OptumRx Reviews

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!

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.

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.

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

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.

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.

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!

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.

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.

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!

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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!

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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!

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?

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.

Optum Rx, owned by United Healthcare, puts profits before people. I am a type-2 diabetic and my doctor has found a great combination of drugs that have kept my A1C well under 7 for two years, including Rybelsus (the pill version of Ozempic). Before I started Rybelsus, my A1C generally came in between 7.2 and 9.0. In the past three months, Optum denied one of the prescriptions that have been helpful, Jardiance. And this month, they are denying benefits for a second, Saxagliptin/Metformin.

These people are from another planet, and make things so difficult and frustrating. Just read the reviews. YOu have to call and call and call and then wait wait wait. They don't care about your health.

Overall, I had an awful experience. Went to switch due to my insurance saying Optum Mail Order is cheaper. Husband received a prescription from them, it went fine. I nervously decide to embrace a new opportunity. I provide the address/phone/fax listed on my husband's prescription. Apparently that was wrong.... Per the rep I spoke to. They gave me the correct address. Not sure how I was supposed to know unless, per what she said, I went to some prescription refill form?

They should be ashamed of themselves. I have been receiving the same medication at the same dose for over 10 years and I have to fight every single month in order to receive it. There is a problem EVERY SINGLE MONTH that requires huge amounts of my time and many times it simply requires in the end is a "hold to be removed". If it's not a hold, it's an exorbitant copay despite a copay assistance card - I'm sure a scam to make more money for themselves.

I'm disabled some and have had rheumatoid arthritis for several years. It's been acting up because my former doc did nothing but put me on ** and then wouldn't refill. I found a wonderful new doc and she said ** is a temporary relief. She ordered me ** and submitted to Optum Specialty. It's very expensive and after working out a plan thanks to Medicare, it got ordered. Now they have promised me 3 dates for delivery so I make an appt each time to go to doc for them to show me how to do the shot. I had to reschedule that appt with doc 3 times because the drug didn't go out when they said it would. I got no reason why it didn't go. I don't have car so I also have to arrange a ride to the doc.

What a terrible experience. I was on hold for ten minutes and finally, the person who took my call was acting like a robot and I apologize for using such a strong word but she kept asking me to repeat everything I had already told her as if she was a robot. At one point I had to ask her if she was a human....after ten minutes of frustration and getting nowhere, I hung up and will find a provider that understands plain simple English.

Doctor ordered RX on APR 15th. Received text from OptumRx ON APR 25, 2025 (10 days later) stating drug would arrive by APR 17-APR 20, 2025. Does anybody see a problem with those dates??? I tried filling one prescription since January. I keep getting text saying it’s in progress and will be delivered by such and such a date. However, the date comes and goes no medication. Now it’s April, I called every month and they continue to tell me its process. Finally worked my way up to talk to a pharmacist who said the medication will not be stocked until August. Why didn’t they just send me a text and tell me the medication was not in stock and get it filled at my local pharmacy?

I have struggled for years to get this outfit to fill my meds properly. It's always excuses and silence with these people. My best advise for others is to run like hell from OptumRx Pharmacy. UnitedHealthcare should just send the bulldozers, level this place and start over IMHO.

I would give zero stars if I could. Hours of my life wasted each month on the phone or waiting to sign for a delivery that they either forget to push the submit button or is out of stock and they don’t tell you it’s out of stock. This has happened for 3 out of 7 months, and TWICE this month (today was supposed to be the rescheduled date and they messed that up too). Their incompetence is a joke and if I had any other option I would gladly give my business to any other company. I’ll definitely be sharing this feedback to my employer and hopefully they get enough feedback to change providers. Avoid this pharmacy if you can.

I am writing to formally express my deep dissatisfaction and frustration with the ongoing and unacceptable service I have received from Optum regarding my diabetic test strips. As a diabetic patient who relies on regular glucose monitoring for my health and safety, the repeated issues and lack of accountability on your end have had serious and negative impacts on my well-being. Despite my primary care physician prescribing three boxes of diabetic test strips per month to support my daily testing routine (I test at least 10 times per day), Optum has consistently changed my prescription without notifying me. Each month, I only find out about the changes when I receive a delayed notification that my order has been modified—not in accordance with my doctor’s orders or my medical needs.

Why cannot Optum use a better labels that can either peel off easily when the container needs to be thrown out. Why can’t Optum not understand that the patients don’t want their medical information in the thrash can.

I would give them zero stars if I could. Absolutely insane how bad they are as a specialty pharmacy. Every other time I try, I can't even log into my account because I apparently "don't have an account" or "don't have any specialty prescriptions" (spoiler: I do, and have for years. And when I try to 'register', I can't because "you already have an account"?). They lose track of prior authorizations. They lose track of insurance. I honestly can't even describe the number of hours I've spent and tears I've shed trying to just get my medication on time when all of my information is in order on my end.

