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 14 Reviews 2240 - 2440
    Price

    Reviewed Feb. 12, 2015

    I am a psychiatrist in private practice. Many of you posting on this site are patients who have had issues with your insurance company. I advocate for patients nearly every day in the form of prior authorizations, appeals and peer-to-peer reviews when a medication is denied. Optum Rx has been no exception to the general trend of draconian measures to deny care. Most of the time I believe these companies truly hope that after an initial denial doctors will just "go away."

    Well, I don't, but it is very time consuming and it is not enough anymore that I and doctors like me all around the country are fighting these singular battles. I am encouraging everyone who posts that each time you are the victim of such greed driven, unfair, and meddlesome practices you file a complaint with your state's insurance commission. Many times I thought the forms were all completed successfully, only to get yet another asking for "clarification" or "further information." Sometimes my patients have been told that the company never received documentation from me. What a surprise when I am able to show the electronic evidence for data submission in my fax log.

    Additionally, do not accept at face value that the generic medication your insurance company wants you to take is equivalent to the brand name. While in many instances less expensive generic alternatives are just fine, you should know that the FDA allows an 80-125% variability yet still allows something to be called "bioequivalent." Educate yourselves and don't be afraid or reluctant to ask your doctor to go to bat for you. It's your health.

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    Reviewed Feb. 11, 2015

    After reading all the bad reviews about the mail order side of this business, I am thankful I can still go to my pharmacy, although these days I document everything that happens with this company, pay cash for the things they erroneously and egregiously deny, and tell everyone who will listen what they have done to me. Very long story, but they denied a prior authorization, requested more info, got the required info and just ignored it. After Dr. pointed out their mistake, they insisted nothing could be done once prior authorization was denied 2nd time, so we would have to appeal (ridiculous, but we did it, we had to). Now we are stuck in some 30 day process because, they say we did not request it be expedited.

    So it is now 2/10, Dr. first called in script on 1/15. But appeal did not happen until 1/30, so, blah blah blah. So many hours wasted by me, my Dr., my pharmacy. What a nightmare. Thank God it is just an anti-depressant and not like a pain med or something! This company makes serious errors, then expects me to jump through hoops to get it fixed! I do not know why they are in business. I am self paying $12/day and they are dragging their feet. I seriously want them to pay for this.

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    CoveragePrice

    Reviewed Feb. 10, 2015

    They dictate your health by denying any drug that they deem too expensive. They claim they cover it, but they find all kinds of reasons to deny the drug. The medications they are denying me are generic and may not work as well, even so they continue to deny these medicines even after my doctor contacted them. These medicines are medically necessary and I have blood tests that prove this. My health has been going downhill, I can't afford these medications on my own. It's time to stop bean counters from controlling our health.

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    Customer ServiceCoverageReliability

    Reviewed Feb. 9, 2015

    OptumRx is horrible at what they do. Their online system is UNUSABLE. I couldn't even get through attempting to sign in without having to call their help desk, who then was probably the most unhelpful help desk I've ever encountered, and just repeated the error on the screen to me that there was no username found with my information. I figured out how to at least login without their help. I've had an account for 2 years with the same information, and I had to make a new account. We never received any notification that this would be necessary.

    Once into the online system, I made the mistake of trying to place the order for my medication. Although it magically had all of the medication and previous orders in the history of my brand new account for some reason (Remember they couldn't find my information before), I was not able to place a new order. After being transferred to another department on the help desk that was supposed to be able to walk me through the Rx ordering process, they ultimately just told me to mail them the Rx from the doctor and, even though I had just recreated the accounts to fill the Rx, that they had all of my information. All of the information they could only 15 minutes earlier not find or verify.

    Beyond that, their online system attempted to give me 'lower cost alternatives' to the drug on my Rx. Most of the ones that came up are not even covered by my insurance that may or may not have the information on, or in a completely different drug family. WTH?!

    The level of unnecessary complexity, utter frustration, atrocious execution, and sheer incompetence that OptumRx brings to what should be a seemingly simple task is mind boggling. It's obvious to me that this is purposeful, because no business would ever have a workflow this complicated for their customers. And judging by the rest of the reviews, that backs it up. Dealing with this company is the biggest pain in the ass. Horrible. Just the absolute worst. I hope they go out of business later today, because ANYTHING is better than they are.

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    Customer Service

    Reviewed Feb. 6, 2015

    Have called six times and also talked to supervisors and asking for this copy of my history since Sept 14. Now Feb 15 still have not received it. So who should I ask for? Doesn't seem to matter who I speak to and having to give my info to phone message and then again to person is overkill. Never been so disgusted with a company in all my life especially one dealing with your life.

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    PriceStaff

    Reviewed Feb. 6, 2015

    Prescriptions information is incorrect more often than not. They quote incorrect prices, change prices within minutes, cancel orders without notification, and send incorrect drugs, often. Most of staff are not capable, my opinion.

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    Customer ServiceStaff

    Reviewed Feb. 5, 2015

    I attempted on 4 different occasions February 4th, 2015 online and via telephone to place a refill order of my prescriptions. Their online system was unusable due to change in security application. My account was frozen 4 separate times and efforts to use my online account was fruitless. I then resorted to calling my renewal in. I was put in the queue to speak to an assistant twice. After waiting 45 minutes a live person apologized for the wait and then proceeded to take my order. When I requested my order to be shipped to my vacation address which they had on file, I was told to hold. And after 15 minutes the agent came back on line to tell me there would be a little delay and to hold. I asked what the delay was and she advised me that she needed to get assistance from her supervisor. When I asked how long I would be holding she told me 10 or more minutes maybe. I requested she call me back when she had the supervisor completed the change request.

    After waiting 30 more minutes I called and spoke to another person who advised me my prescription was being filled and the address change I requested was being used. On the next day I followed through online to check the order and found out my ordered was filled and being shipped to the old address. I called and asked them to send out a new order and was told I would have to wait until the USPS returned the order. In the interim I should go to local pharmacy and request pills to hold me over until the order was redirected perhaps as soon as February 16, 2015. I took the survey after my call and told them I was very displeased with their service. I advise anyone having alternative mail order houses to use them. United Healthcare requires me to use OptumRx. I have no other choice.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 5, 2015

    After several delays in the authorization of my medication they shipped my medication 2 days later than that had agreed to. When I received my medication, which has to be injected, they did not provide the pen that I need to inject it. I called to ask about my shipment and they transferred me to the resolution department which was too busy to answer. After waiting two hours I called back and was told it was being shipped and it would take three to five business days. I said that was not soon enough and they transferred me again. I was then told that they don't carry the pen necessary to use my medication and that I have to call the manufacturer of the medication. The number they gave me was incorrect. It seems they could have informed me of this when the medication was orders. Both times I agreed to take the survey at the end of the call. Both times, when I rated the a five, the worst possible, they asked me to repeat the rating three times and finally said they could not completed the call.

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    Customer ServiceStaff

    Reviewed Feb. 5, 2015

    Hi. I just want to start by saying that I have worked at OptumRx (Prescription Solutions) for a while now and am genuinely concerned about the treatment you have been receiving. I worked for some years in CA before moving to another department. Cs has always been very near and dear to my heart. I am appalled at the treatment some of you received. I am not writing this at the request of the company and please keep in mind that my views do not reflect the company’s position at all and are my opinions entirely. I want to help make some things simpler for you while navigating through the system when contacting OptumRx.

    First, if you have an issue with the wrong meds (such as an incorrect rx sent to you) and need the correct ones sent then the best thing to do is to ask to be transferred to one of the pharmacists. They can put an override in the system so that you will receive your correct medications and they will even rush this to you so there is no gap in your treatment. Even if you call after hours they have pharmacists on call that will return your call shortly. Please be prepared to confirm your info again for security reasons.

    Also, you may want to ask if there is a way that you can get on the managed plan for maintenance meds as you will be routed to a specialized team that may be more responsive. When ordering controlled medications they are required to track patients when they get new controlled meds because the law does not allow (Dr. shopping). I don't believe that is what anyone here is doing but there are those that do and laws make it difficult for those that don't. When the MD faxes over a controlled rx it may be that the state you are in does not allow this and the OptumRx will need to contact the MD to get this cleared up.

    It is always a good idea to shop around for prices at various pharmacies when you need to make that initial coverage count for the part-D plans. That's what I would do. I have always thought the time on the phone with the member was far more important than the length of time on a call but I do understand that they need to estimate handle times to make sure they correctly forecast the phone coverage to minimize wait times for members. I am truly saddened by your experiences and hope that I have helped some.

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    Punctuality & SpeedStaff

    Reviewed Feb. 4, 2015

    I have spoken with their reps and have gotten nowhere. Keep telling me to try again in fifteen minutes. I try again and again... Then it says I am locked out. Try to contact Optum again and they tell me They are having a problem - to try again later. I have waited and tried now for two weeks. I feel that I have waited for this "paid for Service" long enough. ANGRY!!!!!

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    Punctuality & SpeedStaff

    Reviewed Feb. 4, 2015

    I have used this company since 2009 for Medicare part D prescription service. Always receive courteous, quick, accurate service.

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    CoveragePrice

    Reviewed Feb. 3, 2015

    My eye dr prescribed eye drops and sent the Rx to optum Rx. They processed the the Rx and sent it out. When they sent it out I received no bill. Just all the usual stuff. Inventory of my prescriptions, drug info, etc. so I thought great it must be covered because it was a name brand Bausch and Lomb lotemax 15 ml. My husband was looking at our credit card bill on the Internet. Noticed that there was a $145.00. Called Optumrx asked what it was. Eye drops. What! Yeah $500.00 was charged to my insurance co. And our co-pay came to $145.00 Based on a tier program. I am upset because I have had this type of prescription before but in generic form and I never received a $144.00 bill before this was sent out so I could be informed of the cost and make the choice if I wanted it. Now I can't return it. Walmart off the internet was $190.00. I also feel they are ripping off our insurance companies.

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    Reviewed Jan. 29, 2015

    Last Oct 2014, I was able to order all my prescriptions and for first time it went very well. Today, I had to re-sign-in and start all over again, and the sign-in process refused my sign-in info. Then required to make a new sign-in information which was promptly refused. Thus this note. Why can't this company stick to one method of signing into my account? It has always been difficult to get my prescriptions until this past October. Thank you.

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    Customer Service

    Reviewed Jan. 27, 2015

    I got a prescription for ** 90 day supply. I pay 45 co-pay per month. They gave me the invoice saying it would be a co-pay of 124.00 for all 3 months. I paid but my insurance wasn't billed. They sent me 1 month supply and said sorry that's it. They said it's what my insurance requires. ** I looked and my insurance wasn't billed and they refuse to correct it, give money back, do a return to sender....nothing! I'm stuck with a 124.00 loss. I asked for a supervisor to look - it's in black and white! She said someone will call me no matter how much I kicked and scream. No one called. It's been 2 months. Funny, I look back at it and they completely changed the invoice from 3 months 124.00 to 1 month 124.00.

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    Customer ServiceStaffProcess

    Reviewed Jan. 26, 2015

    I started using OptimumRx in November 2014 and had no problems. However when I submitted my December prescriptions they are Controls - they wouldn't fill them. They said there was a new law in January 2015 that my doctor should have known that you cannot fill a pain medicine without having a long-acting and short-acting. First of all I already had a long-acting and short-acting and the "law" is not a law but their "law", which they had to admit to me as I told them I work pharmacy and I knew there was no such law.

    So after two weeks of my doctor getting in touch with them to find out what their "law and formulary" is that they will let her write a prescription for they would not come up with formulary. So when they would ask if they would approve these prescriptions, they said to submit them. They were not processed or accepted so this went on for two weeks. Finally she lowered good milligrams on one of my prescriptions and they made her increase the other prescription.

    I had a very involved colon resection done and was hospitalized for three weeks. It seems now that they increased my dosage it's affecting my colon again, so I made appointment with the colon surgeon tomorrow. I informed OptumRx that if they're insisting my doctor has to follow their formulary and it's going to cause me medical issues, that they will be hearing from a lawyer.

    When I called UnitedHealthcare to let them know what OptimumRx is doing to patients, they call there and they talk to a pharmacist who said they have no problem filling my prescriptions, that my doctor changed my medicine. I told the representative they're lying and my doctor has the faxes to prove how much correspondence was sent between OptimaRx and her office so he advised me to mail the prescriptions and when I get them and that they should tell them.

    I decided to call OptimumRx today just to verify what they told UnitedHealth and was told the pharmacist will fill my prescriptions and they review them to make sure they fit the criteria. That doesn't sound like what they told the representative, that he thought there was no problem. I would like to figure out how to put a class action suit against them for the home made of charges inconvenience and medical problems they have caused patients. I want to know when they became doctors and like I told the pharmacist, why did my doctor go to school and get a degree if you guys are just gonna tell her what she can write and she can't write the patients.

    I called UnitedHealth again and told them I want to file a grievance with them about OptumRx and they took down my information - will see where that goes.

    Try to explain to UnitedHealth that then heading up to Morax as they Millwater is going to hurt them because I'm leaving UnitedHealth first chance I get, because I don't think it's fair that they have the right to do what they please with patients and get away with it. That's what bothers me the most - they get away with it.

    As far as Optimum customer service, those they really need to get better-speaking people that you can understand, and they can stand you. I don't take it out on them because they are only customer service people - they really don't know the rules for the "laws" - so I can't take anything out on them and the pharmacist, I asked them the same question why do they have a license and go to school if the company's going to tell them what they can fill and how they can fill it (obviously a trained monkey can do the same job).

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    Customer Service

    Reviewed Jan. 26, 2015

    PO says address was not entered correctly so it took 2 weeks to deliver. Password is too long for the new website, so I am locked out. No help from help phone.

    Complaints do not work. AARP needs a new pharmacy.

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    Customer Service

    Reviewed Jan. 25, 2015

    Lost Rx called in by Dr. Incorrect information on refills. No corporate phone numbers listed. Just like all the other complaints filed, this company is the worst ever!

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 22, 2015

    I have been required to order from OptumRx by United Healthcare Medicare pharmacy policy. OptumRx is the WORST mail in pharmacy I have dealt with as a client AND a physician. I have had every three month prescription orders and refills since Oct 2013. I have not had one order that has gone without problems. Be aware, the customer service agents that clients talk to do not have access to all of the prescriptions or information about a client. I am not sure if they are consciously lying or the system is so incompetent, but it is futile to call and try to figure out why orders are incorrect.

    In my first order one prescription was filled with 78 missing pills and ~$800 more than was quoted to me. That was just the beginning! Currently my doctor faxed Optum's own printed order sheets to reorder my meds to Optum on December 15, 2014. Optum called me on the 22nd to say clarification was needed. After they said that one of the scripts was going to be late, I asked about the other meds in the order. The associate proceeded to tell me that Optum never received prescriptions from my doctor.

    Once I pointed out that HE had called ME, I was transferred and it started from the beginning. Although the associates were fairly nice, the story that no prescriptions were received continued for an hour and somehow they actually denied that they called me. I called back on the 23rd and the 24th and the story remained the same.

    Ten mins after I hung up, an Optum Pharmacist CALLED ME about the faxed prescriptions! The story now was that the doctor didn't include his information, so they thought I had signed the sheets! So on the 24th of Dec the office sent new prescriptions by eScript (computerized ordering). Somehow that order was confusing as well and Optum continues to say that they didn't receive all of the prescriptions.

    On 1/19/15 I drove 5 hours to my doctor for another appt to have new prescriptions sent to Optum. Today, 1/22/15, Optum called me to tell me that one of the Non-generic drugs is no longer covered. This was a prescription from December's order, that they denied ever receiving! After an hour of asking questions and pointing out the double-speak that the associate was using to try to justify that the blame for the problems is the doctor's and mine, the associate HUNG UP on me. Although the associates are fairly nice, If you have any option, DO NOT USE OptumRx!

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    Customer ServiceStaff

    Reviewed Jan. 22, 2015

    How DARE these people, I'm being HARASSED!! Since Nov. 16, 2014, I've been put through the most needless WORRY over this prior authorization, **! They LOST my doctor's 1st deposition then made 2 requests for the same medicine which cancelled out his 1st deposition - THEIR FAULT!! Then they LOST the 2nd one, after my doctor made repeated attempts as well as myself (so many I lost count). After demanding to talk to a supervisor repeatedly, finally I got a super to look at my case. He stated "I'm so SORRY" SO many times seeing my problems. That he said "I'm going to do everything I can to wake someone up around here". I fell off a CRANE 55 feet, I should be dead, but The LORD above keeps me here.

    I'm bedridden 24 hrs. a day with the worst PAIN + CRAMPS, CHARLEY HORSES that would force a lesser man to commit suicide!! I've been on these same amounts of medicines for over 12 yrs., I had a pain specialist as a primary care for 2 yrs., I've even been through many surgeries attempting to help my condition I'm stuck in. I've seen physic doctors for my severe DEPRESSION, which is so bad I still have thoughts of falling.

    I have enough worry in my life, if you can call it a life, I can't do any family events or ANYTHING!!! What a life HUH, then to be put trough this needless worry about my medicine that still won't stop the PAIN, it just slows it to a dull ROAR! Why WHY why are they doing this?? If this harassment doesn't completely stop, I'll be forced to SUE - especially if I'm forced to commit suicide, my family will SUE the ** out of these who continue to harass me.

    The 1st time they put me through from Nov. 16 to Jan. 3rd 2015, about 2 of my meds, then now I'm forced to go through it again. Do they think these doctors just hand these meds out?? I don't think so - I'm tested up/down. These doctors have enough to do, as is without this bull. My doctor has his own health problems to where he can only work 3 days a week. But must put out 5 days worth to catch up with crap like this. Prior authorization limits, that's just silly. I go to the strictest pharmacy who police me enough!! Now this.

    I was also in a bad rollover car crash in Oct. 2013, breaking 12 ribs and reinjuring my back to the point of wanting to give up. But I'm still here, OptumRx needs to back off us!! We go through enough without them!! VERY ANGRY is not the word. I'm PISSED right off!!!!!!!!!!!! They want to know which meds were tried, which they were given. They want to know what pain doctor gave the meds they were given. They want the prognosis they were given. I've even had the DEA look at me very hard, and was given a approval letter from them. I've lost my patience with this mess. This is so rude, I can only imagine how many other people are going through this. Very depressing.

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    Customer Service

    Reviewed Jan. 21, 2015

    I received the first prescription without problems. The problems have started when I tried to order the refill. First problem the price: CANDESARTAN/HCTZ TB 16/12.5 90 tablets first order $101.85, refill $180! Second problem (the biggest one): I'm not able to order the refill. I tried 4-5 times in a couple of month, at all the try the order has been accepted but after few days the order has been cancelled for "drugs shortage". I have called the customer service at least three times and every times they told me the problem has been solved and the order has been placed again. After few days the order has been cancelled again and now I have no more tablets!!

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 18, 2015

    I have been taking a medication for over about 2 years. I have been with the same employer for 12 years and have had the same insurance for that same period. 3 years ago my company switched to OptumRX to manage the prescription portion of the insurance. The transition was horrible. That brings me to today. As I stated earlier I have been taking medication for about two years. The medication required a prior authorization which I received in 2013 and the prior authorization was good for 10 years. I took my prescription to my local pharmacy for a refill. The pharmacy calls me and says there is a problem with my insurance. I call OptumRX and they tell me I need a new prior authorization because I switched insurance. I explained that I had not switched insurance and that it was the same for the past twelve years only more expensive.

    The representative checked with the prior authorization area and they confirmed that I had switched insurance which caused the prior authorization to be invalid. Again, I told them I did not switch insurance. I also mentioned that I had the same doctor for the past 6 years. They said the quickest way to get this resolved was for my doctor to call in a new prior authorization. My doctor was not working that day neither was his nurse. I called my insurance company to get them to speak with OptumRX and explain that nothing had changed. UnitedHealthCare was on the phone with me and the rep explained that my insurance had remained the same. The OptumRX employee again stated that my insurance had changed and that a new prior authorization was needed. Then the rep added that I hadn't changed my coverage but my company had adjusted the plan for the new year and changed what they covered.

    I asked if they still covered the medication that I was taking and was told that they did but they needed a prior authorization. I asked if everything on my end was still the same and all that changed was my company's choice of what was covered than why wouldn't the prior authorization still be good. They just repeated that the plan had changed and I needed a new prior authorization. I made phone calls to my benefits coordinator at work and even had them call OptumRX but they still kept with the mantra that the plan had changed and a new prior authorization was needed.

    So I finally got my doctor's office to call in and find out what was needed for a new prior authorization and they let me know that this was taken care of. Of course the office is going to bill me because they had to do some extra work. I called OptumRX and asked to have it expedited because I was out of medication. They said they would do their best but it usually took about 3 business days. I had originally called on a Thursday and now it was Friday so I will be going on six days without medication thanks to OptumRX not using any common sense. I hate, hate, hate this company and given a choice would leave in a second for anything else.

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    Customer ServiceStaff

    Reviewed Jan. 17, 2015

    Wish there was a lower score than one star... OptumRx received our Rx via overnight delivery. It took three days after delivery for them to acknowledge receipt. They promised overnight service (for extra $) and said it would be shipped the following day. Three days later I called and they said they were trying to contact the Doctor because there was something written on the Rx they did not understand. I made sure they spoke the Doctor that day and was again promised it would be shipped the following day.

    Two days later when the website "order status" showed no change I called back. "We don't know why it did not go out last night, everything appears to be in order." Today, I called back to check status due to three day holiday weekend. Still no explanation and no meds, just another promise that it should go out next week. Forgot to mention the phone wait time of 15 minutes was the most annoying repetition of "all lines are busy, please wait" instead of elevator music. I am sure it is designed that way to encourage people to hang up and call back later. These people are idiots.

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    Reviewed Jan. 14, 2015

    My doctor prescribed Reclast for my osteoporosis because I had gastric bypass surgery and could not take the pills for my condition. He had ordered & prior approval done on 10/20/2014, now finally they are suppose to ship over night to me 01/15/2015! Maybe it will be here, but I won't bet my life on it!

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    Customer Service

    Reviewed Jan. 12, 2015

    I have had nothing but trouble with OptumRx since it's inception. They give you the option to order refills online, but then after placing an online order, you get a message that you need to call them. You call them and they don't know why you are calling. Even if you have a primary/default credit card established, they will call you asking which credit card to use---the answer is the one labeled "primary/default." Oh, OK... Duh. They will dump $11,000 worth of medicine at my front door, but require that I got to my "local" post office and sign for one that for a three month supply costs $5.32. Yes, $5.32 requires signature.

    They demand that they have to review with you every month the drug and dosage for specialty medications--every freaking month. Take one 800 mg tablet of X by mouth once a day. Do you understand that? (I say, OH, I don't grind it up and snort it?). And they repeat this condescending nonsense for every specialty medication (all $11,000 worth). Common sense is as far removed from OptumRx as Pluto is from the Sun. I HATE HATE HATE OPTUMRX. HATE THEM.

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    Customer Service

    Reviewed Jan. 11, 2015

    The bottom line is that they have no "service" and should have no customers. I have just been forced into using them. I knew nothing of them so I asked my Dr to send prescriptions to them. I expected that they would then be filled - wrong. I had to set up an online account and request them. In order to test this system, I ordered 2 items. Their system shows I ordered at least 3 items and maybe 10. When you talk to their customer service, you get no help. I have yet to receive anything, and have little hope. Monday, I think, I will ask the Dr to cancel the prescription orders and give me written orders that I can fill locally. Bad company, stay away!!

