April 29, 2015

    After a little under a month of going back and forth in between my doctor, United Healthcare and OptumRx. Still no prescription because OptumRx denied all my preauthorizations. 4 i mind you! And cannot give me a reason as to why and their customer care says "that's it, nothing we can do" and I'll just have to deal with it. Shame on United Healthcare for using such a miserable company. I will do everything in my power to remove OptumRx from my works plan. I am a drop in the barrel of complaints against this shady company. Nice to know my company pays premium prices and I cannot even get my prescription filled because some guy denies it. Ridiculous....

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    Customer ServiceCoverageStaff

    Reviewed April 28, 2015

    We became new insureds with united Healthcare and decided to use their mail order pharmacy -- we had always used Cigna's mail order when we were under Cigna and it worked fairly well. Transferring over prescriptions was an absolute nightmare. Our physician's office was simply told, after lengthy delays, that a medication wasn't covered. When I followed up in phone call after phone call, I was told I needed preauthorization for the medication. That sent me on a two week long goose chase with the doctors office, trying to get preauthorization. When it turned out there couldn't be preauthorization for the medication. I was ultimately told the generic wasn't covered either, and not given alternatives. Each person with whom I spoke told me something different. The people who answered the phone seemed to be reading off of scripts but had no substantive understanding whatsoever as to what they were saying.

    After three weeks and twenty four phone calls, I gave up and just paid $430 out of pocket for a simple medication. The last person I spoke to at Optum said that for my inconvenience (??) they would waive the fee for expedited delivery -- WHICH WOULD ARRIVE IN 7-10 BUSINESS DAYS. Folks, I could have walked from Maine to New York and filled this prescription at a local pharmacy and hand delivered it to me family member far more easily than trying to place this order with Optum. I learned....

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    Verified purchase
    CoveragePriceStaff

    Reviewed April 25, 2015

    OptumRx just increased the price of one of my prescriptions. They charged me for it. They mailed it to me, and now my medical coverage has a red "balance due' on my file. I am not out of the prescription for another couple of weeks. I didn't request it, and I didn't authorize it. Now I have been told by the OptumRx representative that OptumRx can change their prices at any time without notification? I was also told that Optumrx can charge me my total family deductible amount which is triple my individual deductible before they will mail medicine to my neurologist? Where does it say that a family deductible may be applied to an individual? I am deeply concerned about my current medical coverage. My Account number is **. I have many receipts that I can scan and mail on a later date.

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    Customer ServiceStaff

    Reviewed April 24, 2015

    I rarely write negative reviews but I felt compelled to do so. After WEEKS of "reasons" why they couldn't approve the shipment of my medication it finally shipped TO THE WRONG ADDRESS. As if this wasn't enough when I called to point this out ** and her manager **, which I think was the same person, was a complete ** on the phone. Telling me it was my fault and saying I need to go to the address where it was sent to retrieve it... What?! What a joke of a company. I really hope my HR department gets fed up with complaints and seeks out to replace then.

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    Staff

    Reviewed April 21, 2015

    It has been 18 days since my doctor faxed a script to them. They DID not even attempt to send it for 13 days then they sent it to the wrong address. I called them on 4/6/15, 10 days before it was sent and asked them to send it as soon as possible and to sent it to my Florida address. The incompetent agent on the phone confirmed that it would be sent to the Florida address and a rush would be put on it. Well, it is sitting in Delaware 950 miles away, and all they would do for me is give me a tracking number. Optumrx minimum wage morons working for them and they are losing unitedhealth care customers. As soon as the next enrollment period starts I'M going elsewhere.

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    Customer ServiceStaff

    Reviewed April 18, 2015

    When they receive prescriptions, each time I have dealt with them, there was a hiccup. When there is a hiccup, they do not inform the patient about the issue. Furthermore, the people who answer their calls are unhelpful, rude at times, and are generally unable to resolve the problem. Overall, a horrible company.

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    Reliability

    Reviewed April 17, 2015

    Ever since my insurance switched to OptumRx I have had nothing but problems with online service. I cannot log in half the time. Other times I cannot order my refills. Now I get a security breach flag saying OptumRx has been hacked and someone may be trying to steal my identity! I quit. Going back to the local pharmacy down the road.

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    Customer ServiceStaff

    Reviewed April 17, 2015

    This place is crazy bad to deal with - why on earth each time I have a new rx I have to jump through hoops and call at least 11 times to get it filled is beyond me. My doctor's office cringes each time I need them to do something because they have to repeat it so many times. I only use this because Medicare pretty much requires it. I'd give it less than 1 star if I could. They are HORRIBLE!!!!! Avoid if you can help it!

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    Verified purchase
    Customer ServiceStaff

    Reviewed April 17, 2015

    I called Customer Service to make sure my RX was going out overnight. I was assured it was. Next day I see a USPS tracking number rather than a UPS # and so I called. The answer I got "Oh I am sorry they sent it out standard." My RX due today and now they tell me it will take 7 to 10 days to receive it. Called the Post Office, They said they don't have the package. So who does? The customer service rep lied to me when she told me that she would call Post Office on my behalf and found out they are not allowed to do that. Liars!!