One of the most awful companies I have worked with in my life. In November 2024, my hospital pharmacist sent a delivery order with a coupon and copay to Optum Rx to reduce the cost of my prescription inhaler since my insurance did not cover the inhaler. I had initially picked up my first prescription for $15 and it was put on an automatic refill via Optum. I received the medication via mail and received a $212 dollar bill for two prescriptions. I called Optum after receiving it and was told the coupon did not apply to my order, I provided the coupon information and was told to wait for a call back. I didn't receive a call. I called again, explained the situation AGAIN and was told they had no record of my previous call. This time they told me again they would work with a specialist to get this issue resolved and give me a call back and gave me a case number. NEVER RECEIVED CONTACT.

OptumRx is the worst pharmacy I've ever encountered for a plethora of reasons, including little to no communication from the actual people working there and their website and mobile app, mixed messages when speaking to different people, and persistent issues with filling my prescriptions that I get every 90 days, with them always having to contact the doctor for questions (even when the doctor has provided everything they needed). Avoid using them if you can help it!!!!

Used a reputable broker to find the best coverage for one of my high cost prescriptions. Paying OptumRx an $84 monthly premium to get the best cost on a drug thru mail order. Unimpressed with the runaround by OptumRx since January and still no prescription! The Dr. submitted the prescription and it was cancelled. I called and the CS rep said they didn’t have inventory. I challenged her as the Pharma company indicated backlog was resolved. I asked to speak to the pharmacist and he apologized and said they had plenty of inventory but I needed a dr authorization.

I keep getting thanked for choosing them, but in reality, United Health does not let you use a local pharmacy for more than two refills. Then, you have to switch to OptumRx on your own (they do not switch you over to ensure seamless refills), get your medicine denied, call your doctor to sort it out and get another prescription sent because there's no one to speak to at OptumRx or United Health.

If you have a choice, run like H E double hockey sticks, be prepared to deal with a Prior Auth every time you have a new prescription, or you see a second doctor or new doctor at the same clinic who requests the script. You will receive prescriptions late, Optum does not care if you suffer without your prescription or the side effects it causes by interrupting you being able to take it. The process is painfully slow, you will be calling your own doctors' offices, chasing every piece of this around. Have kids? Dear lord, every single time you get a prescription be prepared to waste hours of your life speaking to people who speak English as a second language, not well mind you, so you will experience language barriers. Even prescriptions you've had for 10 or more years. You may have to deal with a prior Auth multiple times a year for the same medication.

I have NEVER had a good experience with this company. In fact, they are SO terrible and unreliable, that I have ended up in crisis services with extreme withdrawal symptoms because it has taken WEEKS (and sometimes I have NEVER gotten the meds) after ordering with them. Unfortunately, my insurance requires I use them, so I don't have an option. If you have ANY other option, do NOT go through optumRx. They are the worst company I've ever had to deal with.

Optum Rx is the absolute WORST! It is no surprise that they currently have a 1.1 star rating with 2,599 reviews. My doctor sent a prescription for Synthroid which they refused to fill because it was a "high priced" drug and not covered. My co-pay would have been $99 for a 30-day supply had they filled it. My doctor reluctantly sent a prescription for Levothyroxine on 4/08/2025 and Optum Rx sat on the prescription and did nothing! I messaged Optum Rx on 4/11/2025 and was told by Tina T. that she would expedite the order and proceeded to confirm shipping address.

Getting a specialty prescription setup with them is such a hassle. And when they fax a request to the doctor they send the old prescription request of the incorrect medication. Most the people there are from the Philippines that don’t know how to effectively communicate with anyone. They tell you they will call you back when they don’t. And they don’t listen to what you tell them.

Tried for 1 month to have a script filled. They played games will billing and sending me in circles. I ended up in excruciating pain without this medication and ended up paying out of pocket as a result. What a true nightmare. Shame on you OptumRx. I’m hoping for a class action lawsuit.

A recent 10-day prescription for was inadvertently sent to optimize. When I called Optum to have it transferred, I was told it was already being processed for delivery. Fine, I thought. I’ll just start treatment a few days late. Well, Optum did cancel the order, just never told me. Days later, I checked the order status and saw it was being held by UPS at the request of the sender. So I call Optum again who apologized profusely for the mix-up and employee error. And say they will process the transfer so I can finally get my medication at the local pharmacy. I am on the line for at least 30 minutes while they make the transfer. The next day, I go to the local pharmacy. No order - nada from Optum.

Worst prescription drug coverage. Always an issue with my meds. They only allow 90 day med supplies from certain pharmacies because they want you to do mail order. But I live in an area that is not secure and frequent package thefts, so that’s not an option. But the pharmacy they approve of doesn’t have one of my meds in stock consistently so I have to use 2 separate pharmacies. The medication copay for brand name medications is ridiculous even though I have tried several generic options and all were unsuccessful. It’s one issue after another with this drug coverage/insurance. They denied my asthma inhaler at one point, leaving several days that I had to go without my inhaler, an essential medication that I’m supposed to take daily to prevent asthma attacks. They denied it because it wasn’t on their list of “approved medications”. If I could rate less than 1 star, I would. It’s truly a shame that I got stuck with this terrible insurance from my job.