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    Customer ServiceCoverageStaff

    Reviewed Jan. 10, 2015

    I contacted OptumRx regarding my Botox to ensure everything went smoothly as it was the beginning of the year. Injections are every three months and my neurology office sent everything in to OptumRx in the middle of December. Upon speaking to the representative, he explained they were waiting on United Healthcare to provide my covered benefits. This was on Tuesday and my appointment was on Friday. I helped to hurry things along by calling United Healthcare. We had a three-way call where the representative got very agitated and said that they are very backed up and couldn't guarantee that my Botox would arrive by Friday because they were still waiting for UHC to fax the benefits. The UHC representative let him know they hadn't got the request yet and told him I was covered. He said it had to be in writing and that it had to be faxed. So UHC representative asked if he could put an urgent on it. We hung up not knowing if it would get done. Then on Thursday, my neurologist office called to ask if I had heard from OptumRx and I told her the situation. The representative told her that they called me on Monday. They did no such thing.

    When I directly reminded the representative of our conversation, he then blamed my neurologist office and said that she must have misunderstood. The OptumRx representative assure both the neurologist office and me that they would overnight the Botox and it would be there in the morning. It is 4:00 pm and it has still not arrived. Needless to say, I was unable to get my Botox and have no idea if it will be there Monday. It is a time-sensitive medication. Also, I had to pay out of pocket for this medication, over $1,100, and I still don't have it!

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    Customer ServicePrice

    Reviewed Jan. 8, 2015

    Due to all of the negative reviews I was truly not looking forward to my employer changing our prescription insurance from Humana to OptumRX, even though Humana was horrible, but I have had nothing but a great response and outcomes from them. My husband had just been prescribed a medication, which according to the nurse, you typically had to get re-authorized every 6 months... his was written and the insurance does not require a re-authorization for 10 years. The costs on the prescriptions are also less expensive than our previous insurance carrier. We are one family that is happy with this insurance!

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed Jan. 5, 2015

    I used OptumRx for a while and had some frustrations with their website not always working correctly for mail-order. I tried to refill my prescription through their website, and encountered some issues putting the order through. I needed to update my credit card info, and every time I would submit it, the website just reloaded a blank form. So, I was unable to submit my credit card info and unable to place the order. I attempted this several times in multiple web browsers and continued having trouble. (I am a web designer and am very comfortable using computers, and I do not have this kind of trouble with other websites, so I know it wasn't me.)

    I tried again a couple days later, but my medication refill was no longer showing up. Confused, I called the pharmacy and spoke to someone there. They insisted that my refill wasn't showing up because I was out of refills - except that I know I was not out of refills because I had another refill left and just had it in my shopping cart the other day. They insisted I was wrong about this. I pushed further, and then they said that my refill was "discontinued". I asked what that meant, and they said it meant that my doctor must have contacted them and asked them to cancel the script. I know my doctor did not do this.

    I called a local CVS Pharmacy to get the script transferred there so I could go pick it up. When CVS spoke with OptumRx, OptumRx told them they couldn't transfer the script because they had already transferred it to another pharmacy. CVS asked for this other pharmacy's number so that they could contact them instead, and OptumRx said they didn't know. Thus, OptumRx transferred my script to another pharmacy, had no record of doing so, was unable to tell me they did this, and was unable to provide a contact number for this other pharmacy. How they transferred a script to a pharmacy they have no contact info for is beyond me.

    In the meantime, I've made 16 phone calls back and forth between pharmacies and my doctor's office, and have run out of medication. I'm in physical withdrawal and am trying to be functional at work and throughout my daily life while withdrawing from medication that I need, that OptumRx should have been able to provide me with. The medication I'm on is readily available as a generic and is not a controlled substance, so it should not be this difficult to get a simple refill.

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    Reviewed Jan. 2, 2015

    It was time to renew a prescription for Metoprolol 50 mg. OptumRx quoted me $114.25 for 135 tabs. Costco quoted me $4.00 and that was without insurance that I have. I believe everyone should have a reasonable profit but this is ridiculous.

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    Customer ServicePriceOnline & App

    Reviewed Jan. 1, 2015

    Requested refill of med (Pantoprazole) on OptumRx's website. Price paid previously was $6.80. Website showed current price of $6.80 (120 tabs). Happened to check credit card charges two days later and the amount was $64.07!! More than 9 times the amount shown on their website. After several conversations over the next 3 days (over 2 hours on the phone), their only excuse was they changed suppliers so the price went up. 900%? Really? FIVE days after I placed the order, the website still showed the price @ $6.80. FIVE DAYS!! How many others get caught up like this every day? Five minutes after the last of many conversations, I check the website and lo and behold, the price had changed. OPTUM C.Y.A.? That's like the gas pump showing $2/ gal so you fill up, then you go to pay and they charge you $18/gal!! Gotcha! Dealing with them has been very frustrating! CSRs that are clueless with no answers to your questions. Even just being flat out lied to. Seems like everytime I've had to deal with them, it's been a hassle. Very poor customer service! Do NOT trust the $ amount shown on the website! If you do, good luck!

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    Customer ServicePriceStaff

    Reviewed Dec. 29, 2014

    I hate this company. I took a job with them till I could find another and ended up leaving one day. I wanted to go back to school because I didn't like being a accountant. They cured me of that. The people you speak with is contracted through West Corporation. The classes are a joke. You train for less than a month and maybe two days on their computer systems. The teacher pretty much just complained about her Medicare the whole month. We didn't learn anything about the drugs, Medicare billing or pretty much anything to do the job.

    When you call and get someone that doesn't know what they're talking about it's because they don't or were told the incorrect information which happened almost daily. We were told to get people off the phone, have no access to email you back, call you back, or speak with accounting. We could put something in the system to have accounting call you but the people that called seemed to have the same thing to say, double billed, billed and never received, never ordered the list goes on and on.

    It doesn't help to ask to speak with a supervisor because they are normal people from the floor if you could get one. We actually started getting in trouble for calling them if someone asked for one. They don't have a department where you can complain to and when you want to take the review you have to press the button for it at the beginning of the call and when you give a bad review, it's for the operator not the company so they can scam employees out of bonuses even if they were great. I'm not sure why they're still open. United is making a killing of their overpriced drugs. I think they prey on the most weak.

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    Customer ServiceStaff

    Reviewed Dec. 28, 2014

    I had been filling a prescription at a dosage of 0.05 mg. After a checkup from my doctor, doctor recommended I try a higher dosage and warned me of possible side effects. After filling the prescription with OptumRx and trying it for the first time, I experienced painful side effects from the higher dosage. I called OptumRx and asked them if they could refill at the lower dosage of 0.05, NOT 0.075. The agent informed me she would have to call my doctor for authorization. I told the agent if there were any issues getting the lower dosage approved to contact me and no matter what, did NOT want the 0.075 mg dose refilled. She confirmed my order. Today I received delivery of a 3-month prescription of the 0.075 mg dosage at a cost to me of $70. I called customer service to explain the situation, to which they replied that the 0.075 mg was what the doctor authorized so they were not at fault and suggested I ask the doctor to refund my $70, since it was the doctor's fault, not theirs. Even after I explained my previous request to the order agent not to fill at that strength due to painful side effects, and that they should have called me, the customer service agent showed no concern for my situation.

    I asked to speak to a supervisor, I was put on hold a long time and was eventually connected to a supervisor who sounded suspiciously the same as the agent, confirming they were not at fault. So now I have a 3-month supply of a dosage of my medication I cannot take with $70 less in my bank account. This was very poor customer service and I will take my business elsewhere.

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    Customer ServicePunctuality & Speed

    Reviewed Dec. 24, 2014

    It was time for my refill on my prescription, so I went online and went through the process of the refill order. A week later, I get a letter in the mail stating that my order was delayed and would be there in 7-10 days. Two weeks later, I still had not received my medicine. By this time, I have ran out. I called OptumRX and the representative said it never shipped for some reason. He promised to overnight the medicine the next day. Two days later, still no medicine. I tracked the ups confirmation number on the email for shipping and UPS said that a label had been created but the item was never shipped. When I called OptumRx, they said it had shipped. So I asked them to track it and they said that UPS was wrong. I asked why I hadn't received the package since it was supposed to be overnighted. They said I had to take it up with UPS. When I called UPS, they said that the package was never received by them. In the meantime, I'm without medicine for two weeks... So angry! I'll never use these fools ever again.

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    Customer ServiceStaff

    Reviewed Dec. 24, 2014

    They keep calling even when I tell them I don't want to use their service. I have explained multiple times WHY I don't want to use their service. A week after receiving the last call from them I get a call from a doctor's office of mine asking about 2 prescriptions that OPTUMRX wants to fill. I don't use one of the prescriptions they were calling about and I told the OPTUMRX employee on the phone not a week earlier that I will not use their service. I called OPTUMRX and they were nasty to me on the phone and tried to tell me that there was no such order/prescription.

    Liars! Doctor's office don't lie and have nothing to do that they make up nonsense like this. SUMMARY: They are still trying to force me to use their service by attempting to send me prescriptions through the mail that I have not requested. Thank GOD they contacted the WRONG DOCTOR- who then called me to ask me for details. At this point, I will have to contact all my doctors and explain to never fill prescriptions from OPTUMRX on my behalf- just to keep this nonsense from happening. They are a horrible service and they have bad records and bad customer service and I will not use them again.

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    Reviewed Dec. 22, 2014

    Worst online mail order company for prescriptions. Used to have Express Scripts and they were one class act. I've had drugs shipped to me that I no longer need. Their excuse: We're a new company and we have to work out our bugs. Then they shouldn't be sending out drugs to people. I'm a very savvy consumer fortunately. If I wasn't I might be using drugs that I don't need. Shame on them.

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    Customer ServicePrice

    Reviewed Dec. 19, 2014

    This medication was ordered by my physician's office. I wasn't aware of the mistake as it was electronically generated to OptumRx from the office. I did receive a call from OptumRx the following day stating I have a medication that will cost $320.90. Not telling me what it was. I assumed it was my Humalog KwikPen, as it is always high at the end of the year as I have met my doughnut hole with Medicare (due to the fact that OptumRx sends medication out way before you need them). I even called the very next day and they said it had been shipped already, Dec 10th. Well I received it today Dec 18th with no notification from them. I called Optum today and tried to get a return. Told them what happened, they really don't care told me I ordered it. NOT!! So now I'm stuck paying for a medication I don't take.

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    Customer ServicePriceStaff

    Reviewed Dec. 16, 2014

    First time user of MAU pharmacy. I paid 3 copays. Twice for one medication, and once for a different medication. When the first two meds came in the mail, they were a 30 day supply and the bill was around $340. I thought that though a big bill that was for 3 months; and next month I would receive another 30 day supply of each of the two medications. When only one script was sent in mail the following month I was charged another copay of $175. I then find out doctor only wrote scripts for 30 day supply. Did not know cause I don't see the script. The doc faces it over to them. And OptumRx's copays are calculated for a 90 day supply. That is the only way to save money is by your doc writing a 90 day supply, like Optum's "script request form" boldly/blatantly states.

    Well instead of calling me, Optum charged me their 90 day copay twice on one medication for two 30 day supplies and another 90 day copay charged to me once for one 30 day supply of my other medication… paid $350 for 60 pills of one medication and $160 for 30 pills of other medication. Asked for compensation for blatant overcharging but they denied it to me. Told me there was no place to take my grievance cause they followed protocols. Appealed their decision and did teleconference to convey how it was completely out of my control and cause of this I had to go without meds cause had no money to pay for additional copayments; that someone or a fail safe should be in place to call me and say I'm paying a 3-month copay and only receiving a 1 month supply. They still said they did no wrong. But were happy to charge me knowing I was horribly overcharging me. I only asked for the difference amount had I went through a retail pharmacy, but was denied again... Losing faith in people a bit more thanks to greedy OptumRx.

    Made me laugh at the hypocrisy they end their letters; saying customer satisfaction is very important to them... What a bunch of BS. Also the customer service reps just spoke to me like I was an absolute idiot and kept saying they understand where I'm coming from!! Really, then do something about it. This company is only out for blood and trapping other unsuspecting customers the same way... Disgusted.

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    Customer ServiceStaff

    Reviewed Dec. 15, 2014

    I needed a refill of the Levothyroxine 0.5 MG. I went online and realized that I didn't have remaining refills. I called 1-877-246-2970 to order the refill and asked the employee to contact the doctor for renewing the prescription. The employee told me that Optumrx would contact the doctor to ask for the renewal of prescription and after that it would be mailed to me. I received the mail on December 12, 2014. Inside the envelope was the Levothyroxine 0.05 MG and a refill of Premarin 0.3 MG, which I did not order. The bill includes the amount for this prescription too. I called the customer service to inform that I did not order the Premarin and asked the Optumrx employee to refund the money for it. The employee told me that they can't refund the amount for the Premarin because I ordered it online. I stated that I did no do it.

    I asked to speak with a supervisor. Celine, the supervisor, told me again that I ordered the Premarin online and the Levothyroxine by phone. I asked her where in the system I could see the proof that I did it because I didn't click anything in the Premarin online box. I stopped taking that medicine a year ago. Celine said that they couldn't give me that proof. The bill shows only one order number for both prescriptions and they were sent together. I request Optumrx to refund the amount of $6.35 for the cost of the Premarin to my credit card since they mistakenly made the order.

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    Customer Service

    Reviewed Dec. 15, 2014

    I've had to endure 3 years of OptumRx. I have to call on nearly every new script and every refill. The customer service is staffed by drones reading off a script and as near as I can tell are not capable of any independent thoughts. Optums tactic seems to be delay or deny! I'm giving one star because no stars isn't an option!

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Dec. 11, 2014

    I, like many others, was more or less forced to use OptumRx for my Medicare meds. I order them online because this is their preferred method. I take six drugs for a heart condition and COPD. On 12/4 I received an e-mail from OptumRx advising me that it was time to place an order fro my 90 day supply. I logged on as usual and placed the order which they usually take payment from my debit card. After the order was completed, I checked to see the status. The total was $ 394.00. My exact order for September was $273.00.

    I called the (877) customer service number and after several minutes of being asked all the questions that they should had from the account number I gave them, I was asked what the question was that I had. I explained the billing difference and was told I was in the "donut hole" and had to pay the higher price. Since I have enough meds to last into January, I told them to cancel the order. After several minutes of the customer service person putting me on hold, she confirmed the order had been cancelled. We checked with the bank a few days later and OptumRx had not credited our account. I called again 12/10 and was given the run around that that person could not check or contact the department that should credit our account but she would see what she could do. I asked for a confirming e-mail to that effect and was told they did not have the capacity to do that. We checked with the bank this morning and still have not received the credit. Eight days seems like rather long time to issue a credit since they took the payment as soon as I placed the order. Seems like this could be a form of Medicare fraud. I wonder how many other people they are holding up credits to? I intend to contact Medicare and the Better Business Bureau concerning this matter.

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    Customer ServiceStaff

    Reviewed Dec. 7, 2014

    I ordered Fenofibrate ($6) mid-August, as I have done for months. OptumRx shipped me Tricor ($193). Their excuse-"Someone" called them asking for Tricor. I send in my requests for Meds by computer, which goes through my Doctor to Optum, i.e. I DO NOT CALL. After talking to 7 different Optum representatives, over a period of last two months it is obvious they are not going to correct their mistake. Only 1 of those ever returned a call to me as they promised to do.

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    Customer Service

    Reviewed Dec. 3, 2014

    I have been using ORx for a few years now unfortunately not by my choice. I have dealt with them more about screwing up on every time I go back to see my DR with a new script. It usually takes 4-5 weeks before I get lucky and actually receive the meds in the mail. You would think this time and age in 2014 a company could work out the bugs and work more efficiently but it still surprises me that ORX is still the same business. I got to the point and fight to get where I didn't have to use them and offered to pay cash for it in the pharmacy in town but of course it couldn't be that easy and the answer was "NO". It is like being in a bad dream every time I have to dial for customer service. I get to the point where I just throw up my arms and give up. I go months without meds due to their inability. I hope by reading this post it will save someone a stress induced coma....

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    Customer ServiceCoverageStaff

    Reviewed Nov. 29, 2014

    I am faced with a most incredible situation with a pharmacy I was willing to pay cash for... I spoke to one of the supervisors last week by the name of Stephanie (I left a message for her this evening but was unable to reach her). We agreed that I would return a misdelivered prescription and that the correct prescription would be filled.

    Since then, on 11/25 I received the information to mail that prescription back but I was traveling and I was unable to mail it back on 11/26, before Thanksgiving, i.e., I will do so tomorrow Saturday 11/29. I need the correct diabetes test trips in order to properly use my diabetes pump I have, that is, without the strips I cannot calibrate the pump for proper use.

    Not having received the correct test strips I went online today and became aware that the correct prescription had not been filled. I called their customer service number and spoke to Ann. Ann proceeded to tell me that the system would not allow to fill the prescription until the other one was sent back. I then told her that I was willing to go outside of my coverage and pay for the test trips cash in order to be able to use my pump but she said that the "Optum system" would not allow it even if I paid in full. Truthfully, there was no advocacy on my behalf by a person whose title is "Customer Advocate." I then asked whether I could go to my local pharmacy and she said that it would not allow it. I asked what she could do to help me and she said "nothing." I asked to speak to a supervisor and she said they would not be able to do anything to help me (she was right).

    I then got the supervisor by the name of Jose. Jose repeated the same things that Ann had said and I asked him about paying for the prescription cash and he was not aware that I could go outside of my insurance coverage to pay for the prescription - never knew of a pharmacy that would not accept cash! More importantly, I asked to speak with someone that could help me find a solution and he said that there was not anyone there.

    The only logical conclusion that I could get from what Jose said is that I should go without the needed diabetes treatment. More disappointing, when I asked to end the call so that I could do my review of the service received he hung up on me to prevent me from doing so. So, what I was left with from OptumRx is that there is no possible way for me to get the treatment I need even if I am willing to pay cash for it. I ask, that is the quality of service I should expect? As soon as my employer's open enrollment period opens, I am out!

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    Punctuality & Speed

    Reviewed Nov. 24, 2014

    I paid $225 in advance for a prescription that NEVER arrived. Never pay OptumRX in advance or you could wind up like me. The company is not willing to meet me halfway. I'm not sure if they ever mailed my meds in the first place, what I do know is that I am out $225 and have no medication.

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    Customer Service

    Reviewed Nov. 22, 2014

    My doctor has Faxed prescriptions to OptumRx and after waiting weeks I call only to be told they haven't received the prescription. The most recent episode was in October 2014 when two prescriptions were Faxed: one was received - the other which happened to be a controlled substance wasn't. My doctor's office Faxed another prescription - again OptumRx claimed it was never received. Finally my doctor's office called OptumRx and told them a Faxed prescription was on its way and waited to be told it was received. Finally my prescription is on it's way. This has happened a number of times when dealing with a controlled substance and I am not referring to a Narcotic. Makes me wonder what happens to those prescriptions that were sent? I have complained to United Healthcare who took the complaints; however, nothing happens, they keep on using OptumRx. This mail order pharmacy should be avoided at all costs. I will change my prescription plan as soon as I can and dump OptumRx.

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    Reviewed Nov. 22, 2014

    I suffer from a rotator cuff tear and have been in need of surgery for over a year. I have been forced to postpone surgery because I would lose the ability to use my right arm for 6 weeks and I have been rehabbing my house. My surgeon has been filling a hydrocodone script for the lowest dosage- ONE PILL DAILY. I visited my dentist recently who showed me that I was on a list, warning doctors that I have filled 4 or more scripts of narcotics. This list was complied and distributed by OptumRx even though I went to Walgreens. Nothing like being on a list of drug abusers for taking the lowest dosage available. Just wanted folks to know how they might be mislabeled.

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    Customer ServicePunctuality & Speed

    Reviewed Nov. 19, 2014

    I was informed by my local pharmacy that they could no longer fill my prescription because OptumRX wants me to fill my prescription by mail order. I had to waste my valuable time, get through their telephone hell system and and opt out my entire family. If they want to promote their mail order service then do it through traditional mean. You don't do it by DENYING someone medication to someone who has paid their premium on time for years. The practice should be OUTLAWED.

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    Customer Service

    Reviewed Nov. 18, 2014

    Through my Dr's office a request for injections for my knee (Supartz Injection) was submitted to OptumRX in early October, around the 10th....to date I can't get any information on this request. I have placed calls to OptumRX requesting the status of this request and the answer is always the same..."we did not get the request in writing." I have been with my Dr's office which has been rate all 5s in their customer service has continued to be an advocate for me continuing to complete and submit the required forms OptumRX states they never received. I have call Untied Healthcare to request assistance but to date I have not received a resolution. This ridiculous!!! United Healthcare should be embarrassed to be associated with this company unless this is all a ploy of United Healthcare to save money by allowing a incompetent company such as OptumRX send their customers through this frustrating process to avoid a approval. Whatever the reason is for United Healthcare to allow OptumRX to handle THEIR CUSTOMERS in this manner is unacceptable! I am really considering changing insurance companies since it is open season.

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    Customer Service

    Reviewed Nov. 18, 2014

    At first they filled my eye drops correctly, (Brimonidine and Latanoprost) Used for glaucoma. Then out of the blue they started filling them incorrectly. Not enough to last the whole 3 months. I am a retired RN and know how to count drops per bottle and how long they should last. The doctor wrote out specifically the amount of bottles they were to send. They fill 2 bottles shy of what is needed. I have had to call them and email them and resend the prescription to them over and over. They would correct it finally, except for this last time. I am still dealing with them regarding the correct amount of Latanoprost they should have sent. I hate they are the providers of the insurance we have to use. They genuinely do not care. It helps to vent and hopefully if enough people complain they will clean up their act.

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    Customer ServicePrice

    Reviewed Nov. 13, 2014

    Medicare has a top limit for the year. When the year starts I know I'll be okay. One prescription went from (rounded) $250 to 980 in one month. One $11 now $90 and one 165 now 695 retail prices. These are what put you into the gap. I called OptumRX and was told they are not responsible. It is their responsibility to go out and find the best prices for their customers. Great to pay low copay, but that doesn't help rest of year. I tried to call and know it's just a call center, no one of any authority to speak with. Not good to deal with.

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    Customer ServiceSales & MarketingStaff

    Reviewed Nov. 10, 2014

    I just got off the phone with a representative and learned that OptumRx is using strong-armed marketing tactics to trick patients into believing they need to use OptumRx or their costs will increase. Further, they are automatically enrolling patients, requiring the patient to call OptumRx to "disenroll." I learned that I will pay the same amount at Walgreens as I always did, with the same co-pays, now that I've disenrolled. Further, I was sent a prescription I never ordered, and then billed.

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    Reviewed Nov. 6, 2014

    I was recently notified by OptumRx that I had reached the "donut hole" because my prescription expenses (my copays and insurance payments combined) had reached the magical dollar amount of $2,850. At the same time I discovered that OptumRx would charge me $225 for a three month supply of brand name ** because they do not contract with the manufacturer of the generic. I checked the prescription comparison site (GoodRx.com) and discovered that it was cheaper to buy my prescription (generic available) at Ralph's pharmacy ($22.30/mo. $66.90/3 mos.). Going back over my OptumRx charges, I see that I frequently could have paid lower amounts at Ralph's -- and thus not have reached my "donut hole" max so quickly. United Health Care implies that you will save money by using their OptumRx mail-in service, but this is not true. This is at best misleading. Compare prices before you use OptumRx!

