OptumRx Reviews

OptumRx doesn’t even deserve a 1 star. Here’s the sad thing, they don’t care what their BBB Score is or any other review, as long as they can rip off the ** people and make sure their executives pocket a six-figure bonus each year is their main goal. Every situation they got me in this past 6 years has been their fault, 100%, what they don’t realize is every person they try and con isn’t stupid. Now that I’ve done my research and know how to get them investigated, I will do it, I have the paperwork filled out and ready.

The worst mail order Rx company! I have been charged for meds I never received. Hours on the phone with reps and supervisors has resulted in disconnected calls and redundant dialogue. Ironically staff sounds compassionate but don't follow up.

Absolutely awful! The worst customer service I have ever experienced in a 60 years of life. Advocates have absolutely no clue what they are talking about. They call them patient advocates, they are definitely not figure absolutely nothing about you, they only want your money. Mistake after mistake after mistake from these people. If you could choose another pharmacy service, you absolutely should!

I have to take a medication regularly. I was switched to Optum 3 months ago. Of the three times I have had to call and fill my prescription, it has been late every single time. I don't get a phone call or anything to let me know. I have to keep calling over and over.

I use an ongoing prescription that OptumRx sends through the mail. 90 prescription is great except that when the 90 days are up they won't process the refill until the 91st day. They take 2-3 days for processing then claims to have shipped it but still takes another 3-5 days to arrive. This happens every 90 days so I go without the proscription for at least a week every time. I'm sure this is done intentionally by them. Over the course of a year they save equivalent to one 30 day refill at the expense to the subscriber. Calling them won't help. Constant problems with them filling on time. Shady practices, you'll see if you use them.

I have been without my medication for 3 weeks because OptumRx filled an old and canceled prescription, failed to notify me of this, and then failed to ensure delivery. When I discovered the issue, I called and was informed that they could not cancel the order because it had already shipped. When I told them that I had previously cancelled the July order because they were unable to fulfill it, they could not explain why they shipped an order 2 months later without a new request. Optum's own tracking shows that the medication, which was shipped on Sept 10, was never delivered. Even so, Optum refuses to cancel my order which prevents me from getting the prescription filled locally - not only this month, but for the next 2 months as well because they filled a 90 day order. Yes, this is a controlled medication and it is a significant hardship to be without this.

I would not even give OptumRx a 1 star. Need to add a zero star because they are beyond awful. They screw up every single time I have specially meds sent to my doctor's office as well as my father in law's medicine sent to his home. For 2 weeks I have had an order canceled 3 times after being told it was sent, the last time told they took off the $20 shipping to get it here faster only to find out it never shipped either.

This company has been horrible. I recently reached out through my benefits center to get psychiatric help because I attempted suicide. I have been on the phone with these people over a week now so much so that I had to get a supervisor involved and even with that, they still have not sent me the list of covered psychiatrist so that I can take a clinical evaluation. I’ve been sitting at home unpaid because I’ve been waiting on this horrible company to help me, all this is doing is contributing to my stress and anxiety. They just called me today and said they were going to send me an email immediately and I still haven’t received it. I tried to call them back but I Can’t even get them to answer the phone.

For 3 weeks I have talked to 5 reps all assuring me my neurotin would be filled. Still no meds. No communication from them. Just no meds. If I hadn't checked I wouldn't have seen "no refill allowed." HELP!! Why didn't they call or email. Bad customer service. Robots.

Will send you too much medication in order to get paid more. Will pressure you to use the service even when it is not to your benefit. Will send you to India if you do not choose to do participate in the survey at the end where I once had to repeat my name three times and spell it twice. I'm fine with overseas call center and will even speak slowly, but come on your hires need to speak English well enough to do their jobs.

I have never had such an experience this poor before with a pharmacy. I have been on a prescription for over 10 years with no issues getting it filled and immediately after switching to Optumrx my prescription keeps getting cancelled. Every time I call nobody has any answers as to why. In addition, I get hung up on while being on hold half the time I try and contact them. Customer service is mostly rude and useless and the pharmacists are worse. Never use this service if you can avoid it.

I’ve been on birth control for 10 years and never had any issues with it at all til Optum. This company is a complete joke. I was forced to switch to them and I’m unable to opt out, if I try to fill my prescription elsewhere it’s not covered by my insurance! (Is that even legal??) Since switching to Optum, I get constant emails from Optum that my doctor hasn’t approved my refill request and that I need to call their office. I call, and my doctor says they were never even contacted by Optum and that they haven’t denied anything. I’ve had to constantly worry about getting my doctor to approve every single month a prescription I’ve had for 10 YEARS with no issues before this. And because of that, my medication is late regularly, and I’ve had to go days at a time without it while I’m waiting for it to finally ship! Completely unacceptable and I wish so badly I could go back to my previous pharmacy!

Absolutely horrendous service. They never filled on time, and a few times just never delivered my prescription at all. Claimed that it was never claimed by me... I live and work from home where these mysterious "deliveries" were happening. I never received any phone calls from them, they just decided to refrain from delivering a very important medication. Anytime I called "customer service" I get someone who is incompetent and is definitely NOT local. I am put on hold about 4-6 times each phone call, and the call once "dropped" 3 times in one evening trying to resolve an issue with my prescription not being delivered. I wouldn't recommend OptumRx to my worst enemy.

They make getting meds impossible. Lots of red tape. Every 3 months I get the same medication but these people have an issue every single time. Double triple verification. Get a life already. People are sick and these people are rattling cans.

I was told to cancel my prescription with my local pharmacy and to have my Doctor send it to these jokers so after spending 1 day on the phone with Optimum delivery and then spending a day at my doctor's getting the prescription sent over to them. I then called and they said they received it. And it would be sent out within 4 to 5 business days. However, the next day I received an email. Screenshot included saying they needed more information. However, when I called them they didn't need more information, they just needed to tell me that they couldn't fill this prescription for me and I need to go back to my local pharmacy. 2 days wasted, now I gotta go back to my Doctor and have him change it to a local pharmacy again. I would never do business with these people. You're gonna end up being screwed over and if it's a life-threatening medication, you might not survive these people could possibly kill you.

Worst service ever in my entire life - just unbelievable. Got text from them first day pres. ordered and said order was being processed. Then received 1st cancellation text. Said they tried to contact Dr. office several times before canceling order, Dr. said they had no record of being contacted by them. Dr.'s office re-sent prescriptions. Then Optum said they tried to contact me before cancelling order the 2nd time, I never was contacted by them, I have all their confirmation texts, nothing regarding any info required. If you call you get the auto-response, it asks if you want x, y or z, nothing about a rep, and I said it was regarding a cancelled order, then I get an auto-response saying that I have three refills available and do I want to refill them!!!!!

I called to place prescription refill order the phone, received a confirmation number, and was told that they would be mailing the prescription. After over a week and a half, I didn’t receive my medicine or any tracking details for my order. I went to their website to check and the confirmation number didn’t work. So, I called their customer service. After waiting over 15 minutes, I was told by an agent that that confirmation number doesn’t go to anything. And they’ll have to place another order again. I’ll update if I ever get my medicine.

I have been an OptumRx customer for many years. I have been getting a specific drug to treat diabetes for about 10 years. It is an injectable, and they just decided not to cover it. I now am left with my last vial of the med, and will not be able to get any in time to continue my daily dose. You would think they would arrange for letting customers know, but they apparently do not care! Way to go, Optum!

We have been getting my wife's special medicine through them for a couple years now only because it the only special pharmacy my insurance uses. We have problems with them every month. It has been the worst customer service I have ever dealt with.

This has to be the worst company on the planet! Their computer and ordering systems are inaccurate, missing information and difficult to use. Their website is a mirror of all of the problems. I continually get nagged with reminders to order more drugs when not needed, and have even been prompted to order more drugs when I have just ordered and received them. The pricing is suspect and seems to vary day-by-day. On Saturday I ordered ** for $460.62 and ** for $448.03. Today, 2 days later, both are listed on the ordering site for $398.99. Talk about being ripped off! All of their support appears to be offshore with people that can barely speak or understand English. Attempting to get one of them to do something is nearly impossible. I cannot imagine why AARP would associate themselves with a company as bereft and shady as OptumRx. If I could rate them a "zero" I would!

I was heavily pressured to switch to this, which is owned by UHC. They wouldn't refill any of my heartburn medicine because they said it was over the counter which I've been getting for 10 years by prescription. Many similar situations until half my medication were over the counter and not being filled which is over $100 a month. Why do I even have health insurance then. I switch back to my local pharmacy after just two or three months and they didn't even fill half my prescriptions in that time.

OptumRx is absolutely TERRIBLE!!! The pharmacies this company partners with (CVS and Fransiscan outpatient) will not fill prescriptions in a timely manner and do not follow the doctor's orders on the prescriptions. This company has caused numerous difficulties through the past 2 decades that I have dealt with them. Mail order prescriptions have been found on the side of the road beneath the mailbox, medications have been miscounted and some prescriptions missing entirely.

I am a State Employee in Florida, and every 30 days I drop off a prescription for a Schedule II controlled substance the day I need it filled because I can’t get it filled any earlier than 30 days from the last fill, have been doing this at the same pharmacy every month for 9 years. Last week, I get a call from my Pharmacy telling me that Optum is denying the claim because I’d already gotten three 30 day supplies this year. This restriction being completely unheard of by me, I call into Optum to presumably straighten this out. The person on the other end of the phone is initially not very helpful, saying, “well that’s the restriction of the plan YOU signed up for.” I clarify that I am one of tens of thousands of state employees and I make precisely zero decisions about what Prescription Drug plan to become a member of, and ask for information about where this restriction is specified (which I am never provided).

Waited 2 months for a prescription I never got. Had to get it locally (in 1 day). Another bundle of 5 prescriptions took a week to ship from California, was supposed to come by FedEx but then ended up in the USPS system for another week.

This company can only be described as evil. All of a sudden and without warning one of my prescriptions went from $30 to almost $500 per month because they won't accept the discount from the manufacturer. I'm going to research getting my meds from Canada and screw these people!!!!