This place has been an absolute nightmare — every month I get some kind of hiccup. They recently changed packaging for my MS medicine, so it is no longer temperature controlled. The pills melted together and the insides fall out when the pills are separated. I mentioned this to the pharmacist, and now they call me everyday telling me to be in touch with the manufacturer (for something that is clearly a problem they caused). They are the worst pharmacy I have ever experienced.

Optum pharmacy should be put out of business and any certification and licenses they hold canceled permanently. This is not a good pharmacy. They refuse to fill valid prescriptions even if it’s just allergy or cough medicine unless you call multiple times and have to threaten legal action. They refuse valid prescriptions by valid doctors because the doctors are writing prescription on 36 or 90 day time frames which is completely standard in the industry. They often will only pay 21 days out of a 30 day cycle and expect you to go without your medication for one week. Customer service never fixes anything and their pharmacist don’t seem to know general pharmacology answers. This is just mind-boggling to me that these people are still in business. They are horrifically bad at running a pharmacy.

I had been using Optum successfully for several years and was happy with it. For no apparent reason, the medication I need to keep me from having a stroke was set to be refilled, but it was never refilled. There was no reason given, just that I could expect delivery on the 10th. The 10th came and went, no medication. I tried contacting customer service with no success. I emailed them, only to be told that they received my email and someone would be in touch shortly. I am still waiting. I switched pharmacies (Sam's Club!!) and have no more prescription worries! OptumRx---- YOU'RE FIRED!

Although the representatives are nice, they are not helpful. I am unable to order a generic that works for me from a company I've gotten it from in the past. Other mail order services have assisted me by requesting the manufacturer of tablets I know, work. OptumRX says it will only work with one manufacturer. As that company's generic pills don't work for me, and insurance will not cover non genetics, I'm angry and in pain.

All works well with Optum most of the time. But avoid the off-shore Call Center at all costs. Every time I have had to call, it takes forever to get past the AI maze through to a so called “advocate” and when I do, I can understand about every other word, which is dangerous when taking meditations. They need to invest in their customers' best interests and move their cheap labor workaround to US based Call Centers.

If I could give a 0, I would .. Was on phone yesterday for 1:30 min and today for over an hour. I paid for the prescription out of pocket and, and I submitted a claim for reimbursement. I cannot see the claim I did from March 5th. No one can seem to help!!!! Horrible service. They keep just transferring me on the phone.

Worst company ever! They somehow send me half a script, my bottle shows it's supposed to be 60 but when I break the Optimum RX seal there's only 30? I didn't notice this until they started calling and calling and calling me leaving messages that's its extremely important!!! I usually ignore these calls because they usually are just wanting to ask me stupid questions about things they already know just wasting my time. Now I speak directly to a Pharmacist "This is Difficult they hate letting you talk to them". And he lies to me! Told me it would be fixed ASAP I will get the missing medication Tuesday Or Wednesday we'll it's Thursday now and they cancelled the order??? I called again and get gaslighted another thing customer service is trained to do! They just got the script from my Dr they are reviewing it? No they didn't just get it from the Dr it's a Optimum RX mistake or theft! They are dragging out!

Poor customer service. They kept changing their story about why they couldn't deliver my medication. Every time I called they had a different interpretation of my prescription, with different amounts or dosages. Would not ship any the medication in a timely manner.

I’ve had more reliable communication with a brick wall than with Optimum Prescription Home Delivery. Not only did they fail to keep me updated on my order status, but when I reached out for help, I was met with obscure reasons and a cranky Delilah representative. The lack of clear communication is absolutely maddening. Delilah’s games are mind numbing. As if that wasn't enough, my prescription was discontinued!?!! What?’ I have 2 refills. Delilah could not explain this with any clarity. Zero notification, not a single word of explanation or apology. It’s as if they’re allergic to reliability. And don’t even get me started on the total lack of confidence I now have in this service. I’d rather go without my medication than trust this company to get it to me on time. Save yourself the frustration and look elsewhere—this service is a joke, and not the funny kind.

Worst insurance company ever. Even if you win appeal the process starts over the following month. They think they know better than what a doctor says. Some money laundry scheme company with big corporations to promise benefits to workers but actually don't. When will this stop.

If you want to make sure you don't ever receive your medications on time. Use OptumRx. Aside from the rude customer service, I continue to have issues with delivery and orders filled. Even if my doctor calls in the order, they sit as pending and I don't get any notifications that it's pending. I try to ask what are they waiting for and they say there is info missing or they need to validate. What are you validating when my doctor has already submitted the prescription. Such a waste of time and energy to use them. Do yourself a favor and go to a local pharmacy to get your meds filled or sit on the phone with someone from the Philippines to figure out what happened.

