OptumRx Reviews
formerly Prescription Solutions
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About OptumRx
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an Optum company - the world's largest provider of integrated health services.
OptumRx Reviews
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Reviewed March 14, 2026
This is the most frustrating business to trust with your prescription needs. I’ve experienced trouble communicating with the staff to not receiving medications ordered. I will be notifying my insurance carrier and switching to a different pharmacy.
Reviewed March 13, 2026
To ALL employees involved with my RICO Case: Ready for prison? Turn yourselves in now -- trade a lifetime in chains for the few years you can still salvage. The experience I have had with this company has been deeply disturbing and, at times, felt outright inhumane. I could provide extensive details, but the most serious issue is that their actions helped enable members of my family to misuse and exploit my identity. At every stage, I was met with unprofessional behavior, a lack of accountability, and treatment that no individual should ever have to endure. I genuinely hope leadership within this company is taking steps to correct these failures so no one else is subjected to what I experienced.

Reviewed March 13, 2026
If I could give zero stars I would. HORRIBLE experience with them. They take FOREVER to send meds, blame the customer for the delay, are really hard to get ahold of and communicate with, and don’t really save too much money. It’s not worth it. Pay the extra $100 to use your local pharmacy. I promise you won’t regret it. Otherwise you will waste hours of your time and won’t get your meds for a week anyway.

Reviewed March 13, 2026
On 2/27/26 Optum RX sent me a notice stating the received pre-authorization and insurance approval so I could move forward with getting prescription filled. Unfortunately, I’m still being informed by their customer service representative that pre-authorization has not been received then I’m informed insurance denied coverage to now pending. They also continue to change the request date.
Reviewed March 11, 2026
Worst company on the planet. They had my address from more than 5 years ago on file (the building burned down). Even though my insurance company, UHC, has the correct address, OptumRx said it was the current address per my health insurance. I corrected it and they still had the wrong address. I corrected it again. They are the most incompetent and disgraceful company in the world.

Reviewed March 11, 2026
This is the absolute worst pharmacy that I have ever dealt with. Their "pharmacy assistants" have no problem lying to you in regard to every single aspect of filling the prescription. Anything to get you off the phone. I have been told on multiple occasions that my meds have been shipped, or were arriving the next day, only to have to wait up to 18 more days for delivery. Medication is prescribed to be taken on a schedule, but with Optum, it is impossible to maintain a regular dosing schedule, because it takes forever to accomplish ANYTHING with this company. If I had the option to give zero stars I would. Absolutely the most frustrating company I've ever dealt with.
Reviewed March 3, 2026
I have OptumRX through work, so I figured I would check them out. I checked for all of my prescriptions through their price finder and was told my RX's would cost $0. I decided to switch all of my RX's over last December (2025). BIG mistake. I have been charged over $1400 for two RX's that I was previously paying nothing for at my local pharmacy and am still (it's now March 3, 2026) fighting with them about getting the charges taken off. I have chatted with them multiple times, called, and am getting nowhere. People on the chats tell me one thing, that it will be taken care of, but when I call weeks later when it hasn't happened and to confirm it will, they say they have to "transfer me to another department" and that they need to "look into my account."
I have chats that have disappeared from my history, so I can't show anyone else what I've been told. It's incredibly frustrating, and disappointing, especially from a work-referred company. I have since moved all of my RX's back to my local pharmacy, where I haven't had a single issue. If it sounds too good to be true with this company- it is. Stay away.
Reviewed Feb. 28, 2026
This is the most incompetent and difficult to work with group I have ever experienced. Their one goal is to make sure your claims are denied. I have explained multiple times how one month it is paid for then the next it is denied. I am so glad my employer dropped them.
Reviewed Feb. 26, 2026
I don't understand how quickly this company declined. Many years ago I loved it. Now, after being retired, it is like going to the dentist. Nothing but pain and agony. OptumRx hires the most incompetent ** to work for them. I can never get a straight answer. The clowns on the phone hem and haw, and pass the buck. I can pick up my prescription from the local pharmacy easily. But, somehow I need their Optum Rx Pharmacist to review my prescription, and speak personally with the doctor who wrote and sent Optum Rx the same prescription. I'm being told by some flunky answering the phone. The prescription dose is too much. When it is for a 90 day supply inhaler for nose allergies. Total incompetence. After serving for thirty years of being a Professional in the Health Care field, to now be treated by incompetent fools. The State of New Jersey needs to pull out of this incompetent organization.
Reviewed Feb. 25, 2026
I recently increased the dosage on a medication I had been taking for years. OptumRx filled my new prescription, but due to some side effects I had to go back to the earlier, lower dose. When I got my next refill, OptumRx sent me the wrong dose. I signed into their website hoping there would be a phone number I could use to speak to a live agent but was limited to talking to a "virtual assistant" named "Avery" by typing messages back and forth.
This involved many iterations of Q and A with long pauses as I waited for responses from the robot, which often required me to reenter information because it couldn't understand me. Eventually I was told my doctor had denied my refill request. So far this all had taken me 23 minutes. My doctor said he never denied my refill request, so he sent another order to OptumRx. I signed in to OptumRx again and resumed my "conversation" with "Avery" but went round and round trying to get him to understand me, repeating myself and enduring long pauses,
I asked to speak to a live agent and was transferred to a waiting list where I was told I was second in line for the next live agent. After a long wait I had to step away from my computer for a while, and when I returned I had a message from "Paul" wishing me a nice day and disconnecting me. I had wasted another 27 minutes.
I got back on line 40 minutes later and resumed my typed conversation with Avery and asked again to speak with a live agent. Again I was told I was second in line, and after a longer wait was connected with "Jessica" who asked me a few questions but seemed to understand me, convincing me she was indeed a live human.
Jessica made a few calls while I was placed on hold but then said things were all straightened out and I would get my refill in a few days, This time, I had spent another 52 minutes getting my problem solved--finally. Not being able to speak to an agent on the phone made for a very slow and frustrating customer service experience. I wasted hours to accomplish what could have been done in minutes. The agents were nice and tried to be helpful, but I would give OptumRx zero stars for the way their customer service system works,
Reviewed Feb. 24, 2026
I am writing to formally document concerns regarding a recent call I made to obtain clarification about a prior authorization that was sent to my physician’s office. Our office note in our medical Chart clearly stated in writing that the medication was “not covered.” However, when I spoke with another Optum representative last Friday, I was informed that the denial was due to an incorrect diagnosis. During my most recent call, I was attempting to confirm the specific denial reason so that I could accurately document it and relay the information back to my physician’s office to ensure proper resubmission.
The representative, Nakesha, was unprofessional and dismissive throughout the interaction. I respectfully request that the call be reviewed. When I asked for her name and representative identification number, she stated she was the only representative named Nakesha in that department. She repeatedly spoke over me and insisted we were “saying the same thing,” which was not accurate. I was seeking clarification between two distinctly different denial explanations: non-coverage of the medication versus denial due to an incorrect diagnosis.
She further stated that the resubmitted prescription (appeal) had again been sent with the same incorrect diagnosis. The tone of the conversation lacked professionalism and empathy. Although I remained calm and respectful, the interaction did not reflect an appropriate standard of customer service. After ending the call, I contacted my physician’s office to inform them that, according to Optum, the medication is covered when submitted with the correct diagnosis. I am hopeful this will resolve the issue and allow the prescription to be filled without further delay.
For context, this medication is prescribed for coronary artery disease (CAD) risk reduction. Given my medical history — including a 100% occluded LAD artery, CAD, CHF, and NSTEMI — I expect that the appropriate diagnosis should meet established coverage criteria. I am requesting a review of this call, written clarification of the official denial reason, and confirmation of the exact diagnosis required for approval so this matter can be resolved promptly and appropriately. Thank you for your attention to this issue.

Reviewed Feb. 24, 2026
Terrible service, Customer service lying that they contacted doctor for medication verification but in fact they never did. Holding prescriptions then cancelling it. Don’t choose that pharmacy. Your medication will never be delivered.

Reviewed Feb. 24, 2026
If you are enjoy being mentally tortured by a company, then OptumRx is for you. I have been trying to get one of my absolutely necessary diabetic supplies for nearly three weeks now. Here's the lowdown:
2. Having names of customer service representatives and supervisors mean nothing.
3. Getting hung up on most of the time and not getting a call back is the norm even though they have your number.
4. They tell you what you already know concerning your medication or supplies, but offer no solutions.
5. Be prepared to stock up on supplies and medications, because you will go through this mental torture every single time.
6. If you like talking to robots, OptumRx is the company for you. They read from the "playbook".
I never had this issue with my last mail order pharmacy, CVS Caremark. All transactions were smooth and shipped promptly. I would love to get them back, but my the company my wife works for switched insurance to save a dollar. Need I say more?

Reviewed Feb. 24, 2026
I wish I had read the reviews before switching to Security Health which uses Optum Pharmacy. To say it’s awful is an understatement. I went to pick up my prescriptions in January and found multiple not covered. I called and was told I needed to use the cheaper options first. Which had been done with my last company Humana (only reason I changed was they were no longer covering my local doctors). The service rep was rude and told me my doctor had to file an appeal.
Filed the appeal in January and they claimed they never received it. Had the doctor send it again, still nothing. Called yesterday again since it wasn’t getting reviewed and the person at Optum told me it wasn’t probably sent to the wrong place. Asked where it should be sent, since the number on the form was where it was faxed. He said that numbers not correct, we don’t get it. 3rd graders could run this company better than they do. Had to go without my tier 5 meds because insurance would not cover, affected my health. They seem to know more than the best doctors in the world at Mayo Clinic. Horrible service, are a danger to your health and wellbeing!
Reviewed Feb. 22, 2026
If zero or minus was possible they would be there. I fired these bozos, after 5 years of okay service, they did not ship my RX because there was now a "similar" customer name, but different address, middle initial, date of birth and social sec, number. Because they were not clear of the issue, I was told to go to my nearest Social Security Office and get my date of birth changed to match their records. And that's how they keep records in Optimum RX (their foreign office) that can barely speak an unacceptable version of English.

Reviewed Feb. 21, 2026
Last April 2025 I lost my job. I had been taking a specialty MAB through Carefirst/CVS for over two years with zero issues. They helped with a manufacturer copay assistance and everything. Optum has not facilitated filling this prescription with three different prescribers for over 10 months. Initial tactics were to decline authorizations, ask endlessly for my provider to complete new information, and then deny, push me onto their "preferred formulations" which also require new authorizations, ask me to make a time-intensive faxed appeal, to the point I gave up.
Over the past 2 months, I have engaged yet another provider who routinely prescribes this therapy, and Optum continues to require multiple requests for prior auth, and claims they are trying to communicate with my doctors while making me do all the leg work. Are they faxing every communication like the stone age and not following up? Are they not able to pick up the phone and confirm changes like I do? Last year I would receive cancellation notices from the base Optum website, and the most infuriating part of the service this year is the specialty pharmacy website will indicate the prescription is received and is being shipped and then delete the shipment, with no record of cancellation - it just disappears. I don't get notified of the cancellation until I check and call to find out they need yet another authorization. 10 months of this.

Reviewed Feb. 18, 2026
If I could give zero stars I would. Optum has one job, to get you your medicine on time. They SUCK at it. I ordered my meds 8 days ago and let them know I needed them delivered before I left for a vacation, which is tomorrow. I checked every day and the order said "Processing". Finally on day 7, in the evening, it finally asks for payment but still not shipping. Now on day 8 it's being shipped, but won't arrive until tomorrow and after I leave for my vacation. I called no less than 4 times and talked to actual people to try and get it sooner, but they couldn't get it done. They just SUCK at this and I have vowed to NEVER use them again. They don't care and nobody there can fix it. They can go to actual HE-LL before I ever order from them again.

Reviewed Feb. 18, 2026
Horrible, horrible service!!.. they don't communicate with the entities linked to the consumer. I've had to call over 15 times (responding to their inaccurate, conflicting & consistently annoying text messages in order to just have one prescription sent (which is essential to my mother's health condition) and still hasn't been fulfilled in the correct amount). I will be looking to other pharmacies so that I no longer will need their incompetent services.
Reviewed Feb. 17, 2026
For years, I was shuttled from using a local pharmacy to various mail Rx providers, including Merck, CVS and OptumRx. OptumRx was the best; reliable, and when I had any problem I received fast genuine help from a representative. The absolute worst was CVS— never once did they get any prescriptions right. Whether picking up locally or by mail order, I received wrong meds, miscounts, prescriptions that were “put on hold” because they were duplicated (no, they were two meds needed for the same thyroid deficiency)— and they did not notify me of that, had to find out the hard way, when it never showed up! Merck was the middle— problems rare, but difficult to resolve.
Reviewed Feb. 17, 2026
I was using a script for 15+ years. Suddenly OptumRx declined my script I got a prior authorization done. I was told everything is fine. It was turned down 2 days later. I called on several occasions and they couldn't find me in the system. Then I was told once the doctor got the information in the system it would be fine. Again talked to multiple people on a call and they gave different answers. I have been in healthcare 30 years and have never seen such incompetence. I have dealt with insurance companies in the past and Optumrx is the worst. They do have a 1 1/2 star rating. Get job!

