OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an Optum company - the world's largest provider of integrated health services.


OptumRx Reviews

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    Page 6 Reviews 640 - 840
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    Punctuality & Speed

    Reviewed Dec. 16, 2023

    My medication for pain medication has been a issue for the past few weeks, my doctor had to send in 4 times for same medication. I was put on waiting list because medication was out of stock. On the 11th of December your portal showed my medication was in stock and would be sent between the 18th and the 21st of December. I made plans to be home for shipment. On the 16th of December I check your portal and now that order is canceled again and now it's out of stock.

    When and if I ever receive my pain medication I will no longer use Optum for my other medications and will never recommend optum to anyone I know. Humana has for medication shipping CenterWell and all my friends who take pain medication said they have never had anything like this happen to them. It seem like you guys are playing games with the medication we trust you to handle. You use cancel like it's a magic wand, every day something is now cancel. If we wanted our medication canceled we wouldn't use Optumrx.

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    Customer ServiceCoveragePricePunctuality & SpeedOnline & AppMaintenanceStaffBillingRatesTimeliness

    Reviewed Dec. 14, 2023

    I wasted two hours and quoted incorrect prices from both multiple OptumRX Reps and the OptumRx website. I needed to find an alternate ** inhaler because my DR's choice turned out to be very expensive, so I called OptumRx for help. First they recommended an option that I found out after the call will be discontinued in just a couple weeks at the end of 2023! (**) The second option quoted me $21.84 for 90 days which I completed my home delivery order online pending Dr approval. The next day after the DR approved my change in medication, OptumRX tried billing me $66. $21.84 was the price provided on the phone and invoice and still shows up on the website for 90 days so they have done nothing to fix it.

    I called back and no one cares. They quoted me a cheaper price and they wrote me an email and said "The lack of service you received is unusual and not the standard for our company". A quick check of reviews and found 82% 1 star reviews!! Lol I think their service is right in-line with how they are rated. Horrible. Unfortunately, I can't choose my prescription company with my health plan. If you can avoid OptumRx, please do so.

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    Reviewed Dec. 11, 2023

    I has a 90 day prescription filled via them. It took them over a week to even process the prescription, and that was even WITH being tied to my own insurer UHC. The process kept repeating needing eligibility checks as the pharmacist kept cancelling and redoing the order every day or so through the process. To top it all off, all they offer is shipment via USPS Priority 1-3 business days, and because of the USPS failures I still haven't received my medication for weeks because it is just sitting at a network hub "delayed in transit". It was a massive mistake using them. For what amounts to only about $5 in savings. Don't make the mistake I did, use a local pharmacy.

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    Reviewed Dec. 11, 2023

    Since being put on Medicare my mail order account with Express Scripts was discontinued. I now have UHC retiree Medicare advantage. Optum Rx has been a total nightmare. I'd rather go back to in person pickup....

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    Customer ServiceCoverageRefunds & PayoutsBilling

    Reviewed Dec. 7, 2023

    I am a senior on Medicare/SSS. My doctor prescribed ** for my diabetes. I called to make certain the drug was covered by my insurance. They verified it was a covered medication WITHOUT mentioning the co-pay would be $495.00 for a 56-day supply. While I was hospitalized, they debited my account for the $495.00 without notification and did not ship the drug. A week went by and no meds arrived, so I called only to ask why debit my account without notice and no medicine either. They replied that they had my card# for another med so they went ahead and billed but they didn't have any ** and may not have it for 30 days! In the meantime, I can get a short-term script to can go locally to a drugstore and pay for some there. How do they get away with this?

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    Customer Service

    Reviewed Nov. 30, 2023

    Optum was to refill a 30 day prescription every 30 days. After seeing it did not ship, I called and was told it was on hold until they try to make it a 90 day. But since I was almost out have a local pharmacy call them for a 7 day supply. Pharmacy called and Optum acted like I don’t exist even tho they’ve been mailing Rx here for sometime. This is not my only bad experience, just the worst.

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    CoverageTechOnline & App

    Reviewed Nov. 21, 2023

    I've been trying to move my prescriptions to my new insurance for some time, and the home delivery service, which was previously so easy I took it for granted (Express Scripts). My first experience was just trying to find my medications and find my doctor so I could enter the information. Their website is a nightmare to navigate, and I work in IT! Once I figured out the website enough to have everything entered, I clicked "Submit", and got an error message. Trying to start over I never made it back to that point, and eventually the whole site was down and unreachable.

    Online research indicates their outages go back as far as six years, and their reputation is sufficient to make me not even want to use them at all. I guess my recent experience is not a one-off, and I'll have to go back to manual pickups again. I miss mail order, and hope that United Healthcare finds a better mail order provider, because I'd sign up if they had a competent one. I don't know what's going on at Optumrx, but it seems a lot of people in upper management need to get fired and replaced.

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    Customer ServicePriceRefunds & PayoutsStaff

    Reviewed Nov. 17, 2023

    I called in to see if my mother's prescription could be filled correctly, she was in the so-called Donut Hole of Medicare, and her ** prescription was on back-order. I was told a lower dose was in stock, but each pen of the prescription would cost $267. I received an email saying three pens were ready. I called, and was told I would receive all three pens for $267 because the order was written as 12mg per month. I was told I would receive 9 pens for a bit over $800, so I approved the order. What came in the mail? Three pens for over $800, only enough for 6 weeks of medication. I could not get this refunded, and was told the agents cannot be trusted, "they just try to make the customer happy." So, do not trust this company with anything that requires any nuance. I am a physician, by the way, as well as a patient and daughter, so if I can be fooled, so can most people.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Nov. 15, 2023

    I received a tier exception for the expensive medication I've been on for 15 years for an autoimmune disease. It has kept me alive and I've had several tier reductions before I moved. Had one last year with OptumRx for AARP Medicare Supplement/UnitedHealthcare. When I applied this year I had to call OptumRx 14 times, being put on hold for an hour, having calls cut off, being told a variety of outcomes. I was rejected, they said, because doctor did not provide information. He did four times.

    I have his communications: what I was on, why I was on it, if anything else offered, etc. Not only did I receive ANOTHER letter saying that he did not provide information, I received a hand-lettered barely literate envelope addressed to my care representative (no last name). It was in fact to my doctor's assistant, who had been sending and resending doctor's instructions to OptumRx. I had not requested a representative nor could she have been mine. They are just waiting for me to give up.

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    Customer ServicePunctuality & Speed

    Reviewed Nov. 9, 2023

    I have been trying to fill a common generic drug for 9 days now. Multiple calls to Optumrx have been fruitless. My doctor's office tells me they have sent my prescription multiple times. Talking to Optumrx customer service seems to be pointless. I am having to make an appointment with my PCP now just so I can get this nightmare straightened out.

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    Customer ServiceCoveragePunctuality & SpeedBilling

    Reviewed Nov. 9, 2023

    I called the company asking them to sign me up for a month later so I could pick up that months meds at the local pharmacy. I needed them quickly. They started the process immediately and I was denied locally insurance-wise. Not only that they kept sending repeat order and I called them to stop. I will not pay double. What a mess over and over right from the start. Even cancelling them and he told me he would take them off the bill. One he did. Now I get another bill. This is exhausting. I will avoid them and encourage others to.

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    Customer ServiceCoveragePriceMaintenanceStaffBillingRatesTransparencyHonesty & Transparency

    Reviewed Nov. 6, 2023

    I have been dealing with OptumRx pharmacy mail order for 3 years now. The first year of dealing with them was actually better than the last 2 years, as they actually mailed my mother-in-law's Rx medications to our house, as planned. My husband, my mother-in-law's son, and I, have been filling her medications since her move to an Independent/Assisted Living facility. I am an LPN, and my husband is an RT. United Health Care and OptumRx are affiliated. OptumRx outsources to The Philippines; that is who I have talked to on the phone for customer service for the past 3 years.

    I have worked with some outstanding nurses here in the States, from The Philippines, so there is no bias feelings towards this group of people. It is just that, as polite as they sound on the phone, the OptumRx group call center from The Philippines usually do not understand what you are saying, after many tries, or they do not care, it seems. Sometimes I get ones that are rude. They are not properly trained on specific information on the prescription, for starters. Some background information.

    Problems: 1.) It has taken many phone calls to the call center to hopefully get my mother-in-law's TWO accounts into one account. Meant some important information on each account, but depending on which account they were looking at, there was not all the information together. Meant they would ask redundant questions that were answered many times before. Meant that they were literally not on the same page to understand things like 'The Doctor's office had already sent them Scripts for meds needing to be filled'.

    2.) Sometimes the medications get mailed to us, as originally set up; sometimes they get mailed to my mother-in-law's apartment at this facility, not knowing. Sometimes the meds don't get mailed at all. Even when the scripts have been updated per the Doctor's office. I have 2 meds that she's been out of, one for months. Saving grace is that have been able to break an older dose into two (better than not having it at all) parts for her updated dose. It's come to my calling the Doctor's office to have a script sent to a local pharmacy so she can have these important meds. This is after having made many calls to both OptumRx, and the Doctor's office. The problem is not with the Doctor's office.

    3.) Sometimes OptumRx mails way too much of a prescription that you did not order and do not need. I see that, as well, in the nursing home I work in, where OptumRx mailed about 10 tubes of a Rx cream that is only PRN (as needed), and only wanted one tube of. They are sneaky, and seem to try to find ways to bill one for more than what is required, by doing this. They can not be interested in integrity and honesty for the American people, from what I've experienced personally, and also see with other patients/residents.

    I would not take the time to write all of this down if it were bogus. Plus, look at all the other complaints from many many individuals. Why does United Health Care Insurance continue to use them for their mail order needs? Because it's cheap for them, and money is involved, and no-one seems to be putting the heat on this insurance company to make some serious changes.

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    Customer ServiceSales & MarketingPricePunctuality & SpeedOnline & AppRefunds & PayoutsStaffTimeliness

    Reviewed Nov. 5, 2023

    I recently tried getting 1 medication from OptumRx. I was called and told this medication qualified for home delivery though Optum and that it would be a seamless transition. I have been on this medication for a decade, and my Dr. sent me a 10 day supply to Walgreens while sending a escript for a month supply to Optum, as she knew the shipping would take some time. After 1 day I went on the OptumRx site/app and tried to order the meds as I was instructed. The site wouldn’t allow me to do it. It wanted me to wait till the day my current prescription for 10 days ran out. That seemed completely screwed up to me as the shipping would take 7-12 days or 3-5 days if I paid for expedited.

    Neither of those options do anything if you must wait till your meds are gone to place the order. So I chatted in the app with a rep, they placed my order and said it would arrive Nov2nd -4th, I get a text confirming the order was placed and its est. arrival. The next day the order was cancelled for some reason. I called and talked with a rep, they ordered it and gave me a est. arrival Nov 6th-8th. Text confirmation and the next day it was cancelled again. Both of these calls were made Oct 25th-27th. Meds run out on Nov 3rd. Nov 3rd, the day before my bday and the last day of my meds, OptumRx processes my order, but does not ship it out. Gives est. arrival between Nov 9th-12th, but does not ship it. It doesn’t ship it Nov 4th either, still processing, nothing they can do when I call them on the 4th.

    This Company is Horrible. I’d blame it on the Non native English customer service and a lack of knowledge about U.S. prescription Regulations, but this is a Ownership and management issue. The rep I spoke with was pleasant and I believe truly wanted to help me. She gave me the pharmacist 1-800 number, and that coupled with my wonderful Dr and her staff who were aware of all this from the beginning, and the super friendly pharmacist at the Walgreens I use, they were able to call Optum on a Sunday morning and get an override and cancel the original script so they could fill the new script my Dr. sent to them on Saturday, originally as a bridge till the Optum order arrived.

    My entire experience with OptumRx has been horrible. I will never again try to get meds through them. There is no one you can get access to that can do anything for you. Not like at a Physical Pharmacy, where the Pharmacist and their under appreciated techs are capable of getting things done or walking you through most issues.

    Do yourself a favor and don’t even try OptumRx. It isn’t worth the added stress, anxiety, frustration and the extra depression of knowing that no one you call and talk to there is capable of doing anything to get your RX to you. Someone you have no access to who you will never talk to is in total control of your fate and they either don’t care, are too busy, or are under orders to screw as many patients as possible. You need human interaction in complicated health and personal matters. 99 percent of those that use Optum will go through some frustrating avoidable stuff. If not be outright killed or lose money having to be admitted to a hospital because of their Corporate ideology and incompetence. In my opinion.

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    Customer ServicePricePunctuality & SpeedOnline & AppStaff

    Reviewed Oct. 27, 2023

    For the last year I have had terrible experiences with OptumRX not filling prescriptions and then not notifying me they would not be filled. I have had the same prescriptions on file for years, but suddenly they need additional authorizations from doctors to fill. I missed a whole month of medications recently, causing health issues but sure they don't care. They probably saved their company a lot of money by not filling the prescription. Once again today, while waiting on prescription, checked their website and order had been cancelled. When I called they said they needed another authorization, but the RX doesn't expire until December. I believe they do this so they don't have to distribute higher costs drugs to patients and even if one dose is missed, imagine how much money the company makes. I would not recommend any employer use them for prescription needs on the medical plans. It's been a nightmare!!!

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    Customer ServiceStaffBillingTransparency

    Reviewed Oct. 27, 2023

    This has got to be the most incompetent and exhausting pharmacy I have ever encountered. Not only do none of their customer service reps have any idea what they are doing, but the amount of texts and calls and updates they send you will have you wanting to change your phone number. It took me 4 hours over 2 days to get a very simple billing issue updated and corrected. My delivery is shipped on ice and is packaged incredibly poorly. No sharps containers provided which was standard for all other online pharmacies used. The invoice process is a nightmare as well and is sent via Cisco email that looks like phishing and makes you go through 4 screens/steps before just letting you view the thing. I couldn't possibly hate this company more. I thought Acredo was rough, but Optum makes them look like the most amazing company ever. I'd give anything to be able to use them again instead of this garbage dump called Optum.

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    Customer ServiceCoveragePriceOnline & AppRefunds & PayoutsStaffBilling

    Reviewed Oct. 27, 2023

    Absolutely positively DO NOT use this pharmacy. It is SCARY how untrained and unprofessional these people are.

    1. It's a foreign pharmacy. Super thick accents, all different countries, not in America.

    2. VERY badly trained, all speak and act like untrained 5th graders, try to bill the wrong companies, don't have access to any of your doctor's information even if you wrote it down all on the website and the company page, so they'll ask you for your doctors information over and over again every single time. I told the one person I was talking to four different times I didn't have a pen and paper because they kept trying to give me different numbers to call instead of just transferring me over. It's like the guy just didn't hear what I was saying or he wasn't intelligent enough to process the information.

    This place is utterly awful I'm going to be going back to my regular CVS pharmacy tonight. I spent 3 hours on the phone trying to get medications and finally I just gave up because the people are so unprofessional, untrained and unintelligent it's not even worth it. This place is a complete joke and it's scary they have your pharmacy and insurance information and drug information at all. Where is the US government to look into this when you really need it? Again, they ask you the same information over and over and over and over again including doctor's names, doctor's numbers, doctor's addresses. It's like they don't use computers over there at all they just use a pen and paper to write your information down, it's very scary.

    If you can avoid them, avoid them at all costs. Now they're telling me I have to pay for a certain medications that they just shipped to me last month no cost because they are over-the-counter, which they're not. Please don't use this company. You will be spending an entire day begging for medications and in the end you'll probably just give up. After 3 hours I hung up the phone with a person I don't even trust to get my medications out. My blood pressure and my diabetes numbers have skyrocketed in the meantime because it was such a stressful experience. I will be ending our relationship today.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 27, 2023

    Never ever use them, they mess up my medication always. they never receive medications, take days to get them, have to every single time call and argue to get my medications sorted. I got COVID and my urgent care prescribed a medicine and for TWO whole days they didn't have it, what's the point? Absolute trash place.

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    Customer ServiceTechPunctuality & SpeedMaintenanceStaffBillingTransparency

    Reviewed Oct. 26, 2023

    My employer switched us to Optum and the experience has been terrible. First time they handled a RX for me the doctor called it in and then Optum just held it. I had to call and ask what was going on and they said there was a note on my account not to fulfill RXs. So that made a ton of sense. The next time I had a RX filled by them I spent 20 mins on the phone explaining why my RX ran out sooner than expected. Over the course of this call I was on hold multiple times while the rep was working with the Pharmacist to understand that during the course of my 90 day supply I was told to up my dosage by 4 pills/week. That required an exception that I was granted (supposedly) while holding.

    The rep assured me I was getting the RX the following week with upgraded shipping. Wow - I felt good about that, I wouldn't worry about running out. And I confirmed that I was indeed enrolled in text updates. Well it was a short-lived victory because shortly thereafter I got a text update that the RX was canceled. The following day I got an email about an "important account update" which prompted me to log in to find I was billed $100 for the pills that Optum had canceled. I'm currently back on the phone trying to fix the situation with them. And now the call just failed. DO BETTER OPTUM. Employers: do not saddle your employees with this sub-par provider.

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    Customer ServiceStaff

    Reviewed Oct. 25, 2023

    Every month I have to fight to get my prescription filled even though it was approved for a year. I work very hard and so I forget that I was supposed to have my medicine until it is way past due. In the past, the specialty pharmacy would call me a couple weeks before due date to approve shipment. Not these jokers pretending to be a professional company. Absolute worst.

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    Customer ServiceContract & TermsCoveragePricePunctuality & SpeedStaffValueHonesty & Transparency

    Reviewed Oct. 21, 2023

    As a first time customer, all of my prescriptions needed to be transferred to OptumRx. It has been a nightmare of an experience. I will never use them again, and frankly I cannot believe that the authorities have not shut them down. Yes, that's how bad it is. I will probably also be leaving United Healthcare Insurance (who owns OptumRx) because of this hellish experience.

    My first call to them resulted in the representative NOT starting the process of obtaining my prescripts at all. I was checking my mail for my meds, when it wasn't even being worked on! Furthermore she did not even make a record of the call in their computer system, so absolutely nothing was known about the fact that I was enrolled and awaiting my meds. Fortunately I could tell the company the date, time, and length of the phone call, with the proof in my phone. But I'm sure they did not research it in their phone records, so she won't even be sanctioned. Either way, I had to start all over again anyway.

    The problems had only just begun. Since then, I have basically had to take care of everything myself. I have been on the phone with OptumRx everyday for over two to three weeks, and multiple physician offices, to arrange for the transfer of my scripts myself, even though that is their job! They find excuses to get the patient to do their work for them! Each time, i had to re-explain the whole situation all over again to a different representative.

    Four weeks later I am still awaiting my meds, and am told it will take another 10 days! I informed them that a supervisor told me I would get expedited shipping because of all the run around and mistakes. They said ok, but that would cost a $20 charge to me, and I still wouldn't get it for 7 days! Ridiculous! The frustration is downright intolerable.

    They lie, they stonewall, they drag their heels to get the patient to do all the leg work, use stalling techniques, and play dumb. They don't keep their promises or word. They are totally incompetent and unethical. I have cancer, and a progressive bone disease, extreme high blood pressure, constant pain, depression and anxiety. Because of them, you can only imagine, what my pain, anxiety, and blood pressure readings are like now. They are contributing to the worsening of my health conditions, and will likely kill me if I stay with them. And they couldn't care less. No few dollars of savings, or convenience of delivery is worth it.