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    Price

    Reviewed Nov. 5, 2014

    Very sad that OptumRX finds that my Bank Account belongs to them. Because they have my debit card number doesn't give them the right to just charge my account for medicine without my authorization. OptumRX need to let customer know when they are going to charge them for prescription & how much that charge is going to be then get the customer approval. I will no longer use your services and I will let United healthcare know of my feeling. This is after six years of dealing with OptumRX.

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    Online & App

    Reviewed Nov. 4, 2014

    OptumRX charged me three times for shipping one medication. They acknowledged the error, but when I asked how quickly they would refund the $175 they overcharged (as this came out of my checking account), they stated I'd need to wait four weeks! Four weeks? This is simply unacceptable. I've had nothing but problems with ordering medication from this company, and this was my first order. Their website is also terrible and glitchy. No one is doing the right thing here to resolve this. STAY AWAY from this company. Express Scripts was so much better, in terms of an online pharmacy. United Healthcare, you should be ASHAMED to be affiliated with OptumRX.

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    Customer ServiceCoverage

    Reviewed Nov. 2, 2014

    This is my letter that is going to their main office detailing why I will not be using their services anymore: I have been a customer of OptumRX for approximately a year now. I am writing to you today to inform you that I will no longer use your services because I have encountered nothing but problems in my time with you. As you are aware taking prescription medications exactly as prescribed and getting them in a timely manner is extremely important. Your service is making that nearly impossible for me. For the second time now, I have ordered a refill of my prescription, and even though I have a prior authorization on file for my dosage, my refill has been denied.

    In addition to that, not one attempt has been made from customer service to inform me of this incorrect denial. I contacted customer service today to find out what the problem was, but prior authorization is not open and instead of promising to help me tomorrow, I was told to just call back another time. Because of this delay, I will now run out of my medication before my refill arrives. This is absolutely unacceptable. We pay a very high premium for this insurance and have gotten all authorizations in place and for your company to continue to deny and not contact me is outrageous. I certainly hope you take this seriously and correct this issue immediately.

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    Staff

    Reviewed Nov. 1, 2014

    In various instances, OptumRx has acknowledged it has received my prescriptions and no action has been taken. Two are for chronic conditions and I've had to stop taking them due to repeated mistakes they have made. After various calls from both my physician and myself they finally authorized them. Understand that certain medications require pre-authorization but they make it almost nearly impossible to get them and place many barriers. Reps are attentive but they do not seem knowledgeable nor able to help customers. I've dealt with many specialty pharma companies before and have never experienced this level of frustration. Because of them, I have to stop taking my medications. This is unacceptable and places patient health at risk.

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    Customer ServicePunctuality & Speed

    Reviewed Oct. 31, 2014

    Trying to fill a prescription for Concerta. They tried calling me to verify address and called an invalid phone number that I never gave them. Weeks later upon follow-up, I find out they've cancelled the order. I then re-validate the prescription and clarify the phone number. Weeks later with no prescription, I call again. "Oh sorry, the prescription expired". Why didn't you call me? "Sorry!" They are complete and utter buffoons.

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    Reviewed Oct. 29, 2014

    I received a refill from Optum rx and again it was from another pharmaceutical company than the one before this one. It is different, yet the same medication. Optum rx goes to the cheapest manufacturer every time they refill my medications. I now get 2 medications name brand only and pay a considerable difference ($100.00 co-pay). How do they get away with this? MEDCO never did this. They get their medications from all over the world - Turkey was a good one - right!! Watch the news and see what country your medication is coming from. The prior medication I received from OptumRx was from the manufacturer Mallinckrodt Pharmaceuticals (Ireland) and the second refill came from Core Pharma in New Jersey. The current one I am experiencing ringing in the ear which has never happened with the prior medication from Mallinckrodt. Bottom line, OptumRx is all about money, where can they get the cheapest medications. Horrible company, they shouldn't be in the pharmaceutical business. If you can afford it, purchase only name brand through this horrible company. Report them or your inferior medication to the FDA. I will!

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    Customer ServiceStaff

    Reviewed Oct. 27, 2014

    This company is responsible for people's medications so their complete incompetence and horrible customer service is extremely concerning. I called to check on my order on a Thursday and they told me my medicine would arrive on a Friday after I agreed to pay overnight charges. It is now Monday and it has still not arrived. I called on Friday when it didn't arrive and again on Sat. with each day them telling me NOW it would really ship overnight. Finally a rep admitted the order didn't go through as it should have on Friday or Saturday but she would not tell me why or give me any explanation. I asked to speak to a supervisor and was told none were available. Hard to believe. So they told me someone would call me back in 24 hours. NO one was ever called me back.

    Once I looked up this web site and saw the sheer number of complaints, I don't understand why nothing is being done to this company who is obviously not competent in filling prescriptions or completing simple customer service tasks like returning phone calls. This is alarming. There was actually more wrong with this order than I've explained here but to try and keep it brief I've left out some of the details. Something needs to be done.

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    Customer ServicePriceStaff

    Reviewed Oct. 23, 2014

    My Dr. changed my medications on Sept. 5, 2014 and sent them into Optumrx where I usually get my meds. I wanted to try a 1 month dose first to see if I would have any reaction to it so I asked for a 1 month supply first at my CVS pharmacy. Upon finding out it cost $95 at my local drugstore I called OptumRX to see what they charge for a 3 month mail order supply. They quoted me $250. Still way too high for my budget, so I told them Not to fill my prescriptions unless they heard from me first. On Sept. 29 they charged my debit card for $250 and sent me a 3 month supply of Tradjenta. As soon as I received it I called to complain that I specifically asked NOT to send it. They said they would sent a pickup tag so I could send the meds back and I would receive a full refund.

    Lo and behold on Oct. 18 I received another shipment and another $250 was charged to my debit account on Oct. 14 unbeknownst to me. I am now out $500 which I sorely need to pay my bills. I called again on Oct. 18 to complain and request an immediate refund. The person attending me got a supervisor to O.K. the refund without having to wait for the pickup. Since the charges are still on my account and no return authorization has been received, I called again today and was told they would send the pickup slip and refund me the money when they received the meds. When I asked to speak to a supervisor they put me on hold and after a long wait the same person came back on claiming to be the "supervisor" giving me the same song and dance.

    My experience has been extremely frustrating since they out and out lie about the instant credit back and sending out the pickup slips. They have promised 3x to send it but the meds are still sitting on my desk and they have $500 of my money. Calls are stonewalled, I am put on endless holds and promises are not kept.

    How do I go about holding these people accountable for the damage they do to my credit and my health due to the extreme frustration I am submitted to?

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    Customer ServicePriceStaff

    Reviewed Oct. 23, 2014

    When I reorder a prescription and after it does not arrive in the mail, I look online and invariably it is "On Hold". When I phone them, they say they have requested additional information from my doctor. Every time this has happened and I phone my doctor, the doctor says they have not heard from them. They continually mail and use pop up messages to tell me to set up prescriptions on their mail order system. If a prescription is taken for a short one-time condition or event, why would I need an annual supply of it? Last week I received a threatening letter that if I would not use their mail order system for the above type of medications, I would have to pay more for them.

    One prescription was put on hold because they decided without informing me that "it was so expensive that I probably would not want to pay for it." I've been paying for it for several years and I know exactly what it costs. They have no right to make decisions for me. Now they refuse to fill this prescription in spite of an appeal by my doctor and have forced him into substituting another drug which I am afraid to take. Then they put this second drug on hold because they had no supply of it. Ordered on 9/30 now it is 10/22 and I do not have anything and am running out of the original prescription. Four different prescriptions were sent in by my doctor in order to try to resolve this and every single one was put "On Hold".

    Last September it took one month to get another prescription. I use the same drug but in two different strengths - one for night & one for day. They put this on hold and argued that I did not need two prescriptions for the same drug. They have no right to second guess the decisions made by my doctor. This took a month to resolve & again I was without the medication. Twice they promised me overnight shipping which did not take place. Finally they sent it "signature required" on a day when I was already scheduled to be out of town. They said I had to change the delivery date with UPS and UPS said I had to change the delivery date with OptumRx. I had to leave a note on the door for the UPS delivery person and therefore advertise that I was not at home for a week.

    For a company that delivers very few drugs, they inundate you with pre-recorded calls about how they intend to ship these drugs. I was getting five to six calls a week until I told them to stop doing that. I have had significant stress due to the incidents above and many more. I've been in tears more than once after trying to deal with them. Definitely will get a new plan starting January 1, 2015.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 18, 2014

    I worked for them for 9 mo, was a top agent. Entire time, OptumRx mgmt did not care if mbrs problems were being handled timely or correctly, just get off the call in 500 seconds....Really? When I told my supervisor, I thought more important to make sure all done right, I was told (Verbatim)..."Think of it this way, they're retired, they're old and they have nothing better to do than call over & over". I was disgusted. When I told my very active 78 yr old mother, she wanted to go hit someone. Hence, why they & OptumRx lost one of their CSR's to CVS/Caremark (SilverScript). A 5 star company, who says you stay on the phone until it's done & done right...With 5 star service! Apples & Oranges....Optum's Apples are rotting @ the bottom of the barrel, while CVS Caremark's oranges are glistening ripe @ the top!

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    Customer Service

    Reviewed Oct. 14, 2014

    OptumRx received from me two new original prescriptions attached to a completed "New Prescription Mail-In Order Form" on September 26. I received two robo-calls in the next two days, stating that the prescriptions had been received. When I called on October 13 to ask for tracking number because I had not received my drugs, it was discovered that these prescriptions had never been filled.

    When I asked "Why were they not filled?" I heard the most ridiculous of excuses from three different reps: 1) We don't fill new prescriptions; we just file them until you ask us to fill them, 2) We could not get approval for your prescriptions, and 3) Your credit card was declined. Lies, all of them. A supervisor said that there was no explanation, "It was a mistake". When I asked how often this mistake happens, the supervisor did not know. I also learned that no one counts the mistakes, nor does anyone study them to determine their cause and devise ways to prevent them. I wish AARP had more choices for mail order drug fulfillment. Optum and Walgreens are not enough choices, in my opinion.

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    Reviewed Oct. 11, 2014

    I am responsible for my elderly uncle's medications; I do this from a distance of about 200 miles and travel to set up meds and check on his welfare every 2 - 3 weeks. I attempted to refill his medications, 2 of which involve heart medications, with weeks before they ran out. I have made multiple calls; OPTUM made commitments to get those medications to his home by certain dates and did not deliver those. I am still waiting for the medications and he has few doses remaining. I have attempted to get them to understand the urgency; they do not. I consider this inexcusable.

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    Customer Service

    Reviewed Oct. 10, 2014

    This is a long story. I was sent Crestor by OptumRx. I didn't order it, but I guess my doctor ordered it in spite of my allergy to this med. I received all of my other meds about two weeks ago, but just received the Crestor two days ago. The doctor gave me 7 weeks of samples since I am in the donut hole. Today, I received a letter regarding the drug (after it had already been sent) regarding my phone number and address. Well two days ago after I received the meds, I called Optum and the girl said her supervisor would call and send me a box to return the medicine since I did not open it. It is still sealed in the bottle. Of course, she didn't call, so I called again today and the girl said I would have to pay for it.

    I've already contacted my credit card and disputed it. I took four of the sample ones and ended up in the emergency room, so there is no way I can use it. I spend hundreds on pills that I can use and will have to change pharmacies if you are going to send me pills without contacting me when I am in the donut hole. I get 1649 a month social security. I can't pay for this medicine. What can I do? She said her supervisor would call me back, but I know she won't due to past experience. Please look into this. If I don't hear by Monday, this medicine will be returned to you and I will notify my credit card. Don't take advantage of the elderly and low income.

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    Coverage

    Reviewed Oct. 10, 2014

    I have been on testosterone replacement therapy for several years since dangerous side effects first presented themselves. I changed jobs a few months ago, and after re-obtaining health coverage, went to my new doctor. I had a 90 day supply of my old prescription to cover the lapse in coverage. My new PCP tried to get prior authorization for Testim, which was denied. OptumRx wants to see two lab results confirming REALLY LOW testosterone levels prior to authorizing the prescription. So, in essence, I have to let my health go downhill in order for OptumRx to provide the coverage I am paying them for. I have been very careful with maintaining healthy T-levels since the (very scary) initial symptoms, and really do not care to repeat the experience. But that's exactly what OptumRx wants me to experience again, prior to granting their approval.

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    Customer ServiceStaff

    Reviewed Oct. 9, 2014

    I ordered a refill, then found on bank account on-line I was double charged. Called service reps twice, they could not get double charge off my credit card, then I called Jonnie in administration. She tried to get double charge off but failed. After 4 days still a double charge so I have notified my bank to stop payment on second charge. Next step is to get my credit card removed from acct and close acct and get prescriptions from Walmart. Never use these people again. Their accounting dept is out of control!!

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    Customer Service

    Reviewed Oct. 9, 2014

    Doc took me off xarelto earlier this year due to bleeding. I had just refilled it and was left holding the bag for $400 in meds I can't use. So about two months later I call to refill my crestor and at the time I informed them I am no longer taking xarelto so please take it off my meds list...so sure enough they send my crestor AND a new refill of xarelto. After many frustrating calls to optum and UHC it is still unresolved...Optum is very dug in so I am just not paying the CC charges and will see what will happen....Never ordered or authorized the refill so we shall see what happens.

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    Reviewed Oct. 8, 2014

    Run, don't walk. Recently had a problem with an order. It was a website ordering issue, not a fulfillment issue. I'll spare you the details, but the bottom line was this: Once the order (erroneously) entered the system, you're screwed. It was the front end of the order process came from Planet Mars, and they would take no responsibility.

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    Customer Service

    Reviewed Oct. 8, 2014

    Was told my health insurance company United Healthcare signed me up and owns the mail order pharmacy. I had to call to disenroll. I went to pick up my prescriptions and had to pay out of my pocket for them, the insurance company turned them down. I called back and this time they disenrolled me. I am on thyroid meds and they have had to change my strength every month for the past three months. There is no way I could do mail order. I am told I will be signed up every year and will have to call to disenroll every year. What is the deal?

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    Customer ServiceStaff

    Reviewed Oct. 1, 2014

    Horrible company - complete joke - incapable of running this business. Orders placed for insulin as part of the mail order request placed every 90 days. Order is held b/c they say there is a $25 balance due on my account. No notice of balance was send to me nor is there any info online. Representative now says they don't see balance and will replace the order but the balance comes back and order is held up again. It takes 9 mins of keypunching and menu selection to get to speak to a person and then you have to give the person the same info again. They put phantom charges on your bill and can't explain it. They say the only way I can place a new order for insulin is if I pay the balance but they can't tell me the balance. When I complain they give me a different number to call which turns out to be a fax line. This company is a joke and shouldn't be allowed to continue business. They are like those silly TV commercials with bad customer service.

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    Customer Service

    Reviewed Sept. 29, 2014

    Totally suck. Deny your scripts at retail locations, force you into 90 day prescriptions, then they play the "oops we lost them" and denial game. Customer Service is the WORST... When you get them on the phone, the Reps can't even "find" the orders, even as you're logged in to their site - look at the order yourself!!! There is something going on... They are stealing our money folks. STEALING.

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    Customer ServicePrice

    Reviewed Sept. 28, 2014

    This mail order pharmacy is the worst of the worst. I absolutely, positively wouldn't use them if I wasn't forced to by my health insurance. I am on multiple long term medications and have run out several times because they "never receive them". They want my doctor to switch me to cheaper medications WHICH I'VE ALREADY TRIED AND THEY DO NOT WORK FOR ME... Once ok it happens but all the time? Really? They suck... BAD. Not only that but for the expensive medications they give me the run around and harass my doctor for paperwork and more paperwork. I am on the phone with them constantly and they are very rude and unprofessional. Bottom line - OptumRx sucks and so does United Healthcare. I wouldn't have even give them one star but the review wouldn't let me.

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    Customer ServiceStaff

    Reviewed Sept. 22, 2014

    I just got off of my fourth phone call with OptumRx trying to fill a post-op prescription for Fluticasone (Flonase) that was originally sent in on July 14th. It is now September 22nd and I have still not received my medication. Optum Rx cancels my order every single time my doctor sends it in without any explanation. The first time I called, the lady I spoke with said the order was "on hold" but they weren't sure why. The customer service rep called the pharmacy and said she got the order released. She said she put a rush on it and that I would have it within 7-10 days. Well, 10 days go by and no medication so I called customer service again on September 18. First, the lady I spoke with said the order had shipped. When I asked when I could expect to receive it, she put me on hold. After waiting on hold for 20+ minutes, she came back on the line to tell me the order had been cancelled but she couldn't say why.

    I asked to speak to a supervisor who explained that the order was cancelled because I had filled a 30 day supply at my local pharmacy on September 1st. I explained to her that I had to fill the 30 day supply because they had cancelled my previous order and I was out of the medication I needed to help heal my nose after sinus surgery. She told me I would need to contact my doctor to ask for samples because I was not going to be able to get any prescriptions for this medication filled until Sept 22nd. I insisted that they overnight the order on the 22nd at their expense because they had cancelled my two previous orders without notifying me. The manager agreed and told me she put a note on the account. She asked me to call back on the 22nd and they would overnight the order at no extra shipping cost to me.

    I called them up to place my order and was told they could not fill the order because they need a prior authorization from my doctor. When I asked why they hadn't told me of this in my two prior calls, the woman started laughing. I told her that I was glad she got a kick out of my predicament but assured her I wasn't laughing.

    It shouldn't be this hard to fill a simple, inexpensive medication. Not only have I contacted the company on several occasions but now my doctor has had to fax them authorization after authorization and I still don't have my medication. Save yourself the headache and just go to your local pharmacy. You'll pay more but at least you'll get your medication. Lesson learned.

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    Customer ServicePunctuality & SpeedOnline & AppStaff

    Reviewed Sept. 17, 2014

    I feel like this is a little bit of piling on, as all of their reviews are angry, but this company deserves piling on. My insurance company told me that I couldn't get Lyrica from my pharmacy. My options were to get the generic version (Gabapentin) from the pharmacy or Lyrica from mail order. My doctor told me that the generic caused drowsiness, so I went with mail order.

    Every single time I have tried to get a prescription from them it has been a nightmare of bad information, long hold times, and arguments with incompetent (although usually friendly) employees. They have yet to get my medication to me on time, so I have had to fight to get permission to get medication from my local pharmacy to tide me over every time. This always involves an extra trip to my doctor's office.

    Most recently, I called OptumRX to ask how to get a new prescription filled and they told me to fax it in, which I did. A week later, no sign of the script on the web site. When I called to ask, they told me that NY Law required a hard copy of the prescription. So they got the fax that they asked for, didn't fill it, and didn't tell me or my doctor. Just did nothing, like that's an ok thing to do with people's medications. I've spent the bulk of today fighting with them and then going to my doctor's office and trying to wrangle another prescription out of them for this. The doctor is rightly as irritated by this hassle as I am. If you have a choice, avoid this company like the plague. It is one of the worst I have ever dealt with in any industry. Sadly, their competitor, MedCo, is one of the other worst ones. So, if you can, move to Canada.

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    Customer ServiceStaff

    Reviewed Sept. 15, 2014

    I registered with OptumRX in June, 2014. I obtained all my prescriptions as requested with three renewals (good for 1 yr). The pills were sent out the next day and I could not have been more pleased. I registered for their automatic renewal program. September 3, 2014, no meds delivered. I called on the 3rd and was told they had no record of the automatic renewal. I ordered the meds again. On the 8th, still no meds. I called and was told that they were holding the order because an over the counter med was conflicting with Plavix. I wasn't even taking Plavix. At this point, I told them I was totally out of meds. They said they would overnight the order.

    Monday, the 15th, still no meds. I again called them and was told that just because they say they will overnight, they still have to process the order that may take 2 weeks or more. Once they are finished processing, they will overnight. I asked what they were "processing" and was told that 'the order is being finalized' and will be sent out tonight. We'll see.. but I have already gone to my pharmacy and asked them to take my prescriptions back from these horrible people and go back to my process that I have been doing for the past 10 years or so. I thought OptumRX was a good deal, saving money and all but it's not worth the lousy ten dollars savings every three months. I've been out of medications for three weeks and feel like crap. When you call them, they humor you just to get you off the phone and then ignore everything that they said. I should have read these reviews before I switched to them.

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    Customer ServiceStaff

    Reviewed Sept. 13, 2014

    My mother is prescribed Lorazepam. This is a drug that produces withdrawal symptoms that are considered to be worse (more dangerous) than opiate withdrawals. We ordered a pair of prescriptions from these people, reconsidered, and then canceled one of them, but specified that we still wanted the lorazepam. The customer service rep killed both of them anyway. After waiting a week, and mom running out of pills, we called on Friday, 9/12/14, to ask where the prescription was. We were then informed that it had been accidentally canceled.

    The rep then offered to overnight them to us to prevent withdrawals that were already starting- made us have someone at the house all day long Saturday - and then they shipped it standard overnight, weekday delivery only. Obviously this was upsetting to us; I promptly called fedex and canceled the shipment, and then contacted OptumRX with a confirmation number for this - and asked that they allow the transfer of this prescription to a local pharmacy to prevent withdrawal... and of course, they refused - and suggested that we go to an urgent care medical facility (with a $300 co-pay) to get two days worth of medication. They are long on apologies and quite short on taking responsibility for their mistakes, regardless of whether or not those mistakes endanger the health of a patient. DO NOT DEAL WITH THESE PEOPLE.

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    Price

    Reviewed Sept. 11, 2014

    OptumRx billed 90 Pravastatin 20mg at $68.18 (/3=$22.73) - previous 30 pills were $16.65 (x3=$49.95) - after many explanations with no regard of basic intelligence, they told me the price went up, but my local drug store refuted this. Screwed!

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    Customer ServicePriceStaff

    Reviewed Sept. 10, 2014

    I contacted my pharmacy about a script my Dr. sent them. I have been with this pharmacy for several years and had my insurance through UHC for going on 3 years now. My pharmacist informed me that he could not refill my script because the 90 day was declined by the insurance company. He said he could fill it for 30 only and suggested I contact my insurance. I contacted my HR and this is what I got.

    The new program suggests that the member enroll in the Mail Service Program and receive a 90 day supply of their maintenance medications at their home. This is a cost savings and convenience program. If the member decides they do not want to enroll in the mail order program, they are required to call, or go online, and indicate they are not interested in receiving their maintenance medications at 90 day at home. So, it's not mandatory to join; however, it is mandatory that they inform OptumRx of what they want to do. If they take no action at all (they don't inform OptumRx of their choice) then the 3rd refill they go to pick up their maintenance medication at a retail pharmacy, they will be required to pay the full discounted cost of the medication, versus a copayment. The number to call is 800-428-2703.

    I called the number and opted out, but was informed that opting out would not allow me to obtain a 90 day script from my pharmacy. That if I wanted a 90 day it must be supplied by OptumRx. So, it would seem that we either pay the full co-pay every month, no more 90 day savings, or accept OptumRx monopolizing the supply and delivery system with no oversight. And if like me, your insurance is negotiated by your employer, then you really have no choice in the matter at all. Fortunately for me, our company has apparently decided for some reason to drop UHC, but I will still have to deal with them for the remainder of the year.

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    Customer ServicePunctuality & Speed

    Reviewed Sept. 10, 2014

    I started Aug. 1 to get my medications refilled that needed a Dr. script. I told OptumRx what I needed & they said they would fax the dr. I waited a couple weeks and called Optum. They said they never got an ans from dr. Called dr who had not got fax. So dr's nurse called to ok meds. I checked a week later - no one knew anything. Then Optum said they had the wrong fax number for dr. However I ordered some other drugs that needed an ok and got the drugs in less than a week. Wrong fax#??? I went to the dr yesterday and nurse said it was straightened out. But got an email today that there was a delay. Something wrong with script. They had faxed the dr. Called dr - they never got fax but nurse is a friend and she said she would fix it. They had Not got fax. This medicine is diabetic meds, Bp meds and acid reflux meds. I have not had these for a month. I am furious with OptumRx. I cannot use a local pharmacy because we have NO local pharmacy. Closest pharmacy Is 80 miles away.