Reviewed Feb. 16, 2026
If you have a choice, do not utilize OptumRx. We were forced to use them because my husbands company, Ryder switched to them to save a buck at their employees detriment. My husband has been without his diabetic med for 6 weeks due to Optum's incompetence. After in excess of 30 calls with 30 different reps... Each time is a different answer and a different reason why he still doesn't have it. It all started with a pre authorization and then an appeal to complete nonsense. His poor doctor has sent in multiple pre authorizations and appeals for a medication my husband has been taking for over a year with our prior med provider. The appeal was approved 2 weeks ago and he still hasn't gotten his meds. So this is not a med for a sore toe, this is diabetic medication!
Reviewed Feb. 13, 2026
I have used OptumRx for over 2.5 years and they have often been a headache when it comes to customer service. When I tried to order a Tier 5 med from their Specialty Pharmacy, they wanted a $748 copay. I explained to their customer service that it was because they were trying to use Medicare Part D, but should be against Part B, as the preventative med is 100% covered by Medicare since a rule established in 2024. They then tried to move it to their regular pharmacy, and I was bombarded with calls from their Pre-authorization people. I had already asked my Doctor to move my prescription to a pharmacy in Tampa that bills Medicare directly, so I was trying to explain to the agent that I wanted to cancel the pre-auth and the script from them.
The customer service seemed clueless, and when I asked "do you understand what I'm asking?", they hung up on me. It seems like their customer service often don't have English as a first language and come across as not understanding me. I had my fill today, and requested that my Doctor move ALL of my prescriptions to CVS. I would not recommend OptumRx, and they don't even provide an email address to contact them. Good riddance.
Reviewed Feb. 10, 2026
My company just switched to OptumRx as our PBM Jan 1st, and it has been an absolute disaster in my experience. They require a Prior Authorization for a generic medication I have been stable on for 18 years. Then they deny the PA because of a Step Therapy requirement. The 3 alternatives they require in the step therapy are all significantly more expensive than the generic. You can't talk to the people making the decision, only the robots that are reading from the computer. Warning to all company benefits departments considering this PBM -- run away as fast as you can, unless of course your goal is to anger your employees.

Reviewed Feb. 9, 2026
My husband and I are using Optum Rx because of our insurance through UHC. For the most part the customer service has been from average to below average. Most of the representatives are offshore and the communication is a challenge due to their lack of domain of the English language. However, this year has been horrible. The prices of some of the medications have tripled. In addition to the denials, some medications have been classified as nonformulary and the copay is astronomical. My husband was prescribed last year Zepbound to help with his fatty liver and sleep apnea.
Well Zepbound is now considered nonformulary and our out of pocket cost is $435/month. Unbelievable. It is not fair for the average retiree to have to pay such an astronomical price for their meds. We don't believe the government is regulating these companies that are basically taking advantage of patients that need high priced meds. It feels like insurance companies do not care about the health-care of their subscribers.
Reviewed Feb. 9, 2026
If you have any choice in the matter, avoid OptumRx at all costs. My company recently switched from Express Scripts to OptumRx. I did not think it was possible to find a pharmacy benefits provider worse than Express Scripts, but OptumRx proved me wrong. Every single one of my prescriptions (regular and specialty) failed to transfer. Express Scripts confirmed they sent all required information for the transition, but OptumRx simply did not use it. Nothing moved over. Not one medication.
What followed was an absolute nightmare: Over eight hours of phone calls, multiple agents, endless transfers, and still no straightforward resolution. The level of disorganization and miscommunication I encountered was staggering. If I wrote out every issue, delay, and piece of misinformation I dealt with, it would fill two full pages of single‑spaced text. For a company entrusted with something as essential as people’s medications, this level of incompetence is unacceptable. The burden should never fall on the patient to rebuild their entire prescription profile from scratch because the new provider failed to handle a standard data transfer. Based on my experience, I strongly recommend staying far away from OptumRx if you have any alternative.

Reviewed Feb. 3, 2026
I started reading the first five reviews and I thought I was the only one having issues with them. As I started going down, I found people with the same issues as me. This company is a joke. I asked my prescriber to change my prescription to Optum RX. I requested it and received a text message saying my prescription would be delivered soon. I logged into the app and there they also had a shipping date. Two days later, I checked the app and got a message saying my prescription would be delivered, but my prescription wasn't in the shipment. I called customer service and the person I talked to told me the same thing: that they would ship my prescription soon and that was all the information she had at the time.

Reviewed Feb. 2, 2026
No accountability. Their prior auth process is setup to deny and fail patients. They run you around until you give up. I was reduced to tears today. I am going off meds I need. There's a special place in the pit of hell for these people. Only God knows.

Reviewed Feb. 1, 2026
Medicine prices quadrupled at my chosen pharmacy after my insurance turned over to Optum Rx. This is irresponsible disservice to patients who have limited income.
Reviewed Jan. 26, 2026
I don't like writing medical reviews that have anything negative but I think it's important to share what we know as a consumer to anyone who is deciding whether or not to use this "product". Optum RX requires almost constant oversight by the patient/consumer. Their website is messy, with many "hands" and departments behind the scenes that you are not aware of. For example, you see that a script is "ready to refill" in nice bright green lettering. But, it's not always REALLY ready to refill, Sometimes it may need a prior authorization that you are NOT aware of. So, you click on "start refill" and think you are good to go when you get an order number. Not so!!
The "ready to refill" is not just misleading it's actually a lie. Optum RX will tell you that it is ready to refill but cannot be refilled until the prior auth is received... see the circle we're in. From the patient's perspective (the only one that matters since it's our prescription portal!!) "ready to refill" is simply NOT TRUE.. That's called a lie. It should properly say "ready to refill once the prior auth is received" and it should NOT provide the "start refill" button, making you believe you have a properly place order.
Now this isn't the only issue with OptumRX. Overall it's too big, too understaffed, too poorly staffed, too unprepared to handle its consumer base. If you have the time and ability to actively monitor what Optum RX is doing (possibly on a daily, or multiple times a week, basis) then OK. Otherwise, I would skip this and the home delivery all together and go to your local pharmacy. At least you can talk to someone in person and be more likely to actually get help.
Reviewed Jan. 26, 2026
I have been trying to get a heartburn medication for over two weeks, and the process has been exhausting. My doctor submitted the prescription, but it was denied multiple times with no alternative medication offered. I was sent back and forth between Optum, customer service departments, pharmacies, and my doctor’s office with no real resolution.
I checked CVS and Walgreens, one quoted $500 and the other over $700. Even after my doctor submitted a request through BlinkRx, it was denied again without alternatives. Public’s Pharmacy was also added in with pricing. I’m so done with Optum. Meanwhile, I’m left calling around, resubmitting prescriptions, and dealing with pharmacy closures due to bad weather in North Carolina. I don’t understand why Optum is in the middle if they aren’t helping simplify the process for patients. Their customer service has been unhelpful, and this has been the most frustrating experience I’ve ever had trying to get medication. I would not recommend their service.

Reviewed Jan. 24, 2026
I’d give zero stars if they let me. My company has switched to OptumRX from Caremark. They are now denying me the only medication to get rid of my migraines! I’ve have been taking this medication for over a yr and now that I can’t afford it, my migraines are back!!!! They don’t care about your health only the cost!!! Shame on you Optum! Shame on you!!!!

Reviewed Jan. 23, 2026
My wife is undergoing IVF, a process that already costs tens of thousands of dollars OOP. Medications are time-sensitive. If delayed, the entire treatment cycle can be canceled. Optum Rx provides no visibility into when prior authorizations expire and no proactive alerts. When refills are urgently needed, we’re bounced between Optum and our insurance company, given conflicting/inaccurate information, and left without clear answers.
Because of these failures, we’ve had to buy medications locally at the last minute to avoid losing a cycle, paying over $3,000 OOP at this point for drugs that should have been covered, with no reimbursement available. Time is also spent finding a pharmacy who stocks fertility meds, as many do not. IVF is already emotionally and financially exhausting. Patients should not risk losing an entire treatment cycle or be forced into sudden four-figure expenses because of opaque authorization systems and poor coordination between insurers and specialty pharmacies.
Reviewed Jan. 22, 2026
Unfortunately Optum Pharmacy is used by the state of Michigan retirees. In January 2026, I received emails that a specific medication would not be refilled, which was submitted by my doctor. A medication I have been taking for years now, cannot be refilled. I was given two different answers when contacted about why the medication was not refilled but that it has been resolved. Then I get another email saying the refill has been canceled!!! I stayed on the phone wasting my time being bounced around; even the pharmacist could not figure out why the refill was first accepted then canceled!!! In addition, I have paid $ 20.00 to have my meds delivered earlier only to receive them within the time frame of normal delivery. My friends who are also retirees refuse to use this mail order pharmacy. Please state of Michigan, give me a competent pharmacy!!! Don’t use this pharmacy!!!

Reviewed Jan. 21, 2026
Absolutely terrible customer service. They keep sending me texts saying I have a past due balance, but when I call no one is able to tell me what the balance is or what it is for. I've requested statements multiple time and have not received once. They screwed up my order from my orthopedist to the point that I will go without the medication instead of dealing with this pharmacy.
Reviewed Jan. 21, 2026
I have been using OptumRx for 3 years but our relationship has come to an end, and I hope I never have to use them again. For the most part, things were ok until the last two episodes in the past month. I have had 8 phone conversations, for a total of around 12 hours, much of it with me being placed on hold. This was after first trying to resolve the problem using the chat. It is also not easy to get past the bot to speak with a real human. The humans that I spoke with were generally polite (one exception) but somewhat difficult to understand due to their accents and phone lines cutting out. The main problem was that each advocate I spoke with had a different story regarding the issue I was experiencing, as well as a different solution, and gave me mostly bad advice.
Apparently, none of these solutions have worked because the problem is still not resolved. It was frustrating to have to start over from the beginning with each representative when the issue should have been clearly documented from the many chats and recorded phone calls. To be fair, no one would have time to review phone calls that lasted approximately 1.5 hours each, including time on hold, with very annoying loud music. My issue has not yet been resolved, but I’m not sure I have the strength to continue this conversation. They have worn me down, and perhaps that was their plan all along.

Reviewed Jan. 20, 2026
Wait time to talk to anybody was over an hour. Online was not any better. Not able to get the information of what is covered and what is not covered. I will start actively researching a different prescription coverage.

Reviewed Jan. 20, 2026
I have been trying to rectify a delivery of a prescription my doctor ordered since October. I called as soon as I got a text saying the order was placed. The CS rep told me she stopped the delivery and I was all set. Two days later the envelope with the drug arrives at my house. I refused the package and wrote "Refused, Return to Sender" on the envelope and my mailman took it. Apparently somewhere in US Postal land the package was apparently lost and has not yet made it back to them. After almost 4 months, I think you can assume it won't ever show up.
They continue to harass me for the payment. I have spoken to them no less that 5 times, more like 8-10 about the situation and all they say is, we have not received it, so they cannot remove it from my account. I cannot tolerate the drug to begin with, the doctor's office renewed in spite of my issues with it and I am not about to pay for something I did not order nor did I ever even open the package, I just sent it back. Supervisors tell me they will call be back, never happens. I am about to get my lawyer involved and I will NEVER order from them again, I don't care what the savings is. Very bad customer service, half the people can't even speak English, which makes it even more difficult.
Reviewed Jan. 20, 2026
Poor Customer Service: The staff is unhelpful and the overall communication is severely lacking. I do not feel supported as a patient here.
Extremely Slow: Everything about this pharmacy is slow. Whether it is processing a script or waiting for a delivery, the wait times are unacceptable.
I would not recommend this pharmacy to anyone looking for reliable or timely service.

Reviewed Jan. 20, 2026
OptumRx has been a nightmare to work with in verifying drug coverage/pricing and prior authorization for diabetes medication. Constantly transferred and member services unable to answer questions. They don't want to explain Prior Authorization process leaving the patient frustrated and going without medication. OptumRX is owned by UnitedHealthcare (UHC). I pay for UnitedHealthcare Group Advantage plan as supplemental coverage to Medicare. I will not be going with UHC/OptumRX in the future. No communication between the UHC side and OptumRX.
OptumRX agent never offered to step in to help and as the patient you have to constantly go through calling OptumRx member services repeating the situation over and over and can't directly contact the prior authorization agent. One agent refused to take the call. The first prior authorization ended after 3 months and OptumRX just blamed the UHC plan. Spent days on phone for a Prior Authorization that had previously been approved for documented disease. Don't be fooled OptumRX is the pharmacy benefits manager for UnitedHealthcare.

Reviewed Jan. 19, 2026
I had just gotten off the phone with OptumRx. The young lady who helped me her name is Quintina. She was so awesome!!!!! She was extremely patient with me and helpful. She answered all of my questions and put my mind at ease. Whatever you're paying her, it's not enough. It should be double that!!!!! You should be proud of an employee that excels at her job.!!!!
Reviewed Jan. 17, 2026
I have had problems with this company billing me months and even a year after service. Upon contacting their billing department and asking for billing information, I end up sitting on hold for up to 20 minutes; which is a normal occurrence. They also said that they cannot give me information on who paid the medical bill (insurance or manufacturer's assistance program). I believe those are my medical records and I have a legal right to them. Also, if they reach out to you, they will not tell you what its in reference to until you give them your personal information. I found another pharmacy that seems to be more efficient and forthcoming and would not use this company again.