    In reading the other reviews I recognize all the same shoddy practices that I have experienced at the hands of OptumRx, so I know it all to be absolutely true. It validates my experience, and I can validate theirs. This has been going on for a month. If and when I ever get my shipment of meds, I will immediately start the process to get all my prescriptions transferred back to my local pharmacy even though it will cost me more. But money isn't everything. My time of the hours I've put into this is valuable. But most of all, the sheer frustration of being at their mercy, is not worth it. As I said, I might even leave their parent company united Healthcare, because I now think they are all a bunch of charlatans. It's a house of cards.

    The customer service for Optum Rx is a revolving door of English - impaired transient workers in the Phillipines. I am a senior citizen and this is by far and away the absolute worst service I have ever received from any company of any type in all my years. And on something this essential?! What do you want to bet when I get my order, IF I ever get my order, it will be late, and incorrect, and anything else that can possibly go wrong. I can feel my blood pressure and anxiety rising as I write this.

    There needs to be regulatory oversight of this outfit. I will be lodging formal complaints with the Dept of Medicare, the board of Pharmacy, the state insurance commissioner and anyone else I can think of. This is a matter of malpractice, but unlike any other health agency, it seems no one is monitoring it for the protection of consumer. If you choose to use them anyway, you will get the same treatment, guaranteed.

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    Customer ServiceOnline & AppStaffTransparency

    Reviewed Oct. 17, 2023

    OptumRX was supposed to deliver an order to me between Oct4-7, via USPS (Yikes!). I never received it. I went online yesterday (10/16/2023) and found the order, which showed that it had not been delivered. BTW, I took screen shots of it just in case. So I called them and they said it had been delivered on Oct 5. No it had not. And I pointed to the status shown on their website. The rep didn't believe what it showed. The rep then said the order could be resent and arrive in a week. I took my last pill yesterday. The last time I went a week without taking this pill I went into heart failure. They didn't seem to care. Procedures don't you know. I'll be in the hospital or dead by the time I receive it.

    So then I called my cardiologist and his office sent a prescription to Walgreens so I could get it today. But Walgreens can't fill it because OptumRX has stated that they delivered it to me and it was too soon for a refill. So here I am trying to stay alive but OptumRx is trying their best to kill me. Oh, and they updated their website today (10/17) to show that the order had been delivered. LOL. What a bunch of liars. I've got screen shots. Now I am going to call UHC medicare rx supplement and fight with them. I really don't know what I'm going to do. The prescription is ready to be filled but being blocked by OptumRX.

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    Customer ServiceCoverageTech

    Reviewed Oct. 17, 2023

    It doesn’t work. Do not use them. They suck beyond belief. Do not waste your time with them. They kept putting a hold on my medication and I kept calling and they said that they fixed it, only to have the same hold get put back on. My medication is not coming. They have too many cooks in the kitchen over there. Do not use them. It is a waste of time and very frustrating.

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    Customer ServiceStaff

    Reviewed Oct. 17, 2023

    We keep trying to transfer my husband's medication to OPTUM RX... They keep faxing the WRONG NUMBER TO DOCTOR... After several calls. To find out...when I call from Las Cruces, NM, USA, I'm talking to a person at a CALL CENTER IN THE PHILIPPINES... not even the pharmacy. Things are done differently in different countries. My husband is almost out of his HEART medicine. Ivan, in the Philippines, told me just to go to local pharmacy and ask for the medicine. We are trying to get the Heart medicine transferred over to OPTUM RX, with the rest of husband's medication. They keep faxing the WRONG NUMBER.

    And I blame UnitedHealth Care for this also. I tried calling them for help....get a call center in the Philippines. I have nothing to against the Philippines. But different countries have different ways they deal with the Medical field. So very disappointed. We have dealt with Optum RX for years... They have gone downhill the past year. We may have to transfer all our medication locally, and try to find someone to pick up our medication for us. That is why we had our medication delivered. Beware of OptumRX.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 13, 2023

    OptumRx is one of the worst mail order pharmacy companies that is around. Every month I'm on the phone with them about issues processing my medication they receive the order it stays in process. They say there's multiple holds. One time customer service is telling me it needs prior authorization when I know it does not. I've been on the medication for 4 years, I request to speak to a pharmacist and they're trying to give me the runaround why it hasn't been processed and why this multiple holds all different reasons.

    I tell them I have one day left of my medication that causing a delay in my care. Well they'll see if they can get it processed more quickly. They are an administrative for Medicare. I am directly notifying Medicare of the delay in my treatment. They are horrible. If I could give zero I would. Run don't walk away from this company. They're horrible! They don't have no problem putting a claim through right away to your insurance company before the orders even processed. They are a disgrace and incompetent!

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Oct. 12, 2023

    For the last couple of months OptumRx is the worst place to get your medication from, they have the worst representatives in general, maybe one or two are nice a little bit, all in all they all have a script to read from and they just repeat without knowledge what they read, OptumRx goes cheap hiring representatives who doesn’t have any knowledge at all about what they are talking about, add to this that they don’t send the medicine at a time manner at all, I called them 12 times for my daughter’s medication and my husband did too, yet after 2 weeks we didn’t receive it and the only thing we hear from them is “We have a small problem with our carrier UPS, we are working on fixing it very soon”. So the lives of their customers are hanging on them reach a deal with a carrier, not on saving the lives of their patients.

    My daughter’s medication is a neurology med and I told them multiple times to send a month of this prescription to our local pharmacy so my daughter starts her meds which she didn’t take in the last 10 days because of Optum RX, they told me “What if we do that, and then carrier brings what we sent?” I was shocked to hear this from a supervisor! What if they don’t??? Same thing happened with my prescription, 3 weeks and I am still waiting? Lives of patients doesn’t matter as long as they save money!!! We transferred all our prescriptions for the family to a local pharmacy, and will never ever go back to them.

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    Customer ServicePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Oct. 6, 2023

    To begin with, the customer service representatives are outsourced and the accents are so heavy you can't understand what they are saying. What's worse is they can't understand you! Miscommunication when dealing with someone's prescriptions is an accident waiting to happen. Then there's the aggravating script they constantly use throughout the call. Have to ask for a US rep every time.

    Every single time the doctor submits a prescription they call and ask if you want the prescription! Confirm all your information AGAIN! This process takes about 3 days from the date the RX is submitted. Why the heck do they think the doctor submitted it? And that adds 3 more days to processing and delivery! They made a mistake and didn't send the correct number of pills on my prescription so I called and explained that I was going to be out by the time they said I could refill it.

    Apparently, when it's their error you are out of luck. They can't override the RX in their system even though it was their mistake. We ended up sending the RX to my local pharmacy. Since I don't drive, this creates a whole other set of problems. Once you get a US representative, they're usually nice and realize how ridiculous the system is but are powerless to do anything about it. This is the last time I will deal with OptumRX! Easier to get it locally and pay for delivery.

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    Customer ServiceSales & MarketingPriceBillingRates

    Reviewed Oct. 1, 2023

    I was told they would use an override to utilize Eli Lilly discount card for ** 3 times this year. Which would mean I would pay $100 for 3 month supply of Insulin vs $300. All 3 times I get the bill for $300. When I called them out they admitted they never intended to use the card and it was my problem. I changed to a generic insulin and was quoted $93.00 off United Healthcare website. When insulin arrived I was charged $279. I called was told I hadn’t met my deductible. Why would I have changed to a generic for the same price? I have a screen shot of the quote and price I was suppose to pay. They will not release my daughter's 90 day supply of insulin to a local pharmacy and allow me to use the discount card from Manufacturer. If they do I can only get 30 day supply. They charged me $1200 for something I should have paid $300 for.

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    Customer ServiceStaffHonesty & Transparency

    Reviewed Sept. 30, 2023

    First I talked with a representative and she promised me that my expedited meds would be here on Wednesday September 27. No meds. Then I talked with a supervisor or so called supervisor and she assured me my meds would be here on September 29th guaranteed. NO MEDS... My blood pressure is 190 over 110 and this is no one's problem but my own. I have zero transportation cause I am almost blind and should not drive. This is the most dishonest medication service that I have ever dealt with bar none. They don't care about their customers just the money they make. If I could have given a zero I would have they really are dishonest pieces of low-life scum!!!

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    Customer ServiceSales & MarketingPricePunctuality & SpeedStaffHonesty & Transparency

    Reviewed Sept. 26, 2023

    Let me just start off by saying that I never give online reviews for anything, let alone online reviews that require that I sign up for a website with my personal email and real first and last name, but my experience with this terrible company was so bad that I felt that I had to write this review in order to warn others away. Don't be tempted by their promises of quick and easy shipping, 90-day supplies, and never having to go to the pharmacy again. It's all lies.

    First of all, in the search for medications that can be shipped with OptumRx, ** and other Schedule II drugs are mentioned. Shipping Schedule II drugs to a residency is illegal so we have blatant false advertising from the start. Then, UnitedHealthcare and OptumRx both claim that you can get up to 90-day supplies of all drugs at a discount or free. Once again, blatant false advertising. I'm not sure if it's all Schedule II drugs, but at least some of them cannot have a prescription for longer than 30 days. I could not find a single drug using their search engine, including **, for which they didn't claim that you could get a 90-day supply delivered to your door with a prescription.

    I see these red flags, but I figure, "Hey, as long as I can get my unscheduled, downright popular, prescription medications shipped to my door with 90-day supplies so I only have to go to my local pharmacy in person for the spicy stuff, who cares?" So I sign up two widely prescribed, dirt-cheap generic medications for 90-day supplies. They said they were out of one of them and I quote "We have no ETA as to when we will get it back in stock". Thanks for telling me that after I had already transferred my prescription. The other was automatically downgraded to a 28-day supply (yes, less than if I had just used my local pharmacy) for absolutely no discernable reason.

    The icing on the cake? 7-10 day shipping. On medical supplies. Thank the Lord God Almighty that I didn't trust them with my important medications and instead chose two medications that would just make me feel bad if I didn't take them. Just stick to your local pharmacy. Maybe other online pharmacies are better, I don't know, maybe I'll try another one in the future, but this one is atrocious.

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    Customer ServiceSales & MarketingPunctuality & SpeedOnline & AppStaff

    Reviewed Sept. 25, 2023

    I finally gave up and called to cancel my oder. I have been on a pain management regimen for over 7 years with the same dr and stable. I recently moved out of state and was forced to find a new dr. The Dr was a horrible experience to begin with and then when she finally sent my prescriptions to Optumrx I was down to my last couple of days supply. I have had to endure horrible withdrawal thanks to this pharmacy slow walking and miscommunicating every single step of the way!!!

    My Dr (whom I've since fired) sent the prescriptions on 09/19. I received a text from the pharmacy on 09/20 stating that my prescriptions were in process and estimated delivery was 09/23-09/26. Today is 09/25 & although the online app still claims delivery by tomorrow I was told it would be 10/03. Then when I called this this morning I was told they would ship today. Then this evening I called and was told they're stil being processed. I have wasted hours calling, emailing and chatting on the app. I've been talked down to, and disregarded.

    My life went from good to barely tolerable now because of them! Living in pain is no way to live. Stay away if you rely on medication of any kind. The miscommunication and blatant disregard for your health and life is beyond anything I've ever experienced!! If I could give negative stars I would!!! Very disgusted and will NEVER use them again.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Sept. 1, 2023

    The mail order pharmacy is HORRIBLE! I needed a script filled for my son, that was backordered everywhere locally. I called OptumRX and was told they had them. I had my son’s pediatrician’s office fax a form, they called & said it had to be eScript because it was a controlled substance, but the dr office doesn’t do eScript. However I could mail in my scripts & they would fill them. I overnight my physical scripts & they call my pediatricians office & tell them they can’t fill them, again because they are a controlled substance & need an eScript. I call & am told my pediatrician’s office can call & request an exemption and am given a phone number to have the dr’s office call. This number is incorrect, but they are given an email address. I then call back & get the correct phone number. The dr’s office calls & is told that they can only fill 1 month, not all 3 and I have to call & request the other 2 mos be mailed back.

    I call & speak with someone & she tells me that they can’t fill the script & they don’t see where the dr’s office called in & can’t send me the scripts back. I asked for a supervisor & he proceeds to tell me again, they aren’t going to fill the script if it’s not an eScript & they show nothing that says the dr’s office call & spoke with a pharmacist. After 45 mins of going back & forth I say I want a pharmacist supervisor & then when he places me on hold, not 1 min later he comes on & says, "Oh I see where the dr office called & we’ll get this medicine filled."

    He then calls me back 3 hrs later & tells me he can’t fill the script because they are out of stock & script they are trying to fill is **. I said that isn’t the script I want filled & he proceeded to argue with me about what I was trying to get filled. When I tell him I have copies of the scripts I mailed in, he puts me on hold & then comes back 5 mins later to tell me, "Oh, that’s right we had the wrong, but we can’t fill the script you sent in because we don’t have the stock."

    I am outraged! If this had been taken care of when it was originally sent in, I would have been able to get this script filled! This is beyond bad service! Then after 30 mins still no manager or the supervisor for me to speak with. I will NEVER even remotely try to use them again & will do my best to tell everyone about how poor their customer service is!

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    Customer ServiceCoverageTechPrice

    Reviewed Aug. 31, 2023

    Ever since I switched over to my new company's insurance I've had the worst possible experience with Optum RX. I've wasted literally HOURS on the phone with them to resolve simple issues in order to get my prescriptions re-filled / sent out. Every single time something needs to be filled there is an issue and I have to speak with multiple people. I never had these issues with my old pharmacy. I have to play musical chairs between them and my doctor because they say my doctor is not sending the correct instructions for the medication among other things. I have been taking the same medicine for 10+ years and never had an issue before switching to Optum RX. Avoid if you can at all costs.

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    Customer ServiceCoveragePriceStaffRates

    Reviewed July 26, 2023

    Worse company representatives in the world. They don't follow up and when call them, don't have a clue what I'm talking about, no records of previous phone calls. No medication in stock if they do, not covered or their prices are more expensive than local stores. Unfortunately, UNITED HEALTH CARE are affiliated with them. Bad choice. Hope next year they get rid of them.

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    CoveragePriceRefunds & PayoutsStaffBilling

    Reviewed July 19, 2023

    Optimum RX has my credit card number I have told them. Not to Charge anything on it without my permission?. But they did 2 times. Both times when I received the prescription in the mail the paperwork showed balance 0.00 Leaving me to believe that insurance had paid for it. Only to find out the next month it had been put on my credit card. I could have gotten a different prescription that was covered by insurance had I known. Did you not have extra money to pay for stuff like this. They do not care and will not refund my money. They also let my prescriptions expire and do not contact my doctor For refills. I run out all the time. It is always a horrible frustrating experience trying to do with these people.

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    Customer ServiceMaintenance

    Reviewed July 19, 2023

    This company is great in reminding you dozens of times to refill your prescriptions, almost to the point of wanting to block them. And they call 5 times a week to have me speak with a health coach, to the point of wanting to block them. But when your critical medication is out of stock for 3 weeks, all you hear are crickets. Nothing. Not an email, not a text, nothing. From now on, I will use my local Walgreens for my maintenance medications.

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    Customer ServiceCoveragePriceRefunds & Payouts

    Reviewed July 18, 2023

    Optum filed our claim incorrectly and charged us in excess of $12,000 then tried to tell us they couldn't refund the money!! They said we had to get it from our insurance company even though Optum charged us and took the money!! It took more than 4 hours on the phone to get this resolved. Everyone we spoke to tried telling us they could not do anything...even though they took money that was not due to them. Had we not called about the 2 charges, they would have just kept the money! We had to fight for the money they "stole" from us!! How many other families are they doing this to? PLUS, they got money from our insurance company... absolute FRAUD.

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    Customer Service

    Reviewed July 17, 2023

    I wrote a really bad review at first because they keep you on the phone for an inordinate amount of time. Aside from that, I suppose they're as good as any other online pharmacy. They often ask repetitive questions for a prescription that I was on with them for a long time and often their pre-authorization is unwieldy. They insist on talking to doctors and not practitioners, often for good reason and often otherwise. Make sure that all refills are automatic and some specialty meds are not.

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    CoverageSales & MarketingRefunds & Payouts

    Reviewed July 14, 2023

    With the recent news that Eli Lilly has announced an insulin cap of $35/month for insured individuals, our family was excited as our son has Type 1 diabetes and is insulin dependent. OptumRx does not accept the Eli Lilly value program discount and we continue to pay $4500 for 88 days of insulin. Our insurance company forces us to use OptumRX and Eli Lilly says you need to use the program if you have insurance options. We are $1500/month more than needed because OptumRX is not playing nice with Eli Lilly. The only thing saving us to doing something drastic (selling our house or quitting our jobs on go on assistance) is the out of pocket max of 6k for the year.

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    Customer ServiceCoverageTechPricePunctuality & SpeedRefunds & PayoutsStaffBillingTransparency

    Reviewed July 12, 2023

    I don't even know where to begin. I am new to Optum RX. I have recently switched jobs and now have a different health provider. This is the pharmacy that they are affiliated with. From day one I knew I was going to have problems it started with one of my prescriptions that I had previously paid $10 a month for with my previous insurance. Now with this insurance the medication was $50 a month. Prior to me feeling the prescription I had called and spoken with a representative on the phone it was the first time dealing with a representative who sounded like they were talking in a bathroom at home. I was informed that the medication would be a 90-day supply and that it would be free covered by my medication two days later I received an email at my credit card have been charged for $150 for this medication. It took me more than three phone calls to get a resolution on this issue which resulted in me getting a refund for said medication.

    The next medication that I needed to fill also I called in spoke with a representative and I was told that 90-day supply would be free. Of course I got an email got the prescription had been filled and it was $60. I was able to call and have the order canceled. Again had to call in speaking with yet another representative who seemed like they were out to dinner with glasses clinking in the background and forks and knives on plates. I kept insisting I could barely hear and they ignored my pleas and continue to talk. I was finally able to get the proper prescription finally filled properly but it took me again over three attempts and numerous phone calls and I'm very confused as to why every employee seems to be home or in an area where the background noise and atmosphere is not indicative of a work environment.

    I have not had the ability to have one autofill go through properly I have not had any refills go through smoothly and they are continually refilling the same medication that they're trying to charge me the $62 a month I have called in and asked them to remove this medication from autofill and to stop filling it. Instead they canceled a separate medication that had already been in process and almost shipping. I don't understand how you can possibly confuse the name of medications is badly as the representatives I speak with on the phone they know less about the medications than anybody I've ever spoken to.

    My latest issue and my final straw is to the reason why I will never feel another prescription with them and I would rather pay more money going to rite aid or Walgreens. I have another medication that cannot be stored in any temperatures above 77°. The medication is traveling and it has been in New Jersey traveling in a vehicle while the temperatures here are 90 degrees I reached out to the pharmacy to ensure that they had used a cold pack for shipping they said they would do it as a courtesy this one time then they called me back a few hours later to say that it was too late they had already shipped it.