Updated on 01/24/2025: Absolute worst specialty pharmacy I've used. I switched jobs and had to switch insurance and my pharmacy for my Crohn's medication. I have been employed at this new org for 6 months and there has not been one refill I could complete easily online without having to talk to customer service. It took two months for the switch to happen and for them to approve my medication.

I was told I can only get one fill of a controlled substance a week. So even though I broke a bone and the ER PA only wrote me a prescription for less than 3 days worth of pain medications, seven tablets, I cannot get pain medication after my ORIF surgery three days later. That makes no sense to me at all! Horrible company. I guess I should have refused pain medication for the two days I had a broken bone poking into my skin in case I would be having surgery within the next week and wanted to get a full prescription of pain medication.

This is the only approved mail order pharmacy by United Healthcare (which owns it). They provide subpar service with English as a second language customer service representatives that often do not understand you or barely do but are running based off of a script. They routinely misread the prescriptions that my doctors send over and under provide my medications. Recently they quoted as having provided 23 days' worth of medication when per the math they only provided 22. So they are fraudulently stating and charging that they are providing more medication than they actually are.

Absolutely horrendous service!! Constantly overcharging for medications!! I’ve even told them to remove my credit cards multiple times and they didn’t. Call in each prescription that has a copay card and they STILL bill incorrectly by THOUSANDS of dollars l. Absolutely disgraceful and honestly I don’t understand. It’s costing them tons of money paying people to re-do their screw up plus losing thousands on send out the wrong Perscriptions. I would absolutely never.

This is the WORST company I have EVER encountered for pharmacy services. Unfortunately my healthcare provider through my employer chose them. They are BIG business, not patient centered. I have been taking a medication for over 20 years. It is very necessary for my health and well being. Since I cannot take the generic version OptumRX requires that my doctor complete a form every year to say that I still need the medication. Recently they requested that my doctor tell them why I'm on the medication and what other medications has he tried. Those records are not available since we have changed doctors several times since 2002. The medication without insurance is $500 for 30 days. OptumRX is the poster child for Big Pharma. If you have a choice steer clear of them!

I was required to get prior approval for a medication. My pharmacy acted quickly and got it approved for me. However, my pharmacy was then informed they couldn’t fill my prescription because my insurance required it to be filled at their own specialty pharmacy, Optum RX. To make matters worse, they provided them with a non-working number (1-866-803-8570) to contact them. After finally tracking down the correct number, I spoke with a representative who was difficult to understand. They informed me that my pharmacy needed to call Optum RX at 1-888-326-1196 to transfer the prescription. Once they receive the prescription, I’m expected to call back again just to get the prescription filled.

OptumRx, owned by UHC - which is becoming a monopoly - is the worst mail-away pharma I have ever dealt with. They hire overseas people who don't understand English and are "politely" quoting cheat sheets instead of listening/trying to understand the question and help. 2024 has been the worst service year. Also, not able to get to a "advocate" unless I go through girations and several calls to the 800# since they don't have a option to speak with live person. Is it because a new CEO is now in charge - Patrick **? I end up going to my local pharma and was using GoodRx, which is not available at my local pharma anymore. I still use discount programs at my local pharma instead of Optum whenever I can even though it doesn't apply towards my exorbitant out of pocket - just so I don't have to deal with Optum! Now Optum Health has bought my local health practice and I've noticed my Drs are very $$ oriented instead of patient care.

My orders are being cancelled frequently and the app is awful unreliable! No details in app. The shipping take more than one week! I put my medication on auto refill but those get cancelled and next delivery time jump a month ahead!

Although it was marked for automatic renewal, Optum did not mail my heart medication (**) and when I went into their portal, they had deleted it. It wasn't even archived. I still had 3 refills left, so I called and they said a pharmacist didn't think that was the best heart medicine, since I was also on **. He added that ** was prescribed for asthma and carvedilol wasn't the best for asthma, and claimed that they had tried to contact my Cardiologist and have her contact my Pulmonologist and discuss this "conflict." Then they deleted my heart medication. Neither of these prescriptions were new.

Hands down the absolute best mail order pharmacy I have ever used!! Fast, no hassle, and very customer friendly. The fabulous USPS stated they delivered my prescription "to the front porch" on the 19th (My medication comes to my workplace where there is a locked mailbox and no porch!!!). I was in a panic because I needed this medication asap. After waiting until the 28th I started an online chat with customer service. The kind lady expedited my prescription without doubting my word and had it shipped overnight to me!! What a wonderful company! I hope to use Optum Rx for the rest of my life!! No hassle auto refill is the best, keeps me from forgetting to order. I love this mail order business!!

Almost every time I have to coordinate between them and my doctor office. I stopped refilling with them 1-2 years ago but accidentally my order was sent to them and they still have the same problem. The request to refill was sent from my doctor office via their app. OptumRX put 3 of my orders on hold and cancel the 4th and asked me to contact my doctor office because they didn't pick up optumRX calls.

I asked them several times to not send me a prescription cause I could get it cheaper elsewhere. They sent it anyway. I've been charged. Worse, my Insurance Company paid for it. Now I can't get the Rx filled elsewhere for 28 more days and I need it in 7!!! I can't take the Rx they sent me because it's not the correct dosage. I have made at least 20 calls in the last month. These phone calls are LOOOOONNNGG and I get placed on hold several times so they can ask their "supervisor" about my questions. There is a language barrier with the customer service reps, they make promises but don't follow through and I feel this is because they are really incompetent. Do better United Healthcare!!!

I have never dealt with this level of incompetency in my entire life. Do not get your prescriptions filled here. They have no idea what they are doing, and they will confidently give you conflicting information.

In the past Optum's 3-month supply mail order was out of stock for ** and I had to go to local pharmacies to get it (at a higher price). Today is the second time they have been "out of stock" for testosterone serum and I will probably again have to go to a local pharmacy again. I suspect the problem isn't that the meds were not available, but just were unavailable at the wholesale prices that Optum was willing to pay. I don't think their marketing materials have that qualification, and if not their practices are unethical and possibly illegal. Further, they don't have the courtesy to tell you it is out of stock. Rather there website just (dishonestly) says "processing" and the consumer has to figure out it is not being processed and inquire why.

Unfortunately we have no other option for specialty pharmacy services. The provider has submitted multiple appeals for several different medications with the required documentation only to have it rejected. We have been waiting for a pharmaceutical care plan for rapidly progressing RA since March. Is it an AI algorithm that reviews these appeals or a human? It is a shame. We are waiting for what we assume will be another denial for a different medication. I had one customer service rep tell me, “this is a very expensive medication.”. Yes, we know however so it out private out of pocket expenses for the premium. It makes me so sad to see my loved one suffer. They are withering away right before my eyes.

If I could give negative stars I would! This company is a joke!!! The people that make the decisions on whether you “qualify” for anything is a pharmacist NOT medical physicians! My dr sent in what they asked for & I was denied because I was not on a dying scale.

I reached out a month before my honeymoon (out of the country) to secure my medication that keeps me alive. Through 10+ hours on support calls, countless mistakes from the Optum team have left me without my medication and having to cancel my trip. This is by far the worst and most disjointed company I've ever dealt with and they really let me down. I will never be trying to work with their mail order pharmacy ever again.

My doctor called in a script. It need prior authorization. It was approved, but Optum was out of stock and it sat there. After a week I called. I spoke to someone in the Philippines and she was of no help. I had to call my doctor and within in an hour I picked it up at my local CVS. Optum is the worst company ever!

I've tried to get med transferred from CVS to Optum Rx, each customer service agent gives different info on status. Suggested I check online instead of calling. I call because the online status is contrary to my agent says. Order held because Dr. Wouldn't ok a 90 day supply but 90 supply wasn't necessary to treat condition, only 30 day needed. No one called or texted to let me know my order is pigeon holed. The customer service agents are very rude when you question a discrepancy and you will NOT be queued for a survey of the call. This operation is atrocious! Hoping my order will be sent at some point.

OptumRx doesn’t want to cover anything my doctor prescribes. I give up at this point. They don’t care if you’re in pain, sick or whatever the issue might be. I never had these problems with Aetna. Zero stars.

Optum RX, and Optum RX Specialty Care Pharmacy are the most expensive prescription company anywhere. If you are in Tier 1 or 2 for prescriptions, the prescriptions are free. If you are tiers 3, 4, or 5 you will end being sick or dying because you will not be able to afford their copays. I have the most expensive RX plan through United Health Care which is Optum RX. I need ** for Crohn’s every 2 months. The cost to me is $760.00. I can get it for half the price at a local pharmacy. I am not allowed to get it because it can’t change temperature and must be refrigerated at all times. It also cannot be delivered to my infusion center. Optum has denied 4 of the medications that I need. Two of these medications are needed as I will die without them. I can get them if they are denied, but the cost is ridiculous.

This is the ABSOLUTE WORST mail-order company!!! Several phone calls over several days, over 1-1/2 hours, and getting dropped "accidentally", all to start ONE PRESCRIPTION!!! I had to call back for a simple (simple to those who know what they're doing) refill on ONE medication. After 23 minutes and almost all of it spent on hold because my agent clearly didn't know how to do this, I finally got my ONE medication refilled. At least, I hope so. I will not be assured until I get it in the mail, and verify the correct amount was charged to my debit card. I have ZERO FAITH OR CONFIDENCE in this company.

I have asthma. The pharmacy conspired to refuse my medication for six weeks. I am without medication from last four weeks. I call everyday and each day they have an excuse. This is a dangerous pharmacy which has criminal intents to harm people. I am going to search some legal options against this pharmacy. No insurance company should hire them for any kind of services.

Then I spent so much so much time on the phone yesterday, trying to get this resolved.

I do not understand how this company is allowed to operate in the US. They are the absolute worst and their customer service is non existent. How are they allowed to pick and choose your prescriptions that you have been on for years at the drop of a hat. No warnings, just find out when you go to pick up your refill that oops, not covered anymore. Leaving people without their critical prescriptions and no time to come up with alternate plans. Just the, "We don't really care if you drop dead attitude from people who can barely form a sentence reading from garbage scripts." They're out to be government agencies looking into how much harm they have caused people by dropping covered medications at any random time. And shame on multi million national companies that force this on their employees so they can save a freaking buck.