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    Customer ServicePriceStaff

    Reviewed April 15, 2015

    When I called to get a refill on my medication I was told it went up from 5.00 to 79.34. I told them not to fill it as I can't afford this. After talking to a lady in customer service she told me she found a different tier of this for 20.00. I told her to go ahead and fill it for 20.00. Then got letter was 79.34. I said cost too much not to fill it. What do they do they fill and charge me for 79.34. When I called a different person talked to me said was too late to change. Every time I call get someone different to talk to. Now they won't answer my e-mails to them Just keep "we are sorry and apologize for any inconvenience we have done". They do nothing to help you. Now say won't fill any of my meds until I pay them the money they want. Not going to use this Co in the future. Can't tell you the same thing twice. Keep giving me the runaround.

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    Customer Service

    Reviewed April 15, 2015

    I have dealt with this pharmacy for 2 years. My daughter is on growth hormone which needs a prior authorization every 6 months, has been on it for 4 years. No change in insurance, just change in pharmacy in 2 years ago. Every 6 mo. I go through the same thing.... I call the doctor a 2-3 weeks prior to the authorization expiring to let them know that it is time for a new authorization which in 3-4 days they tell me it has been completed. I call Optumrx for refill and I am told there is no authorization. I ask if they can fax request for authorization to the doctor and I am told "That is not our job, we do not call or fax request, that is your responsibility".

    Call the doctors office who informs me that yes authorization request is completed and faxed. So call insurance and they tell me it is authorized and has been faxed to Optumrx but they are will to fax it again. I give it a couple of days and call Optumrx to finally get the refill. They tell me there is no authorization. I ask them can they call when they have, when they receive the authorization so that I can refill the medication, because they do not automatically refill. I am told no, they will not call me. I would have to call back and check if they have it.

    In the meantime my daughter is out of medication. This time I was able to get medication from Pfizer. Why this can be figured out. I have never deal with such incompetence in my life. Every 6 months so far has been the same thing over and over again. If I was not restricted by my insurance to use this company I would never use them. If you have an option, do not use this company.

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed April 15, 2015

    They have lost my prescriptions that were delivered to them via FAX and by USPS. Service has been very slow in every case. Customer service tries, but can't help. The website is a great waste, never updated and full of bad info. Once they were going to bill me over $1300 for a ** prescription, something just under $50/pill. If you have to deal with them, get a copy of the "fax sent" from you Dr. and if you use USPS, send It with "return receipt requested".

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    Verified purchase

    Reviewed April 11, 2015

    I owe OptumRx $48.00. I will not have any copays until next year. They will not send my medications until I pay the $48.00. I'm trying to find the #s for the corporate office.

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    Contract & TermsPunctuality & SpeedStaff

    Reviewed April 8, 2015

    Optimum owned by United is basically a tool to increase profit for company at policyholder’s expense. They did not get my Rx for my wife in time they forgot about holiday and weekends. They failed to get Rx for my wife on time twice. I am willing to try something new to aid in making my life and the care of someone with chronic pain to maintain however this company is more interested in the commissions paid for the Rx than the policyholders. Expressed my concerns with c/s personnel and their attitude was glib and lacking any interest in solving the matter. I cancelled my agreement with Optimum and taking care of it myself. They continue to send me misleading mailings warning me of time deadlines and demands for renewal.

    Management of United is poor at best. The main concern of a policyholder is taking care of the ones who mean the most to them. United and their Optimum are in no way understanding of this principle. This situation needs to be addressed and fixed by proactive upper management. I hope someone in this organization turns the corner on this matter and changes the attitude with which they handle the policyholder and providers. In the meantime premiums increased 35% and service level diminished appreciably to the negative territory for my tastes. Here is hoping for a speedy resolve for all concerned.

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    Customer ServiceStaff

    Reviewed April 7, 2015

    Two weeks ago send in a prescription with plenty of time. Today they called me and told -via phone-comp- that there was a delay of seven (7) days more. ** They claimed that they Optum have sent a fax to my doctor two weeks ago and he did not answer... By the way the doctor denies it... Now I am paying without my medication... How hard is for Optum clerk, if within hours the doctor's office has not answered to make a call or fax again... They don't give a hoot...simple. I am looking for another RX. This one is inhumane, am unconsidered...

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    Reviewed April 7, 2015

    My doctor prescribed medication for me 8 days ago. I was informed that it was necessary that I needed pre certification for the med. My doctor and I were given the information from optimum, including diagnosis codes, necessary to get the meds approved. Several days of back and forth faxes but still no approval. Today, day 8 I call. Claim is denied for no real reason. I have proper codes, real need and have the doctor jumping through all the hoops that optimum has put up. Seems this is crazy to me!!! I may end up going to the hospital if not resolved. Doctors don't prescribe me meds I don't need and I don't understand why? Don't even get me started on the 2 week delay and/or lost arthritis meds.

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    Verified purchase

    Reviewed April 7, 2015

    First 3 orders had mistakes. Was never contacted about first order so it was never shipped. I paid express 2 day shipping on next two orders. Both were shipped regular mail and took almost two weeks to get here.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 6, 2015

    I have always like UHC however their decision to do business with OptumRX was a huge mistake. You cannot speak to a pharmacist within a reasonable time and if you do they usually can't do what you need. You are switched all over the place and disconnected. They need to simplify their systems. I was on a specialty drug and they were unable to get me my specialty meds in time prior to my previous month running out, being without for 3 days. So far I have been on the phone for 4 hours on 2 different days trying to get 3 days of meds. Everytime I call I get a different answer as to where I can get my meds. Horrible customer service.