    I was expecting the medication at my house 2 days ago unfortunately to find out there was a signature required for the medication. I'm a single man I don't have children home just dogs. How am I supposed to sign for something when I'm at work and how can I pick it up from the post office from the post office closes before I get off of work? I contacted them to ask why is it that I need to sign for this and that it's now been over a week that this is not been stored in proper temperatures which compromises the medication I asked them to refill the prescription at my local pharmacy.

    So they have rerouted the package back to them they filled a prescription for a smaller quantity at Walgreens then my original prescription from the doctor was. And now they contacted an instructor ed the pharmacy to make sure that I was aware that I will not be able to refill this prescription now for 6 months because now I have two three month prescriptions which I do not.

    Like I said they've already rerouted the original package back to them and the prescription that they called into the local pharmacy was for two and a half months not three. They are incapable of handling anything properly. This representative is called me back at least 10 times and every time she gets on the phone it's this whole long scripted message and then I need to tell my name and my phone number and my address just to be updated that they keep trying to contact my doctor and they keep trying to contact the pharmacy and there's no update. I have never experienced a more unprofessional unorganized pharmacy such as this. I would suggest you stay clear of this pharmacy unless you enjoy wasting hours on the phone explaining things over and over again until you're either hung up on or put on hold until you have to hang up.

    They also hardly ever allow you the ability to leave a survey when they know they give you bad service they do not disconnect the call they force you to disconnect the call. I decided to just go look to see if anybody else had anything to say about this farming and I was very happy to come across this website to see so many people having the same exact experience as myself not that I'm happy that we are all going through this but at least we are trying to get the word out save yourself the aggravation pay a little bit more and go to Walgreens or your local pharmacy wherever you may be.

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    Customer ServiceCoveragePriceOnline & AppStaffRatesFollow-Through

    Reviewed July 11, 2023

    I have only been with Optum for two months, and I am already done with them. Their app is awful & their reps are worse. I have had to call multiple times on prescriptions just to get the runaround. They say they are going to do one thing and never follow through. When you follow up with them, they have no idea what is going on…you’re getting an entirely new story about your prescription each time. It can’t be refilled, we don’t have it, etc. It’s infuriating. It’s like they don’t even keep records of communication. My medications are too time sensitive, and they have no sense of urgency. I have had to inconvenience my doctor, bc they cannot do their job. My doctor has had to resubmit prescriptions for me.

    My insurance pushed the online pharmacy like it was so great. It has been nothing but a headache and constant anxiety. I’ve been getting the same scripts for years, 20 years, and I have never experienced service this bad. Oh and as far as their low prices go, that’s a false statement. I see my Doctor on Friday, and I will make sure all my prescriptions are transferred from Optum. Worse experience ever.

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    Customer ServiceTechPricePunctuality & SpeedStaff

    Reviewed July 11, 2023

    I am a prescriber. OptumRx seems to use denial of meds as feature in their business model. Example - patient stabilized on antipsychotic denied. PA submitted. Told would need to document failure of 3 other antipsychotics from a list first (definitely know several on list are much more expensive than denied Rx). Pt has failed 2 meds on the list. Trying a med and failing can cause psychosis and severe debilitation in patient's life. Tried to call provider number - 30 min and 3 transfers later - still can't speak to anyone who can help. This is ONE example. This happens a lot.

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    Reviewed July 7, 2023

    It's very unfortunate that United Healthcare is connected to OptumRX. I've received an injection twice a year for osteoporosis for 6 years (verified by DEXA bone scans), and OptumRX has denied the appeal. Looking forward to NOT doing business with OptumRX in the future.

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    Customer ServicePunctuality & Speed

    Reviewed July 6, 2023

    My doctor ordered medication on the 28th. Eight days later it is just being shipped. It happens to be an emergency inhaler and I need it to travel. There is no confirmed tracking. I'm told it will be here in ten days but I'm leaving in 6 days. On the phone I'm speaking to someone with english as a second language with canned phrases like, "How can I make your day better" and, "There is nothing we can do." Horrible communication. If they were out of stock, they should communication that to the client so another option can be arranged. I was told I would receive it by today and now it is actually only shipped today and not even overnighted. I don't recommend using them as an option if you can fill things at a local pharmacy.

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    Customer ServiceCoverageTechMaintenanceStaff

    Reviewed July 3, 2023

    Have any of you spoken to the representative who is working from home whose got a very loud and vocal rooster? Yup, a rooster. I had difficulty hearing him because his rooster was louder than he was. I'm an animal lover, but come on really. I don't want to hear him continuously crowing and distracting my thoughts as I am attempting to discuss my order. I don't know what you can do to calm down a rooster at night. It was evening when I placed the call. I'm not sure what country the rep lives in.

    It doesn't seem to matter who you speak with at OptumRx because you will be given misinformation more times than not. I'm going to be seeking a better alternative for my future orders. When an insurance provider owns the mail order pharmacy you can imagine how bad the service is. Both systems are broken. I wish this country would go to subsidized health care like Canada and many countries who provide healthier populations of citizens. I believe it is called socialized medicine.

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    Billing

    Reviewed June 30, 2023

    I have had to contact Optum RX at least 6 times in the past 18 months. They cannot get the billing to our credit card straight. We keep getting a separate bill.

    Very dissatisfied. In addition, Optum RX medicine process is ridiculous. My doctor prescribes a med. then I have to OK it. Totally unnecessary. I do not want auto renew. They don't get it.

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    Customer ServiceCoverageRefunds & Payouts

    Reviewed June 30, 2023

    They have a lock on my blood pressure meds forcing Mail delivery, is not an option for me as I live in an apartment complex that has problems with missing mail and stolen mail, I can't even pay out of pocket for my blood pressure meds and have to go through a series of overrides and doctors' calls to get them filled often leaving me without my blood pressure medicines sometimes for a week, I cannot believe we now live in a society where Insurance Company can put a lock on your prescriptions that won't even let you pay out of pocket for them. They will cause someone Serious injury or death with this policy. It's only a matter of time.

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    Reviewed June 26, 2023

    OptumRx Home Delivery is a headache, nothing but problems every time you use them.. Now they're questioning my doctor's prescription, for a medication I've been taking for 2 years.. If my doctor send them a prescription, who is the the pharmacist to question it? The pharmacist knows more than my doctor???? Ridiculous!!! Very poor service.. AVOID!!!

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    Customer ServicePrice

    Reviewed June 25, 2023

    It's insane that my pharmacy has my script, but Optumrx repeatedly denies my refills because the doctor won't call back. Sure, CVS can fill my prescriptions, at 5 times the cost. So, I go without what I need.

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    Customer ServicePriceRates

    Reviewed June 7, 2023

    Optum has had website issues with erroneous pricing, for over a week I am told.... How does one agree to purchase something when the wrong price information is provided. Today I am told there have been website technical issues, but instead of informing customers, they just roll along. I see a $300 price for meds I normally get for about $13. I am new to Optum and after numerous calls, feel this was a really bad decision on my Insurer's part.

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    Customer ServicePriceOnline & AppStaffBillingCommunication

    Reviewed June 6, 2023

    I really don't understand how this company stays in business. For me, this is also the most expensive drug plan that I could buy. Every time I try to refill a prescription there is another reason why it hasn't shipped. One time it was because they didn't have my credit card information (they did have it). Another time it was because the amount to be charged to my credit card was more than expected (but no communication about this until I called to see where my prescription was). This time around when their website send my prescription was pending (rather than shipped). After a week and two unanswered emails, I am told it is because they didn't have inventory of my prescription. Again, NO COMMUNICATION. It's like they don't understand that prescriptions are IMPORTANT to keeping people alive.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 5, 2023

    I deeply regret attempting to transfer our prescriptions to Optum Rx Home Delivery. A month later, we still do not have our prescriptions and I am frustrated after spending hours trying to correct what they cannot do. It is convoluted and difficult to speak to a human through their 1-800 numbers. If you manage to make it past the automations, a rude, curt and insulting customer service agent awaits. I've spoken with the same agent multiple times now but have yet to speak with a pharmacist. Although I had existing refills, the insist I do not. They claim to be unable to verify meds through my doctor, so I called my doctor who immediately sent new prescriptions. They still deny having them. I hold no hope in being able to now transfer them to a more dependable service.

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    Customer ServicePunctuality & Speed

    Reviewed June 3, 2023

    My clinic made an order for fertility drugs a week ago. I received an email from OptumRX that my order is being processed, so I expected the delivery. Nobody ever called me. A week later, when I need the medication, it turned out nothing was sent and the order was cancelled. They say I should have called to confirm the delivery. But how was I supposed to know it is I who needs to call when the order is there? And why did I get that email about my order being processed then? This is so confusing and frustrating to deal with a pharmacy that can't even reach out to you when they need more information.

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    Customer ServiceCoveragePriceStaffBillingTransparency

    Reviewed May 27, 2023

    My family has been under OptumRx for a few years now and each one of us has had prescription issues:

    1. OptumRx will update your online refill preferences without your knowledge nor will they tell you after the fact. This is so they can send you one you don't need and bill you for it. Since its medications, you cannot return them.

    2. If there is a shortage from the supplier Optum RX will completely delete your prescription from the system causing more complications in trying to get medically necessary prescriptions filled anywhere.

    3. Two members of my family need medications that cannot be filled by the mail order pharmacy and those have continually been denied. We've spent hours on the phone with Optumrx and the physicians. The physicians get approval numbers but when going to the pharmacy, they are not valid for a variety of reasons. One of those is generic versus brand name. The physician went with generic but optumrx only authorized the brand name which the local pharmacies can not get.

    We've sent in appeals and used member advocacy agencies to no avail. Everyone keeps getting the run around and every time we call optumrx, we get a different person who can't find the current status or tell us what needs to be done. One of the medications is not that expensive so we just use goodrx and have stopped going through optumrx. The other was under a different insurance and we never had any problems until switching to optumrx. Bottom line, we've had to delete one person from coverage in order to switch to another.

    I've written to Optumrx about the first 2 items and the letter I got had no correlation to what I sent. It was probably a computer generated generic response that was absolutely meaningless. It is very clear that no one at optumrx cares at all about helping their customers and the fact that they can override and board certified physician on what medications we can and can not take is unjustified and needs to be stopped.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 22, 2023

    I have been attempting to transfer my prescription to OptumRX for 2 months. I have spent several hours on the phone with them and have had no luck thus far. They have refused to do a second override with the local pharmacy, and have insisted I wait more days without my medication. The first representative I spoke with was rude, combative and continued to speak over me while I tried to explain my situation. I then requested to speak with her supervisor and was placed on hold for 20 minutes. I do not believe I was actually transferred to a supervisor, but merely another phone clerk. So very disappointed with my company's decision to use OptumRX, and will voice my opinions at the next meeting.

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    Customer ServiceStaff

    Reviewed May 17, 2023

    I am on United Health Care Medicare, which I am very happy with EXCEPT they are connected to OptumRX! Have been using Optum at least 3 yrs, probably more, I try to forget!! All of my scripts are 3 months, which To my knowledge is a max of 93 days. They ship more often than that, consequently I have almost a yrs supply of my meds on hand, hey Medicare pays so why should I care? That's about the only thing Optum and I agree with!

    Their customer care is horrendous to say the least. No one explained to them what "care" means. When I call them it's almost like the only thing important to them is saying anything to end the call! In the yrs I been with them I'm guessing I may of received my meds all together 6 times max. I voiced this concern with the person on the phone and I think she said "no problem, may I help you with anything else"? No solution offered whatsoever!! I'm not really sure because she pretty much didn't speak English which leads to another problem!!! I'm switching to Walmart!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 5, 2023

    First, I work for a company that handles health and welfare and pension for a multitude of companies belonging to unions. A lot of them use OptumRx for their prescription manager. As an someone who used to communicate with this company on a daily basis, I felt inclined to do this review as I am now under their prescription plan through my employer. First, it takes forever to get your first prescription filled. I waited over 45 minutes while CVS tried to get my first medication filled. That was a very common complaint when I was taking calls regarding member's medication. Doesn't matter what pharmacy it was, it always took forever.

    Secondly, I just tried to call asking how the free delivery works. The first girl who took my call was straight up angry and not at all pleasant. I hung up because I refuse to be treated like that. I called back and got the same response with another employee. So, yeah, this doesn't bode well for this company. Maybe train your people how to actually take calls, listen and have a more pleasant demeanor since they are, you know, in the customer service industry. Acting like a bookie's hood capping kneecaps isn't a good thing.

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    CoverageRefunds & PayoutsStaffRates

    Reviewed April 22, 2023

    I have no choice but to use them because they're the prescription plan offered in conjunction with my health insurance from my husband's work. However- they deny A LOT of popular medication, including certain birth control like **. They don't care about your medical history, if you've been on a medication for years, etc. They just deny deny deny. It's like that movie The Rainmaker. They want to deny until you die. I'd be interested in whether they cover/approve male ED medication though. I just had another medication denied that my doctor has to appeal. It's ridiculous. You pay for insurance but then they deny the care your doctor prescribes. It's all about the dollar for them.

    Any time a doctor prescribes anything for me, I feel like the chances of it being approved are slim. I dread seeing it was denied. I never had this with any other prescription plan. When I spoke to a rep about the denial of my **, she couldn't have been less helpful or less sympathetic. I finally got ** approved after my doctor's office appealed again, but what about all the other women who need it? There IS NO generic of **. There are good reasons some of us are on it.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 21, 2023

    Dermatologist sent prescription that I need. Other medicines don't work for me. OptumRx cancelled order. I called to find out the reason. The representative ordered the medication once again. Then, several days later I received a letter of denial. I spoke to another representative. She asked if I was told the medication needed prior authorization. No. Now, I must wait until my doctor's 'prior authorization department' contacts OptumRx; a process that takes another 5 - 7 days. It's already been 10 days. Do not trust OptumRx. Review every detail when a prescription is written or you may be sorry. I certainly wish I could change pharmacies, I'm stuck with OptumRx.

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    Reviewed April 21, 2023

    I’m not convinced how good the quality is. The pills I get from here are smaller and my body does not react the same way it used to from the same medication from another pharmacy. I would love to know what others think.

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    Customer ServiceOnline & AppBilling

    Reviewed April 15, 2023

    I have used this pharmacy for many years. It wasn't bad several years back. However, now, their phone system is often dysfunctional and they blame it on my phone, which is working well. I keep trying and trying to pay a bill online, and I have tried about 6 or 7 times and each time I encounter some obstacle. The bill pay feature has glitches in at and makes it almost impossible to just pay a bill. Paying a bill should be simple and painless. I am not able to pay by telephone, often, and going around in circles to pay a bill is so maddening, it really can ruin one's day. A bit of an attitude from customer service, as well. Be sure to keep good records.

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    Customer ServiceCoverage

    Reviewed April 13, 2023

    I’ve received my prescriptions by mail thru OptumRx since 2017 and service is getting progressively worse. From getting messages my address is incorrect (it isn’t) to holding prescriptions back despite insurance coverage in full. It’s been more than 2 weeks since my Dr ordered a new diabetic drug for me. Three calls to find out the hold up and two different “reasons” given. This is the same issue I had with them in another state. I rely on my diabetic meds and the issue is originating with OptumRx. I am fed up and having all my meds transferred to another pharmacy I can depend on.

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    Customer ServiceCoverageTechPriceStaffBillingRatesTimelinessHonesty & Transparency

    Reviewed April 7, 2023

    On a scale of 1-10 Optum RX is ZERO. As it is not the rating scale I am reluctantly give one star. Won’t go into the four days of texts, email’s, phone calls and sordid details. Optum is owned by United Healthcare. Together they contract their customer service to some foreign land on the other side of the world that has not a clue what customer service is. Yet, this provider of HEALTH and PRESCRIPTION services and products is beyond incompetent. The employer United Healthcare handcuffs their representatives to provide even a minuscule modicum of service to clients who are ill.

    They cancelled my doctor's prescription not once but three times for the stated reason “your insurance United Healthcare does not cover this medicine”. I asked them to charge my credit card on file, they allegedly did so and the next day receive a text to call them that MY HIGHLY REGARDED MEDICAL DOCTOR had cancelled the prescription. OUTRIGHT BALD FACE LIE. Not once did they do that but for three days in a row after my multiple contacts with them and my doctors. Allegedly it's “all fixed now” (yes they used the word fixed) and for the third time my medicine in allegedly on the way. Yet they have charged my credit card four (4) times for one (1) prescription and charged me $20 extra for “expedited service” to have it delivered in 4-7 day. You read that right. Their errors and overcharges to “expedite” my medicine I need desperately for delivery in 4-7 days.

    These companies and representative are practitioners of criminally egregious actions that they justify with depraved indifference and criminal intent. In the process now of gather all the documentation to file with the Department of Health and Human Services, the Center for Disease Control (CDC), my Congressman and Senator. These everyday malpractice events endangers people's lives, well being and delectation to live life. Don’t not blow smoke up my rectum with your standard response of word salad answers about HIPPA law. G.T. G.

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    PriceMaintenance

    Reviewed April 2, 2023

    I used them for years and now I am getting unordered RXs and they charge me and want me to go to all the trouble to fix their mistake. I will not be using them again. I suggest anyone other than this company.

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    Customer Service

    Reviewed March 29, 2023

    Have had MD send in RX x3 and they still have not got it right. This is absolutely the worst mail order pharmacy that I have ever dealt with. Their phone tree is horrible, they continually blame the physician for what would be their errors. For example, they were trying to say they had two prescriptions with different prescription instructions but one was an old one and one was a new. They didn't get the new one superseded the older one.

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    CoveragePunctuality & SpeedStaff

    Reviewed March 29, 2023

    Their Achilles heal (the weak point in their system) seems to be an inability to promptly handle receipt of prior authorizations. Strangely, their entire staff appears to be aware of this as evidenced by a variety of blame they spread around when they are late on filling a prescription or refill. Typically, first they will claim your doctor never submitted an order for the refill. When that is proven incorrect they will claim you do not have insurance. It goes on and on like this. Next, they claim you must have a different specialty pharmacy --not OptumRx. Followed by, "your prior authorization was never sent by your doctor" (it was), followed by, "the faxed questions were never faxed back by your doctor" (they were), Then it starts all over again. Meanwhile I am over a month overdue on taking my meds.

    If you ever get stuck in this death loop, be sure you deny any and all false claims and ask to be kept on the line as they tie in the prior authorization department, your doctor's office, your insurance company, etc., etc. In the end they will find that they always had all necessary paperwork the whole time. But they won't admit it -- it must be your fault or your doctor's fault that you are nearly 6 weeks late on your meds.

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    Customer ServiceBilling

    Reviewed March 27, 2023

    This company is inept at best. 3 times now in the past 7 years I have had an issue with billing that has caused me to miss my medication for months at a time. I’ve spent over 40 hours on the phone this month trying to resolve an issue and get my medication.

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    Staff

    Reviewed March 27, 2023

    I am a Medicare Part D. Express scripts, the last pharmacy, was horrible. Once they cut my prescription without telling me. When I asked why they claimed my Dr. had taken me off the med without telling me. If I do not take the med I croak. My Dr. had not taken me off the med. I’ve only had to deal with Optum twice, and both times they were great. I don’t think it took more than ten minutes to resolve my problems. Not once did I feel a need to scream at them or threaten legal action. They also appeared to have competent staff who were fluent in English and understood what I was telling them.