Reviewed Jan. 14, 2026
My first mail order with Optum RX was horrible. I followed an email from them for a price and order of a medication. I placed my order for the amount they sent in their email. After spending 1 1/2 hours on the phone and escalating to a “lead”, I was told that the order I placed was not valid because the amount was incorrect, it was not the correct price of $286.01. He wanted me to pay $317.15. I have attached the screenshot and receipt below. The top person I spoke with was Greg. He deleted the order I had placed for the lower amount and placed another order for the higher amount. I have a screenshot of their email amount. Chandra, who was also on the call, asked Greg if he would write a one-time forgiveness and return the $31.14 difference. Greg agreed. He told me the amount should be refunded to my card in three days.
It is now a week later and there has been no refund. I called to inquire and was told because I am on Medicare, there can be no refund. One of two things is true, Greg lied or he did not know what he was doing. Also, he told me he did not see the order I placed for the lower amount. Miraculously, he knew the credit card number I used to place it. This was my one and only order ever with Optum RX, and it will be my last. They stonewalled lied and, in the end, won the war that these companies play. This is most unfortunate in today’s world of high drug costs. On another note, my medication was for breathing, essential to life.
Reviewed Jan. 13, 2026
I wouldn't give a 1 if I didn't have to. All of a sudden, after being a diabetic for 20+ years, I need a prior authorization for my meds - of course no one told me, so I go without my meds until when?
Reviewed Jan. 10, 2026
I was provided with an order number by Optum Rx and was led to believe that my prescription had been successfully processed and sent. However, after repeated follow-ups and verification attempts, it became clear that the prescription was never processed, never filled, and never shipped, despite the order number being generated and communicated to me. This raises serious concerns about accountability, transparency, and potential fraudulent business practices.
Reviewed Jan. 8, 2026
If I could give OptumRX zero stars I would. The worst company ever. I've been trying to get a script filled since 10/10/25. It is now 1/7/26. I made over 20 phone calls and wasted 30 hours. The original issue was the dosage for me script is 4 doses over 365 days. My doctor put in the original script for 6 doses over 168 days exceeding the max allowable requiring a supplemental authorization. So, the Dr. changed the script to 3 doses over 84 days. This was also rejected for no apparent reason and pre-authorization had been requested on 11/10 and provided on 11/17.
After still having my script on hold, and many phone calls inlcuding three and a half hours on Monday 1/5/26. I was told I wasn't eligible for the script because I had exceeded my dosage. The problem is that I changed from one United plan to another United plan on 1/1/26 and OptumRX believes (wrongly) that the script was filled back in 2025. But, with the United Advocate online with OptumRX they both agree I was never billed/paid/or had an Explanation of Benefits for this script.
Finally after a 6-way call, United Advocate, United Benefits, Pre-authorization, Supplemental Authorization, and OptumRX Pharmacist Specialist, and me (lady's and gentlemen of the jury) we all agreed to put a script in for 1 dose for 28 days just to get approved and get the OptumRX system to recognize the script and then allow Supplemental Authorization to allow additional doses the following month....
Well, guess what... I just got a text from OptumRX saying the script is on hold and they have already billed me over $1000. So... another 2 hours of my life gone tonight talking 4 different United Advocates, OptumRX's Pharmacist Specialist, and being dropped, and hung up on after being on hold for over 20 minutes... no one can tell what the problem is this time... AND, I'm not allowed to even talk to a pharmacist... they just keep saying have your doctor call us... like he has nothing better do after trying to resolve this issue 4 different times. As of tomorrow I'm filing a formal complaint with my benefits department (we have over 180,000 employees in the US) and will file with the State Corporation Commission.

Reviewed Jan. 6, 2026
This company is HORRIBLE! Every renewal is a giant hassle. My doctor puts in an order, you can see it on your chart, but Optum can't find it. When you call for help, they can't, won't, and the person I just spoke to was putting me on silence and laughing with a co-worker about my frustration. Shut this company down! It is trash!
Reviewed Jan. 5, 2026
Our company changed insurance and prescription providers so we’ve been forced to use OptumRX. I can tell you without a doubt I have been fighting for four days trying to get my wife’s prescriptions taken care of. So now I can’t use my local pharmacist anymore I have to use Walgreens or order my stuff online through Walgreens, or pay full price because no one else is in network. Which is absolutely ridiculous when they are way far out of my way. Not to mention the customer service representatives I’ve had to deal with, only one of them was professional. All the rest of them were short and acted like me and the pharmacy I normally deal with were the problem.

Reviewed Jan. 3, 2026
If I could rate them in the Negative I would! They refused to send my Rx that was due on 12/31…I had spoken with an advocate on 12/24 who said my Rx would ship on 12/31….I did unenroll as they raised the Rx plan $50 a MONTh to $167.50! Then they LIE and say they have no call recorded…although the Supervisors and all advocates are in the Philippines and I got “Dale **” trying to play his games on me and all he does is repeat same words. Do NOT sign up with this plan. Terrible.
Reviewed Jan. 2, 2026
I would give negative stars if possible. I was forced to use Optum Rx and they are terrible. Nothing but red tape, runaround, complications that make getting my prescription impossible. I've been paying out of pocket for months because their "prior authorization department" can't get their act together. I think they do this on purpose so people will just give up. I don't even know why I'm paying for insurance, I'm literally sending them money for NOTHING. I should just cancel all my insurance (medical and prescription) and put that money into a HSA or HYSA every month and then become a cash patient.
Reviewed Jan. 2, 2026
Optum reached out to me one month ago to initiate filling my Specialty script of Humira. Since my co-pay is $2000 a month, they asked me if I wanted to apply for financial aid and I said yes. One month later, I am still attempting to get financial aid. I’ve called multiple times and gotten hung up on, I’ve tried to do the texting customer service and they delete out information that is needed for the financial aid. So the person I was texting with asked me to spell every number out. I swear this company goes out of their way to try to make getting healthy difficult. They don’t care about us.
Reviewed Jan. 2, 2026
This company would get a zero from me, but there is no option for 0 stars. My doctor and I have been trying to deal with this company to grant a prior authorization and a tier-lowering exception on a non-statin cholesterol drug for 1 month now to only find out today that they have denied it. This is a med I’ve been taking for years and works perfectly well for me vs other statin drugs that I am allergic to. Unfortunately, my insurance company switched pharmacies and I now have to go through Optum Pharmacy for this medication, which is 400% higher priced than what my previous pharmacy charged. They are merely upcharging medication for their benefit. Have no care for the client's needs. Trying to get my doctor to switch me to lower-cost alternative meds that I cannot tolerate.
Reviewed Jan. 2, 2026
Worst pharmacy ever. I had to change from them because they lost their Ohio Medicaid contract. They didn't refill any of my December auto-refills so I manually asked for refills using their app. The app said the prescriptions were being worked on. I didn't receive them, but they were closed for the Holiday. I logged in on January 1 and all my information was gone.
I called and they said I never requested my December meds (that had been on autorefill with them for 3 years). They said they don't have to transfer my prescriptions to my new pharmacy, but the new pharmacy and five of my doctors said, as the Pharmacy of Record, they are the ONLY ones who can do so. I am about to run out of my thyroid med as I have Hotchimoto's disease. Missing one dose will affect my blood labs for 10 months, and I'll be sleeping 20 hours a day. I've been transferred over 8 times and they say my medical file was deleted (again, that's illegal) because I'm no longer enrolled and they can't help me.

Reviewed Jan. 1, 2026
Fouled up three Rx this year (2025). I had to explain to them what the term "refill" means. Their app told me I was not yet eligible for a refill, yet I was out of med and definitely eligible. I spent a long time on the phone fixing these issues. Not worth my time. I'm getting my Rx elsewhere. It's only 30 day, no mail order, and a little bit more expensive, but at least they get the Rx correct.

Reviewed Dec. 30, 2025
Optum Rx - please please please FIX YOUR DELIVERY TIMES!!! If we had another choice for a mail-in pharmacy we'd change in a heartbeat. We have meds that cannot be filled before a certain date. Delivery of 5 to 8 days (especially in today's world) is ridiculous. We run out of meds every time! Even "expedited" is 4 to 5 days for $20. Again RIDICULOUS!! So tied of having to settle for subpar service when forced to use mail-in from this company.
Reviewed Dec. 30, 2025
One hand doesn’t know what the other hand is doing!
I’ve spent almost ten hours on the phone with various representatives and although they promise they’re working for you, the results come up empty. We need to get rid of the extra layer, the pharmacy service providers, and go direct to the pharmacies. All the pharmacy service providers are doing is adding another layer of unnecessary bureaucracy to what was once a seamless system—MD writes RX, local pharmacy fills it. End of story! No wonder why drug prices are so high! We’re paying salaries to untrained, incompetent call center workers!

Reviewed Dec. 30, 2025
I've had to switch pharmacies multiple times due to Optum charging over $200 for a 30 day supply of my diabetes preventative medication. They are trying to force me to use their delivery pharmacy or Walgreens, neither I feel comfortable using.

Reviewed Dec. 29, 2025
Optum has not only forced me to run out of my medication multiple times now, their system keeps pushing back my eligible refill date with no reason as to why. When I contact customer service, I am met with uncaring, unprofessional persons who do not know how to help me. Not even the managers or the pharmacists are of any use.
Reviewed Dec. 23, 2025
Worst company to deal with - you have to argue to speak to someone in the USA Doctor's office. Shouldn't have to be put on hold for 30 minutes plus they should be able to fax us forms regarding prior auths. They waste your time in the phone. TERRIBLE.
Reviewed Dec. 20, 2025
This company shouldn't be in business and they sure don't deserve a 1 star but that low as you can go. They have messed my medications up so many times that I quit using them two years ago. However, Christmas is coming up and I'm leaving town so I had my doctor send my prescription to them, thinking surely they won't mess up just one time. WRONG, I hate these people with a passion and totally understand why people hate them as much as they do. They deserve everything they get.
Someone needs to step in and shut them down. If everyone on here will file a complaint with the state pharmacy board, I believe somebody will investigate them and hopefully that would shut them down. No matter where you look they have a horrible rating. They messed me up but they'll regret it this time because I work for a company that pays them millions a month for our insurance and soon as I notify them and tell them all hell will break loose with UHC who owns OptumRX by the way.

Reviewed Dec. 17, 2025
I am forced to use OptumRX because my employer has a contract with them. The complete disdain and dismissive attitude towards patients is infuriating and exhausting. I could literally cry at this point with frustration. They are so rude and dismissive. Because my medication is a controlled substance, the Optum staff act like I’m a drug-seeking addict. It’s so humiliating.
Reviewed Dec. 17, 2025
Per an email request, I called to update my allergies. The number given was answered by a bot that gave me my balance. After going around and around with the auto bot, I was finally connected to an excellent customer service rep, so I agreed to do the survey. The first question was would I recommend the service on a scale of 1 to 10. Because the service is provided through an employer health plan, that question is totally irrelevant, so of course I gave it a 1. With all the info they have on me, that’s a stupid question to ask. The next question was how I rated the person with whom I spoke.
I would give her a 10, but the online system would not accept it. I entered my answer several times, then spoke it, and finally spelled it out. As my first rating was extremely low, the system must be programmed to not accept major differences in the assessment of the program’s services. These surveys are useless in providing information on what the customer experiences. I’m sorry the customer service rep’s supervisor will not see what good service was provided to me once I was transferred to her.

Reviewed Dec. 15, 2025
This pharmacy has been extremely frustrating to deal with. Representatives are unable to provide clear or consistent answers, and calls are repeatedly transferred, requiring me to explain the reason for my call over and over again. After spending 30 to 45 minutes on the phone, issues remain unresolved. Each representative provides a different explanation for delays in processing prescriptions, many of which appear to be fabricated or contradictory. I was given multiple reasons for why my prescription was delayed, depending on who I spoke with, which suggests a lack of communication and accountability.
Despite my physician submitting a mail-order prescription more than two weeks before I was scheduled to run out of medication, the pharmacy failed to process it in a timely manner. After waiting weeks and making several calls, I received nothing but the runaround, and my issue was never resolved. This experience demonstrates poor customer service, inefficient processes, and an unacceptable lack of reliability—especially for something as critical as prescription medication which I ended up transferring to CVS.
Reviewed Dec. 15, 2025
After years of calling in every time I needed a refill, OPTUM's representative talked me into enrolling in their “Auto-refill” program. Don’t do it! I know how frustrating it is to navigate their phone system, even when it is working properly, but it is better than getting stiffed. I listened to their pitch and enrolled in their system last summer. In mid-November, as expected, I received a notice that my refill would be arriving in 2-3 weeks. On November 30, I received another saying 1 - 2 weeks. And then another on December 5, saying December 10-13, which worried me a little as I would take my last dose on December 12, but historically, my deliveries have always been as promised or even early.
When it did not arrive by December 13, with their online system still saying it would arrive on December 13, I called again. They could not give me an expected delivery date other than the 13, despite the fact that I was calling to tell them I didn’t have it. They could only say to call back again if it was not here by the 17th or 18th. They did not seem to care that I need this medication to breathe. When I tried to get an emergency 5 day supply at a local pharmacy (at their suggestion), they wanted over $500 because OPTUM said I wasn’t due for a refill for another 3 months. DO NOT trust these people with your health. They simply do not care.
Reviewed Dec. 11, 2025
All was fine with multiple prescriptions through Optum until my most recent addition: Premarin. The FDA approved a generic form of Premarin in November 2025. I was first prescribed it on December 1, 2025 and my physician CLEARLY wrote to give the generic. Two weeks later and I still don't have the medication that's been canceled by Optum 3 times because I refuse to pay the $200/month for the name brand Premarin. On December 9 someone named David who is supposedly a pharmacist incorrectly told me there is no generic for Premarin. As a result, I submitted a fraud report because they are either 1) dreadfully unaware of FDA approvals or 2) getting kickbacks for the name brand.

Reviewed Dec. 9, 2025
If I could give negative stars, I would. THE ABSOLUTE WORST PRESCRIPTION SERVICE. Companies need to listen to actual patients and terminate all contracts. I always have issues getting my medication on time or even getting them covered. You speak with customer service and they say "Ok, we will get that out to" or "That medication is covered," only to get an email or voicemail saying the opposite. No one has time for the inconsistencies.