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    Punctuality & Speed

    Reviewed March 28, 2015

    I am required to anti rejection medication but can not EVER GET IT ON TIME! I don't want to use this sorry mail service, I don't have a choice. My meds shipped 2 day UPS on the 24th - I won't get them until Mon. 30th! This is not acceptable! I am out, but OptumRx could care less! How is this mail order convenient? Your service is the worst I've ever had to use & UPS sucks! If I have any type of rejection issues with my kidneys I will sue OptumRx and UPS! If you promise to provide a service then DO IT! You're all liars and could care less about your patients!

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    Customer Service

    Reviewed March 27, 2015

    You send prescription that I did not ask for and when I found out I had overdrawn at the bank. I called, asked not to send any more medicine you sent anyway and billed me today which is March 27, I received an overdrawn from bank. My question is why bill for some and did not bill for the one you already sent twice? The nasonex was sent out twice this month of March that I told the lady who called me not to send. I don't need to pay overdrawn accounts, I am on fixed income and the bank charges 30.00 overdrawn charges.

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    Customer ServiceStaff

    Reviewed March 26, 2015

    As I was trying to resolve an Rx delivery issue, the supervisor came on the phone. From the very start her behavior was condescending. Then she resorted to mocking me on the phone. I reminded her that she was a supervisor and that I expected a little better level of professionalism from her. Her response: "Sorry you feel that way". Then she became completely disrespectful, downright rude and disparaging. As she concluded the conversation, she had the nerve to ask me if there was anything else she could do for me. Needless to say that OptumRx is no longer my Rx supplier any more!!!

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    Customer Service

    Reviewed March 24, 2015

    Customer Service is atrocious. I was hung up on, misinformed, and treated rudely in four separate phone calls. Over two hours spent on the phone or on hold with them and I still do not have a resolution.

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    Verified purchase
    Customer ServicePriceStaff

    Reviewed March 24, 2015

    My doctor faxed a prescription for my blood pressure medication to Optum RX in January 2015. The blood pressure medication I was taking at that time, was going to cost me, approximately $240 for a 3 month supply, through Optum. I was not willing to pay that much, so I asked Optum, what medication was comparable to the blood pressure medication I was already taking. They gave me the name of new medication so I called and spoke with my doctor and she agreed to change my medication. I picked up the new medication from my local pharmacy and took it for about a week, before seeing my doctor in her office.

    During that visit she faxed to Optum a 90 day supply with 3 refills of the new medication? About, 2 weeks later I received a phone call from Optum stating they had received my prescription and I did not need to contact them, my medication was on its way. About a week later, I received another message, asking me to contact them as they needed more information. I tried calling back several times that evening and could not get anyone to answer my call. The next day, on March 12th, I spoke to three different people. The first woman I spoke to, told me that there was a problem with my prescription and I would need to call back, she could not help me.

    Later that day. I called again and was told there was no problem, but this man, couldn't get my debit card to run through. He asked me to call back, again. The third man, I spoke to, (on the same day) took my debit card number and told me that my prescription was on its way and I would receive my medication in 2 to 6 days. That was 10 days ago. This afternoon, I called AGAIN... now, I have 2 pills left... and I was told by a woman that my prescription was being sent from CA, today. When I expressed my disbelief, she stated that she would expedite my prescription, and hung up on me! I am so disgusted with this company and their flippant attitude toward me. I have never been treated so indifferently by a supposedly professional business. I work in the medical field, I wouldn't have a job, if I treated the patients in my office, so disrespectfully.

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    Verified purchase
    Customer ServicePrice

    Reviewed March 22, 2015

    I have tried to enroll two of my medications with this service over the last five weeks and after much frustration, I have succeeded to only enroll one. Their prices are great BUT there is absolutely NO coordination of communications between their customer advocates and the pharmacist. Faxes from my doctor’s office go in to a black hole, never to be found. If you have the patience to tolerate incompetence, go for it.

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    Reviewed March 19, 2015

    I have been waiting for over 1.5 months for a prescription that is not in stock due to a "manufacturers shortage." They have pushed the anticipated ship date back three times now. As a result, I am being forced to have the Rx filled at a local pharmacy, which results in a higher co-pay that I am responsible for. Oddly, my local CVS has plenty of my Rx, with no shortage at all. Optum Rx is a joke.

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    Verified purchase
    Customer ServicePunctuality & SpeedStaff

    Reviewed March 19, 2015

    I tried to refill an Rx on their website and it automatically refilled two different Rx's and charged me for two Rx's. I immediately called and first was addressed in a very condescending manner and told the computer was fast and I should have been more careful when filling the order. Then I called again and another customer service agent told me it was a glitch in their system which was automatically filling Rx's and would cancel the order -- which would take 20 minutes to show up as cancelled. I asked for the entire order to be cancelled. The next day it was still there, so I called again and another rep apologized and said it would be cancelled. The pending charge was removed from my credit card.