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    Customer Service

    Reviewed Sept. 5, 2014

    This place requests endless authorizations; all of them require the same info over and over again: your name, DOB, address, zip code, phone number... I think that's about it. But the same thing each time they decide to do this. This causes delays in delivering medications. I've ordered 2 meds for 90 days, guess what, they have been broken into numerous shipments, each one needs a verification. I just don't get it. Next time will go straight to a brick and mortar pharmacy. This place is a joke!

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    Reviewed Sept. 4, 2014

    I have had nothing but problems since day one with OptumRX. When they say you'll have your meds in a week or 10 days, they really mean two weeks or so. My dr. even faxed a list of my meds to them 2 weeks ago, and I still haven't got them. We all would be better off if we all dealt with someone else.

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    Customer ServiceStaff

    Reviewed Sept. 3, 2014

    This place throws up intentional roadblocks in an effort to delay Rx refills or new Rx's. They input wrong data from the doctor's Rx, request endless prior authorizations, always have an excuse (lies) to explain their delays, and do not care. They always seem to create an excuse to NOT serve you as the client in a fair, accurate, and timely manner. Rules seem to change arbitrarily even during a phone call versus what was said at the start of the call. I have spent hours trying to get them to act professionally and reasonably but this seems impossible with the people on the phones and the pharmacists who substitute arbitrary judgment not found in the rules for the good judgment of the prescribing physician. It's like dealing with the DMV staffed by people who were not good enough to work at the post office -- they are THAT bad. UnitedHealthcare, what are you doing to us by having these people in control of your mail order pharmacy??? Do you not care about YOUR reputation? When OptumRx screws up, that means UnitedHealthcare screws up. HELP!!!!

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    Customer Service

    Reviewed Sept. 2, 2014

    Last prescription was sent to an old out of state address. Call to OptumRx was little help. They gave me the USPS tracking number and I had to contact the Post Office to arrange for the order to be sent to me in Florida from Pennsylvania.

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    Customer ServicePriceStaff

    Reviewed Aug. 25, 2014

    I received a letter stating what I understood to say, and so did my co-workers, if we did not do mail order United Health Care would not pay for our medication anymore. So, I go online and change two of mine to mail order. That started the phone calls. 7 to be exact. All for a different reason. Now at the local drug store one of meds were at no charge and have been for over a year. The 7th call from OptumRx was that they needed a credit card to pay 37.00 for that same drug so they could ship it. When 2 day earlier a supervisor told me that the drugs have shipped on 8/14. Sorry they said, that is the cost. I told them no way in hell I was paying them 37.00 for something that I can get free right here. I knew I wasn't going to trust them with a credit card for sure.

    Now that I have read all of these reviews I am SO glad that I didn't give them money or credit card information. These people are idiots and have no clue what they are doing. Each person tells you a different story. So, my next question is why is United Health Care in business with a scammer like OptumRx? By the way, you will probably be flagged as problem if you complain as I do when they screw up. I work hard for my money. If I pay for something I will get it or you won't get paid. I don't sit back and let people screw me over because I don't want to make waves. Never have and never will.

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    Customer ServiceStaff

    Reviewed Aug. 22, 2014

    I have been a chronic pain patient since 2004. I had my first back surgery lumbar fusion with screws in my back in 2008. I have been on every pain meds you could think of. Moved back to Orlando, FL and was put on ** 30 mg and ** tabs 750. Stopped those and then I had another back surgery. L3 was shaved with a torn nerve. I was put on ** patches 75 mg every 72 hrs, for ER had bad reaction, burnt my skin. So I had my Dr change them. He put me on ** 60 mg ER 54 a month and ** 30 mg 140 a month. Then OptumRx sends my Dr saying he has to change my IR the ** 30 mg to 84. And now a few months later getting ready for my 3rd back surgery because the surgeon says that my whole spine needs to be stabilized because after my 2nd back 6 wks into healing, I was rear-ended and it messed the 2nd surgery up. But now they are requesting that he lowers my ** IR to 20 mg and 2 a day and they say they are following the rules of the Florida laws well.

    If they why are the laws different for the local pharmacies? It doesn't make sense. They don't see my medical records. My condition is a lot worse and they just keep making my Dr change the plan he had me on. It's not right to the patients who really suffer from pain and good Dr. Why should OptumRx have the right to tell the Dr what to change. It doesn't make sense and they suck. I hope United healthcare will find another pharmacy to deal with for the good health of their patients and stop letting them tell the Dr what to do. That why the Dr are Dr and not pharmacist. I only use them because of my Medicare & Medicaid but seriously think this problem needs to be handled because even after my surgeries my surgeon said I will never be pain free.

    So I think they need to request medical records or follow Dr orders not the Dr follow OptumRx. Will be looking for another plan because they don't have no business being in business doing what they are doing. It's not fair to people who need their meds then customer service act like they can't tell you anything. But the pharmacist sent your Dr a letter and if your Dr wants to call us they will tell him what he needs to do with your medicine. Lol. That's the problem he is not going to call. I as the patient should be able to call and talk to the pharmacist.

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    Staff

    Reviewed Aug. 22, 2014

    My experience is pretty consistent with the others who have posted. Apparently, OptumRX is NOT a prescription fulfillment service but rather an pharmaceutical trading operation. What they do is take an order and then go out on the market and try to obtain the best price so that they can fulfill the order and capture some margin. If they can't make money, they don't fulfill. They hold the customer at bay while they do this which is why you hear all the delay excuses. Lesson learned: If you are going to do business with someone, try to understand their business model.

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    Customer ServiceStaff

    Reviewed Aug. 20, 2014

    The answering robot is redundant and annoying. Asking for an agent is like asking for the moon. I stayed online waiting for more than 5 minutes and was then switched to the survey without speaking to an agent. I called back and this time got to an agent I could not understand. Then she said I could not have the refill because the doctor had sent an electronic signature and those are unacceptable. If this was the first bad experience I've had, I would ignore it but this happens over and over.

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    Staff

    Reviewed Aug. 20, 2014

    Does anyone think perhaps they are trying to kill us so they won't have to pay for our prescriptions anymore?? My husband decided to try the mail order service, and we needed to get his prescriptions filled quickly since he is a diabetic. Therefore, we decided to opt for the 2nd day shipping. That was close to two weeks ago. Since it was taking so long, he called OptumRx to cancel his order so we could fill it at our local pharmacy. They gave him such a hard time that he decided to just disenroll from it. He was able to fill the prescription at the pharmacy, but lo and behold, the prescription arrived today and, all of a sudden, there is tracking information for the shipment that there hadn't been until it was delivered. That, in and of itself, is shady. In addition, they keep charging my card even though we disenrolled with them. They are the worst I have ever seen!!

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Aug. 11, 2014

    Our health plan forces me to go thru OptumRx for all maintenance medicine. They screw up all the time!! What one person tells you from OptumRx is 100% different than what someone says and you never get an answer. You order medicine in 3-month supplies and then are asked to order when you have a month left. The reason they do this is because they WILL screw up the order and not get it out so if you give them a month and a few calls, you MAY get it on time. This has happened not once or twice but at least 7 or 8 times. They know they have you and just don't give a damn. They are the WORST RX company I have ever had the unfortunate pleasure of dealing with. I have had to pay full price for meds at my local pharmacy because of their errors. They admit to the errors after hours on the phone and claim to reimburse you the extra. It never happened and when you call about it, they are sorry about the incorrect information someone gave you. I hate them!!!

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    Staff

    Reviewed Aug. 9, 2014

    I'm so upset... I was crying all day yesterday, and all day today. I'm on the medication Dilaudid 8mg. I have been getting this medication for 7 months through RX care. But.... some genius at Optum RX decided to deny my RX, and fax a recommendation to my doctors office stating that I MUST change my therapy in order for Optum RX to dispense the medication. Of Course... my doctor's office wanted to continue same treatment, and optum rx refused to fill medication. Keep in mind... they have been filling the medication for (7) months. Thanks OPTUM RX for caring about your patients. Been without medication for 10 days now.

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    Process

    Reviewed Aug. 9, 2014

    The most trouble with a company I have ever had. When I ordered a refill it was approved and billed on my credit card. Checked to see when I was going to get it and was told it wasn't even processed yet. I am out of this medicine and it is not even sent. Talked to 2 supervisors and I may as well have talked to the wall, completely useless. My wife also has had nothing but headaches with this Rx company.

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    Staff

    Reviewed Aug. 8, 2014

    Have had many problems but it doesn't matter if you talk to a supervisor - for UHC or Optum, none of them can do anything. Optum and UHC, both are nothing but rip offs! UHC was a good insurance but since they now are Optum... NOPE! I can't wait to get rid of both.

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    Customer ServiceInstallation & SetupCoverageSales & Marketing

    Reviewed Aug. 7, 2014

    Received a letter stating that I required a signed Doctor's letter and lab results to continue a medication that I had been on for a year. Completed the request as instructed and faxed to the number provided. Customer service rep. said that it would take 48 hours to process. Instructions contained wrong telephone and when I called they added a required form to be sent by my Dr., which was not mentioned in their letter. No supervisor was available. They could not transfer me to United Health Care... They basically could not do anything. THIS IS A SCAM... THEY SIMPLY DO NOT WANT TO COVER THE COST OF THE MEDICATION.

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    Customer ServicePriceStaff

    Reviewed Aug. 7, 2014

    What A company. It must be run by former civil servants. To start with, A couple of years ago, I ordered 30 Actos for diabetes (very expensive to someone in my s.s. income bracket). They sent me Pioglitazone, the generic of Actos. No big deal. A couple of weeks later, they called me up to say that they had made A mistake and they would send me the Actos and an envelope to send back the balance of the Pioglitazone. Done, except they sent me 90 instead of 30. Once again their mistake. I assumed that the difference was because of their error. Even 30 last me A long time because at the cost, I only take one when my blood sugar level got quite high.

    Months and months later, I started receiving calls that I owed them money for the extra 60. I refused to pay, started getting my meds from Walmart and months after that I received A call to come back to them. Like A fool I placed A new order and gave them my debit #. Received A call requesting that I return the balance of the pills in their supplied envelope which I did. They then took $38.00 or $39.00 out of my account without my knowledge.

    I called the Oregon prosecutor's office. They got in touch with OptumRX and said that the person that I had spoken to (there were many) was given some retraining. What A load of crap. They have lawyers on retainer, I don't so I just let it go. A year later, I received A bill for $12.00. I hadn't ordered anything so I just ignored it. Got A second one, same thing. I called and was told that I had A $12.00 credit and whatever my last order was cancelled out the credit.

    Because their prescriptions are A few dollars cheaper, I attempted to order 90 Lisinopril after half hour of waiting and going thru the motions of ordering, the guy on the other end informed me that the order wouldn't go thru because I owed them $12.00. By this time, I'm P.Od. and called A number that was supposed to straighten it all out. The lady gave me the same story about it supposed to be A credit that cancelled itself out and assured me that my order would go through. I believe that was Monday. So far, no pills or debit from my account.

    As soon as I can, I'll be cancelling United Health, AARP and trying Kaiser. Besides the government, If anybody ran their business as poorly as these people, it would be out of business in short order. The worst of it is nobody cares. No better than the D.V.A.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Aug. 1, 2014

    I commenced taking a prescribed medication known to me as digoxin (generic digox) in 2000 and I have been taking this drug for over 14 years. On or about June 2, 2014, I called my doctor's office and asked that the prescription be renewed. This is an ordinary request and is usually done within 8 hours and seldom later than 24 hours. I went to my pharmacy and was told that my insurance would not pay this time. They said something about "prior authorization required by your insurance company." At this time I had only 2 pills left and I believe this is a very important, if not the most important, of the drugs I take for my heart condition (I have atrial fibrillation).

    I then called OptumRx and was told that the proper forms would be faxed to my doctor. Either later that day or the next, I went to my doctor's office to see if they had received the forms from Optum and had returned them. They said that they had not, but had Optum forms in their files and would complete these and fax them to Optum. Later on Friday, I received a call from Optum that this had been approved. Later yet on Friday, I received a call from my doctor's office that Optum had called them to assure that it had been approved. When I went to my pharmacy on Saturday (I was now out of pills and a little desperate), I was told that my insurance would still not approve the purchase of this drug. The head pharmacist, who has known me for a number of years, took it upon herself to phone Optum and get verbal approval. I was told that there was some kind of glitch between the dates of the request for approval. THIS SHOULD NEVER HAPPEN!!!

    On or about Monday, June 9th, I called customer service at Optum and registered a complaint. I was assured that I would hear back from Optum, but I have not. Would someone please explain to me what a “prior authorization” is and why it is needed in addition to a prescription from a doctor? If such a requirement is legitimate, which I strongly doubt, then why am I not notified well in advance of when a “prior authorization” is needed on which drugs? You have a complete computer record of all of the drugs I am taking and that notification should be between you (either Optum or AARP Medicare Complete) and me. The customer service representative suggested that this is the responsibility of my physician, but they have many patients taking many drugs from many insurance plans, so they cannot possibly assume that responsibility. You have my records on computer and I am only concerned with myself. I can assume that responsibility.

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    Verified purchase
    Customer ServiceStaff

    Reviewed July 30, 2014

    Doctor placed an order for Eliquis July 22, 2014 for my husband Francis ** With Optum RX. Order was approved by K. **. The order was not filled/sent to the patient. Website shows Credit Card not available. I called and was told Doctor's office did not call Optum to send medication to patient. Doctor placed an order for the patient, which should be filled and sent to patient. Why would the doctor place an order that would not be filled and sent to the patient? That makes absolutely no sense.

    Why wasn't the doctor's office called to verify medication to be sent out? Patient is waiting for medication and medication does not arrive. What kind of service is that? We are talking medication, not potato chips, soda, or some other minuscule item. Why does web site show credit card not available when that is not the case? The case being as I was told that the doctor's office did not call to have the medication sent out. Now which is it? No credit card or doctor's office not calling to send medication to patient? Very poor customer service.

    I called the Doctor's office, Joanne the Doctor's Office Manager called Optum RX and was told the medication was sent out July 25 and my husband would receive it Fri. Aug 1st. I checked the Optum RX site and the site showed the medication was in process, had been charged to my credit card and was not yet sent out. How many lies are going to be told by Optum RX? They are dealing with people's lives.

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    Customer Service

    Reviewed July 30, 2014

    "The dog ate my homework" isn't an excuse most businesses would think of using. But OptumRx seems completely comfortable doing so - over and over. I placed an order for two drugs. There was no word seven days after my initial call, so I followed up: "Our credit card authorization line was down so we couldn't charge your credit card." A few days later, I called: "We never received the prescriptions from your doctor," they said. No further word after a few days, so I called just to make sure the drugs had been shipped: "We weren't sure of the mailing address," they remarked. They didn't seem to be giggling, but how could they avoid it? I asked whether there was anything standing in the way of the drugs being shipped and was told "no." But just to be sure, I called two days later, and was told "Oh we're glad you called. One of the drugs can't be refilled for another few days." Seventeen days and six phone calls have gotten me to a promise of delivery. We'll see whether it happens. This would all be funny if it were funny. This company simply can't get out of its own way.

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    Reviewed July 25, 2014

    I have dealt with this company for 15 months. I have not had one single transaction that went smoothly. Most have been horrible! Ex. Overcharges, double charges, failure to keep commitments, failure to send rx's timely, untrained reps. NEVER a supervisor available, requested callbacks not done, etc. etc. Angry and frustrated don't even begin to describe how I feel about OptumRx! Apparently United Health Care doesn't care because this is the only choice I have for mail order prescriptions!

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    Customer ServicePunctuality & Speed

    Reviewed July 25, 2014

    OptumRx send prescription not ordered, charged to credit card on file without authorization. Called twice asking for return envelop to send back was told would send it. It's now 2 weeks later never received. Was told would consider reversing charge but wouldn't even consider until returned. 2nd time they did this. Last time I just kept the meds, never used. Rude supervisor. Told them would report to Board of Pharmacies and they said go ahead, we are on their speed dial, almost sounded like they were proud of that.

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    Customer ServicePrice

    Reviewed July 25, 2014

    I have been a customer for 2 years at Optum RX and the customer service is horrible. I have had numerous problems with them delaying prescriptions that my life depends on taking and send the name brand at a huge cost to me. Stay away.

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    Reviewed July 17, 2014

    We give a United Health Care member a shot she needs. United Health doesn't pay us - they turn it over to OptumRx. THEY send a measly $13 check for a $55 shot AND send it with NO IDENTIFIERS whatever - here's a check. Good luck figuring out what patient it's for!!!! HATE this Company with a passion! Bottom line? YOU, the patient will pay US the $55 because we never posted a payment to your account.

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    Customer ServicePrice

    Reviewed July 17, 2014

    Optum wrongfully charged me $134.39. I have been trying to get my money back for over a month now. I just keep getting different stories from them and a runaround. United Health Care was supposed to be helping me but they never called me back.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed July 17, 2014

    I was hired to work at OptumRX at the beginning of June, 2014. I went through thorough training, learned the programs, learned the Call Center protocol and was then put on the phone lines. One of the problems was the headsets which did not pick up the caller's voices clearly so I had to keep asking them to spell their names. The second problem was the scripting, which was sometimes illogical and was supposed to be read almost literally. I'm a friendly person, like to talk to my customers as if I were a human being so I did. One lady was apparently upset about an issue with OptumRX. Apparently, I did not know the answer to her questions and apparently, at that time there were no supervisors around to ask about the call so I referred her to Customer Service. Two weeks after that call I was fired. I was told that there had been a complaint against me. The complaint was that I had not handled the call myself and instead referred the woman to customer service. This is NOT a crime.

    The calls are recorded for "quality control" and teaching purposes so I asked the supervisor if I could not just take some extra training and keep my job. However, he was adamant. He said that one complaint is all it takes. I was NOT impolite. I did not say anything against OptumRX at the time. Everyone makes mistakes. I did NOT cost this customer any money. Apparently the call I received was from a woman who was already miffed at the poor service she had gotten and I suffered the consequences. I'm an older adult and can little afford to lose a job but now I am without a job. I was looking up OptumRX online to see if there had been a lot of complaints and discovered this site with over 400 complaints. Wow! If they have fired all the people who have had a complaint against them, it's no wonder they are constantly hiring new agents.

    I am intelligent, have a BA and have worked in a medical clinic for 15 years. I am well aware of the importance of getting ones medications on time and in good order without errors in shipping. I apologize to all the people here who have had a bad order experience with OptumRX. I think it's their flippant attitude to re-training those who make mistakes that is causing all the problems. If they took a little time to discuss issues with their sales agents and Customer Service Agents, there would probably be far less complaints. Instead, they fire and hire as if it were a conveyor belt and we are just widgets.

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    Customer Service

    Reviewed July 7, 2014

    I have been left for 12 days waiting for my insulin to come. It was paid for 12 days ago and I have called 3 times and now I am being told another 2 days PROBABLY. My blood sugar is 650 and I will be calling 911 soon. I have been put on hold for 28 minutes twice. And now after requesting a manager, and being on hold another 30 minutes, they disconnected me.

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    Customer ServiceCoverage

    Reviewed July 3, 2014

    I placed a phone refill order with OptumRx, since UH requires the mail order pharmacy to be used for any 90-day/long term medications. I hung up in mid-call because I realized I now have a secondary insurance through the state. However the order was processed and my cc charged for the copay. I have called OptumRx to process my secondary insurance which they refuse to do b/c it is not part of the UH groups. My secondary insurance does not reimburse and there are no claim forms I can fill out. So basically I'm screwed b/c I used OptumRx. I cannot use my secondary pharmacy as my primary. I cannot believe OptumRx is allowed to do this - not process a secondary insurance???

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    Customer ServicePriceStaff

    Reviewed July 2, 2014

    I hadn't used OptumRx for a few months. When one of my inhalers needed to be refilled, I went through OptumRx as I thought it might be cheaper than Walgreens. Well -- big mistake. My order was taken on June 27th. I requested at that time that I needed a rush delivery of the medication. I was told by the customer service advocate (who seemed to be new and wasn't particularly helpful) that I'd need to call back on the 28th and request that the order be placed on a rush basis (overnight) and there would be a $12.50 charge. I did just that and was assured that I would receive the order on Tuesday since items aren't shipped out on weekends. Nothing came Tuesday and today I received an email that the med was shipped out today -- Wednesday by regular shipment and that I could track the order through the USPS.

    I called OptumRx and spoke with a very nice, knowledgeable advocate. She checked the record and advised me that the advocate who took the instruction for a rush delivery never followed through with the request even though she confirmed that this would be done. The advocate was very nice and understood that I had every reason to be upset and that she would be too.

    OptumRx dropped the ball. I had to call Walgreens, get a prescription for the med from my doctor then Walgreens had to call OptumRx to request an "emergency over-ride" so that I wouldn't run out of the med (which will be tomorrow most likely) and, of course, will cost me even more. This is it for me with OptumRx! Obviously their staff needs more comprehensive training. I was told by OptumRx that if I wanted a refund, I would have to request such a "possible" refund from AARP for the refund for the emergency prescription. This should be the responsibility of OptumRx NOT AARP. It was clearly their fault. Don't waste your time with this company. I will continue filling my prescriptions with my trusted Walgreens pharmacy.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 30, 2014

    This company is unbearably confusing. Every customer representative I have spoken to over the past three weeks has given me different information regarding one of my prescriptions and some of them "couldn't find" one on my account at all, after I had been told by one of them a week earlier that it was being processed. After two weeks of me calling customer service and being given numerous updates on the status of my prescription, it still hasn't arrived. I was told it would take 10 days from the time they received it to when I would get it shipped, that should have been June 27th. When I didn't receive it I was told my customer service that it was shipped over night since I didn't get it when I should have.

    The following day I called, spoke to a supervisor, who claims it was shipped the 29th "over-nighted" to MONDAY! I am now officially a month late on this prescription and just called to be told it wasn't even shipped out until TODAY (Monday June 30th!) and no one can tell me how soon I will receive it because the tracking information won't be available until tomorrow. This company is a joke and their constant assurance of "I'll take note of that on your account" proves to be completely useless considering no two people have ever given me the same information when I called. I'll be discontinuing my use with this company. By the time I actually get my prescription I'll need another one for all the stress and anxiety I've had working with them!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 26, 2014

    My husband and I both have accounts with this horrible company. The nurse at my husband's Dr. office called because the pharmacist filled his prescription wrong!! He was supposed to receive 180 pills and only received 90!! They have tried every way possible not to send him his 90 pills that they owe him. Finally, the nurse talked to the pharmacist and he promised to overnight the meds and we were to receive them today. They never arrived!! None of the representatives that I talk to can find any information pertaining to this problem. No supervisor or pharmacist will come to the phone to speak to me!!! They just keep putting me on hold!!

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    Reviewed June 24, 2014

    Over the past few months (2-3) I have had more and more problems finding a pharmacy that had the BRAND medication that I am NOT ALLERGIC TO - and now I have learned that ALL of the pharmacies (Walgreens, Walmart, Kmart, CVS, etc) all order from the same manufacturer for each different illness/condition thanks to ObamaCare and their computers will NOT permit overrides or letters from Medical Providers. What is a patient/subscriber to do when the medication (pharmaceutical brand) does not work? What if you have a latex allergy and are forced to wear patches that have latex and use Neosporin all over your skin because your skin actually falls off and I have 3x3 areas every time I change my patch.