Optum Rx questioned my OB/GYN as to why a drug was prescribed. They refuse to fill the Rx. How dare they. I only deal with them because they are cheaper. I will send the Rx in question to another pharmacy. These people are TERRIBLE to deal with.

I have United Health Care Medical Insurance and Optum Pharmacy for prescriptions. Optum Pharmacy is an online pharmacy. When I call in to fill a prescription I have to listen to a very long message about them and then answer a dozen questions by pushing buttons on my telephone. No matter how many times I ask for a live agent this nonsense with a talking computer continues until I either want to cry in frustration or scream. If I give up and tell the computer what prescription I want I still have to go through more and more push button computation Then I never receive the prescription. When I tolerate all the computer abuse until I finally get to speak to an agent he/she speaks English as a second language and is difficult to understand. I would rather use a local pharmacist even if it costs more than deal with this company.

Started service with them recently. They failed to deliver the medications on time, causing me. Great stress. My wife had to suffer Because of their inability, to actually do their job, miss delivery totally.

After 5 calls to discontinue service, the meds and bills keep coming. Phone call after phone call, fax requests. All ignored. This has happened to both myself and both parents. Do NOT RECOMMEND. It is a nightmare to try to get them to stop sending the meds.

My doctor sent a script to Optum RX for my ** on July 30, 2024. The pharmacist did not release my order because he needed info from my doctor. My doctor has responded many times to no avail. Today is August 8, 2024 and still no **.

Hi I got my prescription today Freestyle LIBRE_3 Sensor. I paid $20.00 dls for 28 day supply in my local pharmacy. I decide to order from Optumrx because the price is only $40.00 Dls for 84 days which is $20.00 Dls savings. I PAID $40.00 dLS and you only send for 45 days, I used to get this Freestyle LIBRE_3 Sensors 2 sensor for $20.00 dls, and I paid $40.00 dls to you and and send only 3 sensor, shouldn't be charged only $30.00 (10.00 dls for each one). I got overcharged me extra $10.00 dls, I request a refund of $10.00 dls or send me another sensor which is equal to the $10,00 dls co-pay I do in the CVS pharmacy.

They hit my insurance and copay card and never sent the medication. The first thing they will do when you call is hit your insurance and copay card, even if you are just calling to ask a question. Now there is nothing left on my card and I don't have any medication left!!!

15 days, multiple phone calls each one taking way too long and each time getting told something different. When Optum contacted doctor they lied about what was said. All this to get a simple refill of a prescription. They also tried to charge 25X what was paid before. Horrible company preying on the elderly.

They left me a voicemail (pre-recorded) to refill prescriptions. After I finally had them remove my phone number, I receive a bill in the mail because 4 months ago they didn't process the payment on my CC on file.

My review is very simple... We have NEVER used them, never asked for them, never ordered anything period! But we have been constantly called for over 5 years and No one can make it STOP! NO MATTER WHAT.

I tried for days to get my prescription from OptumRX. They told me I already had it filled in New York. I live in Utah and Did Not have it filled in NY. My plan D health plan had to contact them for me. This happens over and over with them. I am a senior and they have kept me from my medication now for over a week. Honestly, I do not think they are a reliable company and they are extremely rude on the phone!

Took me a week to get my order shipped after having it cancelled by them and re ordered with fast shipping. Was told I would get it monday but it still hasn't been shipped. The first couple of days they said they reached out to my provider to get my medicine approved, but my provider didn't receive anything from them. He approved my medicine but after a couple days it still wasn't approved on their end. I had my provider call them with a number I was given and it still wasn't shipped after 2 days. So here I am out of my medicine I can't live without and it still hasn't shipped. Extremely disappointed and I've had problems like this in the past. I would never recommend this company to anyone. 0/10 extremely irritating.

Useless app and horrible customer service. You will regret trying to use this service. They make nothing simple. I was trying to get my secondary insurance added for the third time and they have successfully hung up or disconnected on me a third time. They are making my terminal condition worse than what is to come.

Horrible customer service. They force the patient to buy online, do all the leg work, and then they deny medication that I have had for years. I cannot get my medication and will probably die because of this horrible company.

If I could give them a 0 I would. Instead of 2 total knee replacements I opted for gel injections. They rejected 2 gel options so far. I've been asked to completed surveys at the end of every call I had with Optumrx and gladly agreed only to be disconnected at the end or put on hold indefinitely so I can't provide feedback. THIS IS A TERRIBLE COMPANY. I'm at the point right now where I will just endure the pain vs the aggravation of dealing with their continual denials. Years ago they would only approve one type of gel that did not help. I figured I'd try again after 4 years only to be reminded of what a total mess this company is. Yes I've had a previous gel injection that worked wonders but they won't approve that one. I guess they get more $$$ if I get total knee replacements vs the gel.

Optum Rx has been one of the worst health care experiences I have ever had. First call was an hour, the representative told me in order to avoid the high copay we’d have to get me set up with mail order, which I did immediately. After getting it set up to home delivery, the next day I find out that I would still be expected to pay $318 and previous information provided was false and incorrect, only offered a $10 savings vs pharmacy pick up.

I have both Rheumatoid and Psoriatic Arthritis and I've tried numerous biologics. I've only had success with one but Optum continues to deny my claim. I got covered by AstraZeneca for one year at no cost but Optum still denies my claim. I'm a senior and I'm in constant pain. I work full time and have excellent insurance. Everytime I call I have to start at step 1 and depending on who answers the phone I receive different information. I'm beyond frustrated with this company.

We need to have a class action lawsuit against this company! THIS COMPANY IS TRYING TO KILL US! How can you trust our very lives to this incompetent company? How are they in business? What Pharmacy Tech just decides that a medication a Licensed Physician ordered is not necessary?!?! IN WHAT UNIVERSE IS THAT LEGAL? My Dr office and all the staff can't stand even trying to deal with them. They just don't bother doing their job or ANYTHING in hopes you will pass away. Their motives are life-threatening. SHUT THEM DOWN!

I've had to call this online pharmacy every single month because they mess up my medications every time. They either don't send them, send them late or say they can't get ahold of my provider. When my provider says they never get reached out to by Optum. If I could give them zero stars, I would.

Thanks to Optum RX dropping the ball and telling me they were sending out my ** 180s ER when in fact they weren't, I now have to go without it again. I'm currently trying to talk to a supervisor above the supervisor who is trying to blame my doctor's office for the "mistake." Optum RX point blank told me it was being shipped out and would be at my house by the 26th, which was NOT the truth. They didn't fill it, and weren't going to fill it as in it was not in process like I was told. They did that while blocking another pharmacy from filing it.

This company doesn’t care about its female clients. For 2-3 years, I’ve been using the generic version of ** with no issue and free of charge. Recently, I was told that my insurance wouldn’t cover my contraceptive or any non-oral contraceptives prescriptions. Now, I’m forced to switch to the pill (I had issues remembering to take that so no), get an IUD, or completely go off birth control because there is something no way I can’t afford $36-100+ a month.

I've been receiving iron infusions for several years without any issue having Aetna Insurance, BUT this year Aetna handed over ALL Rxs, including outpatient infusions to Optum Rx & I was denied! Despite my Rx history, 2 appeals from my Hematologist & 1 personal appeal I'm still denied the yearly iron infusion that helps stabilize my iron deficient Anemia due to Crohn's Disease. Optum Rx REFUSES to do a Peer to Peer Teleconference w/ my Hematologist as well. I received a notification that I was suddenly approved for a different iron infusion that requires 2 infusions & is $288 each Optum Rx copay plus my $60 each visit for thr infusion center copay. BUT when the Hematology Infusion Center ran the claim before scheduling my appointments, Optum denied it!!!!

This company should be out of business. There is no compliance and many federal laws are being broken. They screw up every order, they use an out of country call center and these people are untrained and have no idea what they are doing. 20 out of 20 prescriptions are messed up multiple times to complete negligence and idiocy. This company should be ashamed of themselves. My attorney will be sending a letter to Congress and State Senate for a full investigation into this company.

Without a doubt the worst pharmacy experience of my life. They rejected a medication I need and have been on for years. Then when my provider made a new treatment plan with an approved medication and the order was sent they kept it on hold without notifying me because they needed an address for my provider on the prescription. They did not bother to call me to tell me of the issue. I had to call to follow up and the representative could not give me any clear answers and when I asked to speak with someone else they continuously refused. To this day I am about to have to interrupt treatment because of their services.

It takes forever to get your meds from OptumRX. My doctor called in a script for pain meds after I had an accident. It took 10 days to process and another 3 days to deliver. I was in terrible pain so I tried to cancel my order so my dr could call in to CVS. They told me they couldn't cancel my order because it was already processed. I called back and got a different person and I asked why I haven't received my order and was told it has not processed yet. THEY LIE TO YOU

Updated on 07/23/2024: This complaint is regarding the previous complaint and ONE ADDITION TO it. After they too late shipped Fedex my prescription, my doctor was able to send to a local pharmacy 10 pills to resolve my problem. However, my visit with my doctor on July 10th, 2024 was to refill all my prescriptions for nine days, as it is the usual request. Not only the gave me the medication late, but also only for 30 days. Even worst, all the medication contained in that prescription was never shipped and when I called, they started playing the same game. Mark after listening but repeating incorrectly the information provided, he said that my prescriptions were filled out at Capsule. This is a real nightmare, still going on and without receiving my prescriptions.

I've had nothing but terrible results from them since my company switched over from ExpressScripts (which wasn't a lot better). At least with ExpressScripts, I could call and get ahold of a live person without major AI hoops to jump through and I got a reasonable decent English-speaker when I would. At OptumRx, I ended up just understanding that my issue simply cannot be resolved. My son's doctor wrote up an emergency prescription for generic **, an old drug easily available in generic. The cost will be $200 out-of-pocket but I have no other choice. After several calls with Optum, one rep told me that only the brand name can be offered but she accidentally transferred me to the U.S. Health Insurance 800 number (with AI voice hoops and all...and my insurance is with Aetna) so that ended that call.

They are a fraudulent company, they fill prescriptions you haven’t asked for and when you find out and try to cancel you can’t. They don’t communicate with you about drugs they are out of. Bad service all around.