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    PriceStaff

    Reviewed March 25, 2023

    Optum is denying much needed medication due to cost. They are telling doctors as well as patients what cheaper options to use irregardless if these medications work for the patient. The medicine I have been denied is the medicine that I have been taking successfully for over 12 years. Optum has decided I need to try some pills instead of the biologic I need. Those pills didn’t work 12 years ago so using them now will only prolong my pain. I have been in remission from Crohn’s disease only with the biologic **. I’m starting to come out of remission and I’m scared that I won’t be able to go back and end up with surgery or death. I am 67 years old and have worked for the past 30 years in healthcare. This is a horrible, painful way to live the last portion of my life.

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    CoverageHonesty & Transparency

    Reviewed March 23, 2023

    Optum Rx is horrible. The worst pharmacy ever. If you need medication don’t use them. They lie and don’t send out the medication. I am going to change my insurance next year. I am not going to use United Healthcare or Optum RX

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    Customer ServiceTimeliness

    Reviewed March 16, 2023

    I do not appreciate customer service telling me one thing and finding out that was totally incorrect. I had an order returned by USPS and after several days of calling got everything from it's going to be delivered the next day, to it's coming soon but no one has the correct tracking number. I hope that management reads the complaints from Consumer Affairs just for the last year. I will be pushing this complaint to the Attorney General in the State that OptumRX has their corporate licensing. If someone complains there are many more complaints that most didn't know how to file a complaint.

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    Customer ServicePrice

    Reviewed March 13, 2023

    Ordered 4 medications, first they were ‘cancelled’ then reentered & ‘processing’ after 1 week. Then, the shipping dates were incorrect. Finally got 2 of meds, but 3rd is ‘on way’. AND, after 10 days & 4 phone calls I got an email saying most important med was ‘out of stock’ with NO expected available date. UHC does not provide any other on-line pharmacy option, so must order from more expensive local pharmacies. Pick another place than OptumRX.

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    Customer Service

    Reviewed March 11, 2023

    It has been over a month since my physician prescribed my medication and I still don't have it since Optum won't fill it. They wouldn't work with my regular pharmacy so I had to have the script transferred. I then went to pick it up at the new pharmacy only to find out Optum needed prior authorization. I don't know why Optum didn't mention this to me during any of the four times I called them to try and get my Meds. They've put my health at risk by making it so difficult to get my medication. I've been without my Meds for over a month.

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    Customer ServicePunctuality & SpeedRefunds & PayoutsBilling

    Reviewed March 7, 2023

    I was on a payment plan with this company. I paid the balance. 2 months today they took an extra payment out of my bank account. I have been calling them since the day of the withdrawal and today I am told I still need to wait 2 more months before I get a refund.

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    Customer ServiceCoveragePriceOnline & AppBillingRatesTransparency

    Reviewed March 3, 2023

    Updated on 04/17/2023: Customer service has been consistently bad, from getting contradictory information with every call affecting my payment methods and shipping delays, being disconnected, unable to find costs of medications listed anywhere (purposefully hiding price gauging I assume). I have spent over an hour daily calling Optum for the past almost 2 weeks during this process and it has been the biggest stressor of my IVF process so far. Mandell's Pharmacy sent my meds correctly after filling out one form at a quarter the cost, and delivered within one day of being ordered with a detailed and clear cost breakdown every step of the way. Try to avoid them as much as possible, by far the worst Insurance company I've had the displeasure of being a member.

    Original Review: This insurance company has its own pharmacy that they force you to use so they can set whatever price they want. I called to get my IVF medications and they charged over 2x the market value of all the medications I needed, then told me I had met my maximum covered by insurance after $10k (nowhere in their plan does it state any maximums). I had to cancel my IVF round due to this insurance company price gauging, when I could have gotten these medications for less than half the price through the pharmacy my doctor recommended. But the insurance company made sure I wasn't covered using any other pharmacist.

    When I called to ask for my plan details after scouring their website for any information, they put me in hold for 40mins then disconnected me. I can only assume they are purposely not sharing any plan details so I am unable to financially plan for any medications and they get as much money as possible. Try to avoid them as much as possible, by far the worst Insurance company I've had the displeasure of being a member.

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    Customer Service

    Reviewed March 2, 2023

    They Do not follow doctors instructions. Instead of contacting us concerning the prescriptions, they just cancel it and don’t let us know what the problem is. My prescriptions were called in on the 13th. It is now the second of the following month and I still haven’t gotten them all. With diabetes this probably isn’t the most desirable.

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    CoveragePriceRefunds & PayoutsStaff

    Reviewed Feb. 25, 2023

    I cannot believe this mail order pharmacy is for real. After denying coverage to fill my prescription I was told if they would supply it to me at the cost of over 10,000 dollars for a 90 day supply. Costco filled it for $188.67 which I paid of course out of pocket. My wife was told they were out of stock for her script so go back to the doctor and get a different script. SERIOUSLY? Being forced to this new coverage plan by my company from Express Scripts, I only hope they are saving a ton of money because as the old saying goes, you get what you pay for and trust me it is almost nothing with OptumRx. Apparently Patient health is now a secondary issue as it appears OptumRx succeeds Doctor's orders. Pitiful!

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    Customer ServicePunctuality & SpeedOnline & App

    Reviewed Feb. 24, 2023

    I take ** to try and prevent a breast cancer recurrence and have to fill it through Optum Rx. The stress of filling my prescription with this company is unbelievable. I dread when it is time. For many months I would have to call because the online ordering didn’t work. Each phone call is the same annoying lady with a heavy accent who makes you repeat information incessantly, even after having to enter it before you even get to speak to her. She puts you on hold multiple times and repeats questions. It’s a ridiculous amount of time spent to fill one prescription. She even asks how many pills you have left? She refused to hang up the phone for 45 minutes because she knew I was upset so I was unable to leave a review even though I agreed to do the survey at the end of the call.

    I spoke to a supervisor who confirmed she didn’t hang up so as not to get a bad review and the supervisor finally got it set up so I could order online. It was heaven and I could do it in less than a minute. Well today I had to call to get a statement (no option to do it on the website of course), got the same lady so of course it took forever and she put me on hold twice. Then she says, "Oh would you like to order your medication? I see the order didn’t go through." This is after I ordered it that morning online and received an emailed confirmation with order number and delivery date. I tell her this, she confirms the number and still tries to tell me it didn’t go through and do I want to go through the whole process again with her. I can’t wait to be done with this medication and never deal with this company again. Something seriously wrong with them.

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    Customer ServiceTechStaffCommunication

    Reviewed Feb. 24, 2023

    To say that I'm frustrated would be a vast understatement. I have been trying to get a prescription filled since 02/07/23 & today is 02/24/23. I understand that certain medications require prior authorization, however, there has been a lot of back and forth and poor communication. While all of the representatives that I've spoken to have been extremely polite and cordial, that doesn't erase the fact that I've had to call to follow up more than 10 times in 17 days. I constantly get text messages from OptumRx with delivery date of when my prescription will be received, yet when I look online it shows canceled.

    When I proceed with follow up calls the information is never consistent. Now that the prescription has been approved, I still can't get my medication because they're saying they need a new prescription from my Dr. Are you kidding me? What's wrong with the old one? They claim that since it was previously denied they have to get a new one. This is ridiculous to say the least, since I am a diabetic who has been without medication for 3 weeks. When renewal time comes, I'm going to try to persuade my Broker to come up with a plan that uses Express Scripts instead of this subpar Rx provider, but for now I'm stuck. I wish I could give the service zero stars, but since I can't, I give them 1 star.

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    Customer Service

    Reviewed Feb. 22, 2023

    I get pain medicine every month. Have to get a new script from my doctor every month (state law). They have been out of stock, when I call the Foreigner on the phone had no clue as to why I was so upset. I changed to mail out to make my life easier, but OptumRx makes everything difficult. They will try to overcharge you unless you catch it.

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    Customer ServiceCoveragePriceCommunicationValueHonesty & Transparency

    Reviewed Feb. 13, 2023

    I have had a kidney transplant, and every single time I have to get my life saving prescriptions it's a fight. 4-5 phone calls from me, from the nurses etc. They once charged my card on file for $350 on a med that is covered, and the previous two times was $10. No communication at all. I can't describe how horrible of an experience it is to deal with these people. I've had to scramble to get meds in my hands that would prevent rejection and possibly death. And every single time you call them you have to start the whole process all over again. To be honest- with them my meds are $25 for a 90 day supply. I can use GoodRX and pay $100 for the meds, and that may be a bargain, because this hassle is just NOT worth it at all.

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    Customer ServiceSales & MarketingStaff

    Reviewed Feb. 9, 2023

    Our Company switched to use OptumRx to save money, so I did not have a choice to use them. From talking to customer service advocates I noticed they do not have a clue about medications. I placed an order for 90 day supply cream and received 1 tube only (marked on the tube) for 30 days. Representative blamed the doctor for not spelling out "3 tubes". Optum RX is like a scam company. They hire people from the street and do not even bother to give them several hours training how to read prescriptions and some overall view about medications.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffBillingTransparency

    Reviewed Feb. 9, 2023

    I was denied my life saving anti-viral medication due to the cost being too high. I had been having this medication filled via Optum Specialty mail service for over 2 years without cost issues. After repeatedly receiving the medication late, risking missing a dose which could render the medication ineffective, I requested to fill the medication at my local Walmart Pharmacy.

    After submitting the claim at Walmart to process through my pharmacy benefits, I was told it was not covered due to the cost exceeding the cost maximum. I was very confused by this because my insurance had not changed, my plan had not changed, and the medication itself had not been changed. The customer service agent made the comment "Maybe I should switch to a different, cheaper medication". In fact, the medication had gotten cheap since the last time it was refilled. Regardless, I was a little shocked by this non-medically trained customer service agent at the pharmacy telling me to tell my doctor to order me a cheaper medication. I explained that option is not possible. I then asked what had changed since the previous refill? He stated that I am using a outside pharmacy (Walmart) and if I were to use OptumRx mail service, they would override the high dollar cost and I would not have this issue.

    So, am having a hard time getting over the fact that I was told I can have my life saving medication covered/paid if I have the payment go to their account but since I am having Walmart Pharmacy receive payment, it would not be covered or to risk death with a change in medication or not receiving them altogether. I have since had to inform my employer of my private medical diagnosis, which is protected by law, in order for the pharmacy to override the high dollar amount. I feel violated, disrespected, discriminated against, and disgusted at how this company treats its patients. I have to discuss my private medical information every six months with HR at this point since 2020 for them to force the OptumRx Specialty Pharmacy to pay. Every time we call to discuss the situation, a different explanation is given. They are a money hungry, incompetent, disrespectful, and unethical. DO NOT USE THEM and if you do, watch your wallet; They are thieves.

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    Customer Service

    Reviewed Feb. 1, 2023

    2 years I have been with United Healthcare/Optum Rx. Almost every time I needed to have a script sent there was some issue. There is absolutely no convenience to mail order w/ this company! And to contact this company to resolve problems will be hours on the phone and continual passing of the call to someone else. I hate this mail-order option. Trust me when I say if you depend on medications and need them monthly please be prepared for constant disappointment. I left UH for my sanity and found a better plan in Geha. Geha's rx plan is so much easier to plan with. I realize no plan is perfect but please please be aware that you will be disappointed and sorry to have joined w United Health/Optum rx.

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    Rates

    Reviewed Jan. 18, 2023

    I agree with the last several reviews that I read. Nothing but aggravation dealing with OpRX. Just paid $38.67 for a 90 day supply. Walgreens is $16. GOODRX IS $7.85. Thought I was supposed to save money by using mail order, 90 days. 6 months and not one good thing to say. How do they have a 3.5 star rating?

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    CoverageMaintenanceStaff

    Reviewed Jan. 17, 2023

    I am a diabetic, with stage 2 CKD and one kidney. As of 1/1/23, Optum required a prior authorization for **, a medication I have been on for over a year with excellent results. When my doctor sent the prior authorization request to Optum, it was denied because they didn’t answer why I couldn’t take **. While my doctor has provided this info in the past, apparently Optum doesn’t “store” this information. Also, they needed to let Optum know that this medication was not for weight loss alone. Again, diabetic with 1 kidney and stage 2 CKD.

    I was directed to file an appeal only to be told the doctor must do it. Was then told by Optum to contact the mail order pharmacy for an emergency supply while my appeal was in the process. Well, they can’t do that because they can’t “break up a pen package”. This is the worst prescription insurance I have ever dealt with! Why would they not keep this information in your file so these questions don’t need to be answered every time a prescription needs to be refilled? What a circus!!!

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    Customer ServiceStaff

    Reviewed Jan. 14, 2023

    Today I spoke with an incredibly kind, compassionate, and encouraging, representative in the Specialty Department at Optum Specialty Pharmacy. His name is Victor ** (**). I attempted on three different occasions to do the survey after the call and kept getting disconnected. I am so compelled to share my experience because this man is an absolute GEM! I haven't received customer support like what he gave me in YEARS.

    Victor literally made me feel as though he cared for my needs and concerns as if he were my brother or best friend. He was so jolly, eager to help, and happy to help! Answered ALL my questions. He encouraged me. He was so patient with me as well. I couldn't be more grateful or sing enough praises over him. He was extremely acknowledgeable! He really just made my day! I really do hope his dedication to the patients is acknowledged and recognized by his superiors! When a patient is calling in, in Spain, maybe even just rude for whatever reason, I don't care what it is! He would be a superb mentor I believe! He naturally has a gift that that is impossible to go unnoticed!!

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    Customer ServiceCoverageStaff

    Reviewed Jan. 11, 2023

    Worst pharmacy my insurance can go through. I'd rather pay more somewhere else to get my meds. This pharmacy has call centers in India who does not understand or know how to process orders. They make everything and I mean everything hard. I refuse to use them even if I have to pay $10 to $20 more at a local pharmacy. It's a matter of life and death for some people I just don't understand why our government is still even letting this company operate. Shut it down before lawsuits happen!

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Jan. 11, 2023

    Would leave zero stars if I could. Terrible experience. Have this insurance through my workplace and it is impossible to get anyone on the phone, impossible to change doctors, impossible to do anything online and most importantly, impossible to get appointments. I am ready to cancel and risk having no insurance at all, which I'm sure will feel similar to this situation.

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    Customer ServiceStaff

    Reviewed Jan. 5, 2023

    It would appear that the company has intentionally done everything in their power to frustrate customer inquiries. All 800 phone numbers direct customers to the Philippines, where you get someone who can barely speak English. If you ask for a direct number to a U.S. advocate they won’t give it to you but offer instead to transfer you. They put you on hold, and after long period of time transfer you to a U.S. representative. All of the security information that you have entered into the system has to be re-entered a third time. No one will provide you with a last name or employee ID so when you get cut off, or the information they provide proves inaccurate, you have to start the whole process over again. If you request a call back from a supervisor, it never happens. I used to blame it on sheer incompetence but I am now convinced that it’s intentional.

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    Customer ServiceCoverageStaffResolution

    Reviewed Jan. 4, 2023

    The worst part of being diabetic, is having to deal with OptumRx, and I don't have a choice since they handle my insurance mail order pharmacy, so I have to go through them. There isn't a single request, or task that they can do. Every month I have to jump through the same hurdles to get my prescriptions, and even when I managed to get it through a different pharmacy like CVS, they have to process the claims and of course they make things as complicated as possible. The worst part is; they don't care. I would be running out of diabetes supplies because of them not being able to process orders, and I have to keep calling every day to speak to a new agent who would tell me that they don't see an order/request although they see I called, and I keep going through that every day, with different agents and escalation teams until I get lucky to get an agent on the phone who knows what they're doing.

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    Customer ServiceTech

    Reviewed Jan. 1, 2023

    I am a United Healthcare customer who recently began receiving calls from OptumRx, which turned out to be subsidiary of UHC. The business practices of Optum Rx verge on harassment. They do not identify they are with UHC. They claim they are working with my Dr. They called 7 times in 5 days from different unregistered phone numbers and would not stop. They ask for personal identity information without saying they are tied to UHC. As my number is both personal and for my business there was no way to ignore each call. Finally, I called my Dr. who informed me that OptumRx was part of UHC and there was nothing my Drs office could do. I called UHC and told them that if the calls did not cease and desist immediately, I would be changing providers. Whomever heads OptumRx should be ashamed of their spammy tactics. This is no way to run a business or build one. I would not do business with Optum if they were the last pharmacy on earth.

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    Customer ServiceCoveragePricePunctuality & Speed

    Reviewed Dec. 20, 2022

    I switched to OptumRX a few months ago because they said that it would be more convenient to have my prescriptions sent from them directly to me and I could also get a 3-month supply. It has not been convenient at all. Every item has been a fight to get filled. Auto refills cancelled for no reasons and I have had to call on each one multiple times just to get my diabetes meds. The last straw was my latest prescription was ordered 2 weeks ago and needed a prior authorization from my physician and was provided. 2 days later the order disappeared from my account. I called and they placed the order again. Once again it just disappeared after a couple of days. Called again to place the order a 3rd time.

    I was told that it had been placed successfully and was even given an estimated delivery date. Received an email that it was on hold so I called again. Was told that insurance would not cover because they need a prior authorization. They were given the auth 2 weeks ago. Customer service person that I was talking to told me that I just don't know how things work. So I cancelled all of my prescriptions with them and will start using my local pharmacy again. This company is definitely not worth the aggravation of have to fight for every order.

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    CoveragePunctuality & SpeedStaff

    Reviewed Dec. 20, 2022

    Unfortunately, since Nov. 2018, our family has been forced as CalPERS retirees to use OptumRx for our meds needs, mostly via their mail order program! Horrible service, slow to process and mail orders, will cancel and/or combine Rxs as they see fit, without prior notice to patients or ordering doctors! OptumRx is a United Health Care company that CalPERS selected, even though we have Blue Cross of CA health insurance. Save yourself aggravation and choose anyone else!

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    Reviewed Dec. 7, 2022

    This is an addictive med and as of today, Dec 7th, has not been delivered yet. This is the LAST time I order from them. I have experienced severe withdrawal because of their irresponsibility and carelessness.

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    Customer ServicePriceOnline & AppRefunds & PayoutsStaffBillingRatesResolution

    Reviewed Dec. 2, 2022

    OptumRx has been the worst experience I have ever had with any pharmacy EVER! AVOID AT ALL COST! They are affiliated with United Healthcare for their packaged group plans. UHC should be ashamed to bring such a garbage pharmacy, with the worst computer network and customer service people in the world, to their customers! For over a year I have dealt with incompetent customer service reps who say they have taken care of something only to find out that NOPE, I’ll be on the phone AGAIN trying to straighten it out. If it says it’s simple on their website just assume it will take you months of back and forth and escalations to get it right. Pricing is inaccurate and may change from day to day by $20 or more for no apparent reason.