    This past month 5 of my medications are now manufactured by different companies than I was using and have not SLEPT IN 4 DAYS due to the chemical reactions of these generic meds that do NOT work with my body genetic makeup. Any suggestions OptumRX? How are you going to fight for your consumer that contributes almost $700/month out of their paycheck to their employer to pay for your health insurance and I cannot get the medication I DESPERATELY need!

    Since when did our President become our Medical Doctor and decide WHAT brand is best for us (cheapest) - that is why Medical Providers had forms that they COULD fill out and show the pharmaceutical industry that we FAILED other brands and required CERTAIN BRANDS. But we don't have that luxury anymore - we must swallow generic non-equivalents while our bodies shut down in pain, insomnia, muscle spasms, severe arthritic pain, Sjogren's, etc - OptumRx has become Robin Hood - those that pay an enormous amount for our health insurance are subsidizing those that pay nothing at OUR physical expense and OptumRx thinks this is legal and fair?

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    Customer Service

    Reviewed June 24, 2014

    I set up a account with OptumRx but specifically told them NOT to fill any prescription they obtained from doctors until I called. But guess what? They went ahead and filled one. When asking why they did it, they said that I called and ordered it. I told them I did not. Sent me to a supervisor who said that she would look for the recording of me ordering and if in fact she could not find the recording, they would send a package to mail back with a refund. Guess what... They never called.

    So, I guess I have to call my bank and freeze my account so they don't keep charging me for medication I have not ordered. DO NOT START ORDERING FROM OPTUMRX!!! I NOT EVEN SURE IF I WILL GET THE MEDICATION IN THE MAIL.

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    Customer Service

    Reviewed June 21, 2014

    OptumRx has just refused to fill my latest prescriptions saying I have a past due balance of $40 from March of 2013. March 2013 was what, 5 refills ago. I asked the supervisor on the phone, if indeed I do owe a balance for the last 16 months then why hasn't OptumRx sent me a bill? His answer was because I hadn't requested they send me a bill (?!?!?!!!). "Sir," he says, "I'm trying to help you." I said, "Oh yeah, when are you shipping my medication?" "Not until you pay your past due bill," he says. So I said, "You're not trying to help me, you're trying to extort me."

    They've done this before. Last time I said, "If I filled a prescription with you, then at the time I gave you all the appropriate information and permission to charge my credit card for the purchase, otherwise I wouldn't of had my prescription filled would I?" That's how it works, no? I told them, "If I owe you then take the money." They agreed and filled my prescriptions promising to send them via express shipping. 5 days later my pills arrived. So now again the game begins. "You owe us money," they say, "and your health takes a back seat until you pay us."

    It doesn't matter that the payment has been authorized at least twice, that they have never communicated to me via the post or email that there is a past due bill. They wait until you are in a vulnerable position and then they say to you, "Give it up!" Well they have absolutely no credibility in my eyes. The young man on the other end of the phone says he's going to have accounting send me a detailed statement for the last two years. He's going to mark it "critical" and I should receive it in 5 to 7 business days. "I'm trying to help you, sir." Prescription Solutions was a horror to deal with, before them Innoviant - the same company (?) - and now OptumRx, same monster, different mask.

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    Customer Service

    Reviewed June 9, 2014

    My medicine is a specialty medicine that I can only order month by month. This makes it pretty important to order on time as not to miss a dose. Over and over I call to order my medicine. The customer service rep informs me that the order has been charged to my account. Then I receive the dreaded phone call or email that says your order has been delayed and will arrive in 7 to 10 business days. This is optumRX's way of saying you owe us money and we are not sending your medicine until you pay your bill. Unfortunately, I learned this hard way. Why would I know that when I already gave my credit card to their operator. There is no way to view your account balance online, there is no way to pay it online. You are held hostage to hoping, praying, and keeping your fingers crossed that the operator you talk to will charge your account and you will receive the medicine you need. Stop and ask yourself-why did optumrx have to change their name? The same reason all other companies have to. Poor reputation, worthless service, incompetent business practices. A company that makes you beg them to take their money and send you product? Surreal.

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    Customer Service

    Reviewed June 7, 2014

    I have been registered online with Optum since their beginning. For some reason, my password was changed, and for over a week, and phone conversations and online attempts to change my password (they sent one temporary password which does not work), I am still locked out of my account. I have a computer expert helping me. He said he had never seen such incompetence as Optum has proven to be.

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    Customer Service

    Reviewed June 5, 2014

    OPTUMRX called to confirm this refill. Promised to send UPS OVERNIGHT AIR and 3 days later and several phone calls from me to them, I still don't have it.

    They're always 'so sorry' and will get this out right away. This has been going on every 6 months for 4 years! Promises, promises. Once, we couldn't get the meds because of $5 balance due.

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    Customer ServiceStaff

    Reviewed May 29, 2014

    People if you are reading this you need to know that OPTUM hires third party vendors to manage people's account. In reality, there is no Optum just another company that they use. They hire regular people from the streets with no education and high school diploma to work with peoples meds. I worked for OptumRX for two years and know the ins and outs of the company. If your medication is taking long to get to your home is because they hire these new people that don't know what they're doing with a click of a button cancels people's orders and they poor older folks have to go to their local pharmacy to have the pharmacist contact Optum's Help Desk for a emergency override, because someone that's getting paid 9hr doesn't know what they're doing because they don't want to invest in college grads good Money; instead, they pay these street people 9hr to work with your meds.

    One of the worst places to work. Management doesn't know how to run the business. Their computers are always messing up. They promote from within. Once they don't need you anymore they demote you and take away your pay. Too much unprofessional people that work there. They expect you to work at a curtain capacity and they don't pay well. Coworkers are always talking bad about each other, too much gossip going around in Connextions own by Optum. When you need help from a manager they're never around to help you. This is what they say, "Ask the customer for a call back" and they never call the customer back.

    I've wasted two years working hard for this company and it didn't get me anywhere. I got promoted and demoted after working so hard. Anyone reading this my suggestion to you do not work for these people. This company is no good. They burn you out and get rid of you in a heart beat. They squeeze everything out of you and leave you dry without a soul. Then they hire new people. It's a cycle that they have!! Peace Out ** at Connextions!!!! OPTUMRX!!!! Thanks for nothing.

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    Customer ServicePriceStaff

    Reviewed May 26, 2014

    Like others, United Healthcare switched us to Optum RX a few months ago and every step of the way has been a disaster. The first prescription order (new order) for my husband constantly said "processing".. I timed the call it took to solve the issues and was on the phone with a myriad of departments for over 2 hours! I'm not sure if they outsource their calls, but I must have asked the rep to repeat what he was saying at least 25 times. Then the disaster of the first refill hit. It was sent directly by the Dr, we received an automated email saying the order was received AND THERE WAS NOTHING FURTHER WE NEEDED TO DO! WRONG!!

    After seeing the dreaded "processing" for a week, I called again.. And again was told (1) it was the Dr's office's fault because they sent the refill order to mail order and one of the four drugs was a specialty med, (2) mail order "held" the order because the Dr's authorization was needed (remember.. this was a REFILL of an existing order) for one of the drugs, (3) they could fill & ship the three drugs and transfer me to specialty for the fourth.. They then charged nearly $200 and transferred me to specialty who told me:

    1. NONE of the drugs should have gone through mail order and they would NOT be sending the three they had promised and I had paid for.
    2. They insisted they had to have the Dr's authorization for the fourth (and said it was required by United Healthcare, not them).
    3. They would talk to the pharmacist to see if anything could be done.
    4. Mail order had entered one of the drugs for a 90-day refill and specialty only allows 30-day prescriptions.
    5. Even though mail order, told me SPECIFICALLY they had run my card and received the authorization, it wasn't "really" charged.
    6. They cancelled THE ENTIRE order and "tried" to reorder it through specialty,

    7. They changed everything to a 30-day prescription and, miraculously, the order went through without any problems.

    They finished by charging another nearly $300 for the order and the drugs are supposed to arrive within two days. I'm hoping and praying they come through and we see the drugs, I DO NOT see a $500 charge on my card, and most importantly, my husband's next dr's appointment doesn't show that not being on the drugs for over a week has caused irreparable harm. Interestingly, we received notification of a class action lawsuit against OptumRX earlier this week... I hope they sue the ** to hell and back!!

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    Customer Service

    Reviewed May 23, 2014

    I have MS. Two of my medications have to go through the specialty pharmacy. Optum RX is that pharmacy. Last year, I was on my husband's insurance. So, between my 2 meds, there was a 115.00 co-pay. Unfortunately, I am out of work, and waiting on a decision from disability. Also, since then, my husband has been terminated from his job due to an injury. So, we have new health coverage from the state. When I called Optum RX to set up delivery for my two new meds, which I have pre-approved already, they are telling me that because I still have a balance, they will not send me my meds.

    Now, by no means am I trying to get out of paying my balance, I know I owe it, but, unfortunately, I have no income coming in right now. I just don't have it. But I need my meds or I could have another relapse. Federal law states they can not refuse anyone their meds. But they are. How can they get away with this! This company is the worst to deal with. You call, you get put on hold, then you get disconnected and when you call back, you have to go through the exact same process each time. They tell you, we are unable to transfer you to anyone else. Bull.

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    Reviewed May 21, 2014

    Nothing but problems getting my refills. Claim to never have received electronic refill order for Dr.'s office. This also happened 3 months ago. Medco was never a problem. Pretty crappy of United Health Care for changing from MEDCO. Apparently, we get what we pay for... UHC looking to cut cost. I'm sure OptumRX was lowest bidder. Screw UHC and MEDCO!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 15, 2014

    The state of Illinois now requires me to use OptumRx for my medications. One pain medication, non narcotic, requires 3 pills per day. OptumRx will approve only 2 per day. One service rep told me the doctor had been contacted and they had received approval and I would be contacted in 72 hours so I could request the script be filled. Three days later I had not been contacted. I called again and a different rep told me my doctor had not responded to 2 different request for approval. My doctor has no record of OptimunRx ever contacting them. My doctor has now faxed them with the approval notice, and the process begins again. Meanwhile, I'm almost out of the meds -- meds which help my pain and which should not be stopped suddenly. My only option is to pay out of pocket for a stop gap supply of meds.

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    Customer ServiceStaff

    Reviewed May 2, 2014

    I have had United Healthcare insurance through my employer for the past 5 years using iMedco as the pharmacy provider with absolutely no issues. That all changed in January 2014 when OptumRx became the pharmaceutical provider. I have a high deductible plan where maintenance meds are no co-pay, not subject to deductible, which means there is no charge. I am diabetic and take high blood pressure meds, as does my husband. On January 8, I went to my local pharmacy (which I am permitted to use rather than go thru their mail order) to pick up our monthly supply and it rang up at $977. It took 11 days and 5 phone calls to customer service to find out I should have been charged $150, not $977. Every person I spoke assured me all was taken care of. No one returned calls as promised and when I asked for a persons name to followup, I was told each and every time that it's not possible to speak to a specific person.

    In February it took me 21 days and 9 phone calls to resolve. March they actually only overcharged me for some of my meds but April sent us back to the same issues. I was promised a return call as my issue was supposedly marked urgent. That was one week ago. I contacted my company benefits department to see if they could put me in touch with a representative from OptumRx and was promised that a specific person would call me the following day (today). Not surprisingly I never received a call. I have never experienced this level of incompetence when dealing with issues of this importance. OptumRx should be investigated as it has been my experience that they aren't qualified to provide the services for which they have been contracted. It has been especially discouraging to learn that my issue with this company is not an isolated occurrence.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 30, 2014

    I have a total of 5 prescriptions that went to OptumRX when United Healthcare started using them a year or more ago. In that time, I have never had an order go correctly. They either fail to send the order, bill for the order multiple times, or bill then tell me I have an overdue balance. How do you have an overdue balance when it is all billed to my CC? I have had that happen a few times and told them to bill my card because I need my meds! Then I get a check a few weeks later for "overpayment". Most orders take 3 or 4 calls to get them to actually send anything. The reps are all the same in that, they are nice and say "everything is taken care of" at the end of every call. Then you call days later and start the whole thing again. I have complained on the survey probably 50 times. Never has anyone ever tried to contact me to see what the issues are. I don't think the survey goes to anyone.

    I honestly do not understand how they can be in business with the lack of competence they have. I figure they would have been sued by someone who needed meds and never got them and something terrible happened. I have no choice for 90-day supply so I continue to fight with them. Whoever made the choice to go with them at United Health should have been fired long ago!

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    Customer ServicePriceStaff

    Reviewed April 30, 2014

    Like many others, my healthcare changed this year and so far I am unhappy with all the changes. I take three prescriptions on a regular basis and have been ordering thru the mail for several years with no problems. About four weeks ago I began the process of ordering my prescriptions from OptumRx. My doctor's office faxed over the request. It took about a week for them to acknowledge they rec'd the request. I rec'd an email saying there was a 7-day delay in my order, no reason or other info. I kept looking online and all it ever said was "in process".

    When I finally called after a week, I was told the delay was they didn't have payment info on file. I asked if they could just bill me, they said okay and would get the order out that day. I also found out that one of my prescriptions was on back-order and should be available in a week. It's almost a week later, still no pills, but I get a call today saying they are looking for payment info. When I told this girl that it was supposed to be sent out a week ago, she said there was nothing on file. I should mention that the girl that was supposed to send them out was a dedicated rep for my employer. The girl today was very rude, she said she would send out my two scripts "rush" and that I should be happy because I will get them faster than the 7-10 processing time I would have waited had them been sent when I called. Really? Happy? I would have been happy had I rec'd my scripts three weeks ago.

    Now I just got an automated call saying I had a refill ready and to call them. I did, waited 15 min. on hold, to be told there is no refill, my third script is on "long-term" manufacturer back order, and that I have to call my doctor to see if she can prescribe something different. Or, I can call around to retail pharmacies in my area to see if they have it. Of course, this will cost me more, but that seems to be my problem. Oh yeah, one more thing, compared to the mail order pharmacy I used to use, these prices are almost double. If you have a choice of where to get your prescriptions, don't use OptumRx.

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    Customer ServiceCoveragePriceStaff

    Reviewed April 22, 2014

    I don't even know where to begin. There are so many issues with this company. I am forced to use them because starting this year my coverage thru United HealthCare not only designates them as my mail order pharmacy but *requires* that I order any prescriptions requiring more than 2 refills (in other words, anything I have to take on a regular basis) from OptumRx mail order. Although this isn't as convenient, I wouldn't mind if it weren't for the fact that Optum consistently takes a *month* or longer to fill new prescriptions. They employ one delaying tactic after another. They make up lies about "needing to talk to the doctor" and claim the doctor has taken weeks to answer them.

    When questioned, they can never tell me what their questions for the doctor even were (because I don't believe they ever HAD any questions for the doctor -- my prescriptions are mostly pretty straightforward). Their pricing is as much or even more than retail pricing locally, even for generics. Most of the people I've dealt with on the phone have been friendly, if clueless. The only exception was the one who kept me on the phone for over an hour, repeatedly giving me wrong information, and when I finally had enough and asked for a supervisor, she hung up on me. When I called back, the person I got actually knew what they were doing and it only took a few minutes to straighten everything out.

    Right now, though, I'm dealing with the ultimate in stupidity from this company. I've been on Levoxyl for hypothyroid for decades. Stabilized. Done well. Last year it was taken off the market due to some manufacturing issue so my doctor switched me to Synthroid. Apparently, the generic form of these drugs is not considered truly equivalent and I have never had an endocrinologist yet who would agree to let me take it. I have not done as well on Synthroid and am faced with having to raise my dosage. But Levoxyl has come back on the market. So my doctor switched me back to Levoxyl and sent the order to OptumRx. Last night (after a month of more delays) my order finally arrived. Problem is they sent me the GENERIC of the drug. Without my permission and against the express orders of my doctor who ALWAYS marks the prescription "no substitutions allowed. "

    When I called them, they first tried to tell me that the prescription itself was for the generic. When I pressed them on this (since I knew it was a lie), a pharmacist came on the line and admitted they'd "made a mistake" by sending me the generic but that they didn't carry Levoxyl. She told me it was an "administrative decision" by their company to not carry the Levoxyl. She suggested I obtain it locally. I can do that, but then my insurance isn't going to cover it since they require me to use OptumRx! Classic Catch-22. She had no explanation for why they would arbitrarily substitute a generic drug without my permission and against my doctor's orders. They make a habit of this, though, because they did the exact same thing to my spouse with the same exact drug! When I called them about that one this morning (luckily not shipped yet) they again had no explanation as to why the drug was changed to the generic without permission and against doctor's orders.

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    Customer Service

    Reviewed April 21, 2014

    Renewing your prescription should be fast and easy, with OptumRx it never is. First you go through the automatic process "to speed up the claim" only to be asked the same questions again. Second the communication with the provider and the insurer is terrible. I have seen my Doc fax the right info to OptumRx only for OptumRx to deny they have received it. Some of the problem may be with United Health. My phone call with OptumRx lasted more than 30 min. How am I going to be repaid for this waste of time?

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    Price

    Reviewed April 17, 2014

    Three transactions and each time they charged my account without authorization. They said each time that they would not charge my account and did. I now have more of some medication and not enough of others. The experience with this company has been terrible. Do not go with them unless you want problems.

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    Customer ServiceStaff

    Reviewed April 15, 2014

    I chose to do business with this company to save money. After the many many hours of calls, the incorrect meds being shipped, being misquoted on refill prices, the meds not being shipped as promised and the lies that they told me about what they would do to handle their mistakes I decided this company is completely unable to take care of me safely or save me any money at all. I spoke to several supervisors who promised the errors would not be made again. They failed. I have had to call twice to cancel my account. They couldn't even do that right. I called my insurance and complained about them several times. I told my doctor how bad they handled my meds. I have and will continue to tell anyone that this company is the worst I have ever dealt with. I have posted several reviews at different sites trying to warn people. If you chose to try this company I can only pray you pay very close attention to your meds and you survive. Best wishes.

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    Customer ServicePrice

    Reviewed April 11, 2014

    On March 4, 2014, a very expensive drug my wife takes, went generic. The company, E Lily, that manufactured it, had their patent expire on March 2, 2014. The new generic producer, TEVA announced that they would start shipping within 30 days. They did. I have called OptumRx every day to see it they got the generic from TEVA once I found out our local Walmart has the generic in stock. My wife was down to 2 pills which she had started to take every other day, because we could not afford the $600 for this drug without extreme hardship.

    I called Walmart about two weeks ago and they said they had the generic in stock. I called OptumRx and they said try again "tomorrow. Once my wife was completely out, we had to order a 30 day supply at Walmart, paying more than we would have for a 90 day supply , if OptumRx, had it. We have the AARP Medicare Part D plan, and OptumRx is the "preferred" mail order pharmacy. My wife takes other medications which are quite expensive also, putting her in the doughnut hole by May every year. It is now April 11th, and after checking this morning, OptumRx STILL does not have the generic.

    We are now forced to go to Walmart and get 30 day supplies, which have a higher co-pay. I believe that OptumRx does not want to get the generic, because they believe that seniors are not smart enough to know what they are doing and are forcing us into the doughnut hole, where we must pay them exorbitant amounts for meds which are available in Canada for a fraction of what we pay. The entire medical system in this country is corrupt and OptumRx is one of the biggest crooks, in my humble opinion.

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    Customer ServiceOnline & AppStaff

    Reviewed April 9, 2014

    Had Medco for my 3 month supply of 3 different blood pressure meds. I've taken these same ones for over 3 years and my bp is in check. We were switched to optum rx and I wish the hell it never happened. This is my first refill since being switched and it's been AWFUL. After back and forth with these fools, I am down to (as of 4/9) a 2 day supply and still no hope of getting these pills so I do not have issues with a rise in my pressure... They won't without a song and dance understand that I need these meds.

    They do NOT answer on their website or rather, they did answer but I cannot read the info, it won't let me. "You have a message, press my message," ok, done, You have messages, Please press my messages, ok click on it again and back to the same ** again. So I email the fools and a very "nice" person sends me the info and I print it out and went to my Dr's office and said, please fax this info to OptumRx because they don't have it. So they say ok. I don't know but has anyone gotten my shipment? NO back to trying to reach the fools on their site, but wait, I still cannot read my messages.

    But to my email to the nice person, told her my problem asked for her to respond and guess what, I'm still waiting. It's been 2 weeks at that time I had a little over 2 wks supply. It's now past that and I am down to 2 days supply. My hubby called them and got NOWHERE again... What am I supposed to do? This sucks and you wonder why people decide to NOT take their pills. What kind of runaround can a person take before they reach the point of "Forget it" OptumRx is sooooo bad. They honestly need to get out of the business of helping people. In the meantime, I am sure my pressure is about to the boiling point.

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    Reviewed April 8, 2014

    They are completely unable to resolve an issue (order problem) for more than a week. I have been on hold for a supervisor for more than 30 minutes. The "advocate" has tried to get me off the line multiple times.

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    Customer ServicePriceStaff

    Reviewed April 4, 2014

    I have most of the problems all my fellow reviewers do:
    1) Poor phone help
    2) Their time of "5 business days" equals about 1 month in the real universe for Mail
    3) LY Rx Tier 1>TY Rx Tier 3 (and its Generic) Several of my generics went up this much.
    4) Specialty clerk lies re: My MD Endocrinologist had to fax an Rx 3 times and finally told me to quit their mail service and use my local pharmacy

    5) 10 of my 25 Rxs (8 that I have taken since my Pituitary quit working 38 yrs ago and must have to stay ALIVE) sometimes take 3 months to get {i.e: My EMERGENCY medicine INJ IM Dexamethasone took them 2 months to order from another source in a small enough size for me as an individual (15 ML versus 30 ML) ordered out, talked about 3 times, finally sent took 3 months for one 5 ML vial}. The problem is I inject 1 (one) ML/CC at a time and do not usually need again that month-maybe. But once I break the seal, good for only 28 days.

    6) through 12) ANOTHER of my ESSENTIAL- Rxs Nutropin AQ 10 Pen got changed by Optum (gee, Without My Endocrinologist's orders or consent) midstream (OK I can deal with new product) into Nutropin AQ Nuspin 10, AND generously got changed into 12 fillings (I was going to get 2 vial-pens cause I would be out of town when those specialty folks and I would have another go-round about the next fill [ # 2] BUT it is refrigerated). They sent it via USPS! to a PO BOX!! on a SUNDAY!!! Well, that is what they said at first when I called them, then it's, "OOOPS- Gosh we really had it go out on Monday." (I wonder how long the package sat before being taken to/picked up by USPS. Well, wasn't here Tuesday @ 4 pm, so I told them on Tuesday @ 6 PM that I was refusing it if it ever came and "please send out new package of 2 vials-pens".....UH-OH NOW we got a new PROBLEM!!

    I think this one took 13 calls to get both Nutropin Vial Pens. Got the second one the next day, Thursday even though they told me it would be Friday. There were 2 persons who also swore up and down that there would be no charge on both the returned items and the replacement because of their screw up and later this was turned into "I must have misunderstood" treatment (The regular price per vial-pen has crept up to above $1600.00 per month) .You see why I will not name the other 2 clerks.

    And finally I was told in confidence why so many people are answering their phones in India:

    13) USA people start at a decent wage= around $9 to $10 per hour, take a 4 week training course, of the beginning number of 12 in the class, half are left(6) that start working, half of those quit after first paycheck (3), and 1 or 2 are left after 2 months. Do your own survey: the nicer phone clerks have only been there from to 6 months- they are the ones that apologize and thank you in a friendly manner. The ones there longer tend to be good at faking answers.