    This all occurred from February 28, 2015 until the first week of March. Today, March 28, 2015, I received an email that the entire order was shipped and when I logged into my credit card account, the entire charge was again showing as pending in the amount of $175.00. I immediately called customer service who put me on hold and said she ** would credit the amount, and then disconnected me. I am furious at the amount of time and energy I have wasted with this company.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 18, 2015

    This review/complaint is in reference to the prior authorization department and poor customer service. I was prescribed a medication that required a pre-authorization. I understood there was a waiting period and I waited that period. However, it got to a point where I needed to call the company myself. This resulted in getting transferred several times until I spoke with a manager. This manager was kind and I had no issues with them. However, the medication prescribed was not the best choice for me and a different form was prescribed. This time around, I get told that a prior authorization needs to get put in. So I wait... and wait... and wait some more. Once again, I am following up with the company. Once again I have to speak with a manager.

    This last experience that I had with the company is the one that particularly agitated me and essentially led me to file this review. This time I needed a dosage change of the same prescription. I anticipated another extended period of time to get this medication. However, the facts that revealed themselves have made this, BY FAR, the worst insurance company I have EVER dealt with. And any other insurance company I have dealt with, I wasn't calling about a simple prescription approval or denial. I was calling about significant issues that were time consuming. In summary, the information I was given was incorrect on several occasion and the treatment I received while addressing my issues was deplorable.

    The first issue that presented itself was the incorrect information being provided to me. And I found out the information was incorrect from one representative by another representative. While I was under the impression that the change from the first prescription ever prescribed to a different form of that medication required a prior authorization, in reality it did not. There is/was no prior authorization needed. The issue was having a doctor change the prescription from generic to brand name. This is a scenario that I see being resolved in 48 hours or less. It took approximately a week. I basically needed to wait a week for something I should have been able to walk out of the pharmacy with on the same day, per this company.

    This brings us to the present. The doctor changed the dosage of this medication. This needed a prior authorization once again. This time the poor quality of information was applauding. I had figured out the trend of the company. Everything takes forever and beyond. So I waited my due time. My own doctor's office called me to say this situation was all set. This is not related to this claim, but they stated the pharmacy no longer had my prescription stored and that was the only hold up. I was provided with a PA number from my medical provider. I get to the pharmacy. My script is present. And what happens...nothing. Nothing was resolved. The PA number provided was of no use. I was advised to call this company again.

    So this is what I was told. I was told that the doctor needed to submit a new prior authorization because their last one was on file from 2014. They needed a new one for 2015. This is how I found out no prior authorization was needed for my dose that was prescribed in 2015. At this point I was agitated and had no understanding of what was happening behind the scenes so I spoke to a manager. The best information they could give me was that a new pre-authorization was needed and that a request was put in but it was a duplicate. None of this appeared to make any sense to me so I was left with no option but to call my provider AGAIN. He was confused. His staff was confused. I was/am confused. So I spoke with my provider and the receptionist again today and once again, this issue was apparently resolved.

    No. After all of this, I find out that a prior authorization was sent in yesterday (after I was told that it wasn't) and that I had a processing time of 7 to 14 days. This call was escalated to the manager that stated the best they could do is make this urgent and have it processed within 72 hour. This is when I started to react on principle and this is when I was disrespected several times.

    The manager, the one who is supposed to be professional and resolved issues was anything but that. She stated that the best she could do was have the claim processed in 72 hours. I stated that this was not satisfactory any longer, and that I would like to be transferred to her manager. Yet, there is no manager I could be transferred to. She continued to repeat the same phrases to me such as (I marked this urgent) and if I didn't comprehend it the first time. She told me there were other people waiting and it was due process (understood... but not satisfied). I repeatedly asked to be transferred to even the voice-mail of a manager of hers. Keep in mind, this whole time I know I will just have to wait anyway, but there are several people in the chain of command between a department manager to the CEO of a company.

    I did not expect to be transferred to any CEO, but I did expect to be transferred to someone else above her. I persisted. Eventually she stated she would connect me to someone and put me on hold. This connection led me to a automated system. The lack of professionalism of that action is horrible. Eventually I spoke with several more people. I was transferred to who knows what department and was speaking to who knows who. No one could provide me with a supervisor. They gave me a toll free number for the complaint line.

    This is when I decided this is too much and decided to write this. Over the course of less than 5 months, I have spent hours on the phone with incompetent agents, I have BOTHERED my provider far too many time, and I have generally become very distrustful of this company. I am just angry now. While the medication that I am currently on is not a life or death medication, what about all those people that do have life or death medications. The things I have dealt with are ridiculous to be honest. I am left feeling guilty for getting a medication that I was prescribed. Hours of my time wasted. Horrible.

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    Customer ServiceStaff

    Reviewed March 15, 2015

    I have used the specialty pharmacy for years now, and rarely had a problem. Recently I was forced through my health insurance to use OptumRx for my 2 other prescriptions. It has been a nightmare! They first only filled one of my prescriptions when I had placed the order for both at the same time, on the same phone call where I confirmed my address with them. Then I found out that they shipped it to the wrong address, but only after they lied to me and said they delivered it to the correct address. Only after I got off the phone and tracked it did I find out it went to an old address of mine. I immediately called them a fourth time, only to find out that my second medication had never been processed! That's not all, they told me I was in need of a new prescription, which I knew was impossible since they were overnighting my first prescription to me and I had the same number of refills left on both.