Reviewed Dec. 7, 2025
Their customer service is trash. They seem to hire people who can't ever be bothered or don't know how to read a chat log. They will tell you the meds are on the way. Run into a problem and then never call you. When you contact them...they will say they tried to call but can't show you a log. They don't know how to actually use other insurance either. If you're not with United they are dumb about how to fill your prescriptions. Oh yeah..they are owned by United health care who pushes you to use them...and then charges you for that. So double dipping. They suck at processing, mailing and customer service. They are the most unreliable pharmacy. The only reason they get one star is I can't go lower.
Reviewed Dec. 5, 2025
I would give it a zero but not an option. Medication that’s always been free now has a charge. Having Medicare/Medicaid it’s free at the pharmacy but not this company. Needing the medication severely they will deny your medication. Even with a balance below $10.00. Told me they would submit my prescription scripts to Walgreens only to find out that’s a lie. Talked to customer service 3 different times, and lied to all 3 times. Horrible company. Maybe they shouldn’t take a contract for elderly or the poor if profit means more than lives.
Reviewed Dec. 4, 2025
Just look at all the negative scores they have received and yet this company is still allowed to be open? For me it has been a consumers nightmare and disaster in every way. I am not going to even go into the details. That's how bad it truly is. They should be investigated then shut down. But they won't because the people behind them seem to enjoy the frustration they inflict on us consumers.
Reviewed Dec. 4, 2025
I am a nurse and cannot believe this is a pharmacy. I called them to try to get info on one of my patients medications, and I could not get ahold of anyone, they just kept trying to sell me a life alert necklace. I could not get ahold of anyone. Scammy, for the money only, disturbing business that should absolutely be shut down. SWITCH. DO NOT STAY WITH THEM. EVILLL.
Reviewed Dec. 3, 2025
I recently had an issue with CVS regarding my husband's prescription and we decided to go back to OPTUMRX. I was so impressed on how Porsha the REP at Optum handled my issue and resolved it without giving up. It took awhile but she never gave up or gave me the runaround like CVS did and she finally resolved my issue. I am so happy to be going back to OPTUM for my future prescription just because of Porsha. AMAZING employee and they are lucky to have her on their team!
Reviewed Dec. 2, 2025
Everything is fine until you have a problem...then the wheels fall off! Off shore foreign call advocates are a joke. They put you on hold forever and can't answer even a simple question. Why calls are routed to Southeast Asia is beyond me. I guess paying those employees a fraction of what they would make in the states has something to do with it
Reviewed Nov. 28, 2025
I decided to switch my prescriptions from CVS to OptumRx. A coworker refeme to them and told me I can get a 90 day supply delivered to my home. The prescription was sent by my physician and the OtumRx website said I owed $200. I called with a coupon card and was put on hold for 37 minutes. I hung up and called back, gave the coupon card information again and was on the line for an hour and 8 minutes. At this time I asked to speak with a supervisor, waited another 13 minutes. At this time a man named DAVID who addressed himself as a supervisor got on the line. DAVID had the worst attitude, he talked over me and refused to help me with my questions. I asked for his supervisor and he said he was the supervisor. I asked for his information and he said he doesn't give that information out. I HAVE NEVER IN MY 50 YEARS OF LIFE BEEN TALKED TO LIKE THAT TRYING TO GIVE SOMEONE MY MONEY...
Reviewed Nov. 25, 2025
If I could give less than 1 star I absolutely would! My husband's company uses OptumRX for all their prescriptions but after about a month of being on a medication I get a letter stating as of January 1st they will no longer be paying for said medication and if this was one time fine it happens. But when it continually happens then I know this company is trying to force people to use cheaper drugs and pay out less. They are no better than a bunch of slum lords. I have a fairly inexpensive blood pressure med and I have tried others and had reactions and this one I’m currently on is the only one I have had no issues with. The cost of it is $24.95 to them so you know just how petty they are that they won’t allow me to have a $20 med because there is one out there that’s $5. This company is the worst! If you can use someone else.
Reviewed Nov. 24, 2025
I have had excellent service from Optum Pharmacy. The home delivery, automatic refill settings take the scheduling off my to-do list! Changes to dosage and addition of new meds have been seamless. With my version of MS, it has been a huge relief knowing I will have medicine on time or earlier than required. I love it.

Reviewed Nov. 24, 2025
I've been calling to schedule a refill since friday, however was unable to complete the order. Spoke to Tiffany on 11/24/24 and she was very helpful. Her customer service was amazing. Thank you Tiffany.
Reviewed Nov. 21, 2025
Yesterday a long lady delivered my prescriptions. She was so friendly and very helpful. I appreciate OptumRx. Appreciate the courtesy. The ease. The professionalism. The whole staff but I only see the driver so she represents Optum specialty pharmacy in a very positive way.
Reviewed Nov. 20, 2025
If I could give negative five stars, I would; the absolutely worst prescription management. They only care about themselves and the bottom line; they offer 2 cents about patient care and prescription management. This company should have its business licenses revoked.

Reviewed Nov. 19, 2025
Every issue you can imagine. Inconsistent info, no follow thru and holding prescriptions hostage. Billing for prescriptions that were never ordered and they take zero accountability. BUYER BEWARE. I thought I had taken care of all of our issues only to have to call and go over everything again. A year later.
Reviewed Nov. 12, 2025
OptumRx did not deliver my statin medication when it was needed. They apparently did not care that my doctor placed the order, that they made her reconfirmed the order and waited two extra weeks to refill the prescription, leaving me short of several days worth. When I called, alarmed and requested the refill be sent immediately they said they would have to charge a sizable shipping fee. I literally spent hours on the phone, and my doctor was contacted at least twice by them and twice by me in trying to get the issue corrected -- only to find their formerly auto-cancelled the order after it was agreed that they grant me a "vacation" exception.
After more time on the phone they again agreed to send in 2 weeks. That was 2 months ago. And I am now worried again that I will experience another shortfall crisis while I am traveling and unable to solve the problem. The review stats on this ConsumerAffairs site today say it all: 1 Star (the poorest rating): 2,470 very negative reviews compared with just 46 total 5 Star reviews; 18 reviews of 4 Stars; 18 of 3 Stars; and 117 of 2 Stars. I would not recommended Optum to anyone. Pay the small fee other providers charge and skip the huge hassle of using Optum. I recommend Walmart.

Reviewed Nov. 10, 2025
They keep sending medication refills that I didn’t order (I have made sure that none of my medications are on auto refill, but they send random medications anyway and charge me for them) and they cancel medications I have ordered for no reason and without notice. I called yesterday about a medication refill they had canceled. I let them know that I am now of that medication because it was canceled and I wasn’t notified. He placed the order again and marked it urgent. Less than 24 hours later, they canceled it again for no reason. This would be a convenient service, if it worked. But it’s more trouble than it is worth.
Reviewed Nov. 1, 2025
This one of the worst companies EVER! I have been a diabetic for 31 years and I think it's safe to say I depend on my insulin. They have failed several times to fill my prescriptions on time. I have had to go so far as to have to ask my doctors office for insulin "samples" just to make it through. They don't care about their customers. I had a rep from ANOTHER COMPANY on the phone with me talking to Optum telling the Optum rep how to do their job. It was insane. I'm sure Optum won't read this, or even care, but for your sanity.....DO NOT USE THIS COMPANY!
Reviewed Oct. 31, 2025
Optum RX has the worst customer service. I ordered my med on their website and I was charged 5.50$, I just received a text, my order is on the way and is 15.50$, they charged me more without my authorization, which is a fraud. I called and after 15, min on hold, then said, "That's what your insurance shows." I cancelled it and I will never use Optum RX, use Amazon. Much cheaper.
Reviewed Oct. 30, 2025
I would recommend against using this pharmacy purely on the basis of their customer service. The idea of having your drugs shipped directly to your mailbox is great when all is working well. As soon as you have a problem, all bets are off because their customer service is atrocious. Be prepared to answer their computer's myriad questions before any opportunity to speak to a human. When you get that human, they are normally foreigners who speak in dialects you will have difficulty understanding. I am serious considering going back to my local drugstores.
Reviewed Oct. 30, 2025
They are absolutely horrible. They advised me it would be 3 days to merge accounts because they wouldn't allow me to use my old account to begin with from when I worked for them. I call back a week later to be told that takes longer than a week and the agent was talking to me like I was an idiot because I was going by what the other agent said a week ago. They have no idea what they are saying or what is going on. I now have to wait to read my information on anything.
Reviewed Oct. 30, 2025
OptumRx tries to do everything through AI chat bots and endless phone trees. Chat bot tells you to call customer service and ask for the pharmacist. You get stuck in phone tree again and again. If you finally get to talk to a representative, they are in a foreign country and it's hard to get them to transfer to a real American Pharmacist. The customer service is bad. The American Pharmacist that helped was excellent and resolved the problem quickly. Just getting to that person is very difficult!
Reviewed Oct. 24, 2025
I’m sure Optum does not read these reviews because they do not care about their customers or the relationships with medical professionals. The disorganization at Optum is so bad that I have genuinely had to consider quitting my job so I could have a different health insurance and use a different pharmacy. It is, quite literally, the only thing I dislike about the company I work for, where I have worked for 19 years. The amount of stress they cause any time a prescription requires ANY layer of complexity (prior authorization, for example) is out of control.
This morning a representative from Optum said to my healthcare provider “We have everything we need. No further action needed. All she needs to do is call in and schedule delivery for the prescription”… When I called in, they told me the opposite, and required additional steps from my doctor. It’s this type of miscommunication that cause delays in prescriptions being filled and stress for all involved.
Reviewed Oct. 22, 2025
This pharmacy consistently fails to meet a bare minimum standard of operation. Prices are constantly changing, and usually far from the price their own pricing tool cites at time of filling; with the added benefit of exceeding not only state mandated maximums (ie, insulin) but also my own plan's maximum copay, and often even exceeding both my personal and family deductibles for a single fill. When filling older, less specialized meds they frequently ship out 1 to 3 weeks late and if they flag a refill as "needs attention" expect the order to sit at least another week in a "pending review" state after being assured that the matter is resolved and shipping is being expedited. My union insurance plan is dropping them as of January 2026 and I couldn't be happier. I was far better off filling medications out of pocket locally.
Reviewed Oct. 22, 2025
Absolutely horrible service. All they do is give you the run around. It's been over a month and still have yet to get my prescription filled and sent to me, and I am forced to use this p.o.s. company. If you are able to go another route do it!
Reviewed Oct. 21, 2025
A Nightmare to deal with. They will second guess doctor and send you what they think or need. No communication. They are totally useless. Sometimes takes weeks to get your medication & when you try to call and get through, they are rude and make you feel as if you are bothering them. No Customer Service.

Reviewed Oct. 21, 2025
Rachel H is the worst agent I have ever had to deal with. You have to fight with prior authorization to get your prescriptions filled all the time. They never receive anything faxed from your dr. Do not use OptumRx if you can avoid it.
Reviewed Oct. 20, 2025
Optimum RX specializes in patient discouragement. The patient has no ability to send medicine. Only a doctor can authorize prescriptions. Their extremely hideous autobot is first step of discouraging action. After that argument you are sent to someone else that wants to reverify everything, listen to you then tell you that’s the wrong department, forward you to another to verify a third time….average 20 minutes up to this point. Then they will have to look for your prescription. Finally found it to verify again who you are and where you live before they can send you a prescription by a doctor to your home every month. There is no automatic refill like most other places. This is called patient discouragement. It’s money in their pocket by contract not medicine sent out!
Reviewed Oct. 20, 2025
Worst mail order prescription company EVER. One issue after another. They are consistent in poor customer service, prescription delays, billing errors, and communication issues. The employees are better qualified to work in a coffee shop.
Reviewed Oct. 17, 2025
Optum Rx is absolutely the worst company I have ever dealt with. They have failed me in a spectacular manner over the past 2 weeks. The "customer advocates" you are connected with when you call or chat seem to operate completely in the dark, they know nothing of what is going on, they are not empowered to do anything to fix orders that Optum has messed up, and there is no way to elevate a problem within their organization so that you can speak with an experienced person who actually can make something positive happen. Over the past 2 weeks I have spent more than 10 hours trying to get one prescription filled, and while Optum has made many commitments to me, they have failed to honor every single one of them. As a result I am leaving on a long trip and I do not have any meds.
Reviewed Oct. 17, 2025
I am 23 miles from the nearest Walmart CVS for Walgreens. so in my particular case I thought it'd be best if I just take advantage of my prescriptions being delivered. Well up to now I've been very pleased with the service of Optum pharmacy. My prescriptions have been delivered on time, well packaged and so forth. However my GI just recently changed my acid reflux prescription to a medication called Dex lansoprazole dr cap 60mg. It was delivered in a timely manner as usual, however after taking the third daily dose of 1 tablet per day, I received a text message from optum pharmacy basically stating, "Oh, by the way your balance on that medication is $100." Now if I would have known that, I would have would decline that medication and informed my GI specialist because I can't afford that.
You would think that Optum pharmacy would text me first and say, "Hey this prescription is going to cost you $100. Do you want us to process it? Yes or no." I did not get any confirmation of that sort. I'm on a fixed income, Social Security only so Needless to say this is very disappointing. I did check with my insurance company which is a united healthcare and they did say yes unfortunately that medication is in a Tier 4 category and I have to pay the whole bill. On top of that they will not fill any future prescriptions until the balance is paid in full bill. WOW really? For the Love of God Optum RX pharmacy please review your process and procedures and properly notify your consumers if their medications are not covered or if the cost is an out of pocket expense. Thank God the cost was just $100. Optum pharmacy really let me down.
Reviewed Oct. 16, 2025
Doesn’t deserve a star. These people are waiting for you to literally die. Nothing will be covered to prevent serious health issues. Employees don’t care either. I hope they get a lawsuit for declining coverage. Please keep your record of declines and all the bs they make you go through. Like they know more than the actual surgeon and specialist.