Every time I speak to customer service every one is worse than the other one. The first time they send me the three month supply in my address. Next one sent me the address I lived 10 years ago. The person who I spoke to, she said, "Is this your correct address?" I said yes. She still sent me to the old address. They are the dumbest people in the planet. I am very disappointed. I switched my place to get my medication. Capsule is the best pharmacy in entire country.

I received a preauthorization for a drug for A1C - Took the drug and it was working - 2 months later it was denied. Dr. sent another preauthorization - It went to appeals - Dr. explained that I was already on the drug and it was a renewal and that it was working. Once again denied went to appeals - Once Optum denies the drug it always goes to appeals and appeals is United HealthCare that they contract with. Around and around we go! Never got it renewed! Very clever system to deny coverage.

The pharmacy never called to let me know there was an authorization issue even though I called 3 times to verify my second starter dose was ready for shipment. They stated all was good to go. It wasn't. Needs more communication

Only been using Optum for a short time but long enough to know I wouldn't recommend to anyone, they won't prescribe medicine for my sleep apnea, don't why are healthcare insurance switched to them but don't use if you don't have to.

I would love to give negative stars. This place is a complete joke. I've called 4 times on the phone over 4 hrs total. Should have had my medicine 4 days ago and I still do not have it. My treatment is delayed because of this pharmacy. When my local pharmacy could have filled it on day one. Totally ridiculous.

Prescription refills are filled and sent timely and always the correct medications and expected dosages/quantities. Informative updates are provided by emails from OptumRx when necessary.. Customer Service responders have consistently provided top notch assistance with informative insight & information directly related to my concerns.

This company does not even deserve one star. I feel for the poor people answering the phone there - it is not their fault that the systems at this pharmacy are not only so slow but are ALWAYS WRONG!! it is so frustrating to have to spend hours and hours EVERY month to refill my son's specialty prescriptions. I don't know how it is possible for their system to be that out of sync that deductible information is ALWAYS incorrect, consistency is a fat ZERO and their systems are ALWAYS down. I can only imagine their agent handle time and drop rate. Garbage pharmacy that I am forced by my employer health plan to use.

I am beyond disappointed with OptumRx and their refusal to cover my essential asthma medication. As someone who struggles with asthma daily, relying on this medication is not a luxury—it’s a necessity to maintain my health and quality of life. Instead of offering prompt assistance when I needed it most, OptumRx stonewalled me and forced me to jump through endless hoops, only to give me a flat-out denial in the end.

I caution anyone considering using their service. Initially, it seemed very convenient. But their service is rapidly going downhill. Now it is costing me more and could be medically dangerous. They constantly have delays forcing me to ask for a short supply of pills from my local pharmacy at my cost. If it were a life sustaining drug, their incompetence could harm someone.

There should be a negative star. Absolutely the worst experience. Words cannot describe the ineptitude, misdirection and poor service. Needless to say I have to take my business elsewhere. Please don’t waste your time.

This is by far the worse pharmacy plan we have ever dealt with. It takes forever to get a prescription approved and then when you do they deny it 6 months later and don't care at all about the patient. Everyone I have talked to are rude and act like they have no clue what's going on. If I could give no stars I would.

I've used OptumRx for 7 years now. They were never stellar in service, but lately, they've been terrible. Prescription #1 was for blood pressure meds that the dr. prescribed 1/2 tab per day. Initially, all was fine. Then, Optum switched manufacturers and the pills are so tiny (less than 1/8" in diameter) that they cannot possibly be cut in half. I called and was told I'd have to speak to a "pharmacist". I was transferred, and explained the situation. She said they couldn't choose manufacturer, AND they could not possibly substitute the 1/2 size tabs and I'd have to go back to dr. to get a new prescription. That's even though basic math tells them that it's the correct dosage.

This pharmacy has a very disrespectful staff. I called three times and I waited 30 minutes on the line and when I was asking questions they hung up on me because their answers were inconclusive. Some lady named Eun was extremely rude and I believe she is the one that hung up on me multiple times and even yelled at me over the phone. She continued to be disrespectful and when I asked to speak to a manager she ignored me and put me on hold. The customer service is horrible and not to mention she was asking me questions that had nothing to do with the topic of conversation I presented regarding the manner I was addressing. I am very upset at the level of disrespect from this line.

Orders placed January 20th, 2025 and March 3rd, 2025, account was set up early January through my insurance provider, UHC, to begin a 3 month supply of insulin as my regular pharmacy was only allowed to supply a month supply, or, specifically, a 28 day supply with left me always a few days short on my insulin. Chat message to UHC on March 6th what is taking so long, they directed me to contact Optum who fulfills their orders for the 3 month supply.

This Rx company is by far the worst I’ve ever dealt with ever ! Total miscommunication on their part. If there is a problem on my order they don’t contact me. Just let me keep thinking my medication is coming but no it’s on hold. When I call it takes forever to get by the computer telephone service to a real person, and then it’s some person in the Philippines which I cannot understand and chickens running around crowing in the background. Very unprofessional to say the least. I’ve been waiting over a month for an Rx I Already PAID for!!!