This pharmacy mission is to make your life a living nightmare. Why hire employes that refused listening to the customer. One pharmacy that needs to be shut down, bad communication, very poor customer service very bad. The pharmacy lied to me saying they're working on my medication. After 4 hours waiting. Now the pharmacy tell me to contact my doctor for proper dosage and directions. 3 days later still no medication. OptumRx whomever you are needs to be brought to court facing a civil lawsuit.

Without a doubt the WORST medical supply company on the planet, the money I pay for service is a waste. They have no direct connection with their shipping department and cannot give out correct information. If I was able to switch companies I would do it in a heartbeat if I'm not dead from OptumRx incompetence.

Optum Rx is the worst health care experience I have ever had. They deny every pre authorization at first pass. This leaves the customer having to pay outrageous out of pocket prices otherwise we could have a health emergency. They then deny reimbursement. Their customer service leaves you on hold for hours. Shipments don't arrive in a timely manner leaving you without much needed medicine for days. Again a health risk. When asked about my health risk they told me that "the emergency room is available." This company is the epitome of why the health care system is broken. A gigantic company buying up smaller companies, monopolizing the industry and then scaling back service raising prices and making crazy profits all on the backs of hard working people. An absolute disgrace of a company.

I’m on ** for Crohn’s disease & my infusions follow a schedule. Last month I was switched to the on-body injector but UHC wouldn’t not approve for Option Health to send it to me, I had to switch to Optum. I called Optum 6/19, one week in advance of my infusion date, told the rep the script needed to be transferred from Option or contact my Dr. & the infusion was scheduled for 6/25.

I would give OptumRX a zero if it were an option. My insurance no longer covers my medication so my doctor wrote another prescription that was covered that had a different formulary. The idiots at OptumRX tried to fill the old formulary and not the new prescription by my doctor! I asked them to send me a copy of the prescription which was never received, and then they canceled my prescription without even contacting my doctor! The convenience of a 90-day supply is NOT worth the hassle of dealing with these idiots.

Worst company ever. They denied my RA medicine that I been on for two years. They gave me all kinds of run around about it. They kept canceling the script and Pa blamed doctors for it. Then had the nerve to say I didn't have Rheumatoid Arthritis. I was diagnosed in 2018. I told them and they said, "Oh well Optum has final say." They told me to call company and lie that I didn't have medicare to get the drug free. I said absolutely not. Needless to say I had final decision to leave UHC and Optum. Never again would I use. Horrible experience....

You have to use CVS which is inferior to Walgreens. Horrible customer service. And they will only cover meds that are 90 supplies. No more. No less. And only if it’s deemed maintenance medications. Shocking! Just have to change my whole life over just due to using Optum. They aren’t the best.

Today I called OptumRx to find out where a refill was since my physician sent in a refill 10 days ago. Originally, I was told that it would be refilled today, but upon pressing the issue of when to expect a delivery, I was then informed that the medication was on "backorder" and they would have to put me on a waiting list. They were going to let me believe that it would be filled today and shipped soon when, in fact, they didn't even have the medication. When questioned about how long of a wait to expect, they had no idea.

These people are incompetent. They can't get anything right and call me 3 or 4 times a day when I have asked and even put it in writing to stop calling me. They will harass you every single day about getting RX filled. And will not stop calling until you fill it, please stay far away from these people.

OptumRx is probably the biggest headache I’ve ever had. I have a copay that brings down a 3 month fill prescription by $200. Anyway time and time again they either mess up the card or just don’t bother adding it to the charge. I am also required to fill this prescription by mail order which is terrible because they never give notice when my copay isn’t applied. Instead they just charge my card $240 and take weeks to fix their mistake when I don’t have $240 to throw around.

At the end of last year I made the mistake of "upgrading" my UHC Medicare Advantage plan (with an option of using OptumRx) to UHC Medicare Advantage Edge, which shifts the Drug Benefit entirely to OptumRx. BIG mistake. The switch-over was supposed to occur on January 1, and now we are at the end of June and still the webportal does not work for me. It shows none of my Rx. Web Support appears to understand the problem (the old ID had two additional zeros, the new ID is the same except trailing zeros), and they fix the problem, only for it to reappear a month later.

Up until this year, 2024, I've had very few issues w/ Optum Rx. This year almost EVERY Rx I fill has been challenged & now I've been denied an iron infusion that I need & receive yearly for my iron deficient anemia. I'm on my 3rd appeal & not only is it stressful, it's disheartening that I'm at the point of begging for treatment I've been previously approved for! Increased premiums & copays but less coverage & care. It's horrible.

It's taken them weeks to process basic prescription refills. They kept canceling my orders saying that my insurance wasn't on file. (It was.) Then they revealed I couldn't see one of my prescriptions because it had been kept on a second profile, which I never made and did not know about. Now my profiles are being "merged" and in the meantime I can't see the order status on one of my prescriptions; I had to call again to get a USPS tracking number. They're playing with people's lives here.

This is the worst insurance Rx provider. I have 90 day supplies on my meds. I have nightmares every 90 days dealing with Optum Rx. I have been on the same meds for 15+ years and Optum Rx is the worst Rx provider I have dealt with. Too many issues/stress to write it all here. I would be writing chapters of a novel.

This company it's just like Edgepark. All the other mail order companies, horrible. But it's not like we have a choice. Once you buy insurance they insist to use this company. If I could give him a zero I would. Late medicine, late insulin. Can't afford a meter to read my sugar. Terrible.

If I could leave a ZERO, I would! They have had an Rx since April and every call to check on it is a 30 min hassle with little to no information, or updates available and if on back order it is the customer's responsibility to keep checking. Customer service is a joke, and I will never use this service again!

On June 3rd I was charged $87.50 for a prescription that was canceled on May 28th. I then got an email that said the prescription had been delivered even though it was never shipped. I question how many times they've gotten away with this, especially since I have had to harass them to get my money back, which I still have not gotten. I have been told that it will take an additional TWO WEEKS (on top of the three weeks that have already passed) to get my money back because, apparently, they're too busy ripping people off to issue a refund the correct way.

Would have been zero stars but pharmacist who called back seemed knowledgeable. Here is what happened. Very expensive temperature sensitive infusion medication shipped in 85+ degree F temperature in a cardboard box with one little 6 inch gel ice pack and a couple of small sheets of bubble wrap. Arrived, ice pack not just melted but ambient outdoor temperature - over 70 as it arrived at 6:30 PM. Had been riding around in a UPS panel van all day minimum.

Optum RX's customer service is abysmal, and their online platform is equally disappointing. I'm shocked that a healthcare company can be so inefficient and unresponsive. Due to their ineptitude, I'm currently without my essential medication. Despite my urgent need, they refuse to email me a list of my prescriptions, which I can take to a local pharmacy. Instead, they've directed me to their web team, a clear example of passing the buck. It's astonishing that they can't fulfill a simple request. I strongly advise against using Optum RX. Their inability to meet customer needs is unacceptable. If I could give them zero stars or ten thumbs down, I would. Avoid this pharmacy at all costs if you value your health and well-being.

Updated on 09/16/2024: I have had problems getting hormone therapy / testosterone from Optum RX all this year since surgery to remove testicular cancer December last year. Previous review from June is here below for reference. Their default response is to first deny the medication saying they need Dr Authorization but, that is misinformation from them as I have now learned that only way to cover excluded medication would be to file Appeal with assistance from my doctor to United Health Care not Optum RX.

Optum Pharmacy is an aggressive and greedy predatory company that is largely inexperienced with pharmaceutical deliveries and the insurance industry. Their customer reps (customer advocates) are not knowledgeable or experienced with the industry, and certainly not interested in assisting their customers. They don't provide clear instructions or information and once the "problem" gets a bit complex they'd rather say "I'm so sorry we can help with that or this" rather than spending some time and actually assisting the customer. Clearly, their sole interest is profit and how to make a buck out of every opportunity --- a very short-sighted business model.

They had two profiles for me, confusing everything, and *I* was the one who figured out they had two profiles. Long holds, horrible customer service, my doctor cannot get in touch with them. I have type I diabetes and it took me a month to get my **. This company is so bad that it has affected my health and threatened my life.

Dealing with Optum has been an absolute nightmare. I’ve been on the phone with customer service no less than 7 times and each time they told me my delivery was on the way but then I’d get another email saying there was a problem. No one could help me. The service couldn’t be less user friendly and no one there knows anything about what is going on. I was so stressed trying to get a medication before a trip I was taking. It came late.

I asked prescription to be transferred to them and they took all the details and explain to them I run out of meds. They promised and after two days nothing has been done. They also put you on hold forever. Bad service. False promises and bad management.

I would leave a negative 10 if I could. This is, without a doubt, the worst company I have ever had to deal with. I'll buy my meds on a street corner before I ever deal with them again. They forced me to use mail order for my heart medication, so I transferred my prescription from Publix to Optum RX mail order, and they now they tell me they don't have the prescription, and cancelled my order without even letting me know.

By far the worst mail order pharmacy I have ever dealt with. You must jump through hoops to get each and every prescription. I get disconnected almost every call. They say stay on the line for a survey but end the call. I’m sure they don’t want you to leave bad responses. Will probably switch from UHC just to get a better pharmacy.

Worst pharmacy ever, was trying to get a refill my after insurance changed, called 15 to 30 times in two months. Was told all kinds of different things. Only to find out they don't accept my new insurance. Now getting the run around on how to transfer to a new pharmacy.

I'm surprised to see all the negative reviews of this company as I've had good service from them. Perhaps it's because I've had no change in provider, haven't taken the auto-renew option, and my prescription hasn't run out. Also, I haven't tried to use the website to order as I can't sign onto it for some reason. I just call them every month. All the reps I've spoken to have been polite and efficient, the charges they've quoted me have been accurate, and the medication has arrived on schedule. I've never had to wait more than a couple of minutes on hold, even though I call mid-morning which is typically the busiest time of day.