    So after about 5 calls I finally received my first prescription but still not the second. Also I had to call them at least 5 times and spend hours on hold! They also told me that it was too early to refill my second script. Which I explained to them was impossible because the last time I actually received the medication was 2 months ago. They finally understood that and that was a week ago. Such a waste of my time!!!!! To this day I have yet to receive my second medication, and they also just found out that they also delivered my second medication to my old address!!!! I had confirmed the correct address with them each time I was on the phone including the first phone call when I had placed my order! So now some complete stranger has my name and my medicine yet I still don't have my second medication.

    This must be illegal! The people who work there are complete morons because every time I call they tell me something different! Yesterday I asked to speak to a supervisor who told me she was on the phone with UPS and that my second medication that was supposedly overnighted to me 2 days prior would be delivered to me today (Saturday) by 7pm. I asked if she was sure they deliver on Saturdays and she assured me it would be delivered by UPS to my correct address. Needless to say I wasted more time with them today to find out what I already suspected that UPS wasn't delivering my medication on Saturday. So now I have to wait until Monday (at least) to get my second medication... yet at this point, does it really matter? Unfortunately for me - some stranger who lives at my old address has both of my medications! It amazes me that his pharmacy stays in business!

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    Customer Service

    Reviewed March 14, 2015

    When my doctor faxes a rx to OptumRX, nothing happens. They appear to be "processing" my order for days and weeks. I HAVE to call repeatedly, nudging, encouraging them to move the "process" along. It takes well in excess of their 10 day turn around claim. A company so poorly run, and wholly indifferent to the health of their customers should not be legally allowed to deal in pharmaceuticals. I will be contacting the insurance commissioner in my state and encourage EVERY one else to do the same. Order faxed 3/4/15, 3/14/15: 3 phone calls, overnight shipping, still waiting for medicine.

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    Customer ServiceStaff

    Reviewed March 13, 2015

    These guys have messed up every prescription we tried to order except 2. They tell us we can only get 1 months supply and then 3 months show up. I tell them we are going to get renewals at local pharmacy because we need medicine today, and they won't let the pharmacy refill. They won't let us check on our daughters medicine because she didn't give approval (She is 16 - a minor). We've spent hours on the phone trying to clear up mistake after mistake and it keeps happening. Total incompetency! Will never use again. Waste of time to save $5.

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    Customer ServicePrice

    Reviewed March 12, 2015

    Trying to get much needed medication for a child. Continually have to call to verify that they even received the prescription. It is only AFTER we call that we begin receiving emails that they are "processing" the order. It takes at LEAST 3 calls before we can get anything out and we are ALWAYS down to the wire on running out of medication for the child. After two experiences like this, I was given to "**" a manager who gave me her direct line and promised to follow the next one personally. Guess what, not only did that not happen but I couldn't even get her to return my calls. Additionally, they aren't even any cheaper.

    Why is it that a pharmacy can fill a prescription in 30 minutes while I wait but Optum RX can't do it in 2 weeks? Lost more business. I'm only sorry I didn't read these other bad reviews before trying them.

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    Customer Service

    Reviewed March 11, 2015

    It all started January 24, 2015. They sent a letter to my doctor stating I had to be on 80% extended release and 20% of Immediated release. So when I called in to and spoke to someone they didn't tell me anything about that. All they told me was my doctor need to write my script for 30 days supply not 27 days so they sent that script back. Now I paid 20.00 dollars to overnight it to them so I could get my medicine back quick which was a waste so I sent another one on February 10, 2015 and got the same reaction and spent another 20.00 dollars.

    So now I have sent in another script March 3, 2015 and they have locked me out of me view my account and they say they have not received my script yet. I have been almost 3 months dealing with this. Last Sunday I was in a car accident and was rear end and I have had to cut my medicine in quarters to where it is not even helping me at all. This was the sole purpose for me to go to the mail order for the less stress but this company has added 10 times the stress on me. When I call in the right hand don't know what the left hand is doing and I get a didn't story every time I talk to someone and all I want is my medicine for it not to take 3 months to get to me. You just can't cut someone off like that. It cause seizure and bad withdraw so someone needs to do something about this before something bad happens.

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    Customer Service

    Reviewed March 7, 2015

    My husband and I are on SS and have OptumRX through AARP as our Part D drug plan. We have taken Omeprazole for the past 6 years and paid $6 for a 90-day Mail Order Supply. January 1 it went up to $39 for the same 90-day supply. This drug is the cheapest generic on the market. Sent letters of complaint but never received a reply. This huge increase seems a bit over the top, especially for seniors on limited income. How do we protest this huge increase? Have you heard others complain about this specific drug from OptumRX.

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    Customer ServiceStaff

    Reviewed March 6, 2015

    Our insurance requires us to use Optumrx for the best price on prescriptions. I have dealt with them approximately a dozen times, and they've required follow up calls for 10 of those times. They say they'll call if there's a problem but they don't. They send forms to the Dr for the wrong state. They've lost (and later found) prescriptions. They've sent the wrong amount of pills. In short, they are inept and a complete hassle to work with. Don't give them your business if you can help it.