My plan switched from Express Scripts to Optum at the 1st of the year. It forced me to switch 2 medications to Mail order (or they wouldn’t be covered for 11 days out of every 54 days per my plan coverage). Since January 2nd, I’ve had 27 phone calls (over 20hrs on the phone with them), just to run out of 1 medication twice & about to run out again this Friday (in 2 days), with the prescription being “stuck in review” for the 3rd time in 5 days (every time it was approved & started processing it got flagged for a different “review”). Running out of this medication is dangerous, but they have no regard for the patient for patient safety or their contracted duty (as both the prescription coverage provider & pharmacy).

I would give this company a zero if it had it. Messed up my mail orders from 2024 to now! Cheaper yes but not worth the hassle. Stay with a retail pharmacy if you can. They care more than this company!

Optum failed to contact the correct prescriber which delayed meds for 2 months. Online system information re RX status conflicts with what phone advocate says. 75% of phone advocates are rude and condescending.

Absolutely terrible. 95% of the reviews give them 1 star. 95%!! They give conflicting information, their portal is almost always inaccurate, their customer service (with a few exceptions) is generally uninformed and unhelpful. Very very bad.

Every time I use Optumrx it's always a good and positive experience. The staff is always friendly and helpful. They have great customer service and are knowledgeable. They Always always have new suggestions to make my mail order experience better.

This company does not train their employees and they give you false information or the runaround. Their feedback is inconsistent and they are only here to be thieves and steal money. I absolutely HATE dealing with them and their dishonesty and incompetence.

The worst pharmacy. If you would like a week after they received your prescription then to reach out to you to let you know they need more information. Do not use this pharmacy. They should be shut down.

I REALLY wish my primary care doctor's group had not sold out to OptumRx! I get surprise bills MONTHS after the date of service, and you can't pay online with a credit card unless you sign onto their "patient portal," which I don't trust at all. It's a monstrosity of a bureaucracy -- just what you'd expect from Big Med. I had a 10-minute appointment with a podiatrist with New West Physicians (part of the OptumRx group now); no x-rays, no lab work at all. The doctor had a quick look at my toes, and that was it. Total charges submitted? $833!!! Are you kidding me?!?! My insurance paid all but $94, which I still think is outrageous for a 10-minute appointment that required no tests! Ridiculous.

This company is awful my company switched over from Express Scripts to these folks and it looked promising. I stayed on a call with them 40 mins last week to get my account set up and place my orders. I got one medication and not my second. I gave the rep my Dr's contact information and she stated Express Scripts had transferred the script to them. Today they have no recollection of that conversation or the prescription, I am having to refill at Walgreens as I have been so what good are they if you order online and have a prescription on file?

I have had a reasonable experience with OptumRx except in one major area, the call in phone nightmare. The phone system that you get trapped in is horrific. The experience I had today just to get a simple question answered is enough for me to look elsewhere for my proscription needs. If you never have to call them and only use online your experience may be a three to four star. The phone maze however might cause mental illness.

I can’t stand why things can’t get settled right! I had issues before and now the same thing again!! The last time I used your home delivery I started having the same issues. Now the same issues again. Not getting my order straight and not sending all my meds on time. Please understand that this is frustrating. Plus phone services is frustrating. Sometimes I am on hold for a long time and switch from one department to another.

Title: Frustrating and Inefficient Customer Service Experience. I had the worst experience trying to create an online account with OptumRX. I was transferred four times, and each time, I had to start over—answering the same identity verification questions again and again. It felt like I was stuck in a never-ending loop with no real assistance. The system is beyond frustrating and completely inefficient. Instead of actually helping me resolve the issue, they just kept passing me around, wasting my time. A company handling important prescriptions should have a functional, user-friendly system—this was the most ridiculous process I’ve ever encountered. OptumRX needs to seriously rethink their customer service and account setup process. If I could give zero stars, I would.

I have never seen such a poorly ran company, from management to service this company should be embarrassed and ashamed how they treat their customers. Please stay away from this company. A complete mess

I've used OptumRx for years because my insurance required it for in network rates on 90 days supply refills. Fine, whatever, I complied despite finding better pricing at local pharmacies. The last 2 times I've requested refills, they've been "on back order" and were delayed by weeks with no explanation, leaving me without my medications. Meanwhile the local pharmacy was able to fill the prescription without issue.

Never received any notice that my prescription was not in stock. Unable to long onto site for over three days, and multiple attempts each day. When sight finally loaded, found out my prescription still had not shipped. When called to find out why, was left on hold for over 30 minutes and then hung up on. When called back, was told they don't ship over the weekend. Plus they don't tell you anywhere on website that it will take 2 weeks to get prescriptions. Amazon pharmacy has the same price, site always loads, and you receive your prescriptions next day. For an online platform, let alone a home delivery pharmacy, you could not be any worse. Will post this same review everywhere, so that people know to avoid you.