Reviewed Oct. 16, 2025
Every experience just gets worse. A $40 copay went to $2000. Surgeon sent in an order of pain meds which I need as I’m waiting for surgery on multiple fractures and more and they decided I have pain meds for my migraine so I should use those. I used those for my migraines and they aren’t strong enough for broken bones. So, the surgeon who wrote the script has to send in prior authorization to fill the script. Now they’re reviewing and it could be a couple days. Do they hope if they put you off long enough you’ll go to the ER or try to get meds some other way because this is unethical as hell. I’m writing down every interaction as this place is screaming to get sued.
Reviewed Oct. 10, 2025
The absolute worst customer service I have ever experienced. Told me they are waiting for my doctor to respond to them and when I call back I'm told by the next person they never reached out. Do they know people need medicine in many cases to stay alive? This company is horrible, the absolute worst!
Reviewed Oct. 9, 2025
I hate this company so much and I hate that I am forced to go through them for some of my medications. It’s impossible to get ahold of a person in the phone in any reasonable amount of time. And then they never know what they’re doing. It shouldn’t take 45 minutes of my day because you guys don’t know wtf you’re doing.
Reviewed Oct. 8, 2025
If I could give a ZERO stars, that would be too high. For four months I've been dealing with several issues with orders I didn't place. Also, there is a prescription that is consistently out of stock and them making excuses that the doctor's instructions were not as the medicine was intended - once that was remedied, then they are out of stock again. Customer service, delivery, the app, and their website are terrible.
Reviewed Oct. 6, 2025
They charged me 436.68 for contour next test strips that should have had a $0 co-pay. I disputed and the said the mistake was on their part and refunded money. Then they turned around and charged me $436.68 again for the same prescription. I've called 8 times to settle this and they say they will fix it but I keep getting notice I owe that money and they won't send any more prescriptions unless I pay it.
Reviewed Oct. 2, 2025
OptumRx is a lousy company. I had been ordered my prescription medications via OptumRx for years and had just found out my prescription drug member ID was totally different than the one I had. The mail order (800)562-6223 at OptumRx which provided the different member ID and claimed that I should call my insurance company to find out why. The wrong member ID is the different member per my Health Insurance Company. OptumRx finally corrected my prescription drug member Id after my Health Insurance personnel talked to her.
Reviewed Oct. 1, 2025
The medications I needed cost $6770 from an online pharmacy. I tried to use Optum because my insurance through optum paid 50%, I ended up paying $6492, so I saved only $278 not the $3000 I was expecting. I also spent hours on the phone with my doctors office, health insurance and optum. It was not worth it and it seems like they charge a large amount so covering 50% really means nothing.
Reviewed Oct. 1, 2025
I wish they had a minus 10!! This company lies, collects huge copay on some medications, won't fill meds in timely manner and has caused me major health issues. I have documents supporting all my claims. Best I can figure is someone from our state is getting a big kickback! You decide to use this company in my opinion you will be very disappointed!!
Reviewed Sept. 30, 2025
Yes! OPTUMRx is the cheapest prescription plan for a company to buy for their employees. They are cheap because they barely cover anything. I have a deadly disease. I'm dying. They continue to deny the medications I need to survive. These medications are prescribed from specialists. Even with prior authorizations, they deny coverage. The options they provide my doctor are a joke. When I spoke to my pharmacist she laughed and said my "prescription" plan won't cover most medications. They are horrific!
Reviewed Sept. 29, 2025
I infuse with an immunoglobulin every 3 weeks. My doctor recently switched me to weekly for a different med. My "patient coordinator " is the one who is supposed to reach out and that never happens. I have had to reach out to her every couple weeks to set up delivery. Somewhere in my notes My insurance has told them they have to make a phone call every fill to go over any changes. Always rejected because they won't do that, and then go for days until I call to find out what is going on. On 8/21/2025 I called and finally got an email from her to set up old meds. I questioned it and she emailed me 2 days later to tell me that yes they had the script. A month later after multiple emails, calls and 3 or 4 different people and the actual pharmacy, they then tell me after 3 weeks into it that they don't have a script. My doctor sent it 2 times. I am beyond angry at this point.
If I were not to call almost every day I do believe I would still be waiting on meds. EVERY month it is like this. I do not take these meds for the fun of it. I NEED these meds to stay well and out of the hospital. I was told I would have them Friday and if that wasn't going to work they would reach out to me. Answer all their repetitive questions for them to tell me Saturday and they would send a tracking number. Never got a response to the email or a tracking number. HORRIBLE CUSTOMER SERVICE. How many people are still waiting on meds? If so you might want to call insurance or a new pharmacy.
Reviewed Sept. 27, 2025
I’m retired from the Federal Reserve System. Retirees have no choice who fills prescriptions. On September 12, 2025, I ordered a refill of my Restasis prescription. USPS lost it, but THEY didn’t say anything. I called Optum. They were so sorry! They “said” it would be shipped immediately. On the 23rd, I called. Was told it would be overnighted. The customer advocate never submitted it. I called the next day, so sorry! We will overnight it again! I called the 27th because I never even got a tracking number! So sorry! I live in a small village outside of town. The pharmacy I use closes at 4 pm on Saturdays and is closed on Sunday. The supervisor located a CVS. They closed at 6 pm. She said she would call them Sunday morning. I need the medication to keep my vision. The supervisor was young and could have cared less. LESSON: DO NOT USE OPTUMRX!
Reviewed Sept. 27, 2025
My husband and I are sooooo disappointed with the Mail Order and ordering of his medication. When we ordered a 1 month supply, Optum took it upon themselves to place a 3 month supply, (3 times the amount we could afford on our SS Disability) WITHOUT contacting us for confirmation…. Needless to say, this caused us a financial issue with our bank as well as our personal available monthly funds. We were able to find the funds to cover the increased charge, however, we are in a difficult position until our next Disability deposit.
As we are a fixed income, like so many others, this is UNACCEPTABLE AND IRRESPONSIBLE conduct for any medication provider!!! He was allowed to “order” only 1 month and they took it upon themselves to fill the medication without ANY authorization from us. We will no longer use them, and I have chosen to use the local pharmacy once again as I had the same issues for medications previously. I believe in giving chances but this was, again, unacceptable and irresponsible on their part and the character of their business procedure.
Reviewed Sept. 25, 2025
Terrible service. They deny every new prescription written. They even stopped covering a thyroid drug I’ve used for years. What really made my blood boil was their pre recorded responses. When I asked to speak to a live representative the bot was programmed to give a reply that was accompanied by an exasperated sigh! Someone intentionally programmed that as a response to a customer. The snark and disrespect is off the charts! This company continues to throw up a roadblock at every turn. It looks like they have their tentacles throughout our whole national healthcare system. I’m questioning why I even have prescription insurance..My more costly medications were denied by them and I now order them from Canada. They are useless to me.
Reviewed Sept. 23, 2025
They’re quick to take your money, but never quick to help. These trash bags failed to send time sensitive medical documents to my house with no explanation. I was told a request to mail them out was put in September 5th… It’s now September 23rd. They have the request on file, but no reason as to why it wasn’t sent. I advise to document every interaction, save your chat transcripts and record your calls, to help with potential lawsuits.
Reviewed Sept. 22, 2025
Ridiculously awful. Over 1 month still can't get refills. Do not use this service!!!! They keep cancelling my orders after making me get all new rx's sent to them. Worst customer service, almost unbelievable it's so bad.
Reviewed Sept. 20, 2025
Poor communication and constant issues with orders being cancelled after confirmations codes and emails have been provided. Optum will not reach out to let you know any issues happened you just find out when you medication doesn't deliver. When you contact their team the front line call team is great, but they can't do anything to actually help improve any process.
Reviewed Sept. 18, 2025
Just absolute trash. They will make you jump through every hoop imaginable to get your prescription ordered, cancel the order without telling you why, and generally make everything more difficult than it needs to be. I had to make 5 separate orders the last time I needed an rx I've been taking for years refilled. Ridiculous.
Reviewed Sept. 17, 2025
If you ever are counting on this company fulfilling new prescription requests in a timely fashion, you will be sorely disappointed. Had a prescription I had been receiving for many years without issue, but suddenly when this company assumed my prescription coverage, they required me to go visit a doctor to get diagnosed...again....and then when the new doctor sends in the request, my prescription gets cancelled. Wish I could say it was a misunderstanding, wish I could say it was a one time thing, but this has been my experience every time.