Switched to this company for my 2024 pharmacy plan. These people are the worst! I have never had a problem with getting my meds until now. Since January 1st I can imagine I've spent 100 hours on the phone. No one ever follows through. To get each medication takes multiple phone calls. Currently trying to get a replacement for a refrigerated medicaton they let sit on a hot truck all Memorial Day weekend. Everyone promises to get it sent out, but that never happens. When something does arrive, it requires a signature but all you get is a 4 day window. So stay home for 4 days to be sure you are there to sign. Looking forward to 2025 when I can switch.

Cannot get through to get my injections for RA. The pharmacist hang up on you. Pharmacist put you on hold to transfer only for no one to pick up. I miss my other pharmacy. They cared!!! This is truly horrible and I am canceling my insurance because they force me to use this company.

If you're looking at insurance plans and OptumRX is one your coverage options uses, move along. They will 100% fight you on the most basic prescriptions and not pay. They will either deny or pretend as part of a protocol prior authorizations are reviewed. They are NOT. They deny the prior authorization from your doctor even with a book worth of justification and medical reasoning from your doctor. OptumRX employees patrolling the reviews, be ready, when you inevitably file for Bankruptcy, based on your service from every review I've seen, you will NOT be bailed out. You will lose your brand, your jobs, and your free salary you get from our denied claims. Can't wait for you to go under.

They are lucky to get a 1 star rating from me. I have been forced to deal with Optum because of my benefit plan through my employer. Almost every time I have an issue. My son depends on having meds everyday and I order them and then they are either out of stock or for some reason can't be filled. I have cried with these customer service people and they don't care. It is always an ordeal.

I'm withdrawing my participation fully from this program. The representatives that answer the phone know the organization is a joke, so they don't even try to help. An agent named Leah straight up put me on hold right away then sent me to the survey without even asking me what I needed help with. I feel sorry for these people that they have to work at a place that obviously doesn't give any consideration to others. Toxic and impossible to have a simple request fulfilled. I'll take the short trip to the pharmacy over having to talk to these people ever again.

****WARNING**** I wish I had read the reviews before I TRIED to get my medications from them. Going on two weeks and still getting the run around. Said that it was my doctor's fault, not even the case. They just use any excuse. They don’t seem to know how to do their job. DO NOT USE IF YOU HAVE ANY OTHER CHOICE..

I am diabetic so my medicine is vital. I was sent emails stating my medication was on its way, they also said they included a tracking number. My prescription went in weeks before I ran out, there was plenty of time. I was given an expected arrival date, between Monday and Thursday. I was never given a tracking number, I wait Thursday and kept checking as the medication comes on ice. I waited until 11pm. After I went to bed I recieved an email stating the medicine was out of stock and they will mail it when they get it, did I say I was diabetic? So I called and I was told the same thing from a call center out of the USA, she was polite and it was not her fault, I was told to call my doctor, but my doctor is closed today as it is Friday so I’m screwed and my health is at RISK, I was also told that I can call local pharmacies to have my prescription transferred.

I wish I could give them zero stars since I'm way more than just "very dissatisfied" with this absolutely horrible and ridiculous online pharmacy. There are problems with almost every order, they overcharge, they charge random amounts (one of my meds started out with $250, then it was free for two months and the next time more than $400!) What the hell ...?! And then all of a sudden I'm supposedly owing almost $300??!! What for and why? Nobody knows ... Calling them is useless (and incredibly time-consuming) since no matter who you're talking to, they are all incompetent and absolutely unable to fix anything. I tried "secure messaging" them, that's even worse. I will never do business with OptumRx again. And I don't understand how a company as them is able to survive. Listen to all the negative reviews here. Stay away from OptumRx. That will actually benefit your health.

Wealth of conflicting and misinformation. I transferred my prescriptions to Optum Rx home delivery to get points and give Optum a try. I take three medications and for two everything is ok, but not great. The app information on refill status is horrible for any of the Rx’s. What the status is, is only a guess. You have to go on faith that it’s being filled. Once a medication was out of stock and I just was lucky in that I looked on the desktop version to check status because a holiday was coming up and I was worried about whether it would arrive before I ran out. It was then that I learned it was out of stock. No notices or other communication. Wow.

I would give this company a minus 100 if that was an option. Locked out of my account after 2 attempts. Really? A phone number was provided to unlock, but only good during the week. Today is Saturday. Tried call to call main toll free number, their system is down for maintenance. Again REALLY. My husband is waiting for meds that were ordered in March. Optum is only option I have as a retired AAT employee.

This company should be out of business. They had the wrong home address and the wrong insurance information, and they made ME call my doctor and tell him that he had to call in another prior authorization. They are very evasive and do not speak clearly, so they are difficult to follow when having a conversation. They do not explain reasons behind their actions. They just stick to a script. Stay away from this company.

This is the worst company that I regularly have to deal with. Unfortunately my insurance company has me locked in with them. Their customer service (if that’s what you want to call it) is horrible. Their representatives don’t know what they are doing. I have to repeatedly call them to clear up their errors. Their billing is always incorrect and they have taken money for prescriptions and never applied it to the account.

Optum recently requested my doctor write a letter to justify a prescription. He took the time to do that and they still denied coverage and suggested another drug. Both drugs were generic. Only a few dollars difference. Ridiculous.

I hate this insurance. If you have a choice go elsewhere. I am going on 2 weeks of going in circles with my eye Dr. and this insurance about a prior authorization. Bottom line they are making it really hard to get a name brand prescription medication. I'd go with a generic if I could, it doesn't exist yet. You will have to fight for what you need and plan to spend hours unraveling the paperwork from both OptumRx, the pharmacy and your doctor. So so annoying. Makes me miss Cigna so much!! I think they are hoping people will just give up since it's so difficult.

They are a horrendous PBM that deny patients they meds with these ridiculous PAs. The force lesser effective RXs and patients go without treatment for weeks. Just horrible! They have zero customer service skills. Their offshore team plain out lie and don't even know proper regulations. They don't answer questions. They are a horrible company.

Totally incompetent organization. Customer service is awful. Maintaining accurate refill dates, quantity and communication. Easier and more convenient to simply use your local pharmacy. In addition, their shipping procedures and basically ANY procedures that you would expect from a professional organization is absent. Total waste of time dealing with this clown show.

Absolutely terrible company. They charged me twice for the same order after I called them and told them there were two charges pending on my account. They assured me only 1 would go through, but they both did. Then, they charged me full price for two medicines I had a discount card for - they never applied the card. I called and was lied to three times about this being resolved. Finally, I had to threaten to dispute the charge with my bank before I got something done (allegedly)- it will take 3 to 5 days to show up.

Awful customer service; I cannot even conceive how this company cannot scrutinize how customers are treated. The agent was so rude and annoying that I was waiting to give feedback after the call. Guess what? She didn't close the call so that the survey wouldn't kick off. How is this company fooled by its employees? Let go of the fact that their restrictions on refills are ridiculous (not talking about controlled substances). Sure enough: I will switch to my husband's plan as soon as it's benefits enrollment time. OptumRx is useless and annoying.

Optum RX has forced me month after month after month to beg for my medication. They completely ignore the doctor's prescription and supply whatever they feel like. Additionally, they NEVER inform you of anything. It is up to you to follow up each day and not believe a word they say until you have the medication in your hands. Their customer service people are machines with no personal feeling at all. It's like they are trained to be as evasive as possible. I was on the phone for over 2 hours yesterday and NOTHING was resolved. If you have a choice, don't do this to yourself. You will regret it.

I have a prescription that is to be filled by OptumRX. I received messages that said that the prescription was being filled, that it was being sent, that it had been sent and was to arrive on a Friday or the following Monday. Since it did not come on Friday, I went to their app to check on its status. The order was no longer listed, and when I clicked on the medication name in my account, it told me that it was "out of stock." I could have tried to find an alternative if they had not lied for a week. Their automated system is garbage and some high school students could have written a better one. It shows contempt for its customers.

Trying to get a pre authorization for medication, between them and the dr has been going on for days. So they said we can get emergency fill for 3 days, then pick up the rest assuming pre authorization went through. Now, it Saturday, university FL hospital which doesn't function on a good day, can't be contacted to speak with someone. Optum decided I can't have the rest of my medicine without a new prescription. They screwed it up! They won't fix it or even try to help fix it. Gotta go all weekend, probably until late day Monday, with cancer pain, to get a new prescription because this company doesn't know their behind from a hole in the ground. Incompetent bunch of unhelpful. They screw up so we can suffer! If that's not a lack of integrity, I don't know what is!

I am new to the company. To use the prescription insurance. You have to meet your Regular insurance Deductible. Which is very high. I have had insurance my entire Adult life. I have never heard anything like this.

This company finds any way to not cover medications. They slip in new formularies without telling their customers, and leave you with no path forward. Absolute crooks!!!! I will make it my mission to let anyone and everyone know about my experience with this company.

I am giving one star for my review because I cannot give it zero stars. The worst service I have received in a long time. They do not provide full names so that you are not able to review them nor report them. An entire 3 weeks to have medication mailed. I finally have a delivery day and one rep deleted the entire process looking for additional approvals that on her own she considered a requirement. Regardless of the hours I have spent on the phone prior to that phone call. It says a lot about United if this is what they use for specialty medication disbursement.

They don't even show the price of the medication until after it's delivered.

Wish I could give it zero stars!!!! Customer service is horrible! When my doctor sends in the prescription days later they keep saying “we just received it yesterday, it’s still in process.” this is Friday night. My script was sent in on Wednesday and was advised by the so called customer service rep to not even try to call back for a tracking number until Tuesday. When I asked why does it take a week to process an order she had no response for me but I could hear people in the background talking to her. Why insurance companies use this mail order company I have no idea. How do we get it rectified? We can’t!!! Patients are just supposed to keep waiting for needed medications? Someone explain this to me.

This company is impossible to work with. I've been trying to get my diabetic supplies and medications sorted out for months, and every single rep I reach is incompetent and unable to resolve issues. I've resorted to switching mail-order companies to GEM Edwards Pharmacy. This is a much smaller company, with more personable staff who actually care about my well-being and getting my prescriptions on time.

I’m currently going on a month without my prescription and every time I’m told it shipping another problem appears. Disorganized, untruthful, and the opposite of helpful. Would give them zero stars if that was an option.