    I spoke to someone today calling all the way from California who I questioned something about making sure my credit card info was correct, after explaining my previous issue with wrong card. He told me what had happened and I said "You don't really know she did that, do you," and he said, "No Ma'am I don't. I'm sorry." I suspect the really nice kids leave after too many upset customers, too many apologies and real truths and lies. What a shame and waste of our own resources all the way around.

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    Customer ServiceStaff

    Reviewed April 3, 2014

    The refill process is not a process; it is a nightmare! My sister & I get our testing supplies from Optum RX. The "service" reps are rude, uninformed & lie. They told my sister they no longer carry testing supplies. I was on the ext & asked if that was the case, why was I told 2 days prior that my supplies were finally being sent? Several phones calls, & several hours of holding later, we still have no idea when, or if, the doctor-ordered testing supplies will be sent. If the idea is to drive people to the brink of lunacy, you have certainly succeeded! WE HATE OPTUM RX!!!!

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    Process

    Reviewed April 3, 2014

    This is UnitedHealthcare's designated scam pharmacy that prevents sick patients from obtaining commonly prescribed medications from their PCPs. Making the process as difficult as possible, OptumRx requires patients to obtain additional pre-authorizations from them and additional paperwork from your doctor for obvious reasons, at the expense of denying patients the medications they need. This company should be investigated for its deceitful and unethical practices.

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    Customer Service

    Reviewed April 1, 2014

    In order to afford my son's medications, I must use the mail order pharmacy instead of the convenience of our local pharmacy & since my company switched from Medco to OptumRx, it has been nothing but hassle after hassle. Somehow, duplicate accounts were created for my son's prescriptions. BOTH accounts have been billed for co-pays for the same order despite calling to speak with a rep every single time I submit a renewal script. Then, it takes contacting customer service MULTIPLE times to get a refund of one of the double charges. Budgeting for expenses to my FSA has been utterly destroyed due to the ineptness of this company. I am currently waiting on yet another $90 refund as this is the 3rd time this has happened in the last 9 months.

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    Customer ServicePrice

    Reviewed April 1, 2014

    On the 24th, a renewal of 2 prescriptions was faxed by my doctor's office to OptumRX. Prior experience had shown (much to everyone's surprise) that I would receive it by the 28th. Knowing that I would need the one prescription by the 31st, I called OptumRX on the 28th and was informed that they were holding my order because I owed them (ready???) THREE CENTS! Could they not email me to let me know that?? They INCORRECTLY billed my credit card on my previous order for 3 cents less than THEY should have. So a 3 cent negative balance just cost me a lot of time on the phone, excessive aggravation and then $13.49 today so I could pick up ONE pill at my local drugstore.

    Oh, yes, on Friday, the 28th, their CSR assured me that because it was their error, as a courtesy to me, they would pay to have it shipped Overnight Next Day Air. That should have meant I would receive it today, right? Wrong! It never left there until TODAY -- the 31st. So how can UPS get it to me by EOB "the next day" -- that is the 31st. UPS just sent me an email saying it would be delivered tomorrow -- which in all fairness to UPS is "Next Day by Air" -- although I question why they didn't do the initial scan until 5:30PM today. Probably an OptumRX problem -- And with the above scenario in mind, I will be searching for a BETTER solution to receiving prescriptions.

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    Customer ServicePunctuality & Speed

    Reviewed April 1, 2014

    So my company switched over to UHC and they use OptumRx, well let's just say it has been nothing but a nightmare since day one. First I had to switch all my Rx's from CVS to OptumRx because they refused to let me go to CVS, and everything has to be mail order because a drug I take every day to stay alive is consider a specialty drug! Then they tell me I can't get my 90 day order anymore that it has to be switched to 30 days costing me more out of my pocket. It gets better, my Rx then expires and instead of them telling me when I call up to refill my Rx they instead call me 3 days later telling me they can't refill my Rx and I will have to get a new one, even when I tell them I just moved to Texas and haven't found a dr yet and I only have 4 pills left.

    Did I mention they won't let me go on auto refill because of the SPECIALTY title on my drug!? So I go 5 days off my med, risking my life. Next I call in to get a new med order, well they ask me do I want someone to sign for it. I say no to please leave it at the door like my other medicine. Well I come home from work today and what do I find in my mailbox, a note from the USPS telling me I need to go in to sign for my parcel. This is not to mention it took 7 Days for it to even come in. USPS closes at 6:00 PM. What time do I get home? After 7 every day... So how will this work now? I have to take off work to pick up a package that was to be left at my door with no signature.

    Call up OptumRx and they tell me: "Yes you have to sign for it." Me: "Why didn't they tell me that when I placed the order?" Them: "They should have told you." Me: "Please check the notes where it shows that I asked them to leave it at the door and I would like no signature like all my other orders." Them: "Yes I see that but you can call the USPS and ask them to mail it to your job..." Hmmm HIPPA needs to see this because why would I want them to send it to my company that opens every parcel of mail that comes in showing everyone what meds I take? Please someone do something about OptumRx!

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    Verified purchase
    Customer ServiceStaff

    Reviewed March 24, 2014

    This company is just terrible about getting qualified people to get orders processed. My doctor placed the order with them I didn't receive so I called. They told me my credit card had expired! It had not, I talked 2 times previously to a person there and gave them my credit card number and was told my order would ship. This last call I made 3 days ago was because they sent me a letter saying they could not ship and my order was on hold till they heard from me. I was of course baffled. I called and they said: "your credit card had expired!!!" I was furious. Again, I told them it had not and Amanda checked and said, "ok, we will send your order out priority at no charge".... I told her I wanted to take the survey at the end of our conversation and it would not be good. She said, ok. When we hung up she disconnected me from taking the survey. I have had this BAD EXPERIENCE and also another regarding my HUSBAND'S PRESCRIPTION. They also had to priority his meds out too! BAD UNQUALIFIED PEOPLE working at this company. IT SCARES ME FOR THE FUTURE ORDERS.

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    Customer ServicePunctuality & Speed

    Reviewed March 24, 2014

    I take a medication that, if I miss a single dosage, can have serious health consequences. I also have a job for which I travel quite a bit. My HMO forces me to use a OptumRX for this medication, and it's detrimental to my health. I sometimes have to ask for refills early because of my travel schedule, and even when I don't I experience deliveries that are significantly delayed from their promised date.

    Case in point: I ordered last Wednesday and was told it would be delivered on Friday. Friday came, and no medicine. I called and was told delivery would be Monday. Today is Monday and no delivery. So I called and was told the order never shipped. Now they're promising tomorrow for delivery. I wish there was a regulatory body with some teeth that could make them deliver according to their promise and my medical needs. I find it incredibly frustrating that I'm forced to use a mail order pharmacy when it ends up being detrimental to my health. I think I am going to file a complaint with my insurance company because this is completely unacceptable.

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    Customer ServiceStaff

    Reviewed March 22, 2014

    I thought OptumRX would be a good service. Unfortunately, I have on several occasion experienced bad customer service. I have always asked them if I had an outstanding balance so that I may pay it. I have been told I do not and that I have a zero co pay. I noticed every blue moon I have a co-pay after I have asked the customer service representative do I have one. I have attempted to explain the reason why I shouldn't have a co-pay and I am cut off in the middle of my explanation. I am offered an excuse just to smooth over the issue, until it is time for me to refill my meds then a mysterious co-pay pops up in their system after I asked if they checked.

    I have ask to speak with someone in charge so that I could bypass the rude and/or customer service representative that seems to not know what happened. I am given to someone on the resolution team, only to not have my problem resolved. I have ask for the representative's names and when I call back in to explain what occurred they can never find this person or have no idea who I am talking about. I have attempted to find some way to contact someone's superior and I am unable to do so. I fear that one day I will not get my meds, because of the lack of skills and absences of OptumRX not really caring. I take specialty meds that I have to take as a part of my therapy. If I miss a dose it could make the meds not as effective to treat my condition which in turn causes me to become extremely sick. I take my life very seriously, OptumRX takes it as a job a number and a refill.

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    Customer ServicePriceStaff

    Reviewed March 19, 2014

    OptumRx recently billed my checking account more than $400 for an order I cancelled. Though I addressed this issue as soon as I was made aware of it, and made several phone calls, no one seemed to be able to credit my account the amount that was essentially stolen from it without my permission. This is the last in a very long line of inefficient exchanges with the company. I have yet to place a simple pharmacy order and have it billed and shipped without any hassle. Each order requires at least one lengthy phone call on my part before I receive the medication and am properly billed. This is to say nothing of the amount of time it takes for the medications to be delivered.

    With this particular order, I was first told that it would cost $150 for a 3-month prescription, which I approved, even though it is a significant increase from the amount I was previously billed for the same medicine (a $90 increase). Days later my checking account was charged $429.49. Had I not been reviewing my checking account, I would not have known this, and would likely have had overage charges and bounced checks as a consequence. I called immediately, and after several calls and all manner of conflicting information given to me about the prescription, from price to deductible to delivery, I finally convinced the person to whom I was speaking to cancel the order. The amount was credited back to my checking account within a day or two, and I thought the issue had been resolved.

    Fast forward a few days, and I received an automated email notice saying the prescription in the cancelled order had been shipped. I checked my account, and sure enough, the fee had reappeared. Here are the very clear suggestions I got from Optum's customer service people (who are generally friendly, though apparently entirely unable to resolve issues because of red tape): It is more important to Optum that the medicine they sent in error be returned than that I receive a prompt credit to my account, forget the customer is always right. No one at Optum is really sure how this happened or how to solve the problem. How this may affect my finances, bills, checking account, etc. is of little concern.

    The company has for all intents and purposes functioned for me as little more than a sham, and despite the ongoing and exceptionally frustrating hassles, no one has seen fit to take charge of the matter and resolve it. I will likely be returning to my local pharmacy for most, if not all, prescriptions, as any and all exchanges with Optum have led to nothing but frustration, and the usual price savings is not worth the persistent headache of trying to take care of a simple transaction. And that is a significant understatement. I have to wonder: is there some financial benefit to United Healthcare/Oxford if customers "leave" OptumRx? The errors are so plentiful and so frequent that they almost seem like they're done on purpose.

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    Customer ServiceCoverageStaff

    Reviewed March 13, 2014

    My contraceptives under the Affordable Healthcare Act are covered with no copay by my insurance since Fall 2012, United Healthcare, which subcontract Rx coverage to Optum Rx starting Feb 2013. Optum Rx charged me a $20 copay for the same prescription that had been free for several month. Talking to them on the phone and laughed at me and told me that they had NEVER heard of a mandate that contraceptives should be covered at 100%. I had the insurance agent that handles our company's benefits call and she gave me the answer that the prescription had to be name brand to be covered, so quick call to the pharmacy and it was OK after that.

    Naturally, the plan was renewed by my company in February this year (2014) still United Healthcare, still Optum Rx. When I went to refill my prescription I was charged the full retail price. I called Optum and explained and they told me that there was a mistake, that I should have been charged a $15 copay. I told them that the federal law guaranteed that I did not have to pay a copay. They said "your plan does not offer that." I said, "All plans are federally required to offer that." Again they made fun of me and mocked me like I was a welfare recipient trying to get a raise rather than a paying customer asking for my federally required benefits. Again, I contacted the broker at my company and she concurred that I was due a refund (which I have yet to receive).

    Anyway, I am still annoyed even thinking about the 1/2 hour I spent on the phone with those criminals (who are breaking the law) and being laughed at. When I break a law there are consequences, but with them it is business as usual. If this happens again, I am going to happily pay for the prescription and file a complaint with the Texas Board of Insurance. It isn't really the money in this case, just the principal.

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    Verified purchase
    Customer Service

    Reviewed March 13, 2014

    Has anyone else had trouble receiving their prescriptions from OptumRx? 4 times now, we have placed our orders, wait the 7-10 days, call to check on the order and they are waiting for a payment or the pharmacist had a question, but no one calls us in to answers. OptumRx just sits on the order? Sure wish we were not required to use them. If we had options, we would move on. Does anyone have any recommendations on how to get better service from this lame company?

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    Customer ServicePrice

    Reviewed March 13, 2014

    I have had similar problems with CSR with OptumRx that all seem to have India accents and when I ask to speak with someone in the US the reply I get is that the company is based in Chicago. I was constantly lied to by these CSR and when I finally did call and get someone within the US with a southern accent, I was informed that the other CSRs that I talked to were just trained to get your money. That explains why they kept pushing the overnight ship. I have called UHC 2 times and filed complaints. I am not going to go on about my complaints but wanted to inform all on here that there seems to be 2 separate companies here. 1 is US based. The US based one denies any knowledge of foreign call based center.

    OK then, I have United Health Care thru the state of IL and yes OptumRx is the mail order service for them. I received a call after I sent several emails. Not sure which one got this result - from a Jill that says she is with OptumRx. Jill had in fact fixed all my problems, had sent out a return kit for medicine that I did not asked to be refilled (yes any unused meds can be returned as far as I know). I do not know if Jill will be able to help any of you but it is worth a try **. I know it is long distance but for resolving these problems it is worth the cost. When you call ask them to call you back at your #. Also look to contact Medicare if you use them (the state of IL requires me to use them) for it is illegal for any pharmacy to use outside resources that are not in the US that is providing services for Medicare patients. Good Luck and God Bless.

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    Customer ServiceStaff

    Reviewed March 11, 2014

    I have had the same complaints as everyone else in this forum. Inappropriate delivery times, pharmacist refusing to fill a prescription unless my doctor changed the quantity, nasty response from the representatives, and improper documentation by the reps. I found it useless to argue with reps who cannot help. So I started began filing complaints with every agency I could find which had anything to do with medicine and actually began to receive response which were encouraging. I looked online and searched for CMS and found several letters written by representatives at CMS which had phone numbers on those numbers and used those numbers to find CMS employees with direct access.

    After telling my story several times I began to receive the pink CMS forms explaining about the new investigation they are conducting with IMPAQ to determine how to handle complaints against United Healthcare. Apparently someone was listening and after receiving enough complaints CMS is finally working with this web based survey group to handle these complaints. My forms had a date of 11/15/2013 to be received and I don't know if CMS and IMPAQ are still taking complaints against UHC, but it is worth a try. I also filed complaints with Agency for Health Care Administration and directly with the Office of Civil Rights division of the US Department of Health and Human Services.

    I received a letter from an CIU/CRC Manager of the Department of Health and Human Services refering me to an investigator, Ms. Kristin **, who was very helpful and assured me that my complaints would be resolved by the "provision of technical assistance" with OptumRX. Ms. **, also advised me that if she began to hear from others about the same issues that OCR may initiate a formal investigation of that matter. I strongly suggest that any of you with problems with OptumRX address a complaint to Ms. Kristin ** at Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Room 509F, Washington, DC. 20201. I believe that she has the best interest of the consumer at heart and will pursue her investigation if she receives enough response.

    Also, I suggest that all of you right your local government representatives, Agency for Health Care Administration, and Center for Medicare Services. I believe that for CMS to partner with an outside contractor to investigate the best way to handle complaints, there probably were a number of complaints against UHC and other Medicare insurers, so I suggest strongly that you file complaints here also: Department Of Health & Human Services, Center's for Medicaid and Medicare Services, 7500 Security Boulevard, Mail Stop MS C1-25-05, Baltimore, Maryland 21244-1850. Thank You

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    Customer ServiceStaff

    Reviewed March 10, 2014

    I was in a serious car accident several years ago. When receiving my maximum medical recovery status I was informed that I would not be able to have a job that involved standing or sitting. Unfortunately being a widow with no family, I must work. I have been on a medication that is very difficult to find in my area. It was suggested that I try a mail order pharmacy, and since I have United Health Care my only option is Optum Rx. The first month was problem free - I included a letter stating that the medication needed to be sent by overnight mail and authorized the extra fee.

    This month when I called to make sure they had received my order (no changes) and was told several different stories (first they didn't receive it, then they only received part of it when it was all send together etc.), finally I was told that they wouldn't fill for that particular physician - same doctor as previous month. This physician has a license that is in good standing, has no complaints or violations and has been in practice for 30 years. He also has had a previous argument with one of Optum Rx's pharmacists and complained to someone - I believe within the company.

    I have a feeling my prescription fell into the hands of this disgruntled pharmacist and now all of a sudden they will not fill for my doctor. This is a violation of my patients bills of rights of 1995 which states there cannot be third party interference with my medical care. They also held my prescriptions for 4 days after turning me away and claim to have sent them by regular mail even though I requested them sent back overnight. It has been over 10 days and I still haven't received them. It is becoming very difficult to work or live a normal life (walking, driving, etc.). Neither I nor my physician have received a reason as to why they will not fill these even though they did last month.

    This is both discriminatory (UHC-who owns Optum has never had a problem with my doctor or my medications) and punitive. I have complained to the corporate office, trying to reach Mr. Hemsley and have been told I can expect a call from a supervisor from Optum - although after reading many complaints I do not have high hopes for a resolution. I do want my money back from UHC as their insurance is useless and feel that due to the fact I can only use Optum Rx (a company they own) is a restriction of trade, which to the best of my knowledge is illegal.

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed March 7, 2014

    I have had the unfortunate experience of dealing with Optum R ** for over a year and a half. My BAD experiences are too numerous to list. The latest being this week when after overnight mailing my scripts to them on 2/25/14 for receipt on 2/26/14, they filled 1 script and it was received by me on Monday 3/5/14. After calling them (numerous times) re: the other 2 RX's, on Wednesday (3/5/14) I spoke with a Rep, named "Eileen" who assured me that the other 2 scripts were being overnight mailed on Wednesday. Later that evening, not believing her, I called again and spoke with a "Supervisor" who told me that the Scripts WERE NOT MAILED! I inquired as to how I could receive 1 Script on Monday but the other 2 were in limbo and I was told that there was "A COVERAGE ISSUE"! I asked him why when I have been getting the same Meds since last May when Optum came up with something called the "80/20 Rule" and THEY CHANGED MY MEDS NOT MY DOCTOR. He had no answer (as usual).

    I have asked several people (my Doctor included) if anyone has ever seen a copy of this so-called 80/20 Rule and every answer was the same: NO. So today, 3/7/14, I called again to see the status and was told that they had shipped the other 2. Well, SURPRISE, when the package came there was only 1 of the Meds in the bag. Called them again and said where the ** is the other one?? They said they overnight mailed it today .....they said via UPS....I educated the Rep and informed her that UPS does not deliver Saturdays...DUH. So here I sit AGAIN OUT OF MY MEDICATION which they knew and they don't give a damn. Yes, I received the 1 on Monday prior to expiration. However, the other 2 Meds EXPIRED on WEDNESDAY (so they left me without ANY of the other 2 MEDS - 1 from Wednesday & Thursday and 1 from Wednesday till God knows when I will receive it). I still have no clear answer as to what the coverage issue is/was (because they were all COVERED in the contract booklet provided annually).

    The biggest problem is that we all now have pharmacists decided what medication and dosage we need --- Not our doctors who we see monthly. We also have DEA acting like Doctors as well (Scary Proposition) and we have a branch of government passing "rules" without giving anyone due process (which by the way is ILLEGAL). Until we law abiding "CUSTOMERS" STAND TOGETHER and FILE A CLASS ACTION LAWSUIT against these ** people nothing will change. THESE **....They will continue to use all of us as doormats. Anyone up for the challenge??? Just let me know and we may finally stop these idiots from using us as guinea pigs, changing prescriptions and making up alleged new rules (which don't exist) and prohibiting us from having our voices heard this ** will continue. So who is ready to kick ass??? It is time to take back our rights and teach this company and others that we will not stand for this anymore.

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    Sales & MarketingOnline & App

    Reviewed March 6, 2014

    I ordered very important medicine from OptumRX, the pharmacy that came with my college healthcare plan. To begin with, getting to the point where I could order my meds was a pain, as their website is a veritable mess. But I sent the order out to them and I thought I'd get my meds in soon! Well, nope.

    It's been more than 2 months now, and I've had to talk to 4 of their sales reps over that span (which each promised me "oh yeah, we're shipping it now! ("Wait 5-7 business days"), before they just told me that I'M NOT ELIGIBLE FOR THE MAIL-ORDER PROGRAM. This is literally the worst company I've had the misfortune to deal with and I'm going to attempt to switch my plan as soon as I'm eligible. NEVER ASSOCIATE WITH OPTUMRX.

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    PriceStaff

    Reviewed March 5, 2014

    My experiences are very aligned with all of the reviews that I read (I read most of them). I have one big advantage and I am hoping some of you will have that as well: I am on Medicare and have (Plan F) the "supplement" through United Health Care (UHC). UHC, of course owns OptumRx. I called UHC and after going through the long (and familiar) automated drill was able to ask if I am able to go to another pharmacy. The woman who took my call gave me a list of "preferred" pharmacies that are close to our residence. The "preferred" label means that you get the same pricing as OptumRx. They can also provide a list of "basic" pharmacies but the cost is more.

    Many of the reviews referenced systems problems which are 100% accurate in my view if not a little understated. I will say that the people answering the phones who are forced to ask all the same questions that you entered on the touch pad are trying to be accommodating.

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    Staff

    Reviewed March 4, 2014

    To be honest with the whole situation, my doctor has prescribed me ** 30 milligrams twice a day due to MS severe pain. My insurance with optimum just started in February. While filling out forms initially prior to beginning with this insurance company, they knew I was on this medication for MS and on February 25th it was time to get a refill.

    Optimum denied the request, stating it was too much medication for me to take as I have taken ** twice a day for the last 10 years. They requested information from my doctor as I was in the office listening to their questions they were asking. I felt illegal questions information they don't need to know, long story short because they denied my request which I should be medically on ** 60 milligrams a day. I am now on ** 30 milligrams a day due to pain.

    I pray to God this never happens to a patient that is severely depressed needing this medication!!! Because as they stated they never allowed a patient to receive 60 milligrams of ** a day. I just can't stop thinking God forbid a severely depressed person could be denied also. As my 3 specialist doctors gathered to discuss this change of medication due to my insurance company, they all agreed Optimum unfortunately will be receiving if not already Many Lawsuits!

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    Customer ServiceStaff

    Reviewed March 3, 2014

    This company has been a provider for my insurance company's mail in program. We changed companies and got rid of them (thankfully). Now, they are back again. The health insurance company did not change the online mail in forms for us so we accidentally sent it to the OLD Mail in Rx company. Turns out that OPTUM Rx is the parent company of the old company (so, same company). It took them over 9 weeks to figure out where the original Rx went (too long for real solution) and after hours and hours of time on the phone and making it look like we were drug seeking (yikes), decided they could not fill one of the Rx's so we asked for it to be returned so we could have it as proof that it was necessary to rewrite the Rx.

    Long story short, they agreed but continue to call and ask for the doctor and the patient to resolve the Rx needing to be rewritten. As understanding as we'd like to be about all of the comedy of errors, it is IMPOSSIBLE to get anyone on the phone that accepts responsibility AND no matter how many HOURS and calls made (oh, if you run out of juice after being on the with them for 1.5 hours, they won't take your number and call you back as they don't CALL YOU BACK, not allowed, not able to...) they do not have ONE notation in the log system about the PROBLEM so you have to start over and over and over.