If possible it would be negative 100. The absolutely worst ever. I have been trying to get medication since January 28. They lose the prescription or say they never get it. They say the 50 milligrams at 3 pills a day aren’t allowed so had my Dr send in prescription for 1 pill at 150: they never got that. Then say need prior authorization which I have verified three times now that it is good. They are snakes. I wouldn’t recommend to the meanest person on earth. If you want a good mail order pharmacy go with express scripts, they are fabulous!

They won't add generic Flovent diskus to the formulary. I used this medication for years, and would prefer to steer me to higher cost medications with side effects. I pay lots of money, and get nothing. They suck.

Absolutely garbage coverage! They fight filling each prescription. Each customer service rep tells you a different story about the issue. Denying autoimmune medications and having astronomical pricing. They wanted $1500 for a generic 90 day medication supply. I called Walgreens and without insurance only $30 so through Walgreens 90 days will only cost $150 versus through them $1500.

Stay away from this place unless you like delays in your orders. Nothing but issues with every single order I’ve placed and it should not have happened. Go to your local and save yourself a lot of frustration and wasted time on the phone talking to their useless customer service center!!!

Constant denials/changes in prescriptions without my consent despite my doctor constantly contacting them to verify my conditions. Consistent screw-ups to my accounts by Optum's online system defaulting to one of my old addresses and multiple account numbers getting screwed up. And you have to call them to yell at them only to get bounced around between five different departments because nobody knows how to do their job, or just doesn't care. This company only exists to suck their customers dry. Optum and UnitedHealthcare alone could have caused the United States to finally catch up to the rest of the world and adopt universal healthcare if our country was even remotely functional. If your company switches you to Optum, try and find another place to work. I'm not kidding. Heck, I got fired from my job, and after the initial shock from getting let go wore off, my first thought was "at least I don't have to use Optum anymore"!

Optum owned by United Healthcare is such a mismanaged and disorganized outfit. Doctor submitted my 2 scripts and I logged in added payment method and I thought it was all good. That was until I received emails saying the order was on the hold without explanation. So I was forced to call - the rep couldn't find me name, member #, SSN, etc. Had to get a another gentleman on phone and he found my account. He explained the account was on hold because the price jumped up 300 % for Ubrevly and said it was due to the 40% deductible due up front on prescriptions. I said, "Cancel that one and only keep my Toprimate" which he said, "I have to transfer you back to another agent." That lady assured me she cancelled the expensive 353. Ubrevly and would process the 0.00 Toprimate for me.

Called Optum to find out my cost for Restasis for dry eye and was told that first my doctor would have to do a prior authorization for it. Went to the doctor on a Friday, and she did that. I logged onto my account on Monday and saw the price was $375. I called Optum and told them I don't want this medication because I can't afford it. On Thursday I received email that it was being prepared to ship. I was then told that I can't cancel it - only the provider can cancel it by doing a void request. My doctor's office then called them and canceled the order. I logged on and saw that it had been canceled and my card wouldn't be charged. I thought that was the end of it. On Friday I received an email that the Restasis has been shipped - but it's a DIFFERENT order number. Definitely Optum's mistake or their way of scamming people! They are supposed to send a return kit, then will issue the credit to my credit card.

Horrible. Spent MONTHS trying to get authorization for a medication I've used (and am required to take) for 20 years. Disorganized, poor customer service. A mess. They don't care about patients. They don't take any action or respond in a timely manner. One delay after another. Then they refused to provide me with a copy of the "documentation" used to come to their decision even though it's required by law. Beware.

I called OptumRX and was told with my insurance and savings card, my prescription would cost $0. I spent hours back and forth on the phone with their customer service before finally being told my order would not ship until I paid $1200 for the prescription I was quoted $0. It was the most cumbersome, challenging & unpleasant experience trying to fill my prescription.

At first it was fine and I'd receive my refills with no issue. For the last 2 refills I've had to call their customer service to find out what's going on. The auto menu to get to talk to a person is a nightmare. Once you get to an actual person they are friendly and helpful but the whole point of using home delivery is that you don't have to lift a finger and your medications arrive on time. Now I have to go to my local pharmacy since there was some system error. Very frustrating and disappointing.

Was great in 2024. Two months in and 2025 is a disaster. App doesn’t update, keep sending notes ever after completing the reason for hold and spoke to rep. Then following month same issue. Don’t tell me on hold. Then on hold for rep 30 minutes and says no one available and hangs up. App says delivering. On day it was supposed to come get nothing. Call and they say nowhere to fill but will expedite. After hold, "Sorry I can’t get your order unstuck."

My husband and I just made the switch to Optum. We had been using Walgreens through our prescription insurance plan. We had so many problems: lack of follow up and communication, meds routinely out of stock, partial fills routinely, long lines etc. So far Optum has been exemplary and the pricing is better as well. Love their communication and home delivery service. So far-not even one tiny problem. Optum has our strong recommendation!!

Pure garbage! They denied my diabetes prescription. Stay away from this company if you can! Even had my doctor send a letter! Nope denied like it was nothing! I wouldn't recommend this insurance to anyone!