OptumRx is obstructing dispensing the prescribed medication prescribed medication. On April 18th, 2024 I was prescribed a medication that can save my life. On May 19th they cancelled my order without prior consent of the prescriber. They have unethical business practices. They engage in dishonest acts and are unprofessional when I inquired about their failure to fulfill my prescription.

It's almost like OptumRx tries to be horrible. For just one medication, we tried for five weeks to get them to approve a prior authorization. It always went like this: We could call, get passed around to multiple people/multiple departments, spend 30 minutes working to get the problem -- their problem, a drug coding issue on their side -- resolved. In each case, after lots of conversation and questions and calls being transferred, we would hear that the PA was granted but just one more step needed to be completed before shipment could occur. And then - like clockwork - they would drop the call. Silence. Gone. All that time wasted.

Tried 6 separate times to get OptumRX to bill a secondary insurance. Each time I was either hung-up on, given the run-around or sent to Tricare, Medicare or United Healthcare, all of which had nothing to do with the problem. You can't get anyone in the United States, instead you have to deal with people in the Philippines who have absolutely no concept of American Healthcare. OptumRX is obviously another big corporation who farms out customer service in order to benefit the CEO's bottom line.

This is my very first day on Medicare and I was attempting to set-up my OptumRx Account. On chat, they told me to download the Physician's Prescription Fax Form and to take it to my PCP today. When I call, to ask a question, the "person" who answered asked, "When you say Prescription, do you mean Medication?" I asked if she were joking, to which she repeated, "they are called Medications," So I went along, asking if all I had to do was to get my PCP to fill out the paper, entitled "New PRESCRIPTION Physician's Fax Order form, with my list of MEDICATIONS and then to fax it in? Her reply was that there is no such form and Physicians are not allowed to fax MEDICATION orders. She then asked where I found the form, to which I answered, "from the OptumRx website." There was a long pause before she basically told me, again, that the MEDICATION order must be mailed, not faxed. I would say her attitude, plus her knowledge (or lack thereof) pretty much sums up OptumRx. You're only as strong as your weakest employee.

I rarely write a review but this drug manager should be banned. I try to order a very expensive drug on-line, with my credit card, address, etc all entered correctly. I get phone calls saying they can't dispense, they need to verify my identity--never mind they require sign on and password plus my credit card to complete the order. When I call I go through the robot who sends me to a regular pharmacy assistant and then on to the specialty pharmacy where I'm told my on-line order was canceled and I can't re-order until a week from now. After I protest, the pharmacist "releases" the order. The next step is to get a delivery date with my doctor's office. No answer at the doctor's office so after 25 minutes, I still don't have my prescription ordered. What a hot mess! Avoid if you can...

I had to use Walmart Pharmacy to receive my Dexcom sensors and pen needles. Optum RX cancelled ** five times, then after Walmart FILLED it, Optum RX finally approved the medication. Today they cancelled **, so I have to get the Dr. Office to change my pharmacy for all diabetic supplies and use Walmart again. I have no problems receiving other medications, just the diabetes supplies.

Worst mail order pharmacy! My meds have been out of stock for months. I finally get a message saying they were processing my order and gave me a date of delivery. So I cancelled my order at the local rx. Then on delivery day I get a message saying it's out of stock but they can put me on a waiting list, that I have already been on but will be back on the bottom...Meanwhile my local pharmacy is out of stock after I gave up my order. Last year they were out of stock on my rx, 6 months later it showed up. I wasn't even on that strength anymore. They charged my card $1800.. they are horrible.

This company is what is wrong with this country's pharmaceutical and insurance scams. They over charge for meds, and force you to sign up for their insurance to make co-pays cheaper. There is nothing we can do to get around these vultures.

Just started with Optum for my prescriptions due to Harvard Pilgrims insistence. Went okay the first month but now they are double charging me for my prescriptions. I am currently on hold trying to unravel this mess that I never had with Rite Aid. I show $94 charged twice on April 15th. Left on hold for a long time only for her to finally come back and say, "Yes our automated system double billed you. Expect a credit in five days." I only found that they did this be reviewing my credit card statements. Wish I had checked their reputation before doing this.

Attempted to change from 30 days to 90 days was advised that I have to do mail order and use OptumRX. Reached out and was told that I needed prior authorization from the doctor. Was denied multiple times for the prescription that I was on for years from Optum. Followed up with primary doctor and they have sent everything required to Optum. I did receive one emergency refill but I did lapse on my prescription as they would not give me a second refill as I went back and forth with the doctor and Optum to resolve the issue. Called and messaged the doctor and he has sent everything. Called Optum and they said I was denied as doctor didn’t give them everything.

Worst customer service I have ever experienced. Worse than cable companies. Their website form submission text fields read zip codes as an integer not as text so any zip code with a leading “0” cannot be “correct” as it will just cut it off. It’s good most people don’t have a zip code starting with 0 like me. I had to submit my form with an incorrect zip code and call to have it changed. Calling took over an hour even though there was no wait and I was serviced immediately. One representative just hung up on me after putting me on hold for a couple minutes. It took 1.5 hours to submit a reimbursement form for a medication that should have been covered at the time of purchase but wasn’t. The reason for that is still unclear but I now fully believe it was OptumRX that messed it up and not my pharmacy. Awful experience but I have no other choice due to my company benefits.

The only reason I use them is because they are literally the only option - unfortunately due to their incompetence I have had to go without my medication for months at a time on more than one occasion. If your medication is vital/necessary find another way - they genuinely don't care about you.

Worst customer service experience I have EVER had. I’ve been trying for 2 months to get my prescription (that I’ve been on for 15 years of my life) covered at a reasonable cost. I’ve made countless phone calls and spent hours on the phone. Each person I speak to tells me something different, no one wants to help, and everyone sounds absolutely miserable. Today was the icing on the cake, as I had a rep raise their voice and speak so disrespectfully to me that the other rep on the line had to abruptly end the call, profusely apologize, and complain to their supervisor. And the issue still hasn’t been resolved. If I had any choice in the matter, I’d cease to do business with them immediately, but unfortunately they provide my employer-sponsored health benefits. Truly the worst company I’ve ever had to do business with. I’ll be looking into filing a complaint with my state health insurance bureau, as others have suggested.

This has to be the worst experience I have ever had with anyone in the medical profession. They have denied my medications saying my doctor didn’t provide proper diagnosis when it was clearly stated. I have suffered without my medications and with the stress of trying to play the middleman. The left hand doesn’t know what the right hand is doing at this god forsaken pharmacy. They should be sued and shut down for all the inadequate treatment they give. Not to mention they are rude as hell like they are paying for your medications.

If I could give a -10 it wouldn't be low enough, been dealing with them for over 3 years. They have a few good people but 99% of them are the most incompetent on every level. They lie, give bad info and make billing errors with no billing dept to talk to.

This company (OptumRx) is dangerous and doesn't give a damn about you. They will outright lie to you on the phone, cancel orders without notifying you, and may or may not ship meds to you. I feel that it's Russian Roulette every time I have to deal with them. You don't know when or if you will get your meds. Why the federal government hasn't broken up all of United Healthcare and their companies, is beyond me. The worst healthcare company out there and it's a damn shame my employer forces me to use them for the insurance plan they use. Very dangerous company and I'm debating leaving my current employer to get the medications I need without them playing Russian Roulette with my medications.

I have the “silver” HSA plan through United Healthcare with Optum RX. After “coverage,” my kindergartner’s generic ADHD meds cost $175/month. Then they say “well it has a $0 copay. You just have to pay your entire deductible before that kicks in.” This should be illegal. Charging even half that amount for a child’s medicine should be illegal. Optum RX is fraud.

Optum Rx is horrible. I was promised my medication as a rush because I would be out of them within 5 day. I’m a heart, Lupus & diabetes patient. I need my meds on time. I had spoken to 4 different reps at the least, who assured me that 2 of the 5 meds would be here by April 13. On the 14 I was told now that a rush was not put on those 2. I asked to speak with management who basically was rude (Brian). I asked were there conversations recorded so that they could hear the miscommunication from each rep. This company deserves no stars, the only good thing about them is that some of their meds are discounted. Don’t waste your time unless it’s the price that helps you most of all. Be aware!

My medication cost have tripled using Optum Rx. I have a manufacturer coupon and I can only use it for monthly refills. I called a couple times to try and see if customer service could help with no luck. Even though I am paying triple than I should be, they don't care. Don't advertise that you will save people money when you can't. I would NEVER recommend this company to anyone.

Optum RX is horrible at filling prescription for diabetic supplies IE pump supplies and cgm. Every 90 days there’s a problem. They say they need pre authorization from my dr. My doctor provided them with everything 90 earlier, and 90 before that, and 90 days before that. Crazy thing is I’m a type one on insulin so No pre authorization is needed for Medicare plan B.

Wish I could rate them a zero. I loosely use the words Pharmacy Care Service, because they don't "care" about that, what they care about is money. They will deny necessary medication for ANY reason, regardless of how much sense it makes, in order to avoid spending money on said medication and therefore not making as much profit.

Eventually my prescription was filled but I never heard from them about why I was kept on hold for 3 hours. Probably never going to try to call their customer service again!

This company should be ashamed of themselves. Been almost a month and still haven't received my meds. Go through this everytime. My physician sent the script, send my meds, I SHOULD NOT have to call them to process it.

As a last resort I use Optum Rx to fill my son's prescription for his daily medication. Almost every single time I call I have an agent who brushes me off and talks over me. I now have more knowledge on how to fill my son's prescription than they do. When I tell them the meds cannot be "refilled", they confirm they can, and then only because I call days later to check on it do I find that it actually cannot - and days have been wasted. No call to let me know. Just know their agents are not trained to give you any real advice. They are robots with canned responses and the job is on you to keep calling back and ask a million questions and never rely on any "statements" you are told.

There are quite a bit of negative and very negative reviews and complaints about Optum RX. Same with their sister - Optum Bank, which provides HSA and FRS accounts. But seems Optum is impervious and keeps existing and used by insurances and companies to provide their services. I have misfortune to get familiar with both. And both are (predictably) horrible. The only question one might have which one is worse -Optum RX or Optum Bank. With my experience it's a tie, though the Bank division probably still even worse, with both worse even than SSA. No point in listing all the issues with this company, it's just overall bad service - complete mess and often quite unpleasant customer representatives who unwilling to do their job (you often really need to persuade the to do what is their responsibility after they try to make you do it yourself).

