OptumRx Reviews

Stay clear from this business. Doctors are fair but all other support staff are horrible. If and when you have a problem there is no clear method of resolution. No one knows who is in charge.

OptumRx has had me in a runaround for four months on a prescription. At first they tell me to submit document A. Doctor submits document A. Optum claims never to get it. Doctor resubmits over and over until finally Optum says they have, but now they also need this other information...call it document B. Doctor submits that. Optum claims not to get it several times and doctor resubmits several times until finally I talk to Optum and they tell me, yes they have the information and it is being forwarded to appropriate department. I wait three weeks and contact Optum who now tells me they never got document A or B and they expect me to start over. Keep in mind, it took me three plus months...20-30 phones calls, online chats to get to the point where they told me they needed document A and B.

On Monday morning, May 18, 2026, I confirmed with OptumRx that my prescription order was cancelled. However, at 4:07 PM that day I received a notice from OptumRx telling me my order was shipped! The company is incompetent!

My husband's company Zebra decided they were going to change our prescription from Express Scripts to OptumRx. Now, since January and I'm in the end of May, now I have had two separate conference calls. One of them was four hours long because they couldn't figure out how to get my prescriptions to me for the Zepbound. And then I had to talk with the insurance company and the calibrate app, all because they want us to jump through these hoops. To get a prescription covered to give false information on the outcome. On how long the weight loss lasts? It's all lies, and when you try to get a hold of these people.

The worst pharmacy in the world.. complete idiots.. the app says ready for refill but it won’t allow it so you have to call and waste an hour of your life screwing with these idiots, who won’t use the generic version.. nothing but problems with these idiots.. will not be using them again ever. Never had a problem with anyone else..

Optum Pharmacy???? Don't use them. They are awful. They keep sending refills too often. I have 3 prescriptions with 90 day dosage. Every time I look up here comes another shipment to me. Maybe milking insurance???

Updated on 05/13/2026: So - let's follow up to the review and post of yesterday! Against all possible odds, the company has made it worse and dug their own hole deeper! Don't get me wrong, I was assigned a specific, case worker I guess you would call her, after my prior post... and same as all others, talked a big game... I'm so sorry, here is my direct phone number, call me with problems, etc. etc. etc. Let's get this to the very bottom line... Since my medication is considered "specialty", because hey, let's face it having MS is no joke nor easy, why would they consider the medication to treat anything but "Special" just so that they can charge more money for it, but I digress...

I have been a customer of OptumRx for decades and so disappointed how difficult it is trying to reach a real life representative! You are transferred from one department to another all managed by Robo answering techniques. It could take over 15 minutes to a half hour just to speak to a live person and forget about the chat system online. That’s another joke.. Very disappointed.

I have nothing against the reps I have talked to, they’ve all been wonderful. It’s with the actual Optum Pharmacy. They have issue with ever single RX that gets sent and it ends up causing significant delays. I take an extended-release product twice daily and have for years. It is normally dosed once daily however it can be dosed twice daily. What does their pharmacist do—no message or reach out, just doesn’t bother to fill it until I run out. I call and stated, well, this is a new script—yes, but it’s the same member ID so your system can show I have paid claims for this medication and frequency for 2+ years. I had to get my electrophysiology office to physically call them and had to pay Out of Pocket for a supply until it was delivered. Then recently, was an issue with my OCP. I skip my 1st two placebo weeks—so basically go through 90 day supply in 10 weeks and was getting too early to refill.

I wish that I could rate them negative zero. They took my money and didn't send prescription to pharmacy. They had the audacity to ask me to get my pharmacy to call them. There is no option to send your prescription to your pharmacy on their website. I would not recommend them to anyone.

In all my decades of having medications filled, this Optum Home delivery is THE ABSOLUTE WORST pharmacy I HAVE EVER TRIED to use! Unfortunately, my UHC health insurance app kept advertising this place as having my prescriptions 70-80% less compared to my local pharmacy. I thought it was too good to be true, so I ignored the advertisement until my regular pharmacy kept going up on their prices. So I broke down and decided to give this place a try and boy, I tell you, it was the absolute worst mistake!