After a disappointing and frustrating conversation with a customer service representative, I told her I will stay on line to leave a review. She ended the call by muting and not disconnecting. I waited 8-10 minutes. I occasionally said, "I'm still waiting for you" to end into her muted call. (I knew she was still there) … Finally, she quietly transferred back to their main number. She was hoping I was going to hang up. This was very poor customer service and she was wasting my time and her company time trying not to get a well-deserved negative review. (Fortunately I had written her name and she got the review).

If your company switches to OptumRx plan for denials. They collect premiums and deny coverage. My doctor prescribed, filled out my pre authorization and they sent a rejection letter. So depressing. This is the best I have.

I absolutely hate Optum Rx. I hate that I have to call them with every problem and I can't just go to Walgreens or CVS and ask a pharmacists. I also hate that they only send me the generic version when my Dr has told me that the national name brand is more effective. Why can't I buy my meds where I want and when I want? Why do I have to call this hotline and wait for everything to come through the mail??? I have hated very single interaction with this Co, not because of the people (the people have been fine), it's the company's stupid rules so they can make more money!!! I've also asked if I can opt out of the mail order Rx and I was told that I can't for reoccurring meds. STUPID! Way to be anti-customer.

If I could rate zero I would. It doesn’t matter what prescription you’re trying to get covered. these folks always have an issue with something. I recently had to refill a medication. On the site it said I had one refill. Then I got an email from Optum, telling me that I didn’t have any refills and they had contacted the provider for authorizations for refills. At 5:01 PM I received an email saying that my provider had declined to refill the medication. They also requested that I called the provider.

This company should be ashamed of themselves. Typical corporate medicine, three doctors have tried and stated that I need a specific medicine, they've filled out prior authorization after prior authorization to have it denied because Optum Rx doctors said I don't meet the standards. Garbage these people.

This company has no idea what it is doing! I spoke to a "specialist" about doing an appeal for a prescription the FDA has approved. On a RECORDED line the staff member told me I had the option to do appeal and do a non-formulary request. Called in to see process AFTER my MD prescribed a medication that is needed and they denied it. The staff person told me now today an appeal and/or non-formulary request isn't an option for me! LIKE WHAT!?! You just wasted my time and the MD's time by giving false information to me! You should have to honor what I was told! All they do is try to dictate where I can get my scripts filled and at that rate never cover anything! They are money hungry, and it shows!! Worst company EVER! This is the second time they have given me inaccurate information and it's disturbing to me!

Pro: pleasant to deal with. Con: overpriced and my insurance company contacts with them so I cannot go elsewhere for my prescriptions which is extremely unfair. Not sure how this is even allowed to happen. They also don’t accept goodrx coupons which is a shame.

Denied coverage for drug my wife had been on for months after “open season” change to UHC. Continued to deny appeal after appeal even after Doctor supplied all the requested information to approve. Hid behind “more information needed” without specifying and wouldn’t talk to Doctor directly. Had to file complaints with state insurance commission and Medicare and still waiting on resolution. This has been going on for 3 weeks and had to purchase on our own.

Warning to Optum RX customers who use inhalers: Optum RX in January, 2025 tripled the price on my inhalers without warning. The price jumped from $147 to $471. When I called to complain, they did refund the $471 pending the return of my inhalers that were already in transit. However, when I tried to get a return envelope, they rescinded this and continue to demand the $471, even though their own website shows local pharmacies when these inhalers are priced at $147. This is the most egregious abuse of trust to saddle elderly people on fixed incomes with such outlandish price gouging.

First off don’t walk run from OptumRx. I didn’t even know where to start with these people. I’m a heart transplant 14 years and every time I have to change my insurance based on where I’m living or other factors I have to deal with the new pharmacy. Please understand I’m a reasonable person 30 years as a commercial pilot Forced him retirement at age 50 because of a heart attack and subsequent heart transplant. I take any rejection medication twice a day every single day for the rest of my life if I don’t take the medication, I get sick and I die. It’s kind of important medication somewhere around the middle of January.

My company uses this second rate insurance company for prescriptions. Last year I had no problem filling any prescriptions. This year is completely different. OptumRx does not want fill anything. Prescriptions that I have had for years are now having to have an authorization from the doctor before they will fill it.

This has been the worst experience I have ever had with a pharmacy if that's what you call them. I have tried to get a Freestyle Libre 3 Plus for 2 weeks now. United Healthcare supplement approved it and after 5 calls and numerous texts saying it has shipped then a text to say it's on hold. It's conveniently out of stock. I even talked to a pharmacist last week and then yesterday to confirm the prescription. Funny how neither knew they were out of stock. Stay away and look for different supplemental insurance. United Healthcare doesn't answer email questions and when you call the customer service you get someone in another country, typical outsourcing from Big Pharma.