    Wrong doctors are contacted for script refills that weren’t prescribed by that doctor to begin with leaving me short on medications and once again trying to straighten out a problem. I have been cut off on phone calls more times than I can count. Often times before I can even get through their queuing system. The simplest questions cannot be answered or if an answer is given, the next time you call the answer will be different. I am not given a receipt for charges so I have no idea what my charges will be until the credit card comes. At this point I’m thinking about just quitting all my meds and then UHC can pay for my hospitalizations instead!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 1, 2022

    I have been waiting for my ** for a very long time now and every single time I call them they say they are putting it on the priority list. In the meanwhile my sugars have been high and it is affecting my kidneys because I have kidney issues. They do not care about other people's health.

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    Staff

    Reviewed Nov. 25, 2022

    I am slightly hard of hearing and can not understand many of these women representatives. What’s worse is today she could not understand me. When you’re ordering medication with long horrible names, you MUST Be understood. Spelling it made no difference. “F”, “S”, sound the same. And how about “G”, “T” “D”, “E”, all sound the same to someone who’s first language is not English. Usually, I don’t care, but, when you’re talking about medications, it can be deadly serious.

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    Reviewed Nov. 23, 2022

    After a week of trying to get my medications fill I gave up. They took a week to get the fax. They told me it takes 48 hr to receive the fax and they never did fill my scripts. I left and will not ever get my medications here. I suggest you do the same if you are thinking about using them.

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    Customer ServiceStaff

    Reviewed Nov. 22, 2022

    They have issues integrating customer information across their network and automated customer communications. They also provide poor customer service. Operators aren’t professional or skilled. I think they also allow them to work from home or use their personal phones during work hours. When I was connected, she was speaking casually to someone in the background. I also heard her whisper, “I’ll call you back. I gotta go.” She also complained about the company having to make operators change their passwords and it’s a pain to remember them all. That should be a good thing when you are dealing with PII and medical information!

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    Customer ServiceCoverage

    Reviewed Nov. 16, 2022

    I recently switched insurance to United Healthcare and since United Healthcare owns OptumRx they told me that I could save over 30% if I used the Optum Rx instead of CVS. So I decided to transfer my prescriptions over. I am having issues they keep running out of 1 or more of my prescriptions I take 3 prescriptions they are 2 migraine pills called ** and ** and a high blood pressure pill called **. And they are all common prescriptions and 2 of them are in the top 100 drugs and the 3rd is 119th so they should be widely available as millions take them. But OptumRx keeps running out of them and they always take 1 or 2 weeks to get them and then another week to ship the pills out. I will no longer use Optum RX and instead use CVS even if I pay more.

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    Customer ServicePunctuality & SpeedTimeliness

    Reviewed Nov. 15, 2022

    On 10/2/2022 - I received an email reminder for my annual that was weeks prior on 9/21/2022 which I missed. On 11/14/2022 I waited over 40 min to speak to someone about a tick bite - no call back after speaking to someone who sent a message. My Pharmacy contacted them for a refill. As of that night no response. On 11/15/2022 on hold, still holding 44 min to call in for a refill. Still no one has picked up. This new company that took over caremount medical is DISGRACEFUL! No co makes you wait 45 min to call in a refill, never calls back on an emergency and sends reminders 2 weeks late. DJ

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    PricePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Nov. 13, 2022

    ACSHIC switch pharmacy management from Express Scripts to Optum RX beginning July 1, 2022. Since that time Optum Rx has been nothing short of abusive, incompetent and the most horrifying medical company I have ever dealt with. I have taken several medications, all generic, for many years. Optum RX began by denying ALL my medications. It took 3 months to straighten out my prescriptions because Optum RX apparently does not know that when a Doctor writes on a prescription "substitution Permissable" that the medication can be filled with a generic form.

    For medications that are not part of Optum RX's formulary, of which I have 2, Optum RX just denies to fill them. For 1 medication they just acted like it was never ordered and just kept deleting my request to have the medication filled. Even when my Doctor has wasted their time filling out their forms, Optum RX just denies filling medications. I have been dealing with this abusive company for 5 months to obtain life sustaining medications and to utilize the pharmacy benefits that I pay for and to find out That Optum RX is doing nothing more than keeping the premium. For years I had Express Scripts and Never, Never experience any level of problem with Express Scripts for filling prescribed medications. So I am not understanding why ACSHIC elected to switch to this abusive company

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed Nov. 9, 2022

    When my United Health Plan told me that they wanted me to get their prescriptions filled by me through an online entity called OptumRX, I was agreeable. When OptumRX made mistake after mistake, I tried to get free of them and go back to my local pharmacy, but there were critical medications to transfer. OptumRX is less competent and more mistake-prone than I could have imagined.

    I have had conversations that went on seemingly forever, where the "Advocate" told me about how wonderful Optum's service was, that I was going to be completely pleased with the drugs they for my chemotherapy. Each time, I told them I am not receiving chemotherapy. And they went on like I wasn't there. Into the ozone. No indication they heard or understood a thing I said. No willingness to check their records. They just read me the "script" about how fabulous they were. How lucky I was that they were my pharmacist.

    So I realized the pending orders meant nothing, delivery dates meant nothing, labels meant nothing, because everything could disappear and be forgotten or get changed into something totally incomprehensible. I learned that the instructions they gave me for a drug were for another drug and another person. No matter that I had provided them with my name, birth date, and a slew of other repeated questions many times before in the same contact.

    Now I have discovered that OptumRX is a wholly owned subsidiary of United Health Care and that is why they were moving me away from my pharmacy. Not because "OptumRX is special and your pharmacy can't handle these medications", which is the reason I was given. Follow the money, they say. They are the most flawed and deliberately insistently incompetent pharmacy you could imagine.

    Oh, and on each call, while you are on Eternal-Hold waiting for a human, they play a recording asking if you would like to leave confidential comments after the service call ended. If you do, and confirm, and your "advocate" has had a really bad day or bad meds or both, they make sure you never get to the "opportunity for feedback".

    I could write a very boring book, but I have worked with them a lot, and long, over months. There is no malice here. But seemingly no intelligence or reliable process either. Everything will be a struggle, with them putting you into collection for drugs they never sent you and or ones with which you have a paid receipt of payment, or a host of trials and tribulations your imagination could not predict.

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    Customer ServiceCoveragePunctuality & SpeedOnline & AppStaff

    Reviewed Nov. 4, 2022

    We've had nothing but problems ever since we had to switch from Express Scripts to Optum Rx. They call constantly, always in the morning before I'm even awake. They've called me at least five times in the last week. The messages they leave rarely include any actual information, forcing me to call them back and wait on hold until a dazed and confused employee speaking indecipherable English finally picks up. Usually they call to tell me that one of my meds is out of stock, despite my having told them repeatedly that it isn't urgently needed and I'll wait until it becomes available. That medication has been out of stock for months, and they have no idea when it will become available (maybe never, who knows?), so they just call periodically to wake me up and make sure I know they still don't have it, just like they didn't have it yesterday, last week, or last month.

    Another time, they left a message about a prescription transfer I had initiated on their website, saying that they had called my doctor for prescription approval. A day or two later, an identical voice mail was left, but this one included a request for me to call my doctor on their behalf. The easy transfers they promise apparently do not actually exist.

    Despite my calling them back every time, they just keep calling over and over for the same reasons. And In spite of the fact that I just had to call them again today, I fully expect to receive another call tomorrow, either informing me that: (1) a prescription is STILL out of stock; or (2) they called my doctor's office for prescription approval and it's too much trouble for them to call again, so would I please do it for them, allowing them to get back to their busy schedules of doing absolutely nothing.

    Also, be wary of the survey they ask you to complete at the end of the call. If the representative you speak with can tell that you aren't happy, the survey won't show up. I wish this place would just go out of business, the way they deserve, and then maybe all of the insurance companies would use Express Scripts, instead of this pathetic bargain-basement substitute.

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    Customer ServiceCoverage

    Reviewed Nov. 3, 2022

    I can't stand dealing with this pharmacy and I am disappointed that my employer kept this insurance. Another year of headaches and dealing with trying to get medication on time if at all. Worst pharmacy ever and worst customer service.

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    Coverage

    Reviewed Oct. 28, 2022

    Was forced to use them due to employer. 1 prescription excluded so I will no longer use it. Even if I have my doc fight for it will still be outrageous. Have used this for years. Even the alternative they want to force is outrageous coverage. Went from great coverage to this garbage. Might as well have no insurance. Stay away from them if possible.

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    Customer ServiceSales & MarketingPunctuality & SpeedMaintenance

    Reviewed Oct. 27, 2022

    My Dr. suggested an Insulin to replace one that seemed to have stopped working and she gave me a sample pen to try. It worked so I asked for a prescription. Six days later, I get a weird phone call which seemed like a scam and I couldn’t talk to anyone. The recorded message was that I was denied. It kept hanging up on me so now I have to guess they refuse to fill it? When a certain Insulin works, it should never be denied since it can mean life or death. I don’t appreciate how this was handled! It happened to me 7 years ago and I was forced into taking one that didn’t work as well. I guess they like rejecting medications that keep you alive and feeling normal.

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    Customer ServiceCoverageTechStaff

    Reviewed Oct. 25, 2022

    I have had nothing but troubles since my insurance changed to Optum Rx. When first brought on, they were clearly in their infancy of development without a fully rolled out website, had challenges getting Rx filled, and call center in foreign country whom couldn't understand my requests (no to mention the chickens in the background). Recently they did a system change and didn't migrate user data so all insurance info and Rx info and past orders was lost. This seems so amateurish on their part and could have major implications for someone's health. They need to get it together. I wish companies would push back on United HC to stop trying to run their own Rx pharmacy. I never had problems even close to those with Optum with pervious Rx providers.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 7, 2022

    This pharmacy has been the worst from day one. After many calls trying to resolve the issues we were having we decided to cancel everything with them and go with our local pharmacy. I called OptumRx for what I hoped was the last time. I told them to cancel all prescriptions and take off any automatic orders for all prescriptions. A couple days later we received an email from them saying a new order was being processed. What???? When a company treats you like a dollar signs instead of a human being you know it’s bad. If you can just avoid this pharmacy altogether. They are not in it to serve you but only serve themselves.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Sept. 30, 2022

    I have been trying for 3-4 months to order prescriptions from this company. I told them right upfront that my primary insurance is BCBS and secondary is UnitedHealthCare Medicare, and they directed me to someone who took down all my information. I have gotten and replied to many refill reminders, each of which was summarily denied. Finally yesterday I was told that they cannot fill prescriptions unless my primary is Medicare. I could have saved myself lots of time and aggravation if they had just told me upfront. There may have been a language problem between me and the agent. In any case, at least a dozen phone calls and countless texts and emails later, I will never recommend this company to anyone.

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    Customer ServicePricePunctuality & SpeedStaffBillingRates

    Reviewed Sept. 28, 2022

    I have been a United Health Care AARP Medicare Member for many years. This week I decided to try their home delivery (Optum RX) on two new long term medications. After two days my MD had not been contacted for the prescriptions though Optum said they had sent requests twice. On initial online visit to their site the prescriptions were of 0$ cost to me. I called twice to find out what the hold up was with the request and verify the cost was 0$. Their representative confirmed the cost was 0$ again and for as long as I am on the medications. MD finally called Optum to submit the prescriptions. I checked again to make sure progress was being made.. price went to $120 on one and no available price on the other. I could get both from GoodRX for $22 each. Nobody could/would explain how it went from $0 to $120 and it was a mistake on their part. How many people are getting bilked by this company into believing their prices are lower than pharmacies.

    The entire time all I got was "I'm sorry" and of course it is all call center representatives. With no authority. Getting my credit card out was the next problem. They assured me it had been removed. Still there, so I will have to call the issuer to get any OptumRX charges blocked costing more money. Was also asked to take a survey about my experience on two phone calls..waited and waited. Nothing happened. Would not recommend this company. It actually comes across as they don't really want your business.

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    CoveragePriceStaffBilling

    Reviewed Sept. 27, 2022

    If I could I would give them negative stars. This company is like dealing with the mob. I have had migraine since I was 8 years old. Been on every medication under the sun. 3 years ago my Neurologist gave me ** to try. For the first time in almost 30 years I was migraine free. Even on multiple medications I had constant migraines before. Was taking so much ** and ** that I developed 7 ulcers, been hospitalized, missed work, etc. ** basically did a 180 on my life. But now, every time I try to fill it I have to battle OptumRX. 3 days after I got my prior authorization approved by them they "removed it from the coverage list". Went to refill and was told, "We need medical history of medications you've tried, how many migraine days you have, oh and there's a new medication out so you will have to try that first."

    I told them, "I have a cabinet full of every medication known to man for migraines what is the deal." Even after my Dr. sent all needed documentation I was told I would have to try the new medication first. Why I asked, it's cheaper. So now I have to go back to suffering and side effects all so they can save some money (they think, but won't when I am in the hospital every week billing them for it). Just to go back to the ONE thing that has been found to work the past 3 years. These people are soulless scum bags. They do not care about you, your health, or wellbeing. If it saved them a dollar they would let you spend every moment of your life in pain.

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    Reviewed Sept. 22, 2022

    Optum is exactly the opposite in my experience. Home delivery is awesome. I will not go to junk stores or buy drugs on Amazon. I pay most of the $0. So people come on here to bash this company but the folks who I have dealt with have been very very nice. You have a choice. But do your homework. You get free delivery and get your drugs through a reputable, verified by Medicare. Amazon is not responsible if your drug is a fake btw folks.

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    Coverage

    Reviewed Sept. 21, 2022

    United Healthcare owns OptumRx. The drug coverage steers customers to mail-order drug delivery or... pay approximately 30% more from a local pharmacy. BUT -- expect it to take two to three days for the prescription to show up in your medication list and then another 7 to 10 days for the delivery. This is not a one-time occurence. It's standard operating procedure. I've used other online pharmacies before. OptumRx is by far the worst.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Sept. 17, 2022

    OptumRX is part of UnitedHealthCare. It is not an independent company. I see someone else has had the same experience. A refill on a medication has come back as "Out of Stock". What? This is a pharmacy! The medication does not require special handling, shipping or storage. A complaint to UnitedHealth Care resulted in a call to OptumRx and notice that it could be weeks or months. Checked into "Preferred Pharmacies" in the area and, on the first call, one said "no problem" just have the doctor send a prescription to them. Did that and had the medication 2 days later (that includes calling the doctor's office, getting his OK the prescription, sending it over and our time to pick it up). FLASH! They charged less than OptumRx!! One more nail in their coffin.

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    Customer ServicePriceOnline & AppRefunds & PayoutsStaffBillingEase of Use

    Reviewed Sept. 9, 2022

    I strongly dislike dealing with Optum Rx. When my doctor issues a new rx they do nothing. I call them and ask where it is and it's never processed until I call and bug them. Why wouldn't you process it as soon as the doctor orders it? I have my payment information on file so they can process payment when the rx is filled yet the next time I go in to order something they want me to pay $75 for the previous rx.

    Today I had to call (not the first time) to get this rectified and they have no idea why the balance is out there, everything has been paid for so what's the deal? Just trying to rip me off for more money? They referred it to accounting who can't figure it out either. I had to have them put in the order for my refill because the problem was preventing me from doing it. I'm so fed up. Most of the customer service people have horrible english speaking skills. In the past I have to ask to speak to someone else because I know they don't understand me and I can't understand them. The website is not user friendly. I tried to change my phone numbers and it wouldn't work. Sometimes it doesn't show all of my prescriptions. I always dread having to call them. They are impossible! Unfortunately I'm stuck with them at this point. I wish UHC would use a different service for prescriptions.

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    Customer ServiceCoveragePriceRefunds & PayoutsRatesHonesty & Transparency

    Reviewed Sept. 5, 2022

    Prescription prices through Optum are higher than out of pocket no insurance price through Costco and Amazon. Customer service is completely inept and misleading. Avoid this company. This is not a benefit, but a detriment to your health!

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    Customer ServiceStaff

    Reviewed Sept. 1, 2022

    Been with United Health Care for years, along with OptumRx. Been having nothing but troubles with these folks at OptumRx. My doctor issued 4 new scripts with instructions to ship all at the same time, but optumRx cannot for some reason handle that simple request. United Health Care has even stepped in, but Optum just cannot seem to get this correct. Always some lame excuse. OptumRx is without doubt the worst company Ive ever dealt with. Simply shameful. The folks who run this company need to be fired/replaced/gotten rid of. Sure wish my employer would switch back to Kaiser Permanente....At least they can correctly respond to simple requests. OptumRx needs to be ran out of buisness. Simply terrible...

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    CoverageStaff

    Reviewed Aug. 22, 2022

    I recently moved from MD to CO and changed insurance, and OptumRx is UnitedHealthcare’s preferred pharmacy. Since beginning to fill my prescriptions with them in June, they’ve been a total disaster. Each time my physician sends in a prescription — a physician I’ve seen at least once a year for 12 years — it is held up for several days because some assembly line pharmacist wants to know why a physician in Maryland is sending in scripts for a patient who lives in Colorado. It’s as if they think that people only see physicians in the same town or state in which they live, and if they don’t, there must be something amiss. Don’t they realize that people travel from all over the country to see specialists in other parts of the country, and those physicians prescribe medications? It’s as if they think that when a person relocates to the other side of the country, they have already seen a new physician.

    I’ve no intention switching to a “local” physician. I will fly to Maryland every year to see the physician I prefer, so I guess every month we’ll do this song and dance. Then, after they chat with the physician’s office and ascertain an answer to their ponderous question about why a Maryland physician is prescribing to someone who lives in Colorado (Even after there’s a note in my profile explaining the situation, I’m told the pharmacist saw the note but still wants to talk to the physician), they put another hold on the order because they want clarification on the dose — THE SAME CLARIFICATION they’ve gotten on two previous occasions. I think it depends on which pharmacist gets ahold of the order. Some fill the order as written while others put on their stethoscope and play unsolicited second opinion physician. Every month, it seems like I get the latter.

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    Reviewed Aug. 11, 2022

    I have never experienced such ineptness as OptumRx! I don't personally have to go into detail - just read the plethora of 1 star reviews for yourself. I am to the point of blowing off any savings this company may bless me with and start filling my prescriptions at my local pharmacy from now on. This company can't get ANYTHING right. They even send links to their own website that are bad paths. They're so horrible I wouldn't be surprised if this company was based in a third-world country. Unfortunately, United Healthcare, which is pitiful enough on its own, is in lock-step with OptumRx. People on Medicare don't have a lot of options. I feel especially sorry for seniors who can't maneuver within the confining shortfalls of these companies.

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    CoverageSales & MarketingPricePunctuality & SpeedRates

    Reviewed Aug. 11, 2022

    Recently retired and thought I had to use Optum RX because of my Medicare plan. Quickly realized that the generic drug I have been taking for 10 years was $131 for 90 day supply at Optum and that I can get the same exact 90 day supply at local grocery store using Good RX discount program. It is disgusting that Optum is overcharging poor sick people like this. Please note that It doesn’t matter if your insurance tells you to use Optum…download the GoodRX app to check their prices at Kroger, Albertsons, etc..or take your RX to your local pharmacy and instead of processing through your insurance ask them to process through Good RX program and I guarantee you it will be cheaper 90% of the time. They are a despicable company!