Reviewed Sept. 17, 2025
Optum alleges 24/7 service hours with the ability to speak with a consumer representative. This is totally false. The phone is answered by a robo-recording (AI)? and it disconnects even if there is a request to speak to a live person.
Reviewed Sept. 16, 2025
I was told by Optum that my medicine was covered by my insurance, before I went through with the prescriptions. I then received my Credit card statement with an unauthorized charge of $426. When I called Optum they said the charges were for copays which they didn't tell me I had. I told them I wouldn't of went through with the prescriptions if I knew I had out of pocket charges for that amount. They said they would send it to review team to see if they could refund my money, I was assuming for their error of not telling me about the copays. I reported them to my CC company for the unauthorized charges. The next day they said they were going to refund my money. Then I get an email saying they were sending an envelope to send back the unopened medicine, again something they didn't tell me about before either.
I wouldn't give them any stars for their bad customers service they have no clue on what they are doing. Sad sad sad!!
Reviewed Sept. 15, 2025
They have declined to cover every single prescription ordered by my doctors. They also refused to cover a prescription I’ve been taking for years. May as well not have a prescription “benefit” at all. I hope they get sued and dropped by the UAW for denying literally everything.
Reviewed Sept. 15, 2025
OptumRx is nothing more than the equivalent of 100 defensive lineman standing in-between you and the care you need. I live in chronic pain. Optum has denied every medication, treatment, procedure that could possibly help my chronic pain. I have been overseas twice and paid out of pocket for treatments. I have Small Fiber Sensory Neuropathy that I got from taking Zolpidem. Optum kept denying everything stating if I had neuropathy from diabetes they would cover everything, but since I got it from an Rx, they would not cover. I HAVE THE DISEASE, WHY DOES IT MATTER HOW I GOT THE DISEASE??!!
We went through years of appeals. If you want to pay for insurance but get blocked from actually using it for treatment go with Optum, otherwise stay far away from this awful blocking service. Through all their blocking treatment they would call and I would see who it was from and answer "what are you denying me for this time?" And the person would seem somewhat shocked and say 'well yes I regret to inform you we cannot cover...' Thank you Optum for the extra pain and out of pocket expenses!
Reviewed Sept. 13, 2025
I've called Optum Specialty pharmacy 3 times to try to get my prescription filled. 2 of the 3 times, I paid, confirmed my address and was told it would ship. Today I checked on the status and it was on hold again. They can't figure out the insurance and copay cards, no matter how many different people I speak with. Sadly, this has been a very typical experience with Optum over the years. They also decided to shut down randomly from Friday night until Tuesday morning. I'm already past due for my prescription. I can't switch to another pharmacy due to my insurance, so why would Optum bother to improve their customer service if most people are stuck with them regardless.
Reviewed Sept. 12, 2025
Unbelievable. I have been trying to get my medications from this company for literally 2 months. EVERY SINGLE ORDER I PLACE from July to September I ordered 6 times and NEVER did any of these go through. NOTHING. They are so nice on the phone and completely INCOMPETENT. Meanwhile I am now Totally out of my meds but they can't be sent anywhere to a local pharmacy for pick up because it's only been sent to OPTUM. I hate this company with every fiber in my being. They dangle low prices out to you with ZERO ability to provide.
Reviewed Sept. 10, 2025
Optum RX is a poor substitute for the local pharmacy as a means of receiving one's meds! I canceled the service recently after repeated problem. First, they couldn't get my med to me when it was scheduled. Then after paying for it myself, I had to go through a cumbersome reimbursement process. On a second occasion they denied payment for my August refill because I asked for the refill on July 25. I was leaving the area vacation. In dealing with the company I found them to be unresponsive and tuned out to my needs. They have self- serving policies that work for them but not for patients. I have given all my prescriptions to Walgreens effective immediately.
Reviewed Sept. 10, 2025
I am on a specialty medication and since switching to Optum Rx I have had nothing but problems getting the medicine I need to function. They are a horrible, greedy company. No one has answers or seems to care that I will go into a flare if I don’t receive my medication. They say it’s all set and on its way and then they tell me everything was reversed because of an “internal glitch”. I haven’t had my medication for three weeks now! And I’m getting sick. I hate this company!
Reviewed Sept. 10, 2025
Ordered refills for son on 8/11. Received confirmation. Then message that one could not be filled until 14th but no further action required on our part. I left my company on 9/1 but elected COBRA, all refills got cancelled and said because I had no insurance. Said they did a new calculation that said he has a surplus based on claims but he's about out. So many random issues. Like another time we were told, you now need to take this drug instead of the one we were on. Also had to use their home delivery, so they were out of this new required generic so we said to give us the other. They demanded we pay $90!! So, forced to move to Drug X from Drug Y and I had to use mail (employer required to use mail. Employer was a UnitedHealth company) but Optum didn't have any of the required Drug X but Drug Y was $90!!!
Reviewed Sept. 9, 2025
They declined prescribed medication by my primary doctor. When I reached out to them, they gave me stupid reasons and asked to file for appeal. Which still did not approved. My Multi Plan health Insurance company did not get help which also not acceptable.
Reviewed Sept. 5, 2025
I am extremely frustrated and disappointed with my recent experience with Optum. Nearly a month ago, a prescription was sent to Optum on August 11, and I never received any communication or update. When I followed up, I was told there was no account under my name—despite having used Optum in the past. I then spent over three hours being bounced between RX Savings, Blue Cross Blue Shield of Kansas, and Optum trying to track down what happened. It appears that I had an older account with Optum under a previous name, and rather than opening a new account (as their policy supposedly requires), Optum changed the name on my existing account—without any notification or my authorization.
Even more troubling, no one could tell me how or why my name was changed, and the Optum supervisor I spoke with claimed they could not see any record of my prior name or the update. When I asked if they had IT systems that track such changes (which any responsible system should), I was met with vague answers and finger-pointing. To make matters worse, I was told to call Optum to "release" the prescription, but the number provided by RX Savings repeatedly led nowhere. It went straight into what I can only describe as a black hole—zero assistance, no resolution, and absolutely no accountability.
Bottom line: My account was changed without my consent, I received no notification, my prescription was delayed for weeks, and I was forced to do all the legwork to resolve a problem Optum created. For a healthcare company that handles sensitive personal and medical information, this is unacceptable. Optum needs to take responsibility, improve their communication, and implement proper safeguards and transparency around changes to customer data. Right now, they’re failing on all fronts.
Reviewed Sept. 3, 2025
My 88 year old mother has used their pharmacy mail in service for a few years, pricing is great. However this year there has been problems. She has been out of blood pressure meds for over 2 weeks. They keep telling me they have no refill order, I went to the Dr office and they confirmed refills were prescribed. So today she is being switched to Walmart pharmacy.
Reviewed Sept. 2, 2025
Had a refill to get at Wal-Mart Neighborhood in Edmond OK. In checking the Optum Perks site for a discount coupon, I found One for $ 17.76. When I picked up the RX, the tech ran the coupon and said, "I’m sorry but its $ 25.76." This is the second time the Optum Perks was not accepted. Why do they lie to the consumer? What’s the scam here? Beware of this app!
Reviewed Aug. 28, 2025
I do not recommend OptumRX mail order. I called and requested an RX be moved to a local pharmacy and the agent said it was completed. A day later and my local pharmacy still had nothing. After contacting OptumRX again, I was told that the prescription transfer wasn't send through. So now I have to wait days to a week for my critical medication because OptumRX also ships extremely slow. Their prices are terrible too. In the past, there was a discount if you purchased a 90 day supply of medication, no matter the insurance carrier. My last batch of medication it cost $135 for 90 days through OptumRX. If I would have gotten it through any other local pharmacy for 30 days at a time instead it would have been $25 for the equivalent of 90 days. If I'd have gotten it at Amazon Pharmacy, it would have been $15 for the equivalent of 90 days. OptumRX is a rip off and has the worst customer service I've seen.
Reviewed Aug. 27, 2025
I’m leaving on a two month vacation and wanted to refill my four blood pressure meds. My refills are scheduled to renew the day before we leave. I found out the cabin we rented does not receive USPS deliveries so a simple change of address won’t work. I spent over two hours, three phone calls and three departments trying to have them fill my prescription a week early. I got rude, condescending useless people in all departments who could not problem solve.
They kept falling back on vacation waivers which only supplied one month of meds. I got jerked around so badly by so many people and departments that I called my doctor to call in the prescriptions to my local pharmacy, bypass my insurance and pay cash for the meds. What’s the big deal about filling them a week early? It’s not like they’re controlled drugs and it wouldn’t affect the number of pills I receive in a year. Please train your inept staff to think outside the box and problem solve. I started this process three weeks before we are leaving and was running out of time.
Reviewed Aug. 26, 2025
I recently received notification that my Dr. provided a prescription refill. Checking online, one of the prescriptions had changed. The site did not recognize the drug and provided no information or price. Online searches revealed it was the brand name equivalent of my normal rx. Optum Rx has a very strict payment policy on shipments. I didn't want to get a surprise big bill, so I contacted Optum Rx. They confirmed the order was, and has been, for the brand name to be filled by the generic version. I asked that the order be updated so I could authorize the correct generic rx. I was told that could not be done and they could only cancel the order. Wasting my time between my doctor's office and Optum Rx to resolve this issue. Bad customer service and unwillingness to check their system based on this change.
Reviewed Aug. 24, 2025
An awful pharmacy. They dump all the work on the patient to solve. And their prices were expensive. A drug I paid $1.30 was $75.00. Now they want me to play middleman with doctor and them. And coupons to make drugs cheaper - they won’t tell you about them. Don’t bother. And their website is awful. Hahaha. I’ll go to Costco or Walmart.
Reviewed Aug. 22, 2025
I don't even know where to start with the miles long complaints regarding Optum RX. The family has recently taken over several aspects of our father's health care. He's been put on a multitude of prescriptions due to life altering medical problems. Needless to say that some of the Meds are to keep him alive and healthy. He was also assigned a case worker to help with all the medical doctors and prescriptions. In a, roughly, 4 month period Optum has cancelled, with no explanation, so many of his prescriptions- even after they've been called in time and time again- that he has ran out of his Meds to keep his blood pressure up, antibiotics to fight infections and the list goes on and on. The case worker has had to call in emergency prescriptions to a local CVS multiple times because of Optum's failure.
We'd love to switch everything over to CVS but we are faced with the fact that in order to use CVSr and get dad's meds on time so he does not run out he will be faced with a higher co-pay. We, as a family, have decided to say screw Optum and dad's insurance and pull together, pay the higher co-pay and go thru CVS so we can make sure he doesn't run out of his meds. How is it that Optum, who is to fill and mail prescriptions called in by medical professionals, can just up and cancel life needed medications? These are prescriptions that are not being filled anywhere else, unless they are cancelled by Optum and the doctors have to call in emergency prescriptions to CVS. Something is broken and seriously wrong with Optum.
Reviewed Aug. 22, 2025
Thought changing pharm and getting my scripts delivered to my home would help me. Well after switching over to.Optum Rx it has been a nightmare can't get meds that the doctor has sent them, drugs I been on for years, nothing but a nightmare. Keep getting optum, had sent fax to the doctor for more information, doctors says nothing sent. I have recorded both what optum and doc has said sent to lawyer when something happens because can't get scripts lawsuit will begin?
Reviewed Aug. 19, 2025
I had a prescription get denied. I called the support and the computer chat bot said I didn’t have anything within the past 30 days get denied. It redirected me to an operator and put me on hold. As soon as the call went through, the operator hung up on me. It redirected me to a survey for the “services” that I didn’t even receive. I gave all responses a zero because I was hung up on. At the end, it told me it wouldn’t record my survey. What an absolute joke. The CEOs of these evil companies make insane amounts of money declining to cover medication you need, fire employees who would answer your question, and have AI give you the runaround until you get so frustrated you give up and pay out of pocket.
Reviewed Aug. 13, 2025
Through CalPERS we are required to use OptumRX. United Health Care is the medical provider. This is not a good company. Difficulty dealing with the customer service reps as well as claims staff. Someone else in comments mentioned "idiots". I have to agree after two separate dealings with them over the phone none. Luckily CalPERS is leaving this horrible company and in 2026 we go to CVS.
Reviewed Aug. 13, 2025
I had the worst experience working with OptumRX. It took over a month to get my order shipped and then when it FINALLY did they weren't able to accept my manufacturer's coupon and charged by card $300 without consent for the order price (on what was supposed to be a $25 prescription). I will not be using them EVER again - and will make sure to tell my friends and family not to.
I do commend the kind people I spoke with through this process (at least 6 different phone calls) as this isn't their fault but they clearly were not given ample training on the procedure for how the company they work for functions. Every person gave me different information and it made the process drag out even longer. I will be taking my prescriptions back to my normal pharmacy as this was not at all worth the hassle and stress.
Reviewed Aug. 13, 2025
My prescriptions are always on time. It is easy to check anything I want to on the app. It has been easier to get my prescriptions since I switched to Optum. It is convenient and reliable. I have not had any problems.
Reviewed Aug. 12, 2025
Had used this company for years either no problems. Now I can’t access my account, there are issues with every script, and when you call, the robot answering phones is woefully inadequate. Despite attempting to resolve access issues in numerous occasions, not a single “advocate” was able to fix anything. I will gladly be taking my scripts to my local pharmacy and pay more.
Reviewed Aug. 10, 2025
I have been getting Home delivery for one year now. My Insurance company demanded I start getting my 90 day supply from OptumRx and not my Local pharmacy and even put in a stipulation that if I continued at my Local pharmacy, I would only be entitled to 30 days supply, not 90 days supply, which drastically increases the price of your Medication. Our healthcare system and health management system has totally gone to the gutter. I have a total of nine medication that I get filled from the pharmacy every 90 days. And if I don’t manage it myself. I would never get my medication on time. And as it is, I spent the last five weeks calling once a week twice a week, making sure that OptumRx had the prescriptions that OptumRx had the proper dosage, and proper quantity of tablets filled.
Based on the representative, my medication could not fill until Friday, 8 August. I called at five in the morning on the eighth, verified that all the medications were correct, and after having confirmed all this twice during the week on Friday. There was one medication that was on my list. That was no longer on my list that we had to straighten out that morning. I explain to the representative that I run out of Medication Sunday morning today and that I need my orders expedited. They assured me that everything would be expedited. So I’d receive it within 2 to 3 days instead of within 5 to 10 days.
Last time this pharmacy received the prescription and even though my profile says that they’re not auto refill or Auto ship anything without prior approval. I got notification that they received the prescription. I called within the first hour and they told me it was too late to cancel the order because it had already shipped, which is impossible. The systems don’t work that fast and these people don’t work that fast. So now back to my order of Friday two days ago. I called them Friday afternoon to follow up and they said yes. Everything is in process. When I looked on the app yesterday Saturday. It’s still showed. It was in process. And that’s after speaking with them at five in the morning Saturday morning and my medication has not yet shipped.
When I spoke to the representative yesterday afternoon. They said oh we don’t ship Medication on the weekend. I’m like what the heck this. Medication was supposed to ship Friday evening so no matter how many times I call no matter how many times. I follow up. No matter what I do, unless I physically go out to wherever this company is in process my own order and shipped my own order. I’m not getting my medication. And no one cares. It’s truly sad. What’s happened and to Trump the whole thing in the package is my high blood pressure medicine.
Reviewed Aug. 5, 2025
If I could leave zero reviews I would. Terrible customer service, on hold 1 hour then I lost the call. Nobody called me back. They screwed up big time. I will never use them again, ever! How can they do this to me. Shame on them.
Reviewed Aug. 5, 2025
Unfortunately I was switched to OptumRx without a choice. Since then they have denied basically every prescription written to my wife and myself. I have suffered from nasal polyps for years and finally found a drug that works and it keeps being denied. OptumRx you suck.
Reviewed Aug. 4, 2025
OptumRx is the worst company to get prescription drugs from. The customer advocates have no contact with other departments to investigate customer problems. They just repeat the day a package is shipped and when pushed can give you a US Post Office tracking number. I investigated a lost package with The US Postal Service and was told the shipping label did not have the correct barcode. My prescriptions were sent incorrectly 3 times. They don’t even know if the package is returned so they can send another.
I had to get my doctor involved to prescribe to the local pharmacy instead of using Optum for it. 3 times I had to ask for a partial prescription supply from my local pharmacy because my medication was running out. It is scary to wonder if you will get the prescription drugs on time. Do not use Optum. No matter whether you have issues with your local pharmacy, choose to work with them.
Reviewed Aug. 3, 2025
If I could give them zero stars I would. I have United Healthcare insurance and Optum RX is attached to this insurance. First, they are more expensive than going to my local pharmacy (like CVS) using GoodRX app for finding the best price. Second, customer service is unkind, they "pretend" not to understand what your question is. I was getting nowhere with the service rep so I asked to speak with a supervisor, he said that it wasn't possible and I would get the same answer so I might as well stop asking. Fourth, they charged me and mailed out a prescriptions without asking for my approval. This is must most frustrating part because they won't reverse the charge nor take back the prescription (which I do understand that last part).
Reviewed Aug. 2, 2025
OptumRx just shipped one of my medicines w/o my permission!!! They have in the past pressured me with automated calls to order drugs on my prescription list that I did not want or need. This time, the automated call asked if my shipping and billing information regarding a drug was correct. I said yes, but I was not asked if I wanted to order the drug and I did not give permission for the drug to be ordered. A couple days later, I get notices that the drug has been ordered and the drug has been shipped - less than an hour apart! This is an outrageous, money-hungry scam. It was clearly not some kind of accident.
Reviewed July 31, 2025
DON'T EVEN THINK ABOUT. These people are absolute idiots. 5 phone calls, to Manila, (good luck with that) full week later, still asking for my physician’s phone number and address. Will be dropping their asses like a hot potato in October.
Reviewed July 29, 2025
I am taking Amjevita injection biweekly and I am required to use OptumRx Specialty pharmacy. They charge $6,329 for my monthly prescription while Amazon pharmacy has it for $1,413. However, Insurance requires me to get it from OptumRx otherwise won't cover and won't apply payment toward my deductible/out of pocket max. I have no idea why they don't have negotiated drug prices. Purely disgusting money-grabbing from OptumRx specialty.
Reviewed July 28, 2025
OptumRX, fails in most areas of customer service. I receive the initial Rx order, but had to set everything up between them and the doctor office where the procedure takes place. They fail to do what they say they will do. They did not set up refills like they said I could do and approved. When it came time to refill I get emails and text every day to refill even though they have to speak with the doctor office each time. My medicine must be delivered in a specific time frame and their lack of care and customer service causes stress. They did not send me a itemized list of medication so I could send in to my secondary insurance. I had to call back again. Their automated system is basically a waste of time to keep you on the phone while they are speaking with others.
Today their whole computer system is updating. I ask why could they not do that on the weekend when the office is closed. They said they are open 24/7. I rebutted saying I called on weekends and evenings and a recording said to call back during office hours. I looked on the internet and OPEN HOURS are M-F, 8a-5p. I was told to call anytime. I asked to speak to a supervisor and was put back in the queue. The second person told me there was no one to talk to. She took my name and number to give to her supervisor. I am 100% sure it went in the trash. I asked for the corporate office and she said they did not have one. While she had me on hold for 20 mins I looked it up on the internet and asked her when she came back which was the main corporate office because there are 2, CA and MN. I am going to see if there is another specialty pharmacy in our group. I am sure there is one. I advise if you can don't use this company.
Reviewed July 24, 2025
Optum RX is THE WORST pharmacy I've ever had the misfortune to be forced to deal with. Every single month, there is another issue. They have my payment information on file, yet I have to call every month for them to stop harassing me for payment. They don't automatically refill your 90-day supply unless you call them 100 times. I can't understand their customer service reps, the most horrible pharmacy I've ever had to deal with!
Reviewed July 20, 2025
The idea of having prescriptions come to your door is nice-however with the few months I’ve used OptumRx, they’ve sent the same meds twice, delayed medications, delivered late, and put prescriptions on hold. I have some medications set to autofill every month, but it is unreliable, I have 3 days left of my pills and have to wait 2-3 weeks for them. Sometimes I get a message saying something couldn’t happen and to check my account, and nothing is wrong, leaving me to talk to customer service and having to say it says something couldn’t happen with your prescriptions just for them to say “oh nothing went wrong”.
Reviewed July 19, 2025
They shipped medication I did not order but charged me for it. Still haven’t received a refund. Another charge just posted to my credit card that is for something I didn’t order. Don’t trust them with your money!
Reviewed July 17, 2025
I am a 100% disabled veteran who has recently retired and now I am living on a fixed income. My wife and I are in the middle of a lawsuit and we have legal bills. The person who built my house we planned on retiring in is now suing us for $2.4 million for defamation because we put a sign on our house when the builder did not repair the house. We have to pay $65,000 for a lawyer. Now our choice is to lose everything we own or let my wife die for lack of medicine. Optum Rx has the medicine my wife needs but insists she pay $400 each month which we cannot afford. My wife has not had her medicine for a month, and the apathy shown to her by Optum RX and Meds by Mail shows that they are willing to allow her to die. Every time she talks to Optum Rx or Meds by Mail they give her to other companies to assist in paying the deductible. None of those companies will work with her CHAMPVA insurance, which makes this option useless.
Reviewed July 17, 2025
Absolutely the worst pharmacy ever! Can't get anything right after 15 phone call and still did not get it right. Just plan horrible. Customer service and their supervisors do not know what they are doing!
Reviewed July 15, 2025
Optum is the worst pharmacy I have ever had the displeasure of using and that is saying something in a broken system that sets a low bar in general. My prescription was sent in by the Dr. a month ago. They told me once per week for 3 consecutive weeks they would ship "Within a week" and never did. Beginning of week 4 a supervisor said they would ship for sure within 24-48 hours and would call me with a tracking number. It did not ship, they did not call. Later in the week another supervisor said it would for sure ship absolutely no later than 5 days from that date, the medicine would be shipped overnight and no matter what I would receive no later than 1 week from that day. For sure they promised.
Less than a week later I noticed they did not ship but canceled the order online. I was charged a month ago and have not recieved the medicine or a refund. Now in week 5 they say I have to start all over. Had they said to start they won't ship the medicine I could have just gone to another pharmacy. How many people should go over a month without their medicine? If you want to take it sometimes maybe and like spending lots of time on the phone with customer service being told lies then Optum is for you.
There have been a dozen phone calls now in the last month. Every single thing they have said in the last month has been a lie. On more than one occasion I spoke to two reps in the same hour and got different answers. The only thing you can be sure of is that both answers are wrong. The customer service reps barely speak English. I have spoken to a dozen of them and none spoke or understood English well. Even the supervisors aren't able to communicate or understand ideas with any complexity. They don't seem to have even a basic understanding of how pharmacies and insurance work. Not only will they not help the customer, they actively hinder.
Reviewed July 13, 2025
Optum rx is staffed by the most incompetent pharmacists and customer service representatives in the healthcare industry. I had several prescriptions sent to them because that is who my employer uses. However, my order was mishandled from the very start. After numerous phone calls to customer service representatives who have a "it's not my job" attitude, I decided to have them filled at a local pharmacy. This organization is simply dysfunctional and has no place in the American healthcare system.
Reviewed July 12, 2025
I just enrolled with OptumRx a couple of days ago and they have already made a mess of things that will have me going 10 days without my medication, I am regretting my decision to transfer my prescriptions to them, I feel like it was a huge mistake and am now in the process of having my scripts transferred back to Walmart
Reviewed July 8, 2025
This is the absolute worst company to deal with! First they do not speak or communicate in the English language so talking with them is impossible! I have been with them for 5 years and each year it gets worse to deal with! I have completely stopped getting refills from them because of these issues and will never use them again in the future! When the election time comes to pick my part D supplier it will not be them under any circumstance period.
Reviewed July 7, 2025
Optum RX falsely advertise which I thought was illegal. I looked up a prescription online and it showed as $67 and that the lowest price was found at Walgreens. So I had my prescription sent to Walgreens. At Walgreens they tell me they can’t fill it and that they need to send it to CVS. I go to CVS and they list the price at $160 with insurance coverage included. When I called and spoke to a customer service representative, he mentioned that the website lists all sorts of incorrect information, especially prices and Pharmacies. He said he hears this all the time. Is it really legal for Optum to list a price and a pharmacy and not even come close to these? I am submitting a complaint to the Better Business Bureau as well.
Reviewed July 7, 2025
I have dealt with online pharmacies for probably 20 years and Optum 90 Day Home Pharmacy is the worst. They were the online pharmacy of choice for my healthcare so I didn't have a choice in selecting them. They have consistently had problems filling even the most basic prescriptions. Probably the most galling, they simply cancel prescriptions and give the customer no notification. When you call them you get no answers. Their final act of insult. I placed an order June 27th knowing full well that my online pharmacy was changing July 1st. What did they do? Nothing! They didn't ship the prescription so now I'm left scrambling trying to get set up with the new provider. Good Riddance!
Reviewed July 5, 2025
Optum RX does NOT deserve even a one star review. I have never seen a company that is as horrible as this prescription company!! One of the medications that I must take is extremely expensive and they ship it haphazardly! In the heat of the summer you would think they would take precautions and pack it with enough ice and decent packaging. NO! The medication cost $23,000, YES as crazy as that sounds. They shipped it through the US Postal service with a holiday the following day and standard shipping no less. The kicker is the medication can only be outside of refrigeration range for 35 mins. The huge box contains basically thread waded up in plastic square shapes and two gel ice packs and two pieces of cardboard. BEST PART IS THE MEDICATION IS SITTING ON TOP OF IT ALL! Not sandwiched in the middle of the cooled packs that are at 71 degrees.
The medication box was warm to touch, I took the internal temp of the box the medication was in it it was 85.6 degrees. THIS IS NOT THE FIRST TIME!!!! They no longer cover the prescription I was taking that cost less! This is the second time they have "no longer covered a prescription" and then we have to change to a much more expensive medication. We wonder why our plans cost so much is it due to stupid things like this. Now because of their poor management I will have to spend several hours one the phone getting it corrected and will be in a lot of pain due to being out of medication. And if they do exactly like they did last time, I will be lucky if it isn't ruined again. I ask for Tues, Wed, Thurs deliveries for the medication doesn't have to be hung up in a warehouse. BUT OPTUM RX does whatever with no reasoning.
Reviewed July 3, 2025
Every time I have to interact with this company I dread it, they are unhelpful. Charged me full price when I had met my deductible and had a prior authorization. I have had to fight with them every single month.
Reviewed July 2, 2025
There’s another review that I read below and I could agree more with it! “If you're looking for an incompetent, unreliable and inaccurate provider, OptumRx is for you.” OptumRx has wasted more hours of my life than I can count. Medication is never on time and each time you call and talk to someone you get a different answer. What a scam of a company OptumRx is!
Reviewed June 30, 2025
I used Optumrx through my United Healthcare account to order my prescriptions. This was the worst mistake I’ve made in a long time. The app made me pay for my prescription before they would ship it-so I paid with my credit card. Understandable, but 6 months after my order was shipped, I got an invoice for that in the mail. I’ve sent them a copy of my credit card statement showing the charge. And after weeks of calling and speaking to different people, finally someone told me they received my credit card statement and will remove it from my account-that it should be removed within 24 hours. Now, 4 days later it’s still on my account. I called today and after 7 minutes on the phone with a representative, she couldn’t pull up my account. Even after she asked for my name and DOB 3x. This is a nightmare. Do yourself a favor and use another pharmacy.
Reviewed June 29, 2025
I was hopeful at first. But after multiple mistakes done by this pharmacy, not shipping my medication, promising to provide a credit to my next shipment (which they later declined), and then stating they were out of stock, I am extremely disappointed in their customer service and reliability. I spoke to their management team multiple times and promised an expedited shipment. That shipment was never shipped. They admitted making the mistake but unwilling to compensate for it or make it right. I will be searching for a new pharmacy and recommending people not to use them. I don’t usually write reviews and give people the benefit of the doubt. So frustrated with this compony I felt the need to leave an honest unsatisfied review.