Takes forever and you have to wait on hold at least 30 minutes to refill your prescription every single month! Poor customer service.

Absolutely horrible company. It’s almost impossible to get refills on certain medications even though they’re covered under my plan. They need to be investigated.

HORRIBLE COMPANY!! I have talked to them at least 20 times within the last 2 weeks. Every time I call they can't find my account. Then they say I have 2 accounts and they are going to merge them. They took my Sempre discount card and I am supposed to pay $25 copay. I gave them my bank card and they tried to charge $150 copay to my bank without me agreeing on this charge. I called them and speak to someone different everyday. My medicine was supposed to arrived no later than 4/29 and here I am without medication. They say I do not have a refill.

This has to be the worst rx company I have ever dealt with, my father has COPD and OPTUM wants to find out what medicine he took 9 years ago so they don't have to send him his current medicine. They want to give you the run around and tell you your medicine is in the mail, when it's not and has been denied. He needs this medicine to breathe and almost every time he goes to fill his script they find a reason to deny him, EVERY TIME. I watch him suffer and not be able to even walk because he is afraid he will need his inhaler that they refuse to send him. If you can do not deal with this p.o.s. company.

Blue Cross Blue Shield SC makes me sign up with them. Now I never know where my medication is. I consistently miss my Blood Pressure Medication. I don't understand why you can't leave something alone. If it isn't broke, don't fix it. Shame on BCBSSC. I don't see the point of it. Just let me go to the pharmacy like I always have.

I am a healthcare provider and appalled at how terrible the experience has been trying to get a medication I have been on for 23 years covered (Synthroid). I tried one of their formulary meds that is covered (cannot do another because it often contains an ingredient I am allergic to) and have been suffering for weeks with side effects and they still refuse to cover Synthroid or another formulary. Countless hours have been spent on communications with the doctor, them, they often don't receive the faxes from the doctor...a nightmare. I would give them 0 stars if I could. DO NOT SWITCH TO THIS COMPANY if there are specific meds you need.

I have had access to OptumRx for over 8 years and never attempted to use their services until now. Approximately 2 weeks ago a prescription was submitted and as of today not received. Upon inquiring as to the whereabouts of my prescription I was told that it is in "Profile," and the agent could have the prescription refilled. This was my second inquiry about where the medication was since I had not received it. When told today that it could be REFILLED when it was NEVER FILLED, I asked that the order be canceled. I will never use OptumRx to fulfill my medication needs again.

Do not use if you don't have to! I had a med for over 10 years. I'm 30 and diabetic type 1. They declined my insulin meds all 3 of them and wanted prior authentication then declined it 3 times. My poor doc office had write letters.. 3x and all declined. I have been without meds for 6 weeks. This is not a joke. I'm not paying out of pocket for my meds over 1k a month. This is the worse rx insurance ever dealt with and the customer service is really bad. They don't care and not intelligent?!?! I'm type 1 diabetic if I don't take my meds I can die. This is no joking matter. All the explanation they gave me why my meds is not covered is all bull crap and not justified. I'm in health field ever since was 16 and never heard of this blatant irresponsible insurance!!! I have went to the er x2 due to them not approving my meds. But I have to pay out of pocket because they don't cover my meds is total BS!!! It should be criminal.

This pharmacy is the WORST. We are required to use them with our insurance and I HATE it. They make everything more complicated than it needs to be. Their customer service is worthless, and can't help with anything you need help with. They refuse to fill scripts when the Dr. sends them when you are changing medications until you "finish your old medication". I am a Type 1 Diabetic and HATE using them. I do everything I can to try and get my stuff filled locally because I can't stand dealing with Optum. They keep trying to place an order and charge me for a medication that I no longer take. I have called numerous times to have the order cancelled and the med removed from my account, and still continue to get "order placed" emails.

This is the worst one to deal with. My meds were stolen, and they know that, and I went through all I had to do to get them resent. They never sent them, and the people who work there do not let you get a word in edgewise. I will never get to use this place again. They are nothing but **.