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    Customer ServiceCoverageTechOnline & AppRefunds & PayoutsStaff

    Reviewed Aug. 8, 2022

    I have submitted 2 claims to this company on medical insurance medication coverage. Ironically, (My wife is an RN here in Massachusetts) I recently retired and changed health care providers to my wife's medical plan coverage.. OptumRx.. :-( Unless I am missing something, in today's electronic age, why you need to submit claims the old fashioned way via snail mail.. Yes US Postal.. Trying to find the reimbursement form on this company's website is a joke.. couldn't find the form and had to call customer service which sent me a PDF attachment of the form. It's now been 2 months and I have yet to be reimbursed..

    I am re-sending in the form with original receipts (that may be the reason why I have yet to see any reimbursement $$ for the out of pocket medication. I sent in copies of the receipt as I don't trust this process.. so.. this time I took pictures of the receipts and am sending in the original receipts via US Postal to their P.O. Box in Arizona... Unless there is a HIPAA rule for not automating this process, this company needs to get out of the 60's. Very frustrating and I expect it's purposely designed to be difficult for consumers to be reimbursed for out of pocket expenses.

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    Punctuality & SpeedTimeliness

    Reviewed Aug. 5, 2022

    I received a text message every day for 2 weeks telling me to refill my prescriptions. I finally went into my account and placed the order, only to be told later that same day via a text message that my prescription couldn't be filled because they were out of stock. It's 2022, big data is everywhere, and this company cannot connect its warehouse with its refill information. There should have been an out-of-stock message on my account for the refill. Ridiculous. This company needs to get with the program.

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    Customer ServiceStaffTransparency

    Reviewed Aug. 4, 2022

    Updated on 08/05/2022: I had a medications on order. Now they canceled them and I called them and they said I need to keep ordering them because it's not going through but I get a confirmation that it's being processed but they delete the order. I have tried this 3 time and same thing and phone service is just as bad.

    Original Review: Called up to check order status on my ** and they said it was put of stock until further notice and don't know when it will be restocked. They even said they don't care if I die from not having my medication or not.

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    Customer ServiceCoverageRefunds & PayoutsStaffTimeliness

    Reviewed Aug. 4, 2022

    I am a physician that interacts with this company in 2 ways. I have tried to have my personal prescriptions filled through them and I have tried to obtain coverage for some of my patients. They attempt to avoid fulfilling the responsibilities to patients by impeding physicians and nurses as they try to get approval for their medications. They have requested records documenting need which were sent to them. There was no response to those. They subsequently have taken me through an arduous process to get to an actual pharmacist.

    They do not acknowledge that they have received records from an office visit that justify the need for medication. It is clear they figure that if they harass you enough, both you and the patient will just give up and ultimately force the patient to pay for the medication on their own. I spent 4 times as much time trying to get a single prescription filled as I did in providing care to the patient face-to-face. They are the worst of American medicine.

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    Customer ServiceHonesty & Transparency

    Reviewed Aug. 4, 2022

    They shipped my medicine to an address from 5 years ago. I have changed and received orders at my new address for over a year. Customer service lies and says they are resending. Only to find out when I call back there is no record of my call. ALL LIES. I'm stuck and don't even know where to go because I'm forced to use this crappy company through my employer. Don't bother calling them as they are full of it.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed July 28, 2022

    These people have no idea what they are doing! I would definitely go somewhere else but it is my insurance choice pharmacy. Using them save me a lot of money. Just like the review before this one, I have made so many attempts to get a problem fixed. Every time I hang up I am told it's taken care of. Just to make the next call and find out it is not. They have sent a 60-day supply and charged for a 90-day supply. I was told it was the way the script was wrote. I called the doctor and it was wrote for 90 day supply and 3 refills. So basically they have stolen 140.00 from me. I was told too bad basically. I wish there was somewhere to report these people.

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    Customer ServiceCoverageTechSales & MarketingPunctuality & Speed

    Reviewed July 23, 2022

    This has got to be one of the most incompetent companies I have ever dealt with. I have MI Medicaid. I tried to set up a specialty medication account for one of my meds that I needed transferred from Specialty Walgreens and after 1.5 hrs on the phone we got it set up. I then needed a nonspecialty medication set up and the lady gave me a number to call for that department. I called and the lady on that line put me on hold for 40 min to try and reach the Rite Aid I needed it transferred from.

    After 40 min the lady was gone and I had to call back again. I called the same number they said they couldn't verify my Medicaid, that the number was under someone else's name, and call Medicaid and verify that I even have coverage. I've had coverage for over a year, and just refilled a prescription. I called Medicaid, they said there were no problems. I called the same number back and was told this line only dealt with Medicare and not Medicaid and to call a different number. I called that number and was told to call the number I had just called because they were the correct number. I called the line back and they said again they only dealt with Medicare and to call another different number. I did and that number was a non-working number. I then called the original number and talked to a supervisor who said they couldn't verify me and only found a discount card for me. I don't have a discount card.

    I called the specialty line back and they transferred me to another person who had me call Medicaid again and then told me the Medicaid I called with the wrong one and he would wait on the line with me while I set up a three-way call. When the Medicaid number answered, he had already hung up. After explaining the situation to Medicaid they informed me Optum wasn't even contracted with them in the first place and should have told me from the beginning. They said the specialty pharmacy was contracted with them either. By the end, it had taken 7 hrs to hear they weren't even contracted.

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    Customer ServicePriceBillingHonesty & Transparency

    Reviewed July 22, 2022

    This is hands down, the ABSOLUTE WORST excuse for a business I have EVER experienced. They cause nothing but problems with delayed shipments of medications and incorrect charges on my credit card for hundreds of dollars. Don't even bother contacting customer service because they will lie to you and tell you that they are handling the matter, only to find out - nothing was ever done and there is absolutely NO record of previous conversations when you call to follow up. I am not surprised how many people have had the same experience because it is truly unbelievable how HORRIBLE they are. I hope to never deal with them again.

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    Customer ServiceCoverageStaff

    Reviewed July 19, 2022

    My mother has been on OptumRx for 1 year. It has been a nightmare trying to get the pharmacy to call the correct doctor and fill her meds. Just when I think the issue has resolved, I get another email or phone call. I’m told the problem has resolved. It hasn’t. I have talked with them 6 times! Today I got a call saying the MD refused to fill my mother’s prescription - again, they sent the request to the wrong MD! This followed up with telling me OptumRx have no insurance card for her. (They have been using the card for the last 6 months! It doesn’t renew until 01/01/2023). This company has a very poor reputation and I understand why. It’s a shame that it is connected to UnitedHealth Care. Needless to say, I’m moving on. Paragon, here I come.

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    Customer ServiceStaffBilling

    Reviewed July 17, 2022

    I love my infusion nurse, that is the ONLY reason I stay with this infusion company. Their billing is chaotic and confusing, even they are confused by it when asked to explain it. I make monthly payments and had a remaining balance under $200. They began calling me before a month had transpired from my last payment to them and called me up to four times a day every day. It was incessant and ridiculous especially because this was my final bill with them and I had a solid payment history. Talking to anyone on the phone there will result in transfer after transfer and employees as confused or more confused than I was. Plan on AT LEAST 20 min of your timed sucked from your life anytime you call them for ANYTHING, even returning a call to a particular person with an extension will be a fiasco.

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    Customer ServiceStaffBilling

    Reviewed June 30, 2022

    Optum Rx is hands down the WORST company I have ever dealt with. I suffer from chronic migraines and need my BOTOX injections.They will NOT release my meds because I have not paid yet. However; I have called them 43 times since April asking for my bill so I can pay. Every day they say it will be here tomorrow.. blah blah.. Still NO bill and my next injection is July 5th and they will not release my meds. They are horrible to deal with. They can't understand me and I sure can't understand them. It's a JOKE.

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    Customer ServiceCoverageMaintenanceStaff

    Reviewed June 22, 2022

    My husband's employer forces us to use this company for maintenance medications for the last four years. They have repeatedly canceled prescriptions on me even when my dr has said I need them. They decided that I just don't need them anymore and will no longer cover them. The latest is my thyroid meds. My dr called them in to be renewed with 3 refills. I go to fill them (I have 2 separate scripts) and they tell me my dr canceled them on me. My dr did not. She renewed them. They do not care at all.

    Now I have to scramble to fix their mistake and hope I can get them renewed before I run out of the little I have left. My dr is no longer practicing as a primary care dr and trying to get a new one to take me because they all are backed up in my area still from the pandemic is extremely difficult. Hence the 3 refills. She knew I would need time. What am I supposed to do now? This company is the worst company I have ever had the misfortune of dealing with.

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    Customer ServiceBilling

    Reviewed June 22, 2022

    Once again OptumRx has proved to be the worst on customer service. I got double billed $250.00 twice and the Company never contacted customers to tell them. This continues to happen. Don't allow them auto refills or keep a credit card on the system for them to bill at will. You will get screwed!!! This happened 3 times in one year.

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    CoveragePricePunctuality & SpeedStaffBillingHonesty & Transparency

    Reviewed June 20, 2022

    I had to give them a star to write a review. That’s giving them too much credit. I’ve been trying to get a medication since December, 2021. I’m beat up, and worn down; an intentional tactic by Optumrx? Optumrx has lied to me, many many times, made excuses, given me absolute wrong information, and continues to cause a huge deal of frustration and stress. But be alert. They can provide prescriptions for very expensive drugs, which are NOT flagged as Auto Refill, and charge my credit card. Those surely are processed in a mighty quick fashion! They’ve even made notes on a prescription, faxed in by the dr., and claimed my dr wrote it. (I had a copy from my dr, luckily.) I have a lot of empathy for the elderly who have to deal with them. I’m sure they just pay the bill. This is wrong. This is cruel. I’m probably going to have file a complaint with our State Insurance Commissioner to help, and hopefully they will investigate.

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    Customer ServiceCoveragePunctuality & SpeedMaintenanceStaff

    Reviewed May 17, 2022

    My daughter has PTSD from when she was assaulted and tortured as an eight year old. Our insurance requires that we use the OptumRx mail in prescription for maintenance medicine. My daughter started the process as soon as she found out, over a month ago. She ran out of medication three weeks ago. As of this writing, we still do not have the medication. Every time my daughter calls OptumRx, they say they are waiting for her doctor to send them requested information or they just say they don't know??. We know for a fact that the doctor's office has been trying to communicate with OptumRx and providing everything requested; but the doctor gets a similar run-around or OptumRx claims they have not received requested information after the doctor's office has sent it.

    My daughter had a trigger event at work today and I tried to call OptumRx to see if they would permit the prescription to be filled locally. They hung up on me the first time after a lengthy hold and the second time the person on the line told me that they could not talk to me because of HIPAA. Even though I am the primary my daughter is now over 18. I understand but I did not need them to give me sensitive information. I just needed them to get the prescription filled and sent. I needed them to understand it was becoming a critical matter. I lost my temper at the end of the second call. I'm not sorry. OptumRx is terrible! It should not take so long to fill a prescription. This is what happens when insurance is also the pharmacy.

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    Customer ServiceCoverageStaffHonesty & Transparency

    Reviewed May 11, 2022

    I got stuck with this company due to an insurance change. My husband has been using a different mail order Prescription service for years without incident so I have been absolutely dumbfounded with the beyond ridiculously poor experience I have had so far dealing with this company. The phone reps have provided incorrect and misleading information and it has been a battle to get them to contact my retail pharmacy to get my prescriptions transferred. My experience has been so bad, I am already shopping for a different Medicare Insurer for next year.

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    Reviewed May 2, 2022

    We've been trying for 2 months to get a medication - required to life - from OptumRX. We've asked repeatedly for them to either ship it (never happens) or send it to CVS so we can pick it up. They claim they have repeatedly sent it to CVS, but this has not happened. CVS even checked all surrounding stores in case of a mistake. They have never received the medication. I would like someone to contact me if they know of legal solutions we can take to expedite the process.

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    CoveragePrice

    Reviewed April 26, 2022

    They do not cover most diabetic supplies. Only one brand name is covered for each type (basal insulin, bolus insulin, CGM, etc). They prefer Lantus for basal, humalog for bolus, and dexcom G6 for CGM. All are very expensive. Much cheaper biosimilar drugs (insulin lispro or semglee) are not covered unless you get a prior authorization, and even if you do it is covered as a tier 3. They do not cover better insulins (like Tresiba). When I tried to get a prior authorization for Tresiba, it was denied. They do not cover the cheaper CGM (freestyle libre) and when I tried to get a prior authorization, it was also denied.

    When confronted about these things, they always say they are not actually cheaper or are not as effective, but this is absolutely not true. For reference, prior to applying insurance, semglee is ~65% cheaper than lantus (its the same insulin), insulin lispro is ~70% cheaper than humalog (its the same insulin), and freestyle libre is ~80% cheaper than dexcom G6 (not the same product but similar in terms of accuracy).

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    Customer ServicePunctuality & SpeedOnline & AppStaffTransparency

    Reviewed April 25, 2022

    The website is painfully slow and you cannot update it with correct information but when I called the reps were also not able to update the info with the changes that I needed. Plus, I had to make 3 calls to find that out because they kept disconnecting me so I couldn't take the survey at the end when they were not able to help me. Bottom line - my issue was unresolved, I can't order online, and I'll have to call everytime for a full dose of frustration!!!

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    Staff

    Reviewed April 24, 2022

    Liars, inept, incompetent, never get a certain medication. It's been 3 weeks now. Worst company ever. Nothing but a pain in the butt. I don't know how they are allowed to stay in business!!! They do not care about their paying customers at all. So dissatisfied. Wish we could end this charade. Ford switched to them. Use to have Express Scripts and they were wonderful. Horrible, horrible company.

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    Customer Service

    Reviewed April 20, 2022

    Just ordered (3) ** inhalers prescribed by my doctor. Went online and ordered 3 at $281 total. Prescription and online showed 60 puffs per inhaler (total 180) - received today and each inhaler only showed 30. I called and actually spoke with a pharmacist who explained that is how this prescription works and it is only 30 not 60. End of story. Beware and double check quantities before ordering. Very deceiving!

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    CoveragePunctuality & Speed

    Reviewed April 13, 2022

    They failed to send my doctor a prescription renewal after I gave them all the information. Because I had to get a 10 day emergency refill they will not process the order for 7 days. Then they will ship. It will then take two to three days after that before it's mailed out. Then wait for it to arrive in the mail. Nothing but a bunch of worthless morons. They refused to move up the refill date even by two days. I am filing a formal complaint with my insurance company.

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    Customer ServicePunctuality & Speed

    Reviewed April 6, 2022

    I’ve been waiting since February 2022 for my prescription and every time the ordered gets cancelled. I sent emails, contact them and still I haven’t received an answer. I just want to receive my medication how they say was going to be… “hassle free”.

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    Profile pic of the author.

    Reviewed April 3, 2022

    Out of the blue I received a letter from Optum Rx that my daughter's needed medication for her autoimmune disease is now denied. She has been on this medication for 3 years. No reason given. Ford switched to Optum Rx this year. I never had problems with the previous company. Why is Optum Rx ok with denying a child a life saving medication?

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    Customer ServiceCoveragePriceOnline & AppStaffBillingRatesTransparency

    Reviewed March 30, 2022

    First of all, the Optum Rx website is pretty much useless. It's impossible to determine what prescriptions they have received from my PCP, what has been shipped, and what will be shipped and when. This holds true not only for their website, but their iOS app as well. The only information you can count on is their text messaging service letting you know when a medication has been shipped.

    Second, when my doctor sends prescriptions to Optum Rx, and the prescription is not eligible to be filled right away, Optum Rx often loses the delivery in never-never land and I run out of medications. When I call to find out where my medications are, they apologize and tell me to go to my local pharmacy and tell them Optum Rx authorizes them to give me a weeks worth to hold me over. Seriously?? For a controlled substance?? Ya think so?? My local pharmacy got a good laugh out of that. Then I have to go back to my doctor to get another prescription for a one week emergency supply, then pay full price out-of-pocket because the insurance will not cover cover it since there is already an outstanding prescription to another pharmacy.

    Third, good luck understanding the person you are trying to talk to. When you have an issue that needs to be documented and/or an explanation for, you have to call back two or three times, each time asking for a supervisor until you actually get irate enough to get a supervisor.

    Regardless of anything that they may do to try to do to correct a situation, it still boils down to the hard fact they they repeatedly run customers out of their medications, and it takes one week minimum to receive what should have been sent weeks prior.

    My current situation is for a controlled substance pain reliever in which they received the prescription renewal on the 7th of March. I ran out on the 28th of March. They said they would expedite the shipment and I would receive it on the 29th. Now I have a tracking number from USPS telling me it should be here on the 2nd of April. I have been on the phone with them for the past five hours, having called three times, trying to come up with a solution. The first time she did nothing, even when I insisted on speaking to a supervisor. The second time I called and was transferred to a supervisor over mail order, and I was told the doctor did not send the prescription until the 28th of March. The third time I called, I told her I am going to continue to call until I get to speak to someone who will document this problem and do something about it.

    I finally spoke to Erin, who was very understanding, wrote down everything, and has contacted my doctor for a weeks supply, and is currently planning on following up with my doctor to insure the prescription is sent to the local drug store, then will contact the local drug store to set up billing direct to Optum Rx so that there is no charge to me. There is absolutely no excuse for this kind of poor service from a mail order pharmacy. I will have missed nine doses IF it arrives on Saturday, which I do not put that much faith in USPS, and 12 doses if it doesn't arrive until Monday. Simply inexcusable!

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    Customer ServiceCoverageStaff

    Reviewed March 30, 2022

    As a consumer, I’m not sure I have ever worked with a more inept company. Unfortunately, my insurance plan changed to United Health Care in January 2022 and their pharmacy services are provided through Optum RX. I have been trying since January to order one of my prescriptions through them. I have spent countless hours on the phone, been disconnected multiple times and have gotten varying responses which have been incorrect and have complicated getting the prescription filled. I have had my doctor send over many and varied requests to them in order to get the proper Prior Authorization and prescription - all to no avail. I am retired and have time to sit on hold for hours, but I can’t imagine having to deal with them if I were working or had no time.

    This company should be ashamed of having employees who have not been properly trained to give consumers accurate information. They should also be ashamed of having processes in place so that a consumer never has the opportunity to talk to the same person more than once - thus creating multiple and varied answers that are not helpful in solving problems. If I had any other choice, I would never use this company again. They are completely incompetent.

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    Reviewed March 26, 2022

    Be very careful with these rapid tests required for cruises. I purchased 2 and neither test had the solution needed. The night before our cruise and dealing with this ripoff! The airport had testing on site luckily. I’ll never purchase again Binax from Optum store!

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    Customer ServiceCoveragePunctuality & SpeedBillingTimeliness

    Reviewed March 24, 2022

    I missed 2 important physician appointment because the pharmacy never sent the medication to my doctor's office. Prior to this, the pharmacy assured me everything was in order, payment for my medication was received, and medication was to be shipped for next day delivery. YET it never was shipped. Instead, I get a call from the pharmacy again asking to verify all my information...again. Terrible pharmacy services where one hand does not know what the other is doing. If I had an option I would change pharmacy. Better yet, change insurance plans since they are part of United Healthcare, a subsidiary.