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    Price

    Reviewed March 5, 2015

    My healthcare provider has requested lower tier approval for generic ** 30 mg twice and been denied twice. $85 is too expensive for me to pay monthly for this prescription. AARP needs to divorce themselves from this company!!

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    Sales & Marketing

    Reviewed March 5, 2015

    I have recently started using OptumRx because United Heath Care 'prefers' them. I have never had a reputable company of any kind want payment in full, upfront. They did. Not only that, but they would not even entertain the idea of sending my prescription without it. I had the payment, but what about people who do not? They resemble some sort of scam that preys on the elderly. If at all possible, I recommend not using their services.

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    Reviewed March 5, 2015

    They took money from account without permission and created overdrafts and are lying to me about refunding it.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 4, 2015

    I have now been without my daily cancer medication for almost 3 weeks. You can only use THEIR pharmacy. They would tell me daily that my Dr wasn't calling them back with my prescription. They had already been given the prescription from my old pharmacy but they said that never happened. Then they talked to my Dr's office but told me I needed to call in and place the order for the medication before they could fill it. HAVE YOU EVER HEARD OF SUCH A THING???? So they never called me.

    I finally called them 2 days later when my medication once again wasn't delivered. Then they told me they never talked to the Dr's office AGAIN. That is because no one knows what they're doing there. Then my co-pay company had to reinstate me before they would pay the copay. So AGAIN, they didn't send my medication. When I asked why they said they called me and left a message. Nope! Because they had my phone number wrong. After giving it to them every single time I had to call them! Horrible! Horrible! So... will be interesting to see if my meds show up on Friday. Probably not!

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    Customer Service

    Reviewed March 4, 2015

    This company is pathetic. Our credit card was charged for an amount my husband had authorized, so I checked my bank account to make sure that that was all they had charged because I have had problems with them charging my credit card in the past for unauthorized charges. So, today my husband ordered his medication and everything looked fine. Well, a couple hours later I checked again and they had charged our card again for another amount that was absolutely unauthorized. So, my husband then called them and gave them a piece of his mind and they said that we would have the money back in our account within 24 hours.

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    Customer ServiceCoverageStaff

    Reviewed March 4, 2015

    Optum RX is by far the absolute worst service provider. 1.5 years ago they "claimed" to have sent me a letter notifying me I could no longer use Humira. Total BS. Took them 3 months to finally agree to cover another drug. Our elections are done in October each year. Does Optum or UHC bother to call, email or write that they are now declining Stelara? Nope. They defraud you so that you elect their service and then when you go to refill in January - "oh, well, it is declined."

    Here it is March 4 and I finally get it approved after appeals. I call to have it shipped and tell the woman they debited my account... she cuts me off and says "no we did not." WTF? I attempt to finish my sentence and she does it again. I told her to hold on while I check my personal account to see if the debit for the copay has been withdrawn. Interruptions, smart comments, denials, hostile service reps and they wonder why I said they were difficult to deal with and finally blew up and said they have no damn consideration for anyone. Yes, I cursed. Oh my! Now I am the bad person.

    I truly feel bad for those that need medication that is life and death because Optum RX certainly does not care, nor does UHC. I think there should be a class action suit against this company (and UHC) for unfair and fraudulent practices of a service industry. Unfortunately, no one if big enough or has deep enough pockets to take them to task. Yet... our President thinks he has a right to "fine" me if I don't want this BS. Totally screwed in Virginia!

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    Verified purchase
    Customer ServiceStaff

    Reviewed Feb. 27, 2015

    After reading the previous reviews, I don't know what I can add, but I will explain the major debacle on the part of this awful, awful company. I signed up with them, trusting AARP's recommendation. In addition to my usual meds, I am also in pain management and take a controlled substance. Upon my first phone call I told the rep that they wouldn't be able to provide me with the pain killer. Oh yes, she said. Just mail the script to us and we'll send it. But, I said, it is illegal to mail prescriptions of this kind of drug, and definitely can't mail the drug. She said they do it all the time. Against my better judgement I gave it a try because it's hard for me to get out and thought this would be a convenience. Well, after 2 weeks I got an email that my meds were sent. I was already out of pills by this point and would have gone into withdrawal if I didn't have backup.

    I traced the package and expected delivery was the next day and needed a signature. But the package was still in San Diego and I'm in New Jersey. Stayed home all day and the package never came. So I called. Rep could only tell me what the USPS site did. And guess what? They sent the package First Class Mail. A controlled substance that authorities are trying to get off the street and they send it through the mail!

    This rep tells me to call the post office. I told her that since she was customer service, to make the call herself. They can't make outgoing calls she said (?). I asked to be transferred to someone who could. Got a 'supervisor' who repeated the same garbage to me and she can't make outgoing calls either. I asked for a manager, director, vice president, CEO, anybody in authority. Yeah, there is no one like that at this facility. I finally got them the next day. Doesn't this company have legal counsel? This was illegal in so many ways. Maybe it's just here in Jersey, but it was definitely illegal. Their attorney should know that.

    I tried the 'contact us' link on every site I could find in my Google search. Not one of them took you anywhere but the order screen. I couldn't find any contact info on any of the executives either, who I would have contacted in a heartbeat. This place needs some serious help in the legal, operations and customer service areas. All in all they suck in every way.