My employer switched to OptumRx Home delivery, with a penalty if you don’t switch. It has been nothing short of a nightmare, four months in a still having scripts cancelled, not sent, out of stock, no notifications, no way to contact short of calling customer service.

I had good experience with Optum. 1. Free home delivery - no need to walk/ride to a local pharmacy. 2. Online chat option. 2.1 - can ask to try different working copay cards (like for Xiidra) - unlike at CVS where we have to wait in queue and ask the staff to try out coupons which they show faces and hesitate to do. 2.2 - can ask doubts like, 2.2.a whether what ml bottle is the order contains. So for this I need not go to CVS pharmacy nor a phone call. With chat can easily send exact text quickly. 2.2.b - whether how many days supply is the order? so accordingly I can cancel it n request new prescription from my dr. - Other review here says supply days problem. So we need to chat all doubts - before the order is processed by the warehouse. Big challenge. So try to watch out for your texts/emails on order being placed.

If there was a -0 stars I would have definitely given Optum. On 2/26/24, I went visited Walgreens to inquire why the Dexcom sensor for my 7 yo daughter could not be refilled 2 days early due to malfunction of the one she was wearing. Walgreens attempted to request a refill but Optum rejected it 3 times. I ended up paying $458.99 out of pocket with aim of requesting a reimbursement. Mind you, we called all the numbers on the insurance card including my daughter's after hours PCP (who approved an emergency prescription refill). BUT Optum rejected all those attempts because the refill was 2 days early (FYI: Dexcom sensor is vital in monitoring glucose levels). I talked to Optum on 4/4/24 to inquire on reimbursement only to be given a run around for 3 hrs., and be told "unfortunately the requested was rejected." I Also talked to Walgreens who resubmitted the prescription but Optum insisted that it could honor the request.

If you need your medications in a timely matter, forget it. I have been waiting over a week for my medications. I still have not received them. I chose Optum because the price was a little better, but waiting a week or two is unacceptable. I can get delivery in one day from my local pharmacy.

They DON’T deserve a one-star. They keep denying medicine that Dr orders. They are idiots. Don’t use this pharmacy. Custom service is clueless. They DON’T communicate with people. I’d rather pay for my prescription than use this company.

My new insurance has OPTUMRx as medication administrator. I have been taking ** for 5 years now as a Diabetic. Optumrx recognizes me as a diabetic for ** for diabetic treatment but will not approve me for the **. Seems I had my blood tested while taking the medications prescribed by my doctor to bring my A1c down. Since the reading was 6.1, under the approval limit of 6.5. REALLY!! THE MEDICINE IS WHAT KEEPS IT BELOW 6.5. WHAT A BUNCH OF IDIOTS!!! Now I have to go through a lengthy appeal process to attempt to get the medication. These people do not care about your health in any way. I guess when I run out, get my blood tested again, and hope I don't get hurt while waiting. Probably some movie star needs it to lose weight anyway.

Horrible customer service. Wrong prescription. No way to contact doctor. No way to remedy. I will never use this company ever again. I should have read reviews first. Do not use this company. Do not use this company.

They're horrible. Rude, mean, accusatory. Horrible customer service & you don't even get your prescriptions so I don't see the point unless you like pain & suffering...moderate abuse...shuffled around, unknowledgeable. Yuck.

Optum Rx. This company needs shut down! I’ve had nothing but problems with them! My employer uses OptumRx for their prescription benefits. The first month I was able to pick up my prescriptions at my local pharmacy, as I always have, without any problems. The second month, my pharmacy said my insurance wouldn’t cover my medication and I needed to call OptumRx. I was told that I had to order my prescriptions through their online pharmacy and have my medication mailed to me. They didn’t make it an option. I was told this is how I had to fill my prescriptions. Frustrated, I agreed.

Optum is refusing my endocrinologist's 2nd prior authorization for my medications within the past 12 months. I am currently paying out of pocket for ** because Optum kept denying the prior authorization. I could be paying $116 for 90 days. Instead, we are paying $160 for 3 months. The new medication will be $1067 for out of pocket through Optum, when it should be $116 for 3 months. The reasons I have been given for denying this Prior authorization is because there are cheaper drugs available. Next excuse, ** is not covered by my plan. However, ** is covered, it is listed in their Formulary as a Tier 3 medication. Optum is a horrible company. I want Express Scripts back! I have been on thyroid medication for 9 years due to cancer. I never had a problem getting prescriptions filled or authorized with Express Scripts.

I used to get very good service/results from Optum before Covid. Since then it's been worse than terrible! Every time my doctor sends a prescription to them they always have an issue with it. Now I got an email stating there is an issue with a refill. A med they had filled previously but now have an issue it. I called to see what the issue is, they left me on hold for so long my phone died, 28 minutes, horrible customer service. My Cardio Dr sent an rx to them, I received an email stating it is being processed, expect delivery by Sat 3/23, email still shows my order is in process on 3/23. I called to see what is going on, the phone rep stated I will receive my med tomorrow (Sunday) or the next day Monday. I informed him US mail typically doesn't deliver mail on Sunday. He sounded surprised when I told him that.

I was billed twice for the same medication on the same day. First call to Optum they promised to reverse charge within 24 hours. My credit card still showed the 2 charges after giving them 4 days. So I called again and they said they would reverse within 10 days. I said sorry not acceptable, I do not trust them to follow through. So I called my credit card issuer and reported it as a fraud. They immediately reversed the charge and said they will take it up with Optum. Hooray! Never trust Optum, they are not dependable. I'm going to switch to CVS even if it costs more.

I would NOT recommend this company to anyone. I have been waiting almost 2 months for my medication. I give the same information every time and it is still a problem. They are unorganized and can never give accurate timing on when they can produce any type of progress. From my experience it takes weeks to see any progress if any. Customer service does NOT help, and neither does their resolution teams. I have to constantly repeat myself to the one person helping and then to the next 4 people I have to speak to afterwards and still nothing is ever resolved. I have several issues I am trying to fix with them regarding my information and I can never get through the one problem to fix the other problems they have created. I will be following up with my insurance company to see if they have another Pharmacy I may utilize. ONCE AGAIN I WOULD NOT RECOMMEND USING OPTUMRX.

Horrible experience - I called the OPTUM Pharmacy to get a quote for meds my doctor prescribed. I just as quoted a price $20 less than the pharmacy so I bought the meds thru OPTUM RX. When my bill arrived, they charged me the full price that CVS had quoted. When I called, I got nowhere, no satisfaction at all. Liars and cheaters. Don't be misled. Go somewhere else.

DO NOT TRUST THEM WITH YOUR VITAL MEDS! My MD sent a prescription to them. They received it, the order status was "processing". When the medication did not arrive a week later I went to check the order status. Guess what - then they just cancelled the order, and marked it "Cancelled: requested by you". Well, I did not request the cancellation, so they lied. There were no communications, notifications or any order updates from them. They just cancelled the order for a vital prescription and lied about it.

Once again a simple prescription and Optumrx has problems filling it. Got a minor procedure, was prescribed pain meds. CVS says optum needs to approve it. So ok already annoying but I call optumrx. After going through a million dumb robo prompts finally get a representative. They can't comprehend my issue because I mentioned I need insurance to approve, the rep says they aren't an insurance company repeatedly. I change my language and say ok fine. I need my pharmacy provider to approve it, the guy starts asking me for my mail order address.

The worst customer service, hold time is 20 minutes then the agent disconnects you trying to transfer you. Never got the answer! System was down for 6 days and they REFUSE TO REIMBURSE CUSTOMERs! Unexceptionable! I hold they go bankrupt!

The only good thing I can say about OptumRx is that you receive your prescriptions by mail and don't have to deal with going to a pharmacy. If you enroll in auto refills on your prescriptions, they send out your 90-day prescriptions every 60 days. EVERY 60 days. So if you don't stop them, you have paid more money for your prescriptions than you should have, and have an unnecessary stockpile of your medication.

Dealing with this company is a nightmare. They don't train their support staff. They don't keep records. The automated system keeps spamming me with untrue information about prescriptions shipping, which may be why they need so much support staff who aren't being trained on how to use the system. Calls magically drop and they don't call back and you have to start all over from the beginning because they don't write notes and haven't been trained. It's awful.

Updated on 03/09/2024: You need to run from Optum. I wrote a previous review. Yesterday I was assured the issue had been resolved. Keep in mind this is months and dozens of calls and dozens of hours wasted trying to fill a simple prescription. Well, this am what I feared/expected, we are back to the beginning. Yesterday’s call, which they record and should go back and listen to, all the assurances I was given were (to put it mildly) untrue. So another couple calls this am and more assurances and I suspect nothing will get done again. I recommend anyone reading this avoid Optum and if your company uses them follow up with your company’s Total Rewards / HR partner and urge them to use anyone but Optum. A simple prescription should not require dozens of calls, countless hours, non stop disappointment and extreme stress. Just not what anyone should expect or tolerate. Run!

This company has to be ran by communist. Since our city changed to these imbeciles I have yet to have a pleasant experience with the company or anyone I've talked to. Nobody can explain to my my current plan, every time I talk with some they give me a different answer. I am diabetic and take a lot of insulin. They will only cover my prescription if it's in a 90 day prescription. I have been through TWO primary care doctors, both have said it is against their policy to write a 90 day script.

OptumRx has horrible follow thru, follow-up, customer service and accuracy reliability. In 6 months, been unable to get weight loss medicine. Been put on waiting lists with no follow up, no email, text, comm or anything. Then move to another prescription, same thing happens. If I did not check app non-stop I wouldn't know med not being sent as previous alert confirmed a week prior. Call and get alternative, confirm coverage, cost, co-pay cards and availability, then again I go in to check in app and find once again message medicine is on hold. No reason, then call. Customer service person from day prior did not give me correct info. Medicine is not covered. Very angry, and I was told to "watch my mouth" when I asked to speak to a supervisor. No reason why not covered, told to call another number at OptumRx to get that info. You will be acquired by someone better who looks at customers as the key to good business.

