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OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

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


Visit www.optumrx.com/en

OptumRx Reviews

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    Page 17 Reviews 2180 - 2330
    Customer Service

    Reviewed July 10, 2015

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

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    Coverage

    Reviewed July 9, 2015

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

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    Reviewed July 8, 2015

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

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    Customer ServiceStaff

    Reviewed July 8, 2015

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

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    Customer ServicePriceStaff

    Reviewed July 7, 2015

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

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    Customer ServiceStaff

    Reviewed July 7, 2015

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

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    Price

    Reviewed July 4, 2015

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

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    PriceStaff

    Reviewed July 4, 2015

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

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

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    Customer Service

    Reviewed July 3, 2015

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

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    Customer ServiceCoveragePriceStaff

    Reviewed July 1, 2015

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

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

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    Punctuality & SpeedStaff

    Reviewed June 30, 2015

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

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    Customer Service

    Reviewed June 29, 2015

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

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    Customer Service

    Reviewed June 27, 2015

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

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

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

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    Reviewed June 25, 2015

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

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    Staff

    Reviewed June 23, 2015

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

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

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    Customer ServiceStaff

    Reviewed June 19, 2015

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

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    Customer Service

    Reviewed June 18, 2015

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 17, 2015

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

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

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    Customer ServiceStaff

    Reviewed June 16, 2015

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

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    Customer Service

    Reviewed June 15, 2015

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

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    Customer ServiceStaff

    Reviewed June 14, 2015

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

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

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    Customer ServiceSales & MarketingStaff

    Reviewed June 13, 2015

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

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

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    Reviewed June 10, 2015

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

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed June 9, 2015

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

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

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    PriceStaff

    Reviewed June 8, 2015

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

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

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    Customer ServiceStaff

    Reviewed June 4, 2015

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

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

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

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    Customer Service

    Reviewed June 4, 2015

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

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    Customer Service

    Reviewed June 4, 2015

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

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    CoveragePrice

    Reviewed June 2, 2015

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

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    Customer Service

    Reviewed June 1, 2015

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

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    CoveragePrice

    Reviewed May 27, 2015

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

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

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    Online & App

    Reviewed May 23, 2015

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

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    Customer Service

    Reviewed May 22, 2015

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

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

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    Customer ServicePriceStaff

    Reviewed May 22, 2015

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

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

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

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    Reviewed May 21, 2015

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

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    Customer Service

    Reviewed May 20, 2015

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

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    Customer Service

    Reviewed May 19, 2015

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

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    Verified purchase
    Customer Service

    Reviewed May 19, 2015

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

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    CoverageStaff

    Reviewed May 18, 2015

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

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    Punctuality & Speed

    Reviewed May 16, 2015

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

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

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    Verified purchase

    Reviewed May 12, 2015

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

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    Staff

    Reviewed May 12, 2015

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

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    Online & AppReliability

    Reviewed May 10, 2015

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

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    Price

    Reviewed May 10, 2015

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

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    Customer ServiceStaff

    Reviewed May 6, 2015

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

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

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

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    Verified purchase

    Reviewed May 1, 2015

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

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    Reviewed April 29, 2015

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

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    Customer ServiceCoverageStaff

    Reviewed April 28, 2015

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

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

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    Verified purchase
    CoveragePriceStaff

    Reviewed April 25, 2015

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

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    Customer ServiceStaff

    Reviewed April 24, 2015

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

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    Staff

    Reviewed April 21, 2015

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

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    Customer ServiceStaff

    Reviewed April 18, 2015

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

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    Reliability

    Reviewed April 17, 2015

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

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    Customer ServiceStaff

    Reviewed April 17, 2015

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

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    Verified purchase
    Customer ServiceStaff

    Reviewed April 17, 2015

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

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    Customer ServicePriceStaff

    Reviewed April 15, 2015

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

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    Customer Service

    Reviewed April 15, 2015

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

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

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

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed April 15, 2015

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

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    Verified purchase

    Reviewed April 11, 2015

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

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    Contract & TermsPunctuality & SpeedStaff

    Reviewed April 8, 2015

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

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

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    Customer ServiceStaff

    Reviewed April 7, 2015

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

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    Reviewed April 7, 2015

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

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    Verified purchase

    Reviewed April 7, 2015

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 6, 2015

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

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    Punctuality & Speed

    Reviewed March 28, 2015

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

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    Customer Service

    Reviewed March 27, 2015

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

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    Customer ServiceStaff

    Reviewed March 26, 2015

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

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    Customer Service

    Reviewed March 24, 2015

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

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    Verified purchase
    Customer ServicePriceStaff

    Reviewed March 24, 2015

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

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

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

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    Verified purchase
    Customer ServicePrice

    Reviewed March 22, 2015

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

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    Reviewed March 19, 2015

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

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    Verified purchase
    Customer ServicePunctuality & SpeedStaff

    Reviewed March 19, 2015

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

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 18, 2015

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

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

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

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

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

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

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

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

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

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    Customer ServiceStaff

    Reviewed March 15, 2015

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

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

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

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    Customer Service

    Reviewed March 14, 2015

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

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    Customer ServiceStaff

    Reviewed March 13, 2015

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

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    Customer ServicePrice

    Reviewed March 12, 2015

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

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

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    Customer Service

    Reviewed March 11, 2015

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

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

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    Customer Service

    Reviewed March 7, 2015

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

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    Customer ServiceStaff

    Reviewed March 6, 2015

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

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    Price

    Reviewed March 5, 2015

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

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    Sales & Marketing

    Reviewed March 5, 2015

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

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    Reviewed March 5, 2015

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 4, 2015

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

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

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    Customer Service

    Reviewed March 4, 2015

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

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    Customer ServiceCoverageStaff

    Reviewed March 4, 2015

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

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

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

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    Customer ServiceStaff

    Reviewed Feb. 27, 2015

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

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

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

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

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    Customer ServiceCoverageStaff

    Reviewed Feb. 26, 2015

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

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

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

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    Customer ServiceInstallation & SetupStaff

    Reviewed Feb. 26, 2015

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

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

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    Customer ServiceStaff

    Reviewed Feb. 25, 2015

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

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 25, 2015

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

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

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

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    Customer ServiceCoverage

    Reviewed Feb. 23, 2015

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

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    Customer ServiceStaff

    Reviewed Feb. 23, 2015

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

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

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    Verified purchase

    Reviewed Feb. 21, 2015

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

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    Customer ServiceStaff

    Reviewed Feb. 20, 2015

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

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

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    Customer Service

    Reviewed Feb. 14, 2015

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

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    Customer ServiceStaff

    Reviewed Feb. 13, 2015

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

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    Verified purchase
    Customer Service

    Reviewed Feb. 13, 2015

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

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    Customer Service

    Reviewed Feb. 12, 2015

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

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

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

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    Customer ServiceStaff

    Reviewed Feb. 12, 2015

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

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    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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    Verified purchase

    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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    Verified purchase
    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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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com