OptumRx Reviews

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.

The billing department is the worst “customer service” I’ve ever encountered in my life. Common sense doesn’t apply to any of the policies, different reps give you different answers and you’ll be penalized for their mistakes. The only reason I put up with their awful service is my doctor is with Optum and he’s amazing. Double check your charges and be ready to fight when you realize they’re wrong and you were billed incorrectly.

This company is absolutely awful. They not only that’s why basic co-pay information but do not correct. The agents are not honest or helpful. Three agents told me the issue was corrected and every month for the last six months I have had nothing but issues with co-pay information.

I am forced to use this pharmacy because of my insurance which should not be legal as that is a Monopoly forcing patients to only use their services. I have been using them for 3 months and have needed to call countless times. They have filled the wrong RXs, have mailed me the wrong RXs, have not correctly transferred RXs. This is healthcare and should be managed correctly. They have awful service.

How does a company put life saving medication on hold and tell the patient that it's been shipped only for it to not show up? This is the 3rd time I've been told it's shipping. Click to find out where it is and it says it's on hold. More information required. Click on the more information required and it says delivered. Called OptumRx, they confirm there's a hold on the order. They put me on hold for 15 minutes and came back to say it was released and I won't miss a dose, it will be here before my next dose. It's now 3 days and I go away tomorrow after my dose should occur.

This is our 4th year using OptumRx via company coverage. The initial 6 months were extremely difficult transferring ongoing prescriptions to Optum. Issues ranged from lost orders while spending hours on hold to speak to a representative to explain the issue in detail and resolve the problem. Unfortunately on numerous occasions the issues was not resolved requiring us to start the process all over again. Once reaching a rep there was no record of the previous call. I was sure they would be shut down due to causing medication related illness or problems. Since then I've received refills out of the blue and have a stockpile of some while struggling to refill others. The app/website does not reflect the correct information nor does it match what the reps see. I'm fortunate to have job flexibility to handle most of these issues but am surprised they are still in business.

OptumRX has failed to follow up with missing mail order and have continued to give statements with no follow through. I have been missing an essential medication for my care going on 3 weeks. They have not attempted to fix issue. I have requested supervisors and got nowhere; I have tried to file complaints and just get shuffled around on the phone. OptumRx claims to not have a corporate office to help. I reached out to my provider, and they just referred me back to OptumRx. I asked them to send my prescription back to a different pharmacy and that pharmacy will not fill because OptumRx has not confirmed that they never sent. I have absolute proof via USPS that the item was lost in the mail and never delivered to me. I am going without a life-saving medication with severe withdrawal side effects and Optumrx has not attempted to fix their mistake.

I originally used Costco to fill my prescriptions, but I was suddenly told they are now considered out-of-network. After that, I tried local CVS locations, but none consistently had my medications in stock. Because of this, I was essentially pushed into using mail order. Since switching, the experience has been extremely frustrating. My medication costs have nearly doubled, and suddenly every medication now requires prior authorization — including ones I’ve taken for years without any issues. No one has been able to explain why this changed overnight.

This company is awful. The customer service is a nightmare, getting my rx shipped takes FOREVER even with expedited mailing. The online agents will keep you on for 40, 50 minutes just to tell you nothing. I dread getting my rxs from Optum because it's nothing but headaches. I would never recommend this company to anyone. I hope my work company changes and no longer uses Optum next year because I just can't keep doing this.

Can you give a zero? Awful big corporate conglomerate that puts profits over people, even if it doesn't make sense. Only way to get a 90 day RX is if they ship it to you. Then it can sit and bake in your mailbox all day, ruining the medication. Perfect. Thanks Optum... Maybe serve your customers for a change.

Optum is horrific. I need an EOB and I three way called my health insurance with Optum benefits and they both said they couldn't get me an explanation of benefits and then hung up on me. I have been calling for 12 days for a total of over 10 hours on the phone and I just need and EOB. They can't figure it out. I AM CALLING the insurance commissioner.

My cousin's breathing medication for his COPD was supposedly shipped via UPS on 3/19/2026. Today is 3/24/2026 and the medication hasn't been delivered even though they claimed to have made it a priority.

I obtain office administered specialty medication from Optum for my patients. It takes over 3 minutes to enter patient and office information into their Robot receptionist. Once speaking with a human, you need to repeat what you have already told the robot. The customer service representative will then ask you a question and then repeat your answer. EVERY QUESTION. At the end of the encounter the Representative will parrot back all the information you have given them and then confirmed for a final confirmation. Total time for one patient encounter 20 minutes. Unbelievable and Unacceptable. Would not use this service if not forced to by the patient's insurance!

I honestly feel they make it as difficult as possible to fill your RX so that you pay out of pocket. They just refused to refill a patch, then I had to pay for it myself because I needed it. My doctor then prescribed it in pill form, and they're refusing to fill that one because of the patch?? Which I paid for. They put you on permanent hold when you're supposed to do the service survey because they know they're terrible. All they do it transfer you to God knows whom until you give up out of frustration. I honestly don't know how they aren't being investigated. I can't even understand their reps and the ones I can are of no help and aren't the brightest. I resent giving them even one star.

I had the misfortune of having this OptumRx on my new insurance. In January I had no problems. All my prescriptions were taken care of. Then in February one of my main medications for bladder incontinence was denied. They asked for prior authorization and that was denied because there was not enough information for them at this time. That's the first one. Second one was my pain medication. I have to take my regular medication plus one that I have to take every 10 hours for extended release to keep me from having to use more of my regular pain medication. They requested a prior authorization.

It sad, I have been lied to more in the last 3 days more than my ex ever did when he was cheating on my ass. Temu is more reliable and the customer service is better. Don't believe anything they tell you. I was told medication was out of stock and it wasn't, they said they sent an email, they didn't, they said everything was fine and I didn't need my dr's office to do anything more, they lied. Lies, lies, lies, and more lies is all you will get from these people. It's sad that the majority of pharmacies have such a low rating when they r supposed to be in charge of people medications and they are lying to them. It's really scary to have to rely on them when you can't trust a word they say. Wanna talk to a supervisor, fine one sec, you get one on the phone and the call goes dead. No call back. Oh Optum pls get your shit together cause I'll have to be depending on y'all for my home delivery.

I have United Healthcare/Medicare, they use this OptumRx and not sure which is worse UHC or Optum. After 5 years of successfully using meds, Optum has decided not to honor, gave me two other choices one of which I already had issues with. 2nd choice not working that well. They don't care, we are profit numbers not people. This country should be ashamed of itself for allowing big pharma decide people's fate.

Stay away from Optum because they tried to charge me $700 for a routine physical after insurance. I tried to dispute the bill and Optum lies and persists. They want to drive profit instead of caring about people, because they are terrible people.

Worse service than a telemarketer scammer. I have never encountered a business. That is more confused about what they are doing. I can’t say enough things about this business. It took hours of phone calls on consecutive days by myself and my Dr to still get things messed up. Amazon pharmacy took care of it in 15 minutes.