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    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Feb. 26, 2015

    Prescription issued Feb. 16, 2015, brought to local pharmacy. Feb. 17, called local pharmacy to ask when I could pickup my prescription. They said they needed further Authorization from Doctor. Called Dr. office, said they would care of authorization. Feb. 19, Dr office called to say it was approved/authorized. Called local pharmacy who told me their system showed not approved. Feb. 20, (Fri.) called Dr Office, my Dr sample to tide me over was used, they called the mfg. rep. to deliver more samples because my prescription was still not filled because United Healthcare did not send approval to local pharmacy. Drove sick as I was to Dr office 5:00 p.m. to pick up samples to cover the weekend plus a few more days.

    Meantime, I was getting "Robo calls" telling me my prescription was approved and I did not have to take any more action from a company called Optum RX. I spoke to a customer service rep named Richard. He nicely answered all my questions and assured me that everything was approved, would be mailed on Monday. I paid my co-pay plus an extra $12.00 for overnight shipment on Monday and was promised it would arrive Tuesday. Waited all day, no pills.

    Feb. 18, Robo call from Optum RX saying prescription is approved and would be mailed on March 2, 2015. Feb. 19, 2015, I am stressed and frustrated after talking to Optum RX this morning, Rachel. Prescription has not been mailed, she wanted to send 90 days worth, not the 6-weeks he prescribed. After 30+ minutes on blah, blah, she said they would be shipped overnight tomorrow February 20. I am experiencing a relapse because of this stress and med sample running out.

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    Customer ServiceInstallation & SetupStaff

    Reviewed Feb. 26, 2015

    I overnight my pain mgt meds in every month and every month they screw something up. They tell you untrue things just to get you off the phone because they know you can NEVER get the same person again. I send a letter with instructions and they never even read it. I spent $40 to overnight my scripts, they received them 9:00 am Tues and still don't have them in the system. The meds I am on can kill you if you run out and they do not care! I don't know what to do because they cannot be trusted! They answer to no one, even the supervisors.

    When I call I know more than they do about their operations. Usually I overnight them on Monday and get them back Thursday. Today is Thurs and they are not in the system yet. They said they had to wait 24 hrs before they can look and it has been more than that and all I get from them is call back later. I have been telling them for two days there is a problem. If I die because I had to go cold turkey on these meds. I am not well. I have MS among many other things, so I will be having seizures today too. I pray to God these people have to walk in our shoes someday and that the people they are supposed to count on treat them the way they treat us! **.

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    Customer ServiceStaff

    Reviewed Feb. 25, 2015

    I ordered nexium, which is approved by United healthcare, but your rep insisted it was not and that they wouldn't take the order. I called United healthcare and they confirmed Nexium is on their approval list (page 46) and the order should have been taken. Only after an hour of phone calls back and forth did one of your reps finally come to their senses and take our prescription, without apology I may add. We're new to your company and had a great experience with Express Scripts but had to change when we went to United Healthcare. I hope United comes to their senses and "drops you guys".

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 25, 2015

    I ordered my specialty medications during the weekend. I was told that my discount medication card had expired. I told them that I renewed the card and it expired September 2015. I was then told that the call would be handled by a resolution specialist. I was then told not to worry because either way I would receive my medication overnight on Tuesday before seven and be billed if the problem was not solved.

    Today 2/24/15 at 7:00 pm no one delivered my medication which I need to take or I become extremely sick. I called and went through the useless automation for information, just for a live person to ask me the same exact questions like usual. Providing that the specialty department was closed I was then directed to customer service. I was told by the customer service representative that she seen where it is documented that I am suppose to receive the medication overnight today, but they will be delivered the next day by 10:30 a.m.

    Something similar has happened before, and now I may have to go to the hospital because I have a fever and feel deathly ill! I think that as it pertains to high priority medications more attention should be taken. I also think people's well being for a service we have no choice but to use and pay into should put their sick customers that take specialty medication a top priority. I may have to miss work due to being ill. I am sure others have complained about the poor service they give from time to time. It's frightening having to depend on a company that may deliver your medication on time or may not.

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    Customer ServiceCoverage

    Reviewed Feb. 23, 2015

    They cover lots of prescriptions for cheap; problem is when will you get the order. We have to use this company because it's part of employer insurance. If we had a choice, we wouldn't. It's always 10 days - 14 days just to "process", and they say they need "verification" from doctors so you're basically waiting 2 weeks or more in most cases. Our doctor offices say they never got calls or fax asking for information.

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    Customer ServiceStaff

    Reviewed Feb. 23, 2015

    Optum is one of the WORST companies I have ever worked with. I have a terminally ill son. He requires a shot called Synagis to prevent from RSV infection while waiting on the lung transplantation list. Obviously, it is important we get this shot. Our first issue stemmed from them promising a payment issue resolved, only to find it wasn't. The second was fixing this payment, then reordering the med for the next month. They messed up the shipping/delivery needs and my son went without medication while IN THE HOSPITAL already.

    They wasted hours of our time on the phone stating they couldn't "fix" what they messed up, even though the call was recorded and they were at fault. The manager, Mayoumi, stated she would call to check to make sure our med was delivered. She didn't. She was asked by me what she could do to help us and ensure our customer satisfaction. I demanded an answer. I haven't received one. This is, by far, the most terrible thing any company has ever done to us in the process of helping our child.