Ordered my med on 4/20. Called in on 21st to be sure it would be shipped to me by 4/26 and told yes. Called in the afternoon of 22nd, med had not been shipped. Agent suggested I switch my script to local pharmacy, I agreed. On the 23rd, no script transferred, Called in spoke to a knowledgeable agent, he transferred script to CVS. Used CVS specialty, received med the 24th, no cost for expedited shipping. Why didn't Optum rep just do expedited shipping for my order which would have been $20 charge? never offered choice. I am sticking with CVS specialty pharmacy, instantly took care of what I needed, had drug the next day, no extra cost. Wasted time with 2 out of 3 agents who were not helpful at Optum.

Our insurance (UHC) wants us using Optum RX home delivery. Every single script we have tried to facilitate through them has been a trainwreck at best. My husband needed his eye meds and had to go over a month without them till Optum figured out how to get it preapproved through the insurance company that owns them. I take a med that I HAVE to have daily. I spent time 3 weeks prior to, making sure it was in the queue and everything was approved and explained. I needed to ensure I would have it in a timely manner.

They are the worst I've ever dealt with. They keep delaying your coverage for your prescription by closing prior authorizations from your provider saying they need more information from him. Then they will not cover the prescription unless you appeal the closure of said authorization. I have never heard of anything so ridiculous before. They must receive some hefty bonuses to find any excuse they can to hold back coverage.

This company is TERRIBLE! Worst prescription company I’ve ever dealt with. They make it extremely hard to get your medication no matter what you do or what your doctor says. They do not communicate, you have to check your account and follow up every single day. They deny your prior authorizations even though they are not doctors and want access to your private doctors notes, which is against HIPAA policy. Absolutely the worst.

I see what Optum's scheme is now. I have Optum RX as a "benefit" with my employer's health plan. The drug manufacturer's discount plan I was utilizing for my diabetes medication ended, so I contacted Optum. They were like "Sure, we'll fill it and it will only cost $ for 90 days". Cost was not that much more than I paid at the pharm. HOWEVER, when it came time to refill, like RIGHT NOW, 143% jump in price. A very disinterested lady I spoke with mumbled and stumbled some BS about how the formulary had changed. Really??? So, that's their scheme, they get you on board with a low introductory price, then jack it up when you need it again. Unfortunately, they are not forced to reveal this up front and, if you're like me, you're forced to pay.

I would give them zero stars if I could. After months and months of going back and forth with their escalations and appeals depts, have been saddled with product selection fees for my monthly Wegovy that had no generic. This went on all of 2025 and now going forward in 2026. Generally, reputable companies do not add a product selection fee when no generic equivalent is available. Optum Rx is about making money . Why should I expect different, they are a subset of United Healthcare after all. Weight loss meds are overpriced as is. Why try to add a product selection fee if you are REALLY concerned about patients' health and again, there is no generic.

Over the course of multiple calls, I have been given inconsistent and contradictory explanations regarding the denial of my medication coverage: I was initially told that a Letter of Medical Necessity was required to proceed with a Prior Authorization. I was then informed that such a letter only applies to veterans, which is inaccurate and inconsistent with standard insurance practices. I was subsequently told that a Prior Authorization Extension letter was needed. After further discussions, I was told that none of the above applied, and that my prescription had reached a lifetime cap of one year.

This company is absolutely awful. The way they make people wait and wait for prescriptions. Every 6 months I need a refill. I go through the same problem with them and they do not correct it and they do not get back to me. Please steer far away from this company.

OptumRx makes everything about getting your meds more difficult. Their website sucks. The customer service sucks. They deny scripts seemingly at random. I would rather pay monthly at my local pharmacy than deal with them. OptumRx is ownerd by UnitedHealthcare. You know that CEO that got shot? That was UHC. They are the biggest bloodsuckers in America. Oh yeah and don't forget, UHC/OptumRx pays AARP BILLIONS of dollars to hype them up. I will be selecting new insurance soon and it will be the one that doesn't have OptumRx as the PBM.