This pharmacy ghosted me for 8 days, no phone call, nothing!! Then they say it's a long term shortage more lies. All they do is lie and lie and lie!!!! Go elsewhere.. They don't care about any of us.. I'm going to be crippled because they claim they don't have my medication.

I am new to OptumRx and completely baffled and frustrated with their lack of customer service. When your doctor sends in a prescription they will not mail it to you until you order it online, but they NEVER tell you this! You find out when your prescription doesn't arrive. Then when you do order it and there is any issue with your prescription they just CANCEL it once again WITHOUT informing you. The ONLY way you find out is when your medication doesn't arrive and you check your account online to find out the prescription has been canceled.

Optum RX is the worst pharmacy company I have ever had the unfortunate experience of dealing with in my life. If I could leave a negative star rating I would. I have had so many bad experiences in the short 7 week period that my insurance changed and I had to switch all my 90 day prescriptions to them from Walgreens as required by my Blue Cross Insurance. I recently changed from Blue cross of Illinois to blue Cross of Kansas City. I went from being able to get all my 90 day prescriptions filled at Walgreens to only being able to get them filled at Optum RX mail order. My life hasn’t been the same since. In the past 7 weeks I have logged somewhere around 20-30 hours on the phone with them Struggling to get prescriptions filled.

Needed ** for my endocarditis. As soon as it is ordered, they are calling back for payment. Their billing is very screwy and I have never figured it out the both times I have had this condition. Optum charges a copay (which is understandable) and then charges your insurance company. When you receive your explanation of benefits, you see you have paid too much. Optum agrees but after many calls, they still have not refunded me. If you can utilize any other supplier, I recommend that you do.

I began using OptumRx home mail order on January 1, 2024, to save money per my new insurance UHC. I got the incorrect prescription filled. It took 3 weeks to receive the return label. They put my other prescriptions on hold pending payment of the incorrect prescription. I refused to put my credit card on file because I was told that they would reverse the charges when I returned the medication. I paid for my second prescription electronically through my bank account and was advised that it would take three weeks to post to my account. I was transferred to Walgreens when I requested a supervisor on one occasion and held for over an hour for a supervisor before I hung up on another occasion. I have reported these issues to UHC several times. They will call OptumRx, and then my request will be handled. I am disgusted with the treatment of OptumRx and UHC.

Optum had my Copay card on file and consistently charged my credit card on file instead of the Copay card. Once this was identified, I tried to resolve. Here I am 2.5 months later, many calls, and untold time on hold with no resolution. On today's calls with Optum they tried to inform me that there would be no way to get refunded for the charges they incorrectly made. What terrible customer service and accounting. If you have an alternative to Optum - use it. Optum should only be a choice if there are no other options. Optum = last resort.

I've had the displeasure of working with Optum as my Specialty Pharmacy provider for almost three years now and I have despised every interaction. They lie to patients, they give false information, and they do not keep their records accurate. I fought a bill of nearly $1,000 for two years because I had been told that the medicine would be free under patient savings, but was not. Eventually I had to pay the $1k or I would not be able to receive my medicine. Now they are saying that I have a balance due, even though my account is paid up. Recently they also told me that I would not be able to get the medication, but after transferring me to someone else, the new person said that I was covered. They only care about getting money from people with serious diseases and illnesses and do not care at all about our wellbeing. Even my Doctors hate them.

OptumRx has been my mail order pharmacy since last year and I am not very happy with their service. My doctor sent a new prescription on Sept 6th and 16 days later I received an email stating that the medication is out of stock. I called and asked why it took them more than two weeks to inform me. I called a local pharmacy at 11 am and got a text a few hours later that my prescription was ready for pick-up. A few days ago I received another email saying that one of my auto refill medications is out of stock and I should call my MD for alternative medicine. It has been a nightmare dealing with Optum Rx.

I do mail order to save money. OptumRx has completely failed to deliver my orders as requested. They say over and over again that they have reached out to my doctor and the script has been denied. This is not true! Their records are a mess. I’ve been taking one medication daily and just ran out so I called. I get the Philippines and canned dialog. I ask for a supervisor and wait an hour. Again canned dialogues that don’t answer my questions. I want to know why they say there were no refills since June 2023 sent to me but I just ran out February 7th. Again they insist their records show no meds were sent. This has happened with 2 scripts. I’m looking at a full bottle and they tell me they haven’t sent it to me! I chose United Healthcare to let me see doctors anywhere. Their customer service has gone way downhill. I wish I could change insurers right now!

Chris was AMAZING, PATIENT, HELPFUL. I couldn't catch his last name. But if you get a rep name Chris just know you're in good hands! He was very helpful getting my pt his meds. Call was placed Friday 2/2.

My health ins plan went from CVS Caremark to OptumRX for scripts and I have had nothing but problems. I have taken ** for GERD for many years and Optum decided they are not paying now, tried to switch to **, denied. Then ** they decided to pay for which wasn’t helping much. I’ve been horribly sick, not able to eat, acid reflux so I went to GI and he wants to calm down my stomach acid because I damaged my esophagus so he is putting me on ** twice a day for 3 months then daily and schedule an EGD to see how much damage was caused by the stomach acid. Today I get an alert from my pharmacy saying they have to contact the dr to find an alternative medication because Optum does not want to pay for it twice daily. REALLY OPTUM, you will put me in the hospital and then you will pay that bill. Just pay for what I need so I can go to work everyday feeling better. So frustrated with this coverage. The worse I have ever had!!!

Well as of 2024 I was forced by my insurance to utilize OptumRx for my long-term 3-month prescriptions. I am a Type I Diabetic that requires insulin to survive. Well my first order has been a disaster, they said they were out of stock and to call back for my insulin. I called back every day for three weeks and again said out of stock. Finally had my Doctor send a prescription to local pharmacy and insurance would only allow a 23 day supply. OptumRx was no help and they did not care that they had NO insulin to give to me, no waiver to go to a local pharmacy, was on my own to figure out how to get insulin (can only get a month supply from local pharmacy). You can not rely on them to have life or death medication, if they don't have it they do not care and will not assist you in getting it elsewhere, they don't care if you live or die.

I figured out why Evelyn’s medication all of a sudden is $500 a month. Optum has decided to stop covering this medication period, even with a preauthorization. I know we are just a number to them, so Optum, I’d like to introduce you to the baby you’re denying medication coverage to. Her name is Evelyn **. I’ve nicknamed her Tasmanian Devilyn because she sounds just like the cartoon sometimes. She’s the happiest baby with the biggest baby blue eyes and an infectious smile, though she saves the biggest smiles for her big sister who is her favorite human. She’s almost 8mo now and has started some solids! Carrots seem to be her favorite so far. She can roll over and is working on crawling as we speak.

We were forced to use Optum do to a specialty medication my twins needed; this medication wasn’t available at local retail pharmacy locations. The medication is pricey, but there was a manufacturer’s coupon available to substantially reduce our out of pocket. However, because I have twins, Optum was having trouble applying the coupon card to both, even though I had 2 separate cards for them.

First of all, my wife and I have used OptumRx for the last 6 years with varying degrees of experiences. My last experience with them has prompted this review. I was getting a monthly prescription from a local pharmacy because it was less expensive than using OPtumRx. This month the price increased significantly, so it was less expensive to use OptumRx. I cancelled the order at the local pharmacy, and send the prescription to Optum. I am out of this medication by the way. They said they couldn't fill it because it was too soon. After multiple phone calls back and forth they agreed to fill it. Then they charged me Three times for the prescription at $130 a pop. This has caused our bank account to be overdrawn, pay day a few days away, but can't use the account. Several calls to Optum requesting an immediate reversal on the two charges were useless.

I was using the DEXCOM G6 for a couple of years and it has helped me tremendously in monitoring my glucose levels, to control it. That Rx is now denied because I'm not on insulin! So they approved the DEXCOM G7 Sensor which I picked up at the pharmacy on Dec 30, 2023. $48 out of pocket for sensors I cannot use as I do not have a receiver, an Rx which was denied by OPTUMRx. They authorize the sensors but not the receiver. Does that make sense? I cannot return the sensors! I'm now out $48 with sensors that are useless. I have no idea what my sugar levels are now!

My work insurance was through them. I opted to switch to blue cross complete. It has been 6 months since I dropped OptumRX and switched to Blue Cross. The first month after switching my prescriptions were delayed because OptumRX was still showing active. I called multiple times to confirm I was not covered and requested the database be updated to reflect this. They confirmed. However each month when I needed to renew my medications, the same delay came about due to the same reason. OptumRX was still showing active.

On Monday 12/18 I released I would be out of my Diabetic medication and the shipment said 12/20-23. I called OptumRX. Was told that tracking showed 12/19 so I would not need the 5 day local fill. On 19th said it would be here by 9pm but still in Arizona. Was told By Optum pharmacist he would send 10 pills to 24 hour Walgreens. Instead he send a 3 month supply over there that could not be filled. Next morning I called optum. They sent 10 pills to walgreens. Went on walgreens app. They wanted $40 for 10 pills when I paid $10 for 180 pills. Called optum back. Person checked with someone and said she could drop it to $19 and email me a refund form. Just mark pills didn't make it in time. Never emailed me the form and price was still $40. I called back and Optum said they never told me any of that and even if recording said that on their end they would not honor it. Made me miss 2 doses of my vital meds. Caused my sugar to raise up.

I am on Medicare and our company switched from Express Scripts to OptumRx. Big negative difference. There are too many problems with OptumRx to list. We have worked hard all of our lives and paid into the system. We deserve better treatment and services than what is received from OptumRx. They are untruthful often such as saying a prescription has been transferred when it has not, denying they have a record of us calling several times for the same problem, giving us false information, and then denying it was said to us. Often the charge for medications is tremendously higher through Optum Rx. One example is that we priced a particular prescription heart medication at another pharmacy. It is listed as estimated at $12 through most insurance companies as opposed to the $139 charge at OptumRx. Similar experience with another prescription that was $120+ more at OptumRx.