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    Verified purchase

    Reviewed Feb. 21, 2015

    Had sent 2 medications, one was not ordered because of the price, had ordered a medication that was cheaper. When I received the order, they took out for the one order, but not for the order that mistakenly sent. They have direct deposit to take out of my account. Then when I needed new medications immediately, they would not send them, because they said I had a balance of 60.00. Had to go to local Pharmacy and paid, but OptumRx took out a hefty sum of my debit card, because of going to Pharmacy.

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    Customer ServiceStaff

    Reviewed Feb. 20, 2015

    PLEASE DO NOT CONTACT ME, YOU ARE NOT HELPFUL AT ALL! Total runaround, son was on a med, taken off for other circumstances, cleared to put back on and Dr was only giving us 30 day supplies for monitoring. Released to start med again, and then it was deemed a maintenance. Went ahead and paid full amount at local rx and called OptumRX and was told to fill out a reimbursement form. Filled out explaining situation, and was denied because I had in the meantime contacted my Dr for a 3 month supply to be filled by OptumRX (too many meds in 30 day period). LOL, what a joke. I did what they said and they dinged me AGAIN!

    I could go ON AND ON about ALL the runarounds I have had dealing with them since the first of the year. What a joke! And unfortunately, I don't have a choice but to deal with them! A few of the reps have been nice and somewhat helpful, and they are only jobs - and others... can't go out of their way to ask a question etc. I work Customer Service and glad I can walk away knowing I've done my job, can you!?!? LOL

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    Customer Service

    Reviewed Feb. 14, 2015

    2014 worked fine. My husband has dementia and has never used computer. I ordered our prescriptions under two user names and passwords with the same e-mail address. Now they said I have to have another e-mail address for one of us. I have called numerous times and nobody wants to be bother with someone having sign in problems. I always get locked out and apparently can't edit my own account. Finally today got a extra e-mail address for me. My husband has the original e-mail address. I called and now can't talk to anyone. They will turn in a 'ticket' and I get called back, when??? Now I can play telephone tag!!!! New security measures are fine, but take the time resolve peoples problems.

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    Customer ServiceStaff

    Reviewed Feb. 13, 2015

    You received a prescription from my doctor, on 2/7/15, for tylenol 4. In checking on this yesterday I was advised that it was still being processed. I then spoke to one of your agents and told she would release the script and for $12.50 I could get overnight service. When I didn't get the order today I called and spoke to another agent. Was advised the order wasn't sent overnight, it hadn't even been released. Now I won't get it until 2/17. I'll be out before then. Lousy, lousy service!!

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    Verified purchase
    Customer Service

    Reviewed Feb. 13, 2015

    My credit/debit card number was left on file to pay for my mail order prescription, which is less than fifty dollars. One of their employees charged $1091.00 on my card! Yes that's one thousand ninety one dollars - it's been five days so far, after numerous calls and demand for a refund, I still don't have my money, and this company all but laughs about it! This is THEFT by DECEPTION, and credit card fraud. I was forced to use mail order, or their subsidiary United Healthcare refuse to pay.

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    Customer Service

    Reviewed Feb. 12, 2015

    You found this website because you are extremely frustrated with OptumRx. Me too. You have exhausted the usual steps - contacted Customer Service (multiple times), asked for a supervisor (still no help), received prior-authorization (they lied), have written a formal appeal (they laughed in your face). You and your physician have spent hours upon hours on the telephone and filling out request forms but still no resolution to your prescription drug order. So now you feel like there is nowhere else to go but to voice your complaint here.

    The truth is, you have laid the groundwork for the next level of action, and that is to file a formal complaint against OptumRx with the Insurance Commissioner for the state in which you live. Furthermore, you can also file a formal complaint with the BBB against OptumRx and don't forget to involve your employer's internal benefit administrator as they may be able to get this resolved. Filing these formal complaints will get you past the Customer Service run-around for which OptumRx is so famous for. But first you have to exhaust the normal channels of communication within OptumRx so that you can file a proper "case" with the Insurance Commissioner (and don't forget that the BBB complaint and your employer's benefits administrator can bring attention within a higher level at OptumRx).

    I hope these tips help so you can be moved to action instead of feeling frustrated that you have hit a brick wall in dealing with OptumRx. Worst case scenario is to file a lawsuit, but if you follow the proper procedure and are forced to escalate to the Insurance Commissioner etc., you will likely get your matter resolved. Pity that we have to resort to these actions when the problem could and should have been resolved at the OptumRx Customer Service level.

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    Customer ServiceStaff

    Reviewed Feb. 12, 2015

    I mailed my prescriptions in to OptumRx. I waited a month for my medication. They said they did not get confirmation from my doctor's office. That was a lie. I told them to mail prescription back to me and that my doctor rewrote the prescriptions and I got filled local. [These people are rude when you call] They also wrote to my doctor and said he should prescribe a different med. OptumRx has never examined me or do they know my issues. They told my doctor there was alternatives to my meds. My doctor has been a doctor for many years and I trust him. I did not receive the scripts back, I got the meds. These people are messed up. UHC ins. company advertises convenient service thru OptumRx. I do not think so.

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com