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    Customer ServiceTechOnline & AppStaff

    Reviewed March 23, 2022

    1: Their website is difficult to impossible to navigate. Company reps. You have poorly trained chimpanzees around the globe attempting to explain things they have no understanding of personally. Some speak English poorly. One insisted I had a heading on my screen because she had it on hers. 4 attempts to resolve a matter resulted in 4 different answers. 3: The "My Prescriptions" heading leads to a manual entry screen that has nothing to do with current scripts. 4: Your attempts to contact my providers are pitiful. I've never had the problem with any other company, and even when I'm able to enter a drug, I have no way of tracking it.

    I received drugs 1, 2, and 3 after considerable effort, but drugs 5 and 6 were cancelled for being unable to contact the provider. Pardon me, masters of mail order, but that is the most blatant of **. One order was canceled because your dimwitted staff filled the wrong drug, and now can't seem to find the provider. Incidentally, I'm almost out of that drug, but surely that should make no difference. What's a week or two, more or less. If I had known the total buffoonery with which you run your business, rest assured you would not have mine.

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    Refunds & Payouts

    Reviewed March 22, 2022

    Selling a travel COVID testing kit and claimed that customers should take the responsibility of the delay. I got the testing kit after my international travel, and they refused to refund. The delay was not just one or two days, but was a week. Don't know how a company can make the excuse like this.

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    Customer Service

    Reviewed March 22, 2022

    We have been disappointed with OptumRX and do not recommend for the mail order Pharmacy. Our prescription of March 9 was not filled up until I called on March 21. They do not inform you reasons for delay! We will shop around and cancel OptumRX as our primary mail order pharmacy.

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    CoveragePricePunctuality & SpeedRates

    Reviewed March 16, 2022

    Optum RX: illegal???? I cannot afford to get 3 months' prescriptions at a time. I filed a Better Business Bureau claim against Optum RX. 2 weeks later they started charging an extra $85 penalty fee on top of my $45 prescription. They said I need to get 3 months at a time or they will charge me 10% of the TOTAL cost of the price of the medicine as a penalty fee. If everyone on this Plan in the State of Michigan pays penalty fees… that’s a heck of a lot of money!!!! WHO is pocketing all of this money???? OPTUM????? Sad to penalize seniors on Medicare on fixed incomes. Is this even legal?!!! We have had this insurance for 20 years and have never been charged a penalty fee before I filed the BBB complaint!

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    Customer ServiceCoveragePunctuality & SpeedOnline & AppRefunds & PayoutsStaffBilling

    Reviewed March 10, 2022

    I tried the service for about a week and this has been a total nightmare. Crucial meds I was out for 1 week. Little over 1 week late. Then the medication that they sent wasn't the one that was suppose to be in the package. I'm going through again this week. They will process payment & send whenever. I can't get the medication from another pharmacy, because the payment from insurance was paid. You can't depend on their website totally inaccurate information. The representative don't notate their accounts. They are confused when you talk to them. I paid for quick delivery for crucial med & it didn't come on time. So they gave me a refund & the wrong prescription came so I had to wait 2 more days.

    One time called the help desk # & she knew her job well. I'm really don't think it's the pharmacist. It's the representative lacking proper training. They don't know how to handle complicated calls...I like the benefits, but you must know how to be aggressive in getting them to do their job. Those representative represent the company. I've had an excellent experience outside of the mail order pharmacy. The medicine I'm currently looking for now isn't my needed med...Entirely different med.

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    Customer ServiceSales & MarketingPrice

    Reviewed March 2, 2022

    I received a letter from OptumRx saying "Pay $0 when you fill a 3-month supply of the medication below," a statin. I called the 877 number and it took multiple questions and 20 minutes to find out the real deal - I would pay $0 for my prescriptions up to the "initial cost" of $4430, at which point I would pay 25% of the RETAIL cost, which are, generically -
    statin, $519
    Antidepressant, $348
    Blood pressure, $155
    Lung health, $453
    Sleeping aid, 2 in total, $338
    Hormone patch, $278

    TOTAL per Month, $2091

    So, I would reach my "initial cost" in 2.1 months at which point I would pay 25% of the RETAIL cost, or $522.75. I don't know what the new costs are this year, but last year I paid $881 for these exact same meds, 12 months worth. What a scam.

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    Reviewed March 1, 2022

    New part D prescription plan for AARP/UnitedHealth, fulfilled (not) by OptumRx. Requested tier reduction, doc sent drug and info. Denied for not providing name, dosage, and previous drugs. We sent all: This is only drug and dosage to keep me alive. What next?

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    Customer ServiceCoverageTechPunctuality & SpeedStaffHonesty & Transparency

    Reviewed Feb. 26, 2022

    I have been trying to get a refill on my ** autoinjector for over three weeks following a change in insurance provider. At this point, I'm due to refill my March dose: as I'm only approved one per month, that is one entire month of migraine preventative that I have been denied. Such has definitely impacted my quality of life and the quality of work that I put into my career and schooling secondary to relapses in headache and migraine days. I have been on this medication since March of 2019 after failed escalating trials of other options overseen by my neurologist, finding this medication to be the most effective for managing my chronic migraine.

    I do understand the purpose of step therapy in the grand scheme, and I jumped through those hoops for Cigna. ** ruined my ability to function for months and caused me to lose 21 lbs (that I honestly don't have to lose) just to ensure that I met their qualifiers for a "failed" trail. I understand that there was some apparent miscommunication between OptumRX and my provider, wherein my personal request for a PA was pushed off until they finally responded with confirmation that it had been submitted in September (yes: the PA for my old insurance). Once finally provided, I was promptly declined: I assume for lack of records submitted by my provider indicating that I have attempted other therapies, but who knows - I'm still awaiting the mailed letter.

    Honestly: right now, *I* am the one suffering the consequences of the politics of the insurance industry as well as the repeat failings of communication between OptumRx and my provider. All I can do is call my provider to request their submission: I am at the mercy of the call center forwarding the message, waiting for the office staff to acknowledge the request, and hope that they forward all appropriate information. All I can do is regularly check in with OptumRX to see if records were received and wait for review. Each person along those steps is asked a short duration of their time before they move on and completely forget about the entire interaction.

    Meanwhile: I have been without my medication for *three entire weeks.* While I'm somewhat thankful that this isn't something quite as dramatic as an antipsychotic, an anticonvulsant, or other medication where a missed dose could result in life-threatening consequences, this is still a medication that increases my number of functional days per month. I was being frequently sent home from work and bedridden prior to working with my neurologist, often locked in a dark room and quite familiar with the cleanliness of my toilet.

    I just want to point out two of three promises clearly presented by OptumRX: "accessibility" ("Everything we do centers on getting you the medication you need, when you need it, your way.") and "advocacy" ("We'll be here to guide you any time you need us with compassionate care and a simple experience"). In three weeks, no one has worked with me to fill this lapse in my routine medication schedule. No one has provided me with alternatives for managing my chronic migraine. I work critical care in veterinary medicine: I don't have the luxury of taking an impromptu day off for an emergency neurologist eval to renegotiate a therapy plan that was working just fine. (And that's even if they can fit me in: I'm often scheduled months in advance.)

    Honestly, I feel as if I am the most impotent entity in this entire situation yet have shouldered the bulk of the legwork in hounding each side to communicate with each other... neither side of which has made me feel as if a resolution to this situation is their priority. Even the denial for my PA was communicated via a prerecorded message with no additional information through my portal; the customer service agent I called told me that I would have to wait for the appeals letter through the mail. (Who knows when that may arrive.)

    All in all, this entire situation is frustrating and disheartening. It's difficult to not feel thoroughly failed by the entities responsible for my healthcare, whose mercy I am entirely at in this. And the crux of the matter - whether one wants to admit it or not - is 100% the money. If I was intended to feel any other way, an approval for at least enough of my medication to shoulder me into a transition to a different therapy plan should have been granted. Instead: I'm left high and dry to see how my migraines emerge and balance how to respond. Who knows when this will be resolved.

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    Refunds & PayoutsStaff

    Reviewed Feb. 13, 2022

    Tried several times to place orders, enter a new prescription, and communicate with a human being. Apparently they are only in the business of collecting money. Service is the worst we have seen or experienced. My prescriptions have now ran out and I am getting them locally 100% out of my pocket. Losing hundreds of dollars!

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 4, 2022

    I have just spent 1/2 hour trying to obtain the correct mailing address for the great OptumRx. I spoke to two oriental sounding females, where English was clearly not their first language; upon reflection not sure if they understood it at all. My call was forwarded again, this time to the "Pharmacy" so they could give me the address that appeared to be a well kept secret. Surprise of all surprises, after waiting a further 4 minutes, I was hung up on. So much confidence instilled!

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    Customer ServiceContract & Terms

    Reviewed Jan. 28, 2022

    They started to call me the day after the order was placed saying I had an amount due on my account. I told them I hadn't received the medication yet and if they would send me an invoice I would pay from that. They agreed. They never did send an invoice. They called me EVERY DAY telling me I had an amount due on my account. When I received the medication I went online to pay. You must register a card to pay, so they keep all the card details. Very nonstandard. Most reputable companies allow you to pay with a card and then store it for future use if you want. They now have my card details and if they are hacked, I'm screwed. I can't unregister my card.

    The website has a feedback button, so I pushed it to directly give them this feedback. I entered all of these details then it said the response box was limited to 50 characters (not words, 50 characters). So, I shortened my response and still got the same error, even when I just put in "You suck", it still would not allow me to provide any written feedback, always saying the response was limited to 50 characters. Clearly they don't want to hear anything negative about their business.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 26, 2022

    So many deficiencies. I have only been a member for 6 months and have wasted hours - literally hours- trying to get information about my meds, costs, coverage, etc. The reps try to be helpful, but they have no background knowledge or access to much information. For example. I was told one of my meds would cost $18, in fact it was $193! Without exception I have to call multiple times to get things straightened out, even having to get a supervisor's help. I trust nothing I'm told by them. I have asked to be removed from their service. I'll stick with Walgreens. If you have one or a few drugs that you refill and know the cost, you might do ok.

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    Customer ServiceContract & TermsCoveragePriceRefunds & PayoutsStaffBillingRates

    Reviewed Jan. 19, 2022

    On Nov 17, 2021 I have recorded (and stated that I was doing so) the agent that said the medication prescribed to my father was covered and that there was no co-pay or out of pocket expense to him. When the medication arrived with a bill, we called to inquire about the amount owed. They apologized for the misinformation and said they could not further help that the charge stands or that we could return the medication (which we did). I stated we have a recording of their agent and the misinformation he gave us. They stated there is nothing they could do except reprimand the agent that gave the incorrect information.

    As the daughter to the patient needing this medication, I am absolutely disgusted that a company could or would run like this especially to the elderly living on a fixed income. According to the BBB, 810 complaints merely show they are indeed predators who purposefully defraud and exploit people. The fact that they have done this to the elderly should be illegal and a mark of incompetence on the companies' President and CEO who is either at his own fault unaware or negligent that his employees are responding in such a manner. We do not expect a response as we know the likelihood is rather slim and if so, will be in the manner of "we cannot respond due to HIPAA". Not much more is expected with a running business having 1.05 of 5 BBB customer review ratings here now is it. Be forewarned. This is an inadequate company that cares nothing for its members and has means to prosper from just that.

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    PriceRefunds & PayoutsRates

    Reviewed Jan. 17, 2022

    WOW! Prices through OptumRX than Buying it outright. My son has type 1 diabetes and his 90 supplies are over $800. I've never seen this before. I've asked other friends and they say they pay nothing like this!

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    Reviewed Jan. 6, 2022

    Wow! We were having so much trouble with our retail pharmacy that I thought I would try Optum Rx online pharmacy. What a mistake! They messed up my breast cancer drugs and my son's stimulant medication. Yes I had to go without my life saving breast cancer drugs until they figured it out. I really would like to know of a competent pharmacy in our area.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 3, 2022

    Had to call Customer Service today about a prescription they cannot refill. The agent was not helpful. At the end, she refused to disconnect the call, because it would send me to the survey. She demanded over and over that I be the one to hang up. When I refused, she placed me in some kind of limbo. An hour later, I'm still there. All to avoid me giving her a bad review!

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    Staff

    Reviewed Dec. 30, 2021

    I have never in my life had an issue getting medication to treat mental health until my husband's company switched to OptumRx. I have depression and anxiety. Every month there is an issue with Optum Rx not approving a refill or requiring a prior authorization form to be completed by my doctor's office before allowing my pharmacy to fill the script. I am almost a week without meds and it's not right. NO ONE should have to deal with these frustrations when trying to get treatment. I am at my wits' end. Optum Rx needs to do better by their patients.

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    Punctuality & Speed

    Reviewed Dec. 13, 2021

    Delivery of medicine is very slow, causing customer to be without prescription for a week. When contacted, was informed there was nothing they could do once it leaves their office. She did say she would give me the number to the USPS. Optum RX manages all Medicare prescriptions and unions are utilized by them. They state fast, free delivery - not true.

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    Customer ServiceCoverageTechPriceStaff

    Reviewed Dec. 4, 2021

    I can't even get a prescription I need BADLY because Medicaid contracts with this pharmacy who discriminates against Medicaid patients! I was given a complete runaround & I give up, I would rather die than deal with the rude & abusive employees who work for this "specialty" pharmacy! They describe their company as providing "great customer service with optimal outcomes for patients?" If they want to get patients to give up on living, then yes, they are accomplishing their goal!

    One of the employees I spoke with told me that they couldn't fill my prescription, then told me they could but they would have to charge me directly, when he knew that I was on a limited income. A lady who works for my insurance, & I, spent MANY HOURS calling around & I still never got my prescription set up! One employee told me I could call my pharmacy & have them call one of their pharmacists to expedite the prescription. My regular pharmacy told me Optum would have to initiate the request to have it transferred.

    I spoke to one absolutely unprofessional person after another with Optum, some who LAUGHED & made fun of me! When calling Optum their automated service asks if you're willing to take a survey at the end of the call. I replied YES. As instructed, at the end of the call, I stayed on the phone to complete a survey but not ONE time out of the EIGHTEEN times I had to call did the system put me through to a survey! Optum doesn't care, or want to know how bad the customer service (or lack thereof) is that they're providing...because THEY DO NOT CARE!

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    PriceMaintenance

    Reviewed Nov. 22, 2021

    I switched maintenance medication. Per Optum Rx, I have to change from monthly medication to 90 day supply. The copay will go from $25 to over $100 every time I pick up medication. I do not think it is right for them to make me switch. If I do not switch, the medication will cost a lot more.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 19, 2021

    I HATE dealing with this company! They dispense a med to my physician's office where I receive the injection every 3-4 weeks. I am inundated by multiple phone calls, texts, and emails for a week prior to EACH dose, despite the med, dose, and frequency being approved for months at a time. The 800 number phone tree NEVER works correctly--asks for data (zip code) but does not recognize when zip code is entered or spoken. Today a text instructed me to enter a unique PIN, but the phone tree gave no opportunity to do so.

    Eventually, get connected to the wrong department, and have to wait to be rerouted, and have to provide same authentication data multiple times. Staff ask multiple questions EVERY TIME. (Today was asked same questions re allergies, med changes, etc. TWICE). I'm required to stay on hold while they contact the physician's office EVERY TIME. Every 3-4 weeks, the same nightmare. I'm also a physician, and this policy of verbally inquiring for changes in medical history prior to dispensing each dose is totally unnecessary. Today I requested to speak w/ a supervisor, and was placed on permanent hold, gave up after 25 minutes.

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    PriceStaffRatesHonesty & Transparency

    Reviewed Nov. 14, 2021

    OptumRX mail order appears to be a rip-off. For MONTHS I received requests from Optum/UHC to "save money" by switching home delivery for a 90-day supply. When I finally went online to do so I learned the cost would actually INCREASE from $9 to $25 every 90 days. They wanted to get me to pay almost 3X more!! When I spoke to an account rep he said that is just the pricing "for this particular drug." He tried to avoid admitting that Optum and UHC are part of the same company. Truly a misleading rip-off attempt.

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    Customer Service

    Reviewed Nov. 11, 2021

    I have never had such a bad experience with an online pharmacy. I go weeks without meds, they never refill Rx’s or let You know they are expired. They don’t send out refill requests to Your doctor without you calling every month. No one knows what they are talking about. I would not use this pharmacy.

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    Customer ServiceContract & TermsPrice

    Reviewed Nov. 10, 2021

    Been customer for years. Never had a problem until a few months ago. They keep running out of my meds and I am supposed to be on auto refill. I have to call doctor and have a script sent over to pharmacy and it cost me more. Not happy at all.

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    Customer ServiceCoverage

    Reviewed Nov. 10, 2021

    I have a medication that has to be filled by their specialty pharmacy, thanks to my lovely health insurance. Every time it is filled I have to go through several calls and it still ends up being overnighted to reach my Dr. on time. It's very stressful dealing with this company.

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    Customer ServiceCoverageTechPricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed Nov. 10, 2021

    I read the other reviews on here before writing this to see if others were having a similar experience. I was not in the least bit surprised to find out I was not alone. I do not generally take the time to write reviews, but these people have caused me so much stress and pain over the last 3 weeks that I need to air my grievances here. I have never in my life dealt with a more non-sensical and incompetent group than the people at OptumRx. Being on the phone with them is as jarring and devoid of logic as the tunnel of terror scene in Willy Wonka. I switched to OptumRx because I transferred to my employer's provided insurance. This review is after my very first experience trying to receive the medication that I’ve been taking every day for the last 14 years.

    OptumRx requires a prior authorization to fill my 90 day supply prescription. Over the last three weeks I have spent hours on the phone with various incompetent and difficult to understand customer “service” agents attempting to get more information on why my prior authorization request was taking weeks to process. I started to panic, as there are significant health consequences if I stop taking my medication. I requested that optumrx bill me out of pocket for the full price of the medication as I had run out of my existing supply and it became a matter of emergency. The customer service representative took down my credit card information and promised me that my medication would arrive on November 8th. I relied on that information and continued to take the little medication I had left.

    My credit card was billed and the charge was pending on my statement. About 3 days later, I received a pharmacy call that my medication had been canceled because they had not received a prior authorization. OptumRx would not even let me pay out of pocket to get the medication I need. Finally, after hours of being on the phone with multiple departments, I was able to facilitate a conversation between my provider and optumrx. My provider informed me that optumrx had acknowledged receipt of the prior authorization. Today I got a call from a robot at OptumRx saying the prior authorization had been denied. I am now out of meds and out of options. I cannot believe that this is allowed to happen, it makes me sick.

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    Customer Service

    Reviewed Nov. 3, 2021

    I have used OptumRx and Optum Specialty Pharmacy for more than 10 years, only to experience a constant and serious decline in services. I used to be able to place an order and have it processed and in my hands in 2-3 days. In my most recent experience, I placed an order for the same prescriptions I've used for these 10 years on October 27. It was supposed to be delivered November 2, today is November 3. After calling today to find out where my prescription is, they tell me they changed it and I won't receive it until November 8 or 9. I wasn't able to increase the urgency on the delivery, because it is already in processing. Then, they had the nerve to ask me if I wanted to have my blood pressure medications moved to their service. That will never happen. This is the last order I will ever place with OptumRx. I recommend you use anyone else but them.