    Also their voice recognition answering system STINKS, you can never get it to accept your entry whether you do it by voice or using your telephone keypad. IN SHORT, THIS MAIL IN RX COMPANY HAS NO BUSINESS DEALING WITH SOMETHING AS IMPORTANT AS A PERSON'S MEDICAL RX NEEDS. THEY CAN HARDLY MAKE IT TO THEIR PHONES. HORRIBLE SERVICE. They, sadly, convince big corporate companies to come over to them and then terrorize the employees and/or their dependent family members with awful customer service. If I ran my business the way they do, I'd be incarcerated.

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    CoverageStaff

    Reviewed March 1, 2014

    My husband was recently diagnosed with chronic Hepatitis C. His gastroenterologist wants to treat him with a series of three medications for three months. Optimum RX will not even ship the medications until we pay $4,000 for ONE month of the medications and will stop sending it if we don't pay the $4,000 each month. We are a middle class family and struggle each month to pay our bills. Is this what our country has come to? The middle class, hard working Americans suffer and die because our drug companies will not cover our medications for a reasonable amount of money..... especially now with Obamacare our deductibles are so high we have to struggle to meet those amount each year.

    What are we supposed to do? Do I have to sit here and watch my husband die? Oh, and this man is not an alcoholic or IV drug user. He got is of no fault of his own. I'm just sick and don't know where to turn. These companies should be ashamed of themselves.... Of course I know they could care less...

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    Customer Service

    Reviewed March 1, 2014

    I just saw that Sen. Rene Garcia of Miami, FL is proposing a bill to bar insurance companies from forcing people to use mail order RX services. My family has had so many issues with this pharmacy. My husband is without his diabetes meds until Tues. March 4th. My son was told his meds would be sent to him over night at college because of lack of communication on their part. They sent them to our home!!! I had to overnight them to him. We each have gone without meds. We are sick of it and there is nothing we can do.

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    Customer Service

    Reviewed Feb. 28, 2014

    My husband ordered a prescription for $125.00. They sent the wrong prescription and charged us $275.00. We never authorized or ordered the one they sent. It has been about two weeks and we still have not received the correct prescription. The prescription was refused at the post office and sent back to OptumRx. Have not received a credit back on my credit card yet. I call them every day and email them. They do not respond back to me. When I call they just keep saying they are working on a refund. Every time you call you get a different answer. This place is horrible. So they have $400.00 of my money and we still have NO PRESCRIPTION.

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    Customer ServiceStaff

    Reviewed Feb. 28, 2014

    I went to refill a prescription and was told that the insurance company needed a form filled out by my doctor. After the pharmacy faxed this form to my doctor who filled it out and sent it to the insurance co. Care Improvement Plus medicare rx. I received a call back from the doctor saying the insurance co was not approving my prescription for **. I have taken this since 1994 after I had my hysterectomy. Now OptumRx is telling me the request for ** by doctor is denied! They want me to take **, which a drug given for depression. Or ** which also is for depression or ** extended release which is also for depression. I am not depressed! I need the estrogen for night sweats. I resent that they are trying to take my well being away from my doctors opinion.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Feb. 28, 2014

    First off I would like to tell everyone as a former employee, I am so sorry that you have had to suffer at the hands of extreme incompetency. I was actually let go from the company for e-mailing senior executives detailing my experiences and letting them know the issues with the company. My role in the company was dialer clerk. I'm the one that would come on the phone and let you know about copays and shipping times, and also the guy that most of you belittled, cursed at and screamed at. Working for this company was just as horrible as being a patient.

    After being discharged from the company, I initiated an Employee Relations investigation, detailing my claims of a poorly managed company. Here are some excerpts from the letter they sent. "You claimed that members were not receiving prescriptions on time due to prescription processing issues. We found that any error that caused delays were attributable to human error, rather than system issues. Although our error rate is 0.05%, we have provided employees with the tools to address these issues."

    How many of you didn't get your prescriptions on time? How many times has there been an error with your order? More than 1/2 out of every 100 orders I am sure! How many times have you been on the phone with a clerk and even they didn't know what was going on? No system issues? How many times has the automated dialer called over and over again? "Finally you alleged that the auto-charging system does not work properly." How many of you have tried to pay online only to receive a call from someone asking to charge your credit card? "We have found no merit to any of your claims." This company is in blatant denial. I urge all of you to please write your emails and send letters to their corporate headquarters. This company is hurting people by serious delays in orders, and financially by screwing up copays, double charging people... etc. Due to guidelines I am unable to post direct contact info for the CEO or his email address. Please make your voices heard!

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed Feb. 26, 2014

    To write the entire process of how much time I wasted with this company will take me long, but to summarize, the representatives are not helpful, do not care about members getting their medicine in time, they simply do not care. The management and owners are to do something about this system of politics where they simply don't lose, is the member that does. Recently acquire by United Health, I am extremely disappointed. I will be cancelling my insurance due to the Pharmacy Optum rx. I have diabetes, they made run around getting Px from the Dr. They lied about my rx, saying I should test twice a day, when I have rx in front of me of 4 times a day, didn't send Rx on time, people was rude to me. To say the least, I think this was the worst experience I've ever had!!!

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    Customer ServicePriceStaff

    Reviewed Feb. 26, 2014

    I have had Type 1 diabetes since I was 10yrs old. Over those 42 years with hard to control blood sugar, I am using a pump and my A1C has never been below 8. I tend to have spikes followed by rapid drops in blood sugar which requires me to test 8-10 times daily in order to adjust meds and carbs. I also test before driving or any activity so as to ensure EVERYONE'S safety. My problem with OptumRx is that my doctor prescribed a certain brand of strips because my meter is linked to my pump so accurate records can be kept for adjusting insulin. This was submitted via Fax on January 15.

    I received the other meds submitted by my Dr. that same day, but no strips. I called and was told it was because Medicare requires me to approve the Rx my Dr. faxes in before they can send them. I said I agree and was assured I'd get them within 10 days. No strips! I call again and the lady said I needed to confirm my credit card... I did that and she said they would send my strips right away. No strips, no communication from them. I call, after 30 minutes the lady can't find what the holdup is. She puts me on hold and contacts a pharmacist. She then tells me they don't have the brand I use anymore (My meter is 6 months old) so they will send me a new meter kit.

    I got the meter and lancets last week... NO STRIPS!!!!! I email them telling them if I don't get test strips soon, I'll get them elsewhere. I go to the website and I see the order which is still in process and the amount of strips is only 5 boxes... I'm supposed to get 9 boxes for 90 days. In the meantime, I had to buy a cheap meter from Walmart that came with 50 strips. I had my Dr. send an Rx to my local pharmacy as they don't give me the run around! I don't have trouble with getting any of my other meds. Why are strips such an issue?! If I didn't test so often I would cost insurance more with ER bills. I HATE our medical system! Insurance companies should not be able to decide our medical treatments.

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    Customer ServiceStaff

    Reviewed Feb. 25, 2014

    This issue has been an ongoing thing for the past 2 years now. Seems that since they switched over from Prescriptions Solutions to Optum RX. They have had an ongoing bill for $35.00 dollars, that they state I did not pay. I have gone around and around with them sending bank statements to get this fixed but to no avail. I keep explaining to them that this cannot be true, as the one thing they always do is verify payment before the order is shipped or they will not ship it. I have gone through 3 supervisors and 5 staff members from the accounting department all of which have continued to document the problem and reassured me that it will be taken care of.

    Today 1/25/2014 I have called again to have my prescription refilled and this time I was told that they will not be shipping it due to the balance on the account. I am beyond angry. How is it that no one cares about another's medical needs. I have only 4 pills left and am told that they will not ship my order until accounting has come to some sort of resolution. My hands are tied and I cannot get my script anywhere else thanks to United Health Care's Policy.

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    Customer Service

    Reviewed Feb. 25, 2014

    OptumRX actually denied my child's novalog (insulin) because I was trying to refill it 4 days prior to the 30 day refill. I called and called and called. On my way to the pharmacy to pay $300. They should be ashamed of themselves. The government needs to be notified. This is ridiculous.

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    Customer Service

    Reviewed Feb. 24, 2014

    Duplicate charges to credit card, promise to charge back to card -not done; charges to card with approval, charges to card without notification "accounting made an error"; questioning if medication is needed (MD e-mailed in), they request for expired orders they be called in, MD tells me he is put on hold and left with no one picking up his call; lying about when they shipped meds--confirmed by shipping label, medication is ordered in time to receive by time former rx runs out--they refuse to release until date meds run out...potential life threatening consequences for sudden d/c; trying to get you to get generic even though you explain it is not effective for you "other people don't have a problem with it"...call three times and get told three different versions of what happened....can they not read or do they not have computers?

    Currently investigating a $100+ charge when I had not ordered medication. They can pull the funds from your account in a matter of minutes, but takes 10-14 days to return the overcharge to your account. Social Security has been notified of these practices and AARP is next on the list, then an appeal to change Part D providers due to incompetence of Optumrx. -0 rating All reviews read stated in process of resolution...not one positive review.

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    Customer ServiceStaff

    Reviewed Feb. 23, 2014

    I have been trying to get meds refilled since 2/3/14 and finally received notice that they shipped today! In total, I made four calls to these people. I have called once or twice a week since 2/3, trying to get resolution and meds. Each time, I'm told that someone will call me back and no one ever does. It took 9 days from the time the doctor sent a fax until the meds shipped. And I've been talking with customer service people, explaining that I'm running out of meds, but they don't care! When I finally received a message last evening that they were shipping, I called back to complain about the turnaround time and when I was told that they should be here on Tuesday, I asked "what happens if they don't arrive?" The rep told me that she would then give me a tracking number. I asked "what good is a tracking number when I need the meds?" No answer.

    We used this company all last year with no trouble, but this year has been a total screw up! There is no follow through on the part of anyone there, the lack of professionalism is astounding, and the lack of concern by anyone there is totally unacceptable! I will be looking for a different provider for my prescriptions from this point forward. I'm tired of dealing with these clowns!!!

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    Customer ServiceStaff

    Reviewed Feb. 21, 2014

    I've been working for OptumRx for the past 2 months (I just completed my training). I am so sorry for all the hassle and rudeness that you all have been going through. I was trained to do Data Entry work, poorly I might add, and was given a completely different job function once my training was over (what the heck is that about). We have an automated dialer that calls our customers for ridiculous issues i.e., order verification, payment information and 90% of the time the calls are for stupid reasons that should've been handled days ago. I take 100 calls a day (sometimes for a person that already spoke with another agent that same day about the same thing). Basically as a bill collector for people that have already provided credit card information and gave the authorization to charge them (but they were never charged and their order is sitting there, on hold waiting for payment or vice versa). Now although, credit card information is not available for us to see at all, which is good, our system is so dumb and faulty that it can't process payments without issuing annoying multiple calls delaying people's orders FOR DAYS.

    I give my very best when dealing with customers who are understandably angry, frustrated and exhausted. I know I'm young now, but one day I may have to take meds too, which contributes to my internal obligation to provide good customer service. I'm not trying to play a victim, but I just wanted to share that there are some of us on the inside who understand EXACTLY what you all are saying. I think OptumRx would be better if it tossed this automated system out and let us manually process orders in steps like:
    1. receiving the new Rx from patient/doctor and billing information then and there
    2. process order accordingly
    3. have the pharmacist verify bottle is filled correctly
    4. apply payment
    5. send it out to the patient

    and ONLY call for necessary assistance

    Honestly, I don't know how long I'll stay employed here, because I can not work for company that is more disorganized than my closet and getting yelled at because of other people's shortcomings and incompetence.

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    Price

    Reviewed Feb. 20, 2014

    My husband has several medical issues and was recently diagnosed with RA. His Rheumatologist put him on Humira with a discount card so we only had to pay $5 monthly for it. After 3 months UHC wanted us to go through OptumRX to fill this but they will not accept the discount card. So we have to put out $250 every 3 months then file with the drug company to get reimbursed!

    My question is we pay them money to file the prescription but we still have to do all the work for them? This is not the only issue as every time I have had to order supplies they cost us when it is cheaper with the local pharmacy using a discount card. He also has to pay for insulin from OptumRX every 3 months $125 which does not get reimbursed at all.

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    Customer ServicePriceStaff

    Reviewed Feb. 18, 2014

    Cash discount price for the combo drug that I was prescribed is around $200 according to the internet. OptumRx wanted my doctor to prescribe the drug in 3 different prescriptions instead of one, costs according to online research is around $100 for these 3 prescriptions. Ok, so they get to save $100. The problem isn't necessary the requirement that I have to go through preapproval for this, but rather the dumb, unclear, and time wasting process that my doctor have to go through to get there.

    -So my doctor sends the prescription to the pharmacy
    -pharmacy submit to OptumRx and got notified that the doctor have to get it preapproved
    -pharmacy call the doctor
    -doctor fill out the form
    -waited two days
    -got rejected
    -OptumRx suggested an alternative
    -doctor submit the alternative for approval
    -got rejected
    -call in to OptumRx
    -first line rep still refused either drugs, the initial or the recommended alternative
    -took multiple calls for the doctor for OptumRx to finally suggest that the doctor break the prescription down to three prescription

    -then call back to pharmacy to order the drugs

    All this took the doctor's office at least an hour or two in paperwork and in phone calls. Took me multiple calls to OptumRx asking them wtf is going on. Took OptumRx at least a few hours in manpower to reject and re-reject and review and review. In the end, I got what I supposed to get after 8 days. All this for a prescription that I had with Medco two years ago without preauthorization and with the doctor's preferred combo drug.

    Remember, this is for a $100 savings. It must have cost OptumRx more to reject the dang drug than to allow it in the first place. What about the hours that doctors/nurses/office staff lose due to their stupidity. I'm healthy and get maybe 1 or 2 prescriptions a year. I can't imagine what's it like for sick folks that need their drugs immediately for relief. I hope there is enough problems with them internally or people stop going with Oxford/United so they use an external provider again. I hate them and I hope they go out of business yesterday.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 18, 2014

    My complaint is about the customer service at the specialty pharmacy at Optumrx. I am newly diagnosed with a disease and have never really been on a maintenance medication before so I didn't realize that prescriptions expire in a year--I just saw that I had three refills left so I thought I was good to go (it's a big deal to start this particular med, you have to sit in the dr's office and be monitored for 6 hours for the first dose, so it took a while to set that up). Yes, my mistake. My second mistake was that I only allowed four days to refill my meds. I want to be clear that I am not perfect either...HOWEVER...

    I am not going to go into full detail because that would be boring, but bottom line was it took THREE phone calls from my doctor's office and five days to get my RX refilled this month, and I ended up going one day without my meds. Why didn't they get what they needed with the first phone call? And to add insult to injury, when I finally got my meds, it said the expiration date was in 2015, but I only had two refills left, instead of 11 (because the pharmacy and the doctor told me I was written a new RX) *FACE PALM* so now I get to play with these clowns again this month. I'm definitely not waiting until the last minute.

    Maybe someday I will share the story on how my RX copay has changed three times--all in the same year, with no change in plan. And it's not like I have to pay a deductible/co-insurance, it's a set tiered amount! They have no idea what they are doing and they have our health in their hands. Also, why can't they do online ordering, or at least where you can see your order history online and reprint receipts? It usually takes 20 or so minutes on hold to get a person. Why? I just think they expanded too quickly and have hired a bunch of new people who have no idea what they are doing.

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    CoveragePriceStaff

    Reviewed Feb. 16, 2014

    The reason we have to use OptumRX is because they are owned by United Healthcare. Now saying that, everyone should know that the items will not be addressed and solved in the favor of the consumer/customer. My husband has been a diabetic for the past 12 years taking a regimen of four meds that are basically doing a good job. We received a letter from the insurance company stating that if he follows the guidelines and does 2 Dr visits a year, does the A1c, does the eye testing, etc, etc that his Dr visits would be paid for and all of his diabetic meds.

    Don't we all say "Yeah." Wrong. After his doctor wrote the same prescriptions that have been working - I found out that they are Tier 3 drugs and the Free Diabetic Drugs are only the Tier 1 Drugs. This was me talking to 2 different reps at the OptumRX who could not explain the difference. OK, where can I find a list stating what drugs are on Tier 1, Tier 2 and Tier 3? Guess - there is not one. The Drug Customer Service Rep told me that our Dr. can re-write a prescription and send it and then let my husband try that medication to see if it would work as good. I think this is almost a premature death sentence. How would you re-act?

    And last year, when United Healthcare had us to use Caremark - the same drugs were free - what happened? United Healthcare increased my insurance premium and changed my drug company and increased my out of pocket for the same drugs. I am beginning to think that this is a conflict of interest or monopoly of an insurance company owning the drug company that an insured HAS TO USE???? Then the drug representatives continue to argue about generic drugs that can be exchanged for high blood pressure such as Diovan at $154.00 for 90 days - last year at CVS it was $11.54 or take Valsartan for free - but I was told that I was wrong. Well I know what I take. Again, they forget who is the consumer and customer.

    We should not have to take their stupidity when it endangers our health. They told my local pharmacy that our drugs were mailed on 2-6-2014 and I needed a 7 day supply of Metformin for my husband. The OptumRX did not want them to fill it, because it was too soon - diabetic med not a pain-killer. The local pharmacy did fill it. Today is 2-15-14 - don't have my rush meds yet. But last night, the supervisor told me that he understood all of my problems and he was going to overnight - express and I should have by next Wednesday. What calendar is he looking at?? I am totally unsatisfied. What can we do as a group??

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    Customer ServicePrice

    Reviewed Feb. 15, 2014

    Have had to do mail order for meds in the past but OptumRX is a joke. They have not gotten even 1 of my 16 meds correct. Each has a hefty price tag and I repeatedly dish out to get "gap" refills because of mistakes on their end. Customer Service is pathetic - try to blame doctors and others. They lost a script and tried to even blame me - I had the confirmation number tho so manager didn't know what to do. Get this, said to have doc call into to local pharmacy till eligible for refill from them - seriously? They lose a narcotic and won't replace till next refill date??!!

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    Customer Service

    Reviewed Feb. 14, 2014

    They charged my credit card and then didn't ship the medication. When you call in, you get different answers. Ask to speak with a supervisor, and expect to wait a while.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 14, 2014

    United Health Care is my insurance provider. UHC owns OptumRX. UHC patients are required to use OptumRX for some meds, and in situations of expensive medications the scrips are directed to OptumRX Specialty Pharmacy, which is my case. Other insurers also contract with OptumRX to provide pharmacy services, which is odd, because other insurers are financing profits of their competitor UHC. My scrip was ordered as required by phone through OptumRX on 2/5. It was to arrive 2/10, but it didn't, and my scrip was depleted. OptumRX began to explore the cause for the delay, finding that a UPS label was created, but the order was never fulfilled or shipped. They said they would call me back to let me know what was being done, but they didn't. I called them. The agent couldn't answer my questions, but confirmed that the package would arrive 2/13. He said there was no supervisor he could send me too for an explanation; he was at a call center.

    I called UHC on 2/12 to voice my concern. They denied ownership of the problem. Fair enough, OptumRX is technically a separate company. They transferred me to OptumRX, however, because they're the UHC service provider. OptumRX said I could have my doctor write a gap scrip, fax it in and I pay for my meds. I said that's a hassle and it's not my responsibility--they have the obligation to provide me the scrip, because they're the service provider--further, UHC would deny the claim because they mandate use of OptumRX, so I would have to pay out-of-pocket; and because my employer pays UHC to provide insurance, and in turn I pay a premium to my employer for insurance, so shouldn't have to pay anything except a co-pay because they have already been paid for their services. (I have been down that road twice before and know how that works.) Then they said their fulfillment center is in GA, so there could be further delays because of weather, noting that others have already called to ask about delayed shipments. Neither company wanted responsibility for the problem nor to provide a solution, yet both companies are owned by UHC and UHC forces use of OptumRX--basically saying I was SOL.

    February 13 my scrip still hadn't arrived, so I called Optum RX Specialty Pharmacy for an update. They tracked the package (because they won't provide tracking info to the patients, which is BS as it forces us to call them to track UPS shipping info, while Macy's lets me track my an order of shoes) to find that it was inactive in Georgia due to the winter storm, noting that there is no idea when shipping will resume and that there will likely be further delays due to delivery backlogs. I explained that none of this was my problem. They're being paid to service my scrips, so they had better get some meds to me. It was escalated while I held. The agent then said I needed to locate a pharmacy nearby that had the meds in stock, call back to confirm the location, then they would fax the scrip to that pharmacy, the pharmacy would need to call OptumRX for an override because the claim would immediately be declined by UHC as the scrips are assigned to OptumRX and because records would indicate I had just ordered a 30-day supply eight days prior. Then I would need to provide the pharmacy with the copay assistance codes on-file with OptumRX.

    I insisted the agent remain on the phone with me while I confirmed availability of the meds at my nearby pharmacy. It blows my mind. It's a horrible structure and puts the bonus on the customer to resolve problems directly caused by UHC and OptumRX structures and policies. Why can't we make businesses--these monopolies--accountable? Why can't they fix an internal issue? It is rhetorical, but not. I have nothing good to say about either of these companies, primarily UHC. Notifying my employer of the problem is the only recourse that might produce a result, as my employer annually reviews possible new insurance providers and policies. I hate UHC, OptumRX and OptumRX Specialty Pharmacy.

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    Customer ServiceCoveragePriceProcess

    Reviewed Feb. 13, 2014

    I have never had such a bad experience as I do now that I have Optum Rx. Never. They take forever to process any medication order, including standing refills. I needed medication to be delivered to me in an expedited fashion. I paid extra for an expedited handling only to get a phone call 3 (!) days after placing the order that they were not sure how to charge me. That is after I explicitly told them on my original call I will pay out of pocket since I needed the medication ASAP. Why it took 3 days to call me back just to tell me my rush/expedited/extra cost medications was not even processed is beyond me. I was also told that the medication will be sent over night to me, but will arrive 4 days later! So infuriating!!!!

    Unfortunately I being held hostage with Optum Rx, as this is the pharmacy coverage I have through my employer. What a miserable, unprofessional company. All my previous orders were always delayed, took 10 days to arrive, and there was almost always a problem with processing requiring me to call back and follow up. What is it so complicated to fill a script at Optum Rx??

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    Customer Service

    Reviewed Feb. 13, 2014

    Our company went from using Medco to Optumrx. It is fair to say that it is a tie in regards to if I would rather deal with the cable company or Optumrx. Do yourself a favor and just ask for your call to be escalated. Maybe you will get somewhere! Good luck!

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 13, 2014

    I have used optum rx for several years, back when they were prescription solutions. Maybe they changed their name, but not their tactics. Dec 30, 2013 I went to my Dr for my yearly checkup. While I was there we discussed my meds and he electronically sent renewal RX's so that I could have them refilled when necessary. I had just had them refilled on Oct 27, 2013 & actually had enough for the next few months. Well, guess what? Optum RX filled ALL of the scripts to the tune of $281.77 on Dec 31st. They were shipped to me on Jan 4th, 2014. When I noticed the charge on my credit card I called Optum and was told by a CSR to just refuse the shipment when it as delivered, which I did.

    I have spoken to Optum at least 5 times, being told some excuse each time including "we are having a storm here today and can't help you". Tonight I was placed on hold for 20 minutes and spoke with a supervisor??? Now they tell me I won't get a credit on my card because they did not "approve" my return. This actually happened to me once before, but that time I was told that because I accepted delivery they would not take it back. Their hold message says that due to new medicare rules, as of Jan 1, 2014 they cannot ship meds without patient approval. You think that's why they shipped my meds so quickly? I do. To say that their service is awful is a gross understatement. I agree that they need intervention by an outside agency. They have no idea what customer service means.