Reviewed June 26, 2025
Absolutely no concern for patient safety, communication is horrible, deny, deny and deny with no insight into why. Had to take a medication before this that messed up my liver. Pretty much all for themselves and money.
Reviewed June 24, 2025
Today I called specialty pharmacy concerning my prescription delivery. I asked the customer service representative why she was asking for my insurance information when she should already have that on file, she became very frustrated with me and started yelling at me. I immediately told her to calm down and stop yelling and asked to speak with her supervisor. She put me on hold for 15 minutes then connected me with someone from the resolution team. This team member was not a manager and did not address my complaint. After she helped me with the prescription delivery issue which was why I originally called about, I asked how I can file a complaint about the representative who transferred me. She said she was going to tell the manager, but she did not seem concerned about how I was treated. I’m very concerned that my complaint will not be addressed and very uncomfortable having to use this pharmacy going forward.
Reviewed June 24, 2025
Prescriptions are rarely on time. Optum was supposed to overnight my meds, because they didn’t get the meds to the carrier. Overnight delivery 4 days. Had to make multiple telephone calls to get it straightened out.
Reviewed June 18, 2025
I recently had a frustrating call with OptumRx customer service. To get help with my benefits. Unfortunately, the person was unhelpful. The representative named Jerry did not seem to have the right answers, and their attitude was dismissive. They asked some strange and personal questions, such as what my job title is! That has nothing to do with medication or benefits. It felt intrusive and made me uncomfortable. Dealing with pharmacy issues is already stressful, and this call was a waste of time. Hopefully, Optum Rx can improve customer service training so representatives are helpful and professional.
Reviewed June 18, 2025
If you're looking for an incompetent, unreliable and inaccurate provider, OptumRx is for you. After 20 calls, over two weeks of getting the run around, my issue escalated to management, the issue was not resolved. My account was not set up probably, and after 5 days of being told the issue was my insurance, OptumRx finally acknowledged there was a glitch in their system. I was advised I would her back in 24 to 48 hours. After not hearing back, I called and the rep I spoke with advised that a ticket was never created and she created a ticket to get this resolved and I would hear back in 2 to 3 business days. After not hearing back AGAIN, I contacted my human resources who contacted their rep to escalate the issue.
After two days I was advised the IT issue was resolved and I needed to call and set up my account. I called and after being transferred to 3 different incompetent reps, the third one I spoke with, told me she spoke with her supervisor and was able to get my account set up and put my 3 prescriptions in under a rush delivery. I was working and failed to get a reference number. The next day I went to verify this order because I never received a confirmation and was advised an order was never placed and they had no notes on this call. I was told they need to update my insurance and it takes 5 days. I shared this with my HR who spoke with our insurance rep who advised when she spoke with OptumRx it appears of ALL the calls I made, my insurance was never entered into the system.
I received apologies for the inconvenience and was advised this can take up to 10 days for my insurance to be updated. They advised my 3 prescriptions were sent to my local Shoprite pharmacy and I would be able to fill my prescriptions that same day. I called my ShopRite pharmacy who advised my prescriptions were never sent over. I called back OptumRx who advised there was no record of my prescriptions being sent and this could take up to 10 days. I may have to pay more using a local pharmacy but I will never use this provider, Their customer service does not know how to resolve issue and they will lie to get you off the phone.
Reviewed June 18, 2025
They refuse to include my copay card on my account online so once a month I have to call, and waste so much time out of my day, in order to avoid being incorrectly charged for my expensive medications.
Reviewed June 14, 2025
Having never been one much for posting things online, social media, etc, several disappointing incidents have come up lately regarding the pharmaceutical company I have been dealing with. Much to my dismay, upon checking the Consumer Affairs website, there were many complaint reviews regarding OptumRx. I know we hear the expression "Dumbing Down" quite often these days, but what else can I use when my meds were delivered not once, but three times to the wrong address, causing long delays for a much-needed medication.
But the straw that broke the camel's back was after being told by supervisors I spoke with that I would receive a call back re this situation, that call never came. I cannot and WILL not deal with any company that tells you something and obviously has no intention of keeping their word. I know the standard answer is always 'we were very busy', but so are we, the patients! There are too many other, far more reliable pharmaceutical companies to choose from. Shame on OptumRx!
Reviewed June 10, 2025
If I could give this company a zero I could. It is to my benefit financially to use the mail in pharmacy vs retail. Every single time I have tried to get a new prescription filled by this company it is a nightmare. It’s one excuse after another on why they cannot fill the prescription. It is not worth the savings and will be switching back to my local retail pharmacy.
Reviewed June 5, 2025
I have had my first interaction with OptumRX the past 2 weeks. I was informed by CVS that my monthly prescription had not been approved and would need to be filled by OPtumRX. I arranged for home delivery and the prescription never arrived. Either USPS tried to deliver to the wrong address or OptumRX had the wrong address on the package. I will never know. But, when I informed them that the prescription was being returned by USPS for having the wrong address, they made no effort to resend to me. I would not trust their ability to provide critical medications through home delivery.
Reviewed June 5, 2025
Optum Specialty Pharmacy is a mess to deal with. I set up a monthly payment plan and they "mistakenly" charged me the ENTIRE cost for my medication for the full year! It was an unauthorized transaction! And now I'm having insufficient funds in my checking account because of their mistake! And I've spoken to 4 people there that told me it was fixed! Do not, I repeat do not trust them when setting this up on their end. Now I'm fixing their screw-up and it's costing me overdraft fees on top of it.
Reviewed June 5, 2025
Our company just started using Optum Rx in January 2025. It has been a nightmare for me. First started when they took over our account. I went without asthma medication for over 14 days. The second time went without diabetic meds for over 22 days. Now the I'm without diabetic meds again. This has all taken place in less than 6 months. I would not recommend Optum Rx as your go to Pharmacy.
Reviewed June 5, 2025
Was forced into using this company to get my child's insulin. Was told I would get it in two days, come to find out they never shipped it because of a mistake on their end. And I only found out because I called them. On top of that I was initially quoted 133.00 as the copay, then it changed to over 300.00.
Reviewed June 4, 2025
This business is simply the worst. All I wanted to do was to talk to a customer representative (an advocate). You would think I was asking to speak with President Trump. It was IMPOSSIBLE to make any progress with their automated system. So, I happily say adios to this business. They have received my last order.
Reviewed June 1, 2025
I had the pleasure of speaking with customer service. However, he seemed very dismissive during our conversation. As a result, I requested to speak with a supervisor. I'm glad I did. She completely turned the situation around. She was able to clear up the miscommunication and provide a resolution. It's easy to see why she’s earned her role as a supervisor: she demonstrated true empathy by putting herself in the customer’s shoes.
Reviewed May 29, 2025
They are absolutely terrible I'd be surprised if they have anything even resembling the smallest idea of what they are doing. I have been waiting a month for my medication and I don't think I am anywhere closer to getting it than I was when I began this grueling process.
Reviewed May 28, 2025
Lakisha W. is a true hero. While the rest of the process was a dismal failure (0/5 stars), Lakisha alone secured my medication after two months of futile attempts. She dedicated nearly two hours to my billing crisis, a commitment no one else would make, ultimately solving the problem and quite possibly saving my life when I had all but given up.
Reviewed May 27, 2025
I had a yearly checkup with my long time physician on May 7. Have now run out of two essential daily meds. Since I've never had a problem with my physician and her staff, I can only assume the prescription fill issues are on OptumRx's end. I've found over the last year I'd used them, I have prescriptions come at different times. I may have 80 units for one med on hand, and be nearly out of another. All scripts should be filled at the same time since my physician sent in scripts at the same time. Just a mess! Our local grocery store pharmacy was our go-to before Medicare and their service was/is outstanding. OptumRx sucks!