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    Customer Service

    Reviewed Nov. 1, 2021

    These is a dangerous company. Playing Russian roulette with my serious heart meds. They run me out of ** and blood pressure meds. 4 calls over and over. The same problem. You get nothing but foreigners on the customer service line. They get sued eventually I'm sure.

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    Reviewed Oct. 26, 2021

    I was seeking drug-free ALTERNATIVES to my depression. I simply don't like taking medications. I researched TMS therapy (a magnetic, muscle-memory approach), and set up a consultation. According to them, Optum requires that I try at LEAST 4 different anti-depressants before I can get approved for TMS. I've tried one. So trying MORE drugs is the answer to getting approved for a safe, drug-free alternative?? Seems backwards to me. Just hearing that made my depression spike! It sure seems they are driven by big Pharma, seeing they don't make it easy for drugless alternatives. I thought we were trying to get people AWAY from pills??? Optum is taking the wrong approach.

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    Customer ServicePunctuality & Speed

    Reviewed Oct. 22, 2021

    I have spent so many hours trying to get one particular thing done. I have encountered several people on the phone, who do not listen and speak over me. I basically needed an envelope sent to my home, which I was ensured I was going to receive in 5 to 7 days. After that time I called again. Every single time I have called OptumRx, I have engaged with a person who has no idea on customer service. Each person seems to work with a script like a robot. Each person cannot answer a question because they are following a script and absolutely not listening to anything that I’m saying. I wish I had an option to get out of this company, but my union sponsors it. It is the most dreadful customer service I have ever ever encountered. Wait time is awful. The answering robot call is horrible. If I could review this with no stars, I would.

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    Customer ServiceStaffTimeliness

    Reviewed Oct. 22, 2021

    I can’t believe we are forced to use a mail order pharmacy for medication and a company takes weeks to effectively fill a medication. I called and complained with NO RESPONSE or care. When there is a monopoly with pharmacies they don’t care to return calls because they know they OWN the business so happy customers don’t matter. Our government needs to change!!!! We should have a choice and be able to go to our own pharmacy and get the medication needed. Not deal with incompetence causing delays to medication and causing exacerbation of symptoms. Makes NO SENSE!!!!

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    Customer ServiceStaff

    Reviewed Oct. 21, 2021

    This was a frustrating experience with delays and the supervisor lady who answered my first called hanging up on me. However, I called back the second time and was transferred to Shakitha another supervisor and she turned this whole experience around for us. I was ready to put 1 star and this lady Shakitha took her time to listen and was very sincere with her apology. She was professional and took ownership/accountability for the inconvenience. She is a true rock star and should be teaching courses on how to handle complaints. She is just amazing and OptumRX should give her credit for positive brand representation and service! Excellent service from Shakitha.

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    Customer ServiceCoverage

    Reviewed Oct. 4, 2021

    For years I been using OptumRX & Briova RX which both merged into one OptumRX for all my 90 days supply. There is one meds. I am having issues ordering it. This is been going on since last year for this particular meds. Someone will place my order. When I call OptumRX it will show up received order and processing. After few days that order disappeared and I have to call them again and it happened again. Last order I did took me almost one month before I finally I got my order after dealing with them so many times calling. Here we go again, I am trying to order refill same meds and guess what same it's been happening again. I get a lot of stress when ordering this meds.. If there is an issue with their system ordering this figure it out and fix it. I need them to survive and stay healthy. This is sad. I been ordering from them after the merged thing went down.

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    Customer ServiceRefunds & Payouts

    Reviewed Oct. 2, 2021

    I purchase this product for travel outside of US for my return, product expired in one week unable to use because my travel was for 3 weeks. Called Optum store. They refused a refund or replacement. Why would you sell a product that was about to EXPIRED???

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    Customer ServicePunctuality & SpeedBillingRates

    Reviewed Sept. 23, 2021

    I have been using a mail order pharmacy for 13 years. I have been using OptumRX for 2 of those 13 years and I have never had such issues. When I had Cigna, they would call, they would text, they would send emails. If there wasn't enough money on the card, they would send the prescription out anyway and recover the funds later. OptumRX is the complete opposite. The stress and anxiety of running out of medications, saying they are going to do this and turn around and do that, Incorrect billing issues that they state are corrected and are not. Please, if you need your medications to live as I do, do not use OptumRX. They have no interest in your well being.

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    Customer ServicePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Sept. 16, 2021

    If I could have given Optum a zero for the review I would have. I have tried for 3 days to figure out what is going on with my fertility medications. Every time I call I get connected to someone that cannot help me. They send me over to the fertility department and no one ever answers the phone. I was finally able to speak to a pharmacist who said my prescription needed to be sent again, in which my clinic sent over 3 times. In my opinion, the pharmacist should have been in contact with my clinic to better assist me but that didn’t happen either.

    Yesterday was day 3 and I waited on hold for 3 hours, yes, 3 hours! My clinic nurse finally got ahold of someone and she even told me I needed to file a complaint against Optum. They were supposed to give me an urgent call back yesterday to get delivery set up and that never happened. I had to go through another pharmacy and pay out of pocket for my medications. When I called this morning to file a complaint I was sent to a resolution specialist who was kind but literally sounded like she just rolled out of bed. She did say they changed over to a new system and this department was struggling but again, it just felt like no one cared and it still doesn’t seemed resolved.

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    CoveragePrice

    Reviewed Sept. 13, 2021

    They do not get orders approved in a timely manner - then charges you extra for delivery because you are out of medications - doctor's office came. They never contacted them. Cannot switch until next year when Medicare insurance changes.

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 12, 2021

    I have been in an OptumRx nightmare for years. I canceled them but, recently, I have been forced by my insurance company to use their failed mail delivery system again. I take heart meds and cannot be without my medications. This company has offshore "customer service" who are not properly trained and provide misinformation. This has caused me great distress and could cause me life threatening issues. I was assured that a man Named Raymond O (some sort of Rep) would call me. I called three times and left him VM. Crickets!! He never called me back. I tried to no avail to reach ANYONE in charge who could assist

    Me... I keep getting sent back to "offshore". I truly believe this company is working out of their mother’s basement and I’m stuck with incompetent and uncaring, money hungry, unprofessional individuals in charge of my life saving medications. HORRIBLE!! Stay away if you can.

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    Refunds & PayoutsStaff

    Reviewed Sept. 9, 2021

    Denied medications for 2 of patients, despite these patients doing well on these medications for months. Wrote a required "letter of medical necessity" on letterhead, signed by me, and dated. They denied the appeal due to the letter "not being on letterhead, signed, or dated." They are making physicians jump through hoops just so they do not have to pay for medications. It is despicable!

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    Customer ServiceStaff

    Reviewed Sept. 1, 2021

    My sister lives in a assisted living facility that manages her medications. When her Rheumatoid Arthritis prescription was transferred from her specialty pharmacy to OptumRX Specialty Pharmacy, her experience receiving her medication has been difficult if not impossible. Her physician sends the script but Optum's process is they will not deliver the meds until someone calls to ask for delivery. I've contacted them twice over the course of four months and each time I'd been told I am not authorized to ask for delivery, that the facility needs to ask which they do. However, this month, they've told the facility they can't request delivery that I have to ask.

    A rep did call to confirm (after the facility was persistent about getting this medication) I would authorize delivery, I advised I'm not managing my sister's medication and can't be part of the delivery authorization process and asked why were they able to send in previous months. I was told they've never sent anything for my sister. As I tried to understand the situation better, the rep apparently got frustrated and hung up with a 'ok, thank you.' It's the worst customer service experience I've ever had with a pharmacy company.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Aug. 24, 2021

    It is my personal belief that the purpose of this company is not that of providing healthcare prescription coverage but rather its goal is to cause stress to the patient/subscriber for mysterious reasons that until they are investigated can only be extrapolated. This company changes its policy with every phone call I have made to them.

    This company is labeled as a mail delivery prescription/pharmacy. This is absurd for many reasons; I live off-grid, remote in deep wilderness. There is no mail service at my home where I live. I have to drive to my PO box 32 miles (one way). Winter is severe here.. having snow covered one lane gravel roads that seldom get plowed, a trip to the post office box can take up to 2 hours one way. Medications in the PO BOX can be exposed to extreme temperature in winter. Also it has short hours and closed on weekends. I informed OptumRX of this problem and their solution was to approve pick up at a local pharmacy. However OptumRX will only supply 21 days of a 30 day prescription. OptumRX says the pharmacy is "OUT OF NETWORK" and therefore I am penalized with having to go 1 week with no medication every month. This is unacceptable.

    One time I called and I was told I could pick up my prescription at a CVS pharmacy and the OptumRX rep. told me to go pick it up right away because it was ready. It was a 70 mile drive to CVS and when I got there I was NOT able to pick up the prescription because OptumRX instructed the pharmacist to hold the pills for 4 more days because I was there too early. You can plan on spending approximately 24 hours a month on the phone with OptumRX because they have set up a hoop-jumping process for every patient. My health has deteriorated since my employer hired this company to provide insurance benefits as of 1-1-2021.

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    Customer ServiceStaff

    Reviewed Aug. 7, 2021

    On Aug.4th I called to have a delivery made of one RX Dr. had ordered. Initial order last month was two, he cut back so only needed one. I was on phone for 55 minutes with four young ladies and pharmacist saying I only needed ONE RX. After 55 minutes we hung up. Aug. 5th BOTH prescriptions came!! I called again, talked to two young ladies and another pharmacist, no one knew why, no one cared, and no one offered to rectify situation. If I were dying of thirst I would not go to these people for water. They just don't care! I talked to six ladies and two men from pharmacy, all I could get was, "we don't know why this happened". Strongly suggest anyone looking to do business with them, beware!!!!

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsStaffTimeliness

    Reviewed Aug. 6, 2021

    I used to get IVIG from Diplomat until they were bought by Optum. Every delivery (three of them) I've had since the acquisition has been a failure and I've had to miss at least one treatment all three times. The first one happened when my advocate resigned and my patient file was never re-assigned to a new advocate. When I called, I discovered they don't have any process in place to ensure that doesn't happen. So ALL of this person's patients were forgotten - not just me.

    The second time was when my insurance policy went from being a group plan to a COBRA Plan for the month of June. NOTHING about my insurance changed. It was a continuation of my group plan - I paid my premium out of pocket to my former employer. My deductible didn't restart, my calendar date didn't change, my ID didn't change. Even my group number remained the same. But Optum insisted that I now needed REauthorization. They finally managed to get that authorization on Jun 27th and ship the medicine - four days before I would be getting new group insurance through a new employer.

    Coincidentally, my new group plan was also the same exact plan - but with a different group. But all of the same benefits and coverages. You'd think by this point Optum would have the process down. I gave them my new insurance information just before July 1st for the next shipment. Thankfully, my nurse was able to do my infusion with the medication I had. But on July 14th, I got a call from Optum asking for all of my new insurance information. AGAIN. It turns out, they hadn't done anything with the information I already sent them. And it took them two weeks to realize they needed to rush an authorization because my infusion was due in a few days. So on the 14th, I gave them all of my insurance information again and was reassured they'd make sure everything was taken care of for my next shipment. I was scheduled to receive infusion on August 4th.

    On August 3rd, I called the pharmacy to make sure it had been shipped and found out 1. it had not been shipped, 2. none of my new insurance information had been forwarded to their authorization team and 3. no one even seemed to be aware that it was due! In the last three days I have been shuffled from one advocate to another, each promising to make a note in their system or to "escalate" my order or to notify a supervisor. An urgent message was sent to my advocate's supervisor so that he could put a priority status on my order the next day when he got in. I called at 3pm the next day and found that he hadn't even opened my file! Today is Friday. I spent a painful amount of time on the phone trying to RESEND a copy of my insurance card to them.

    First, they couldn't seem to open a pdf attachment. Then they couldn't seem to open a screenshot. Finally it went through around 4pm and my advocate promised to call me back to let me know the status. She tried to call me once, around 5:30 and I missed her call. I called back and spoke to another advocate who confirmed my order was STILL NOT APPROVED. I am so done with this company. And I advise anyone who can to steer clear of them if you can. If you have to choose between this company and ANY other option, do yourself a favor and go with the other option - even if you have to travel to a doctor's office.

    An active case file should NEVER just sit in some queue. There are ticketing systems designed to prevent these kind of snafus. A ticket is opened for an order and assigned to a person with a date due. The person has to mark it as resolved OR reassign it to another team by that date. And the next team has to do the same, until the order is resolved/closed. Tickets can be prioritized as urgent. Reminders and alerts are automatically sent to the people assigned to the ticket. Alerts can be set for tickets that are not assigned. A backup person can be assigned to a ticket. This is 2021 people - get with the program. GitLab issue tracking is FREE! You don't even have to pay for it. If you don't care enough about your customers to invest some effort in using the right tools, you shouldn't even be in business.

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    Customer ServiceCoveragePriceRefunds & PayoutsStaffBillingRatesTransparency

    Reviewed Aug. 5, 2021

    From day one it has been a headache. They spelled my name wrong, won't allow me to correct it, made it a hassle to correct my address, won't allow me to make changes unless it's through my employer-provided health insurance. They wouldn't provide authorization for antibiotics I needed until two weeks after I needed them (after I had already been hospitalized on IV antibiotics and had surgery for an internal infection instead). Oh, and after I called and asked pricing on Botox (for migraine treatment) and was told $240, I ordered it, and then they charged me over $1,100. I understand insurance is involved, but I called and asked the price for a reason! So then I asked them to please NOT refill the Botox as I would NOT be able to pay for it again. And they refilled it and sent it to my doctor and are harassing me for payment, even after I said not to send it.

    I don't have another thousand dollars and I told them that after I got ripped off the first time. I even contacted Botox directly and got an insurance code from them to cover the cost so that I can get this resolved, but Optum refused to take Botox's payment and is demanding that I pay them personally with money that I don't have. I have asked several people and get a different explanation every time (I am keeping a record of each conversation so I do have proof of this). If I had any legal recourse to get them to stop harassing me, I would take it (their billing department called me 3 times today) but the resolutions department has yet to contact me, even though I've been asking to speak to them for months. Nobody will give me contact information for the resolutions team and just keeps promising to pass my information along to them. I can't imagine a worse series of experiences with a pharmacy.

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    Refunds & PayoutsStaff

    Reviewed Aug. 3, 2021

    My mother has this Optum Rx Plan through her employer. She recently experienced a cardioembolic stroke on Memorial Day and after being hospitalized for 3 weeks it is vital that she has her anticoagulant medication along with her hypertension medication. Optum Rx delayed the shipping of her 90 supply of medications but she received a message that it was delivered on August 6th but it was August 2nd when the message came through. She experienced confusion after the stroke. It is difficult for her to read and fully understand. Her medicine is now expected to be delivered in 3 days but she hasn’t had her medication. A local CVS filled the medication but we had to pay out of pocket since it was an emergency. This was not helpful and extremely inconvenient.

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    Customer Service

    Reviewed Aug. 3, 2021

    Horrible, horrible, horrible. The depts. must not be on the same system or communicate with each other. If you think a prescription is filled and on its way, it's not! You have to call at least 3 times in 2 weeks, and be transferred depts. 10 times. They will just hang up on you, switch you to other people without telling you, and they don't listen to a word you say nor do they jot any notes. BE prepared to never get your medications on time. It's only for your health and life and well-being.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed July 23, 2021

    Insurance changed and Alto is no longer our designated specialty pharmacy. Since OptumRx is both the insurance company and specialty pharmacy we anticipated a smooth transition. Not. The. Case. After a month’s worth of phone calls and transfers to “someone else who could help us” we finally had the prescription processed and scheduled for delivery. That, however, was not the end of the run-around. They are also not accessible. Managers/supervisors apparently only work Monday-Thursday. Do not bother to ask for one. Also, they can’t deliver on the weekends even though every other industry (including pharmaceuticals) can. Makes no sense. Not coordinated. Not organized. Not a service. More of another hoop to jump through. If we had another option, we’d consider it. To the organizations negotiating health care options, there are others and they are better.

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    Customer ServiceCoverage

    Reviewed July 22, 2021

    Have been trying to obtain a specialty medication following all instructions from Optum to do so. Pre-Authorizations done, appeal done and finally independent review. Have been told 4 times that medication had been approved and was being sent. 3 of these times in the past 2 days only to end up getting a call telling me it was a mistake and the medication is not approved and will not be sent. The drug manufacturer was providing the medication to me until we could complete the steps for coverage with Optum however, due to Optum erroneously telling them that it was approved and being sent to me, the drug company closed my case and stopped sending the medication.

    Repeatedly called Optum and requested to speak to a supervisor or manager and given to someone who was not a supervisor. On one occasion, the person falsely stated they were a supervisor only to find out on the next call that was made to them that they are not a supervisor. Repeated request to speak to management ignored. Told someone would call me back from management and this still never happened. Each time Optum calls, I explain the errors made previously and instead of checking further, they just repeat the same information regarding my medication being approved and sent followed by a separate phone call from them telling me it was an error and it is not approved nor being processed. I have several emails from them telling me the medication is being sent. Outcome: I am running out of medication that takes weeks to become effective with no hope in sight to obtain it was promised from this company.

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    Customer ServicePricePunctuality & SpeedStaffRatesHonesty & Transparency

    Reviewed July 21, 2021

    Every time my doctor sends in a prescription, if OptumRx doesn't have it in stock they don't let me know and if I call asking when my prescription will be filled they say they never received the prescription. This has been going on for the last year and it's very annoying. I need my prescriptions and waiting a month for a medication is not something I want to do. When I spoke with a liaison with optumrx I found out that the prescriptions that the customers service reps kept telling me were never sent by my doctor actually had been received by optumrx but because they didn't have the medication in stock they figured lying was easier than just admitting they couldn't fill the prescription.

    I sent in a letter of complaint and they responded with an encrypted email that can't be opened! This pharmacy is a JOKE! Not only do they lie about whether your prescription is there but they change the price to a much higher amount than what was quoted. Optumrx are a bunch of thieves and liars. I would rather pay the extra amount at CVS than put up with optumrx's **.

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    Customer ServicePunctuality & SpeedRefunds & Payouts

    Reviewed July 19, 2021

    This company should be put out of business! They will kill someone sooner or later. They fail to refill prescription on time. When called about it they do nothing but give excuses for their failure. Then they take 2 to 4 weeks to get a needed prescription to you unless you pay for shipping. This company's failures are unacceptable and I personally will never use them again.

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    Customer Service

    Reviewed July 15, 2021

    I wish I could give less than one star. I called at least 2 weeks ahead to make sure they would have enough time to get the new prescription since it was out of refills and now I have had to get the doctor to call a three day prescription to the local pharmacy so my mom will have her medicine. They said it was the doctor that was the cause. The doctor said that they sent it on June 23rd for enough for the rest of the year. They are liars. I asked them to send it day delivery and they said it couldn’t be done because it was already set to be received on Monday. That would leave her without her medicine for 3 days, which she can’t do! I will be finding another way to get her medicine from now on. I have had other problems with them and not put any review out on it but this just shouldn’t happen to anyone.

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com