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    Customer ServicePrice

    Reviewed Feb. 12, 2014

    New to the system under Medicare Advantage Insurance. Loaded my data into the system. Placed our first order. Received an acknowledgement but no RX. Way after the fact received a boiler plate notice without any information on why or what drugs would not be shipped to the effect the order would not be shipped. Funny but I get all sorts of robo calls trying to up sell me but none when there are problems with an order. I now find that my RX cost are higher than what my in the donut hole prices were from December of 2012. I requested a hard copy explanation... No can do.

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    Customer ServiceStaff

    Reviewed Feb. 12, 2014

    I called to get my prescriptions refilled and they sent it to a different address in Ft Lauderdale! Then I called and asked why they send it wrong and it was an error in their side. After talking to a team resolution manager, she sent out my meds to my address via UPS signature required when I said that I live alone and no one can sign for my package. To make the story short, ups did not drop off my meds. I called again and asked to have my meds picked up at a Walgreens and a rude customer service told me that why I could not drive to UPS to pick up the meds when I could drive to Walgreens!?!? Walgreens is a block away from where I live and UPS service center is 25 miles away!! And I have no car!!

    After a week still cannot continue with my treatment because of the lack of professionalism OptumRX has! I do not know what else to do since united healthcare uses them for specialty meds!! This is frustrating and unbelievable happening in this country!

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    Reviewed Feb. 11, 2014

    Been trying to get authorization for leukemia meds and they keep denying everyone that is submitted. Not sure why united healthcare are using them. Not sure where to go from here.

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    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 10, 2014

    Where do I begin? First, let me say, I am unknowledgeable on why insurance companies and their associated prescription companies have the regulations that they do that make no sense to me. But I have YET to have someone explain them logically to me... Not allowed to refill any prescriptions until within 10 days of running out. It doesn't matter whether it's a restricted drug or not. They appear to be afraid that I will start my own side business of selling things like Amlodipine Besylate (a COMMON, GENERIC, CHEAP, blood pressure medicine AKA Norvasc).

    If I want to fill/order more than 30 days of medicine at a time (and have insurance pay for it), I must order it through their mail order. I cannot go to any other pharmacy and fill out a 60 or 90 or 120 day prescription. It doesn't matter what the medicine is... And that is their FAVORITE come back by the way, "You can buy the medicine yourself if you want/need it, sir." I pay for insurance for a reason **. Of COURSE I'm not going to pay full price for it. Not CVS, Walgreens, Walmart, Kroger, etc. etc. It takes almost always AT LEAST 7 days for meds to be delivered. Keep in mind you can only submit for a refill WITHIN 10 days of running out of meds. You can overnight medicine, but of course that is an extra $15 and I believe PER med... Yes, even though they will be delivered in one package, it's $15 each. (I may be wrong on this last part because I refuse to give them extra money but from what I've read elsewhere online, it is true).

    If you decide to only get your medicine at a different pharmacy (and thus only 30 at a time mind you), and you ask for the generic, it MAY be the SAME price as the name brand UNLESS you order it through their mail order and THEN they will give it to you at the reduced copay (in my case $60 if not purchased through them and $15 if purchased through them). If it is a restricted substance, you must MAIL the HANDWRITTEN prescription FROM your doctor to them. Then it has to get reviewed/processed. Then it gets sent to you. Good luck getting all of THAT done within 10 days...

    If you do get your prescription off in the mail, you better hope your doctor hasn't changed the prescription in ANY way. Not brand, not dosage, not # of times per day, NOTHING. If so, then they sit on it while they wait to speak to your doctor on the phone directly by sending a request for the doctor to verify the prescription. Never mind that they have the ACTUAL prescription written on the Dr's ACTUAL prescription paper (which is special paper BTW), in his ACTUAL hand writing, that you MAILED directly to them, that is still not good enough. When you call to speak to them about why it's taking so long to get your medicine to you they say, they will take care of it and overnight it to you but don't expect it to happen. Not even if they say it the SECOND day you call, nor the THIRD day you call, nor the FOURTH.

    It doesn't matter what your Dr says or prescribes, this company can and will do whatever they want. I'm assuming they have Dr's on staff so that it's not illegal under the law, but in reality it is illegal. Or of course you can choose to pay full price for your medicine and they'll gladly just take your insurance money for nothing... They truly don't care about their customers.

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    Staff

    Reviewed Feb. 7, 2014

    My husband has the rare condition of Trigeminal Neuralgia. For 19 years, he has been suffering from this horrible condition and had to take early retirement at the age of 56. In 1999, he had the alcohol block. In November 2001 when medication didn't help, he was hospitalized for a week and was on morphine. At the end of that week, he had the Gama Knife procedure. For two months afterwards he was totally disabled from pain until he was given a combination of 1800mg of Carbatrol and 1200mg of Lyrica daily. This combination just controlled the pain. Through the years, he was able to reduce the Carbatrol/carbamazepine to 600mg and Lyrica to 900mg daily. He has been trying to reduce the amount of his meds on regular basis but so far has not been able to.

    Now the problem is: the 900mg of Lyrica exceeds the allowed amount of 600 mg daily and requires prior authorization. This has been happening only for the last 3 to 4 years. This year his doctor has appealed twice and the request has been denied. My husband's case was supposedly reviewed by a doctor. Was he a neurologist/neurosurgeon that has knowledge of TM? That wasn't stated. It is a travesty when doctors can not treat their patients to the best of their knowledge and ability! Not only is my husband refused the dosage that is effective to control his pain, they disallow the Lyrica altogether for his TM condition. Wishing each and everyone of these people to have a taste of TM themselves.

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    Customer ServiceStaff

    Reviewed Feb. 7, 2014

    My psychiatrist an MD... Prescribed generic Adderal 30 mg 3 times a day as needed. I had to go through approval process as did my doctor. Was told by Optum Rx that they would only approve 2 times day... My doctor called himself and explained how serious my ADHD ADD was. Still they would not approve. A doctor prescribes a medicine he deems necessary and Optum Rx idiots doesn't give a crap!!!! Customer service rude and totally uneducated. This company needs to be reviewed by medical board and put out of business!!!!!! They have given me nothing but stress not only this medicine but others as well. So now I pay out of pocket which I am more than happy to do if it means I don't have deal with wannabe educated people!!!!!

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    Customer Service

    Reviewed Feb. 5, 2014

    I am a physician, and was hoping to use the website since last summer to prescription prior authorizations (the entire practice should be outlawed as it exists solely as a roadblock to prevent proper prescribing). Although Optum touts its website as an easy way to submit prior authorizations, it has never worked properly, has a myriad of ridiculous menus and steps which don't make any sense and crashes/fails without allowing you to save any of the information. Emailing tech support invariably results in "we're working to fix it as quickly as possible" but no actual changes. Either Optum is inept or invested in making sure the site is as clumsy as it possibly can be - after all, they have zero vested interest in making prior authorization process easy on doctors and patients!

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    Customer ServicePriceStaff

    Reviewed Feb. 3, 2014

    In November 2013, my doctor's physician assistant inadvertently sent in the wrong prescription for a nasal spray. When I received it, I didn't even know what it was. It cost $105, rather than the $5 my regular nasal spray prescription cost. I called OptumRx and they said the doctor would have to send another prescription, which she did, and I eventually got the correct nasal spray. However, OptumRx will not remove the wrong prescription from my account, nor will they refund me for this drug that I don't take and, therefore, I am going to get all my drugs locally from now on. In addition, even when I pay expedited to have a prescription mailed to me, it takes 10 days to get here. Terrible customer service, unconscionable company. Don't do business with these people. Have filed a complaint with United Healthcare.

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    Customer ServicePriceStaff

    Reviewed Feb. 2, 2014

    Ordered 2 of my hubby's anti-rejection medications on 1-6. 90 days’ worth of one arrived and only 30 days of the other. After talking to OptumRx they told me that all they could send of any anti-rejection med is 30 days. I said I received one for 90 and this one only 30 but you charged 90 days’ worth for both. Their response, “because we can”. After calling United Health care who said I was right and 5 subsequent calls back to OptumRx, I have been told again today to call back tomorrow because there is a hold on it. Again it's already been paid for but my hubby is running out of those meds. 3 calls ago the customer service agent hung up on me... I'm at my wits end with this company. Maybe we should get a class action lawsuit going? I see enough complaints on here!

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 2, 2014

    My doctor faxed in my RX on Jan. 10. It is now Feb.1 and I have not received it. I have called Optum RX every day since Jan. 28 because I am out of pills. I was told it had been shipped and they gave me the tracking number and told me I was on my own to track it. I have been "tracking" it every few hours ever since that date. Apparently it's hanging around Kansas. Unfortunately, I live in Atlanta, GA. When I spoke to customer service I was told to personally go down to my post office to see if they could look for it. Are you kidding me??? Tomorrow is Sun., so add 2 more days without meds...if then. DISGRACEFUL!!!!!!!! Unfortunately this is not the first time I have had problems with timely deliveries by OptumRX. I wanted to give them a second chance. I'll never use them again, and I hope AARP sees these comments.

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    Customer ServiceCoverage

    Reviewed Feb. 1, 2014

    This is a follow-up on my previous posting. OptumRx switched my prescription to a Canadian manufacturer. I nearly died. Now the update. Please read the write up in the March "Consumer Reports". Canadian drugs are not covered by FDA inspections in the US (This explains why my complaint to the FDA was never followed up). Canadian drugs shipped to the U.S. are not inspected in Canada. Immediate conclusion: Cheap, possibly dangerous, drugs. Bottom line: You have no idea what you are getting from Canada and you, or your survivors, have absolutely no recourse. BTW, OptumRx's excuse for customer service (sic) still stinks.

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    Customer Service

    Reviewed Jan. 29, 2014

    I sent in on 12/19/13 new prescriptions to be filled. On the form I checked hold script until ready for filling. Called today 1/29/14 to have them filled only to be told, OOPS must have gotten lost in mail. They don't have them. When I asked to speak to a supervisor, it took 16 minutes for me to be on hold only to have the female supervisor (didn't catch her name and she would not repeat it) to tell me she couldn't help me, she doesn't do that and when I started to rant that I had been on hold for 16 minutes only to find out she can't help me, she simply hung up on me. You have to be kidding. These people expect that you can just run back to the dr., pay for another dr. appt, to have the dr. write new prescriptions. No way - we will find another avenue to fill these.

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 28, 2014

    Ordered + paid for on 1/11/14. Called 5 times, was told everything ok. They called back to confirm. Called again, was told order hadn't been shipped but would overnight it. Two days later called again, order still there, promised to overnight it. Now 4 days later, still no pills, called United healthcare. They called optum, and were told various lies, and pills were shipped UPS with a tracking number, should receive order by Feb.3rd. All this time no pills. This is the last order I will place with optum rx. Can go to local pharmacy for prompt courteous service, a little more money and peace of mind. My advice to anyone, don't use optum rx!!

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    Customer ServiceReliability

    Reviewed Jan. 25, 2014

    I was forced in November 2013 to go through Optum RX mail order service to receive my specialty pharmacy anti-rejection medications. I have had nothing but problems since to the point of major stress and illness. I have spent hours on the phone with extremely poor customer service and only delay after delay in receiving my medications. I continue to contact my insurance provider to complain and have had to have my meds over written so I can pick up them at a local specialty pharmacy because I have ran out of them and cannot go without them.

    I was told in January that there were delays in me getting my meds because I had an overdue amount owed from November. After much argument and being placed on hold for lengthy periods of time, I was told that it was paid in November and that in December $1 was taken from my account instead of $100 and that I had to pay the balance immediately or no scripts would be filled. I told Optum if my memory served me correctly I had to purchase my meds at a local pharmacy because I did not receive them in December. Optum still told me I had to pay the balance. I told them to take it out of my account immediately so there would be no delay in receiving my meds.

    I then placed an order on Jan 15th after over an hour on the phone being told my insurance denied the claim and it had to be overwritten and transferred to another dept for them to try to double charge me. I was told I would receive them on Jan 17th. As of Jan 26th have still not received them, been told due to a medicare check that pushed it back 2 days, told due to weather. This has got to be the most unreliable source for receiving medications that are life saving.

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    Customer Service

    Reviewed Jan. 24, 2014

    My husband and I changed his retirement medical insurance to United Health Care and now have to order prescriptions through OptumRx. To date, we have received zero customer service and extremely SLOW response to requests for prescriptions to be filled and mailed. I have received two "robo" calls to verify that we ordered my husband's meds, and when I respond by pressing 1 to verify my identity, the call simply loops around and repeats over and over again. Our physician is having to call in emergency supplies to "hold him over" until OptumRx mails the prescriptions ordered. If these meds were a matter of life or death, I would be a widow.

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    Customer ServiceStaff

    Reviewed Jan. 24, 2014

    Ordered a refill on my pills. Called when 15 days (or so) passed and was told to contact my post office and find out what happened then call OptumRX back. Found this unacceptable, asked to speak to a Supervisor, waited 1/2 hour during which time I looked up online the tracking number and learned that my pills were in South Dakota. After this 1/2 hour of waiting for a supervisor, I told the clerk to have someone call me back - NO CALL BACK - are you surprised? Called the next day, started all over, waited and got a supervisor, got Melissa, who told me she would send me 10 pills and I should call back if my 90 pills did not arrive when I was down to 10 pills. The 10 pills arrived, when I was down to 5.

    Got her voice mail so I ended up calling her at 8 AM and Noon. The message did not tell me she was not in the office but I assumed she was out. Called the 877# again, reached Texas (Melissa was in Florida) and once again started my saga. Apparently, "Brie" found notes in the computer but either she is slow or your computers are extremely slow. I needed to explain everything again after I could not be switched to a supervisor!!! I had to wait until Brie got permission to send me my pills! Melissa called me today and told me my pills were send UPS and I would get them on Monday. She told me she was out yesterday and I told her that could not know that from her voice mail. When I was working my voice mail message explained I was not in the office if I was out. Might be good to start that practice, not that anyone gets a direct dial very easily.

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    CoveragePrice

    Reviewed Jan. 22, 2014

    This year I found out that two of my tier 3 medicines are no longer the $50.00 co-pay after the deductible. They are $178.92 and $119.90. Needless to say that I will not be getting those meds. I thought about asking my doctor to change my medicine to something that I use to use with a co-pay of $10 but now that would cost me the full price of $494.00. This insurance is horrible and one of the two medicines come in generic but I am allergic to it. I don't understand how one goes from paying co-pays of $10 and $50 to hundreds of dollars. Something is very wrong here.

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    Customer Service

    Reviewed Jan. 22, 2014

    In December I put in my first order at OptumRx for Insulin and other medications. This order was for January. I talked to an agent and told her I usually get 3 bottles of Humalog insulin a month. So I ordered a 3-month supply which I should have gotten 9 bottles of insulin. I usually get 3 bottles of insulin from CVS pharmacy for $45 a month/tier 3. When I got my order I received 3 bottles of insulin for 3 months which is not nearly enough. I take 4 shots a day. I called OptumRx and was told this is what my doctor ordered. I called my doctor and told her a mistake had been made and she called OptumRx to have them send the rest of my order which they refused to send without another payment. I was told in order to get the other 6 bottles of insulin I would have to pay again. My insulin is really high and because I also use Lantus I was told my next order would put me in the donut hole. So now I have to skip dosages in order not to run completely out. I don't know what I am going to do. I am really angry.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 22, 2014

    OPTUMRx is a terrible mail order drug company. I called early in the month to get approval to have my prescriptions sent a few days before they were eligible for refill because of vacation plans. I waited on the phone for a long time before a supervisor could approve the refills. Called 10 days later and they had just mailed them rather than when they said they would mail them out. Waited a half hour to talk to a supervisor and they would not help in anyway. I wanted them to sent me an emergency week supply overnight to cover my supply until I returned from vacation, but they would not do that. It sounds like they only have one person taking calls and one supervisor.

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    Customer ServicePrice

    Reviewed Jan. 21, 2014

    My doctor sent in a prescription in December. In 3 weeks, I was given 3 explanations as to why it was not filled. Then it sat unfilled for another 2 weeks. This is a common drug: generic **, #30, at 5 mg that I needed for a month of international travel. I called. I was told it could not be filled because of the date even though I had not used this drug for 3 years. Then I was told it was the price, $185.00 then I was told the price was wrong, and all along many calls, waiting on hold, transfers. Then customer service could not even find my account. I was called back but no answers. I asked to be called back after 2 calls and over an hour in one day. I was not called back. The prescription price then was lower at just over $140 but still no order processing.

    I then gave up, and now one month from the time it was ordered, asked my doctor to call it in to my local pharmacy. I got it in less than a day and my co-pay was $6.31 so obviously OptumRx messed up the order, my account, and the pricing. I had to try twice to cancel this order but am still not sure they got my cancellation. This is not the first time I have had complex problems with simple prescriptions with this provider. At a minimum they should have contacted me. And then, no customer service! I use OptumRx as part of a Medicare Part D under AARP "preferred" plan. I will change it as soon as I can but until then other consumers should be aware.

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    Reviewed Jan. 20, 2014

    This mail order service is simply horrible. I order my refills in a timely manner and many times there is long delays in getting shipments out with no explanations. I ordered three on Jan. 6th and never heard a word from them. Called today and was advised they will ship today 14 days later. Needless to say I am out of my meds. Mail order savings doesn't mean much when you can not rely on a timely refill. I will direct my DR to send my subscriptions to a local pharmacy. This place could care less.

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    Customer Service

    Reviewed Jan. 19, 2014

    Optum rx should be training their reps more extensively. There is a system there that sends meds to obsolete addresses...The system never tested out right. The supervisors needs to get more involved. When you ask them to take a supervisor call, they run the other way. I suggest people go locally because you will never be satisfied with optum. However the company doesn't really care because they can get companies to use their service..people and companies should be more diligent with this company as with a lot of companies. It's like handing your baby over to a stranger and hoping it all works out.

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    Customer Service

    Reviewed Jan. 16, 2014

    This is by far the absolute worst and disorganized company I have ever dealt with. My doctor has been trying to get a dose increase for my migraine medicine for 2 months. I finally got the letter that they approved my request and found out that they actually decreased my dose! Each time I called with my Dr on the line I was told something different about my benefits. STAY CLEAR OF THIS COMPANY!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 15, 2014

    I truly believe that these guys should be reported to the Attorney General as they are thieves and liars. My situation is strangely similar to other posts in that we had moved, and OptumRx had two addresses on file and sent our prescription to the old, incorrect address. As this is a vacant house, delivery was not made. I called and talked to a customer service representative who said that they had to wait until it was returned back to them and then they would reship. This was on December 6th. Two weeks later, still no delivery.

    I called back, was placed on hold for 20 minutes while my CSR contacted a supervisor and was then informed that they would overnight the prescription. Waited a week, still no delivery. Called back. I was informed that they sent the delivery overnight back to the incorrect, old address!!! She again contacted a supervisor who said they would overnight the prescriptions again to the correct address. Waited another week and still no delivery. Called back today and they said it was my fault they sent it to the wrong address and there is nothing they could do. They did, however, cash the $250 check.

    So now an 86 year old Korean war veteran does not have his medication, is out $250, and this company basically said tough luck. Then to add insult to injury, she claimed that there is no record of them ever agreeing to reship the product overnight even though I had talked to 2 different CSRs who promised delivery on two separate occasions. This company is criminal. Do not use them if you have any choice.

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    Customer ServiceStaff

    Reviewed Jan. 15, 2014

    I just spent 50 minutes on the phone with OptumRx and I have to say that this was one of the worst customer service calls that I have ever experienced. (I never post about bad experiences, but in this case I couldn't help it.) First, my Dr. called in my prescription in Dec 2013 and since I had moved, they provided my new address. My new address was on my account with UHC and OptumRx, but they also had record of my old address. So they did not ship my medication out although I received an email stating that it had gone out. Then two weeks later, I finally get a call from OptumRx wanting to verify my address. I verified my address and they stated that my shipment would be expedited.

    Jump ahead now another two weeks and I log on and track my shipment. UPS claims their driver couldn't find my address (but I get mail and other shipments without issue all the time) and that they sent a post card! (Now this is a UPS issue.) OptumRx solution was for me to contact my Dr. and have them send another prescription to a local pharmacy. Hmm, there is a reason that I use mail order medications and it is so I don't have to do that. I finally got to speak to a supervisor and they are expediting my shipment via USPS. The fact that I had to ask to speak to a supervisor and then ask for the resolution is ridiculous. I would think that a company that deals with sending individuals medications would be more on top of it than this.

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    Customer ServicePriceStaff

    Reviewed Jan. 14, 2014

    I believe OptumRx is owned by United Healthcare (UHC) and in many cases, UHC subscribers have to go through OptumRx for their prescription. Having done business with OptumRx not by choice, but because I am with UHC, I have spend days dealing with what I feel are poorly trained employees who are part of what appears to be a poorly managed company. I think the concept of mail order pharmacy is terrific, the only problem is the service and tactics used by this firm. In my opinion, it's horrible and probably one of the worst managed companies in America, if not the worst managed company. I hope they turn it around because the services they provide are valuable and with proper use of technology, they can get their act together. In the meantime, I think it's best to file a complaint with your State Department of Insurance, they are forced to answer and the more complains they get, the more likely the issues they have will get fixed since these regulatory complaints cost them money and time to handle. Many states have online forms and it makes it easy to file a complaint.

    I hope OptumRx is reading this, my message to you is, I think based on complaints on this site and many other sites online, it appears your share of complaints is significant. There are things you can put in place to improve you delivery and stop these complaints. But my experience is, after 5 years, not much has changed. Here is my advice for fixing your problems:

    1. Do better job training your employees, I can tell many of your staff do not appear to very knowledgeable are able to deal with issues. They seem to go by a script rather than use their own brains on solving issues.

    2. Invest in better technology, your reminder system seems to fail all too often and for a very long time now, have a staff of people make phone calls (even if it's outsourced at low cost overseas) if someone's prescription is past due, the investment in this staff will be well worth preventing future problems.

    3. Add Mobile Phone Apps, this can save a ton of time in customer service issues.

    4. If the same CEO has been there for years, perhaps it's time for a new CEO who has a track record of success in dealing with problems.

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    Reviewed Jan. 14, 2014

    I am so disgusted with this company that it angers me to write about it. They received my prescription ever since December 17 and today is January 13 and I have yet to receive it. Between the two week processing time and the complete incompetence of UPS my colitis is active and once again sending me to the doctor. The mail order model for prescriptions is very dangerous in a circumstance like mine. I will not be using this company ever again!!!!

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    Lisa increased rating by 3 stars.
    CoverageStaff
    After a positive interaction with OptumRx, Lisa increased their star rating.

    Reviewed Jan. 10, 2014

    Took my son to the Dermatologist for problem of acne. The doctor subscribed an oral medication & a topical for Epiduo. Gave me 2 discount cards that I shouldn't have to pay more than $25 for each. Went to Walgreens to pickup the prescriptions and was told they were denied by United Healthcare OptumRx, which I really don't understand because I had discount cards for them. Called the doctor's office, got two new prescriptions, generic brand - called the pharmacy. The generic oral medication was fine. The topical gel was denied, again. Called United Healthcare. They had ONE topical gel in their list that was approved. ONE? Really? I asked the representative why this is so hard to get a prescription filled for my son. Don't the doctors know what they can prescribe based on the insurance? I was told NO the doctors won't be able to find out what's covered.

    So apparently it's up to us now to what look through a long list of medications and find out what they cover? That's ridiculous - we're NOT doctors, we don't know what drugs we're looking for. Oh and by the way, my oldest son is now going to have trouble when his medications need to be renewed because they are NO LONGER COVERED. NICE. THANKS SO MUCH UNITED HEALTHCARE!

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com