Reviewed May 25, 2025
My company, CSX Railroad, changed from Express Scripts to Optum RX. Optum said we would not have to do anything in the changeover, but it has been a mess for all employees. Not only did we lose coverage for over a month, but Optum RX substitutes sub par medication for our prescriptions to save money. Optum RX is owned by United Healthcare. That will explain the substitution of medication to make record profits.
Reviewed May 24, 2025
I have been taking a prescription for a “controlled substance” 30mg, 3x a day since I was 17 to prevent seizures. Two years ago, our insurance company, United Healthcare (the parent company of Optum Rx) informed me that they would only provide one free refill per year, and the rest I would pay out of pocket ($80 per refill) UNLESS I used mail order through Optum. I argued with them for 2 years, that IF my order were late or lost in the mail the burden of proof would fall on me, and my life would be put at risk. After multiple reassurances, being told my Rx would ship from the San Diego area, and so on, I consented. I reminded them that BECAUSE my Rx is a controlled substance, I cannot order a refill until I have a 3 day supply left. I ordered my 2nd refill on Friday May 9, 2025 and was told it would be delivered by Thursday May 15, 2025 (far outside my 3-day window). I cut my dose to 2x a day to make my Rx last longer.
Thursday, May 15th, 2025 there was no delivery. On Friday May 16th 2025, I called Optum with my concerns, because I couldn’t go through the weekend without my Rx. They told me they would call my local CVS with an override so I could pick up my Rx there. CVS refused on the grounds that my Rx “could still show up.” I called Optum with the news. They called CVS. I went to pick up my Rx a 2nd time and was still declined for the same reasons. In the meantime my Rx was MIA in Sacramento for 5 days. I was beginning to feel the effects of NOT having my Rx. IF I have a seizure, I lose my driver’s license for 12 months, I could fall and hit my head causing internal bleeding, I could have an accident and (God forbid) kill an innocent person for which “I” would be prosecuted. So, Saturday May 17, 2025 around 2:30pm I went to ER seeking a resolution. They gave me one pill in the hospital, and a 7-day gap prescription.
I slept all Saturday evening and through the night, and most of Sunday. I still felt “off” on Monday, so I took it easy per my original neurologist’s directions since my teen years. I DID call my neurologist’s office to fill them in, and get a new Rx for Walgreens. My second call was to cancel my Optum Rx mail order prescription. NOT having my medication is the worst thing for my condition. STRESS is the next worse thing. If I can’t drive, I can’t work. I also would not be able to run errands for my 94-year-old father. My prescription was “attempted delivery” on Tuesday May 20th 2025 while I was not home, and a signature was required. They said a slip was left on my door. I never found one. THE ONLY WAY I KNEW THERE HAD BEEN AN ATTEMPTED DELIVERY WAS BY CHECKING THE TRACKING NUMBER.
I went to the post office the next day, Wednesday May 21st 2025 with my I.D., prior prescription bottle, a screenshot of the tracking info, etc. WHEN I got my package, I told the postal worker that I was opening it BEFORE I left to confirm it was there. It was, and the bottle appeared to still be sealed. BUT THEN, realizing it had been MIA for so long, for all I knew my Rx could have been replaced with Fentanyl…A legitimate fear, and one I never had when getting my Rx locally. I made sure someone was with me when I took the first pill from that bottle, and obviously it was fine, or I couldn’t have written this review.
Reviewed May 23, 2025
Have been with OptumRx for the past 3 years. The website, app and automated processes are awful. The website does not reflect the correct info and does not match customer support rep info. The phone system is clunky and unpredictable. When calling in, the system requests info to confirm identity and then moves to hold for next available. Hold time can be b/w 10-60 mins and at times disconnects the line after holding, requiring you to start the process all over again. OptumRx has been extremely hard to manage.
Reviewed May 20, 2025
My experience with Optum RX has been terrific until today. I noticed they had charged my HSA card twice for a recent prescription ($613 ×2). Called & was told they discovered the error & gave me a credit on my account. A $613 credit at Optum, not on my HSA card. I cannot afford to give Optum my money to just hold, I need this money for my healthcare. It would have been nice to have received some communication about the 2nd charge & ask me if I wanted a credit. Now I have to wait 3-5 business days to get the money back on my card.
Reviewed May 17, 2025
Customer service is poor. Staff in pharmacy rude, unhelpful and unwilling to send 3 day emergency supply of a medication I have been on for years.
Reviewed May 16, 2025
What I have discovered over the past week is that Optum RX has cornered the market on incompetence. I have no trust in Optum however I’m stuck working with the incompetence and irresponsible staff that you employ. The real problem is incompetence within Management unforgivable and incompetence is alive and thriving at Optum.
Reviewed May 15, 2025
I needed to consolidate two of my Optum accounts. Which should've been an easy job on part of Optum, took many hours of work, many phone calls, and eventually a certified letter to threaten Optum that if they did not help me I was going to report them to the Attorney General's office. I spent over 10 hours trying to get my two accounts consolidated. Unacceptable way to treat a customer who has been with Optum for many years now. The call center is full of people you can't understand (poor English) and when you ask for a supervisor it's still the same issue. They are hard to understand every time you ask a question, you get a different answer.
Reviewed May 15, 2025
I transferred my prescription for Ozempic to Optum because Walgreens would only fill it for 30 days. Despite telling the rep this, she was happy to transfer the prescription, without telling me that they would also only fill it for 30 days. It also cost me 3x as much as it did for Walgreens.
Reviewed May 15, 2025
I do NOT recommend using OptumRX for prescriptions. I was told the cost of my drug was $83.33 per month for a three-month total of $250.00 and I could pay monthly. They didn't get my prescription right the first month and it was delayed by over a week (almost two). The second month, it was also delayed because they put the expiration year for the prescription in their computer as 2025 instead of 2026 so my prescription expired as far as they were concerned immediately after they filled the first month. I cancelled the prescription with them and they charged me for the second month anyway.
Even though I cancelled the prescription on month three, I received a text they were charging my credit card for the third month so I called and spoke with someone who was outsourced in a different country. What she said didn't make any sense. It didn't agree with my bank statement and she also said one month was $250.00 not $83.33. She contradicted herself at least two or three times on what I was charged and reimbursed for... which I was never reimbursed for anything. I am getting the same prescription from Sam's Club for $24.99 a month. And, they don't make such gregarious mistakes either.
Reviewed May 14, 2025
Everything with them is a constant battle! Doctor changed my meds as my A1C is not good and the meds I am on are not controlling it. He put me on ** and Optum tells me they are no longer filling any GLP1 drug, I asked why??? I am Type 2 and not taking it for weight loss like so many others are I need this for my A1C as my ** (similar to **) was not doing the job and I can't take ** or **. I told her this was ridiculous. Quit filling for people for weight loss and leave the meds for those that are diabetic! Finally go through to her and started a PA, took them weeks of course to get that accomplished even though my doctor did their end right away. Now I get the approval and they still do not fill, then I get text stating it will be filled.
Next day get a text telling me to call as they "need more information", so I call and then I am told they do not have the med and have no idea when they will get it but try local pharmacy. I asked if Optum was going to cover a 90 day supply because they can not fill it and I got no your contract reads only 21 day supply from local. I told her Optum is not fulfilling their contract and forcing me to spend more money (at least 3 co-pays) to get my meds and was basically told too bad! I asked if there was a consumer complaint dept and was told no, I find this hard to believe.
If it was just an issue with one med I wouldn't be complaining but the issues with them are pervasive!! She couldn't tell me when they would have the med in stock so I looked up on Google and it is telling me the end of August for a med I have been trying to fill since April! The people on the phone do not care if the insured has to spend more money for a scrip, they literally have scripted answers and get mad if you raise your voice because of the utter frustration. UHC needs to do a better job with Optum as they own them and screw the insured every which way but loose!!
Reviewed May 14, 2025
Ran me out of a medicine. Completely dropped the ball. I had to start chasing them as I was running low. Probably have at least 3+ hours on the phone with them this time. Flat out lied to by all of them (except benefits person) including supervisors, crappy attitude from one of them on the phone. None of it is their issue though, it is all on the Dr office. "we have proof the faxes went thru" (which is also lies). Then pick up the phone, maybe something is wrong and it didn't get rec'd. They either load you up with way too much or run you out. You have to watch them constantly.
Reviewed May 14, 2025
WILL NEVER USE OPTUM RX AGAIN! I have contacted UHC and OptumRX numerous times directly about a prescription problem, as I am completely out of this one medicine. Each time I called, I have been assured my order will go through, but their system kicks the order out, will not process it, and it is then cancelled. If they don't process it this time, I'm done with OptumRX - they can't seem to get their system to work properly. My doctor has personally written 6 prescriptions for this one medicine and they won't go through.
Reviewed May 14, 2025
Optum cannot be trusted as a pharmacy. They short-change HRT meds, ship meds to old addresses and are just useless... One of my injectable meds has a shelf life of 28 days from first use. They sent me one vial of meds for 90 days. On numerous orders, they sent the meds to an old address, rather than our preferred address. Stay AWAY.
Reviewed May 13, 2025
I requested a medication be cancelled yesterday. I was assured this medication would be cancelled. Well apparently not because I received notice that it has shipped. Now I have to wait until I receive it to start taking it. And with shipping via the USPS, there's no guarantee of when or even if I will get it. Because the medication wasn't cancelled I was unable to transfer it to my local pharmacy to start the medication immediately. When I talk to an agent they are always foreigners with a big language barrier. I end up wasting my time trying to get anything resolved. I'm having all my prescriptions transferred from OptumRx to my local pharmacy. Plus, the mostly ship medications via the USPS and there is no guarantee of a date of delivery, if you even get it at all. Think twice about using optumrx for your prescriptions.
Reviewed May 10, 2025
Kept trying to take over my prescriptions, refusing to send it and then refusing to opt me out so I could get a 1 month refill and needed to call back again. 17 phone calls later, maybe it's sorted, maybe it's not. I don't know.
Reviewed May 10, 2025
Since March 2025 I have had a series of problems with 2 medications. I have recently been told that one of my drugs was no longer covered and this was only after I was texted a number of times that it was being shipped. When I checked on their site there was no indication that this drug was no longer covered only that there was a quantity limitation. I haven't received this medication since March. Currently we are having an issue with one of my husband's meds.
First we were told there was a quantity limit. Then it was an out of stock problem. He hasn't received anything since March and the quantity limit is a month's supply. This particular drug was given prior authorization by Optum a couple of years ago. As I see it different departments at Optum are not communicating with each other and the customer is not getting information in a timely manner to correct any problems that come up. Furthermore, phone communication is faulty in many ways but chief among the many problems for me is that I am hearing impaired and it makes things more difficult when I am speaking to someone with a heavy accent or someone in a "boiler room" situation when you hear other reps talking to other customers. To date the problems we are having have grown and are not yet resolved.
Reviewed May 8, 2025
This is by far the WORST company I have ever dealt with. They are constantly requiring new prior authorizations for prescription drugs that are common and you have been on for years. Then, they will deny the PA and you will have to pay out of pocket so you don't miss a dose. They have taken it upon themselves to scrutinize a medical doctors valid prescription AND CLINICAL NOTES to determine whether it's ok to prescribe. Since when do pharmacists decide what prescriptions medical doctors can prescribe and whether or not they are approved? This was a horrible decision for the railroad to switch to them from Express Scripts. I'd rather spend a little more for better service and guarantee of the receipt of prescriptions my provider has written. Hopefully they get a enough backlash that the railroad switches back. Absolute nightmare.
Reviewed May 7, 2025
My order says it was shipped last week Friday. Today is Wednesday and tracking shows it never left the shipping facility. I called customer service. They said their tracking shows in transit. I said email a copy of that. After 45 minutes on the phone all I got was lies. They never emailed me prove of their tracking. Horrible experience.
Reviewed May 6, 2025
Horrible customer service, denies prior authorization for medication not on their formulary which is ridiculously full of narcotics but not other options. I guess we know who else to blame for the opiate epidemic. Should have a zero star option!
Reviewed May 6, 2025
The absolute worst! They stopped covering the popular brand meds I need after 10 years and force me to take an alternative that gives me daily headaches. Even with the Dr's specifying. They don't care. Why go to a Dr when they give you whatever they see fit anyway? I've been miserable. Service is subpar as well. Every month they mess up my automatic refills. Been with them for over 10 years and every month is a fight and confusion. I've resorted to purchasing some out my own pocket to avoid the headaches! I work fulltime and this is killing me! Bordering criminal what they do. My wife and son, same service. Never get the meds prescribed by the Dr's without trying some other "fix" they want you to try first. Again, why go to a Dr. if they are going to offer an alternate treatment?
Reviewed April 29, 2025
Nothing but issues with Optum and their parent company United Healthcare!! I get text messages saying they're working on my prescription & it'll go out soon. Weeks go by, no prescription so I call and the medication has been on shortage for months!! No notification! I was out of state for several months so when I got a notification that a medication refill was going to be processed & sent to my home, I called them to ask them to hold it. They confirmed they would. 2 days later I got a message saying the med had been mailed! I called, spoke with a supervisor who said he was able to intercept the medication & it definitely was not going out. 3 days later I got a text that it had been delivered!! It was sitting on the steps of my apartment building (waiting for someone to take it!) My son had to drive 2 hours to retrieve it! When I call in to the customer service number (Optum OR United HC) I ALWAYS select that I want to take a survey at the end of the call.
When the call is completed, 99% of the time, the customer service rep either disconnects me of puts my call on hold so I can't complete the survey!!! When I call United to complain, it sounds like the same call center as Optum! When I ask if it is, the person said "no". I found out today that United owns Optum!!!! It IS the same inept call center!!! There needs to be an investigation into their practices! Today I asked about a medication my doctor's office sent over, Optum says they never received it. My Dr's office just sent me a confirmation that Optum received it 8 days ago!!!
OptumRx (formerly Prescription Solutions) Company Information
- Company Name:
- OptumRx
- Website:
- www.optumrx.com