I have had to use Optum Specialty pharmacy for several years following a heart transplant. My insurance approves ONLY them to dispense my immune-suppression meds. Every single time there is a medication that needs to be ordered, filled, change, etc there is ALWAYS an issue that leads me to have to be on the phone consistently for no less than two days speaking to different representatives, repeating myself or the info needed. It is absurd that someone who NEEDS this medication to stay alive has to jump through so many hoops to receive it. If you have a choice of pharmacies, go elsewhere.

My current Medicare supplement plan uses OptumRx for pharmacy benefits. So far, one of my prescriptions was denied outright (even though covered by my previous supplemental plan using Caremark). Two prescriptions were cancelled for incomprehensible reasons, with a statement to the effect that a 90-day Rx could not be filled until I had taken the drugs for 30 days and that the Rx could not be filled for more than the doctor ordered. Since the doctor ordered 90 days, they could have filled it for 30 days but didn't, and they are now waiting for a phone call from the doctor. These two were medications that I had been taking for many years, and I sent OptumRx proof of previous orders from Caremark. I would recommend that potential customers reject any health plan that uses OptumRx.

This is the worst company I’ve ever had the misfortune of dealing with. I am on a specialty medicine that I’ve never had any issues with getting until now. After I verified my insurance benefits they wanted nothing more than to argue and had zero interest in helping me. They just want your money.

A while after I accidentally dropped an open bottle of meds down the disposal, I called Optum Rx to get an early refill. 30 minutes and three different employees later, I was told that an override would be processed and I’d have my med by Thursday. When I saw that it was not included in an order being sent out, I called yet again to find out why. This time I was told that Optum Rx does not provide overrides and it would have to be handled by my local pharmacy.

I transferred 6 prescriptions to the mailer order service they provide(?). Got a text message saying it was too early to fill my RX for Mounjaro. A couple days later I received a message to call about an issue. Girl on line says they do not have an rx for Mounjaro. I said I received a message about the timing. Then she said they could not fill due to supply issues. Said I should use my local pharmacy, at 4 times the cost, to fill the rx which they can't? Tried again a few days later and everything went through fine, or so I thought. Another text said to call them. Same spiel. Young man claimed they had no rx for Mounjaro. I explained it was sent in a week prior. Then it was they can't fill it due to supply issues. Then he went to check again came back on the line and was gone. I called back. Got a young lady. Same story. No rx, then the explanation about supply issues. Then a suggestion to go back to my local pharmacy.

My entire experience was ridiculous. I ended up doing the leg work and they still screwed it up. Your health “advocate“ is a script-reciting call center participant who does not understand doctor offices or work week timing. It’s way easier to wait in line at a local pharmacy than deal with the daily conflicting texts and need to call repeatedly. Ugh.

Spoke with Gretchel customer service representative. These reps are just robots. Lack of intelligence and don’t even listen to the customer. Even when I asked to be transferred to specialty pharmacy he refused. Said he can take care of the refill. When I explained it’s chemo he said, "It’s ok." After 7 mins of verifying everything he states he needs to transfer to specialty pharmacy. I asked him 3 times to speak with his manager and he blindly just transferred me to specialty pharmacy. It takes me 20 mins every time to receive a simple refill of same medication.

This is the worst pharmacy known to mankind!!! I'm only with them cause my work insurance forces us to use them so they recoup the money. They use the doctors to write the scripts but force you to fill at their pharmacies so your copay goes right back to their account after their payout for your script. These people are so incompetent you would think you're talking to an infant. You call in and are talking to someone in ** who tries to speak English but it so far from it. You'd think it's a different language. They tell me my mail order will automatically process when it's time for refill but that never happens, you call in to figure it out, get transferred to 3 different departments 3 different countries and still no help. I can't with these people.

Forced to use Optum RX by my workplace, and absolutely hate it. My doctor changed my medication and it took 2 MONTHS for me to get the new script, after hours and hours of being on the phone with multiple people. And finally, I got the meds. And, because I was 2 months late starting the new medication, I had to reschedule the labs and follow up appointment to review how the new meds were working. Basically, a huge PIA and terrible customer service. If I could drop them, I would in a heartbeat. I would prefer to get my scripts from my local pharmacist that I have known for 20 years.

Turned 65 on 1/7/25. Have Blue Cross Blue Shield with prescriptions thru Optum Rx. I had 14 prescriptions transferred on 1/10/25. As of today 1/20/25, no prescriptions. 2 of my insulins were denied. Because of that, my order was put on hold. I have 15 hours of phone calls with them to get my 12 prescriptions and still fighting for my 2 insulins. Optum Rx is part of United Healthcare. Now I understand the real problem. Stay away and research what insurance they use for prescriptions. EXPRESS SCRIPTS is the best. I had them for 30 years. I am searching for a new supplemental healthcare that uses them.

I don’t know where to begin. OptumRx is truly the most incompetent company I have ever dealt with. Almost every new prescription the pharmacist has a problem with. They put my order on hold and send a message to my doctor and send me a message (sometimes anyway). My eye doctor sent them 3 prescriptions I needed on January 9 for surgery on January 21st. They put my medication on hold that I needed the day before surgery because of course the pharmacist couldn’t understand the dosage.