OptumRx Reviews
formerly Prescription Solutions
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About OptumRx
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an Optum company - the world's largest provider of integrated health services.
OptumRx Reviews
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Reviewed July 12, 2021
OptumRx today just decided to take my money today by shipping my $80 renewal Rx when my setting was disabled and I did not order it. There's no chat feature so I had to waste time calling to explain. Instead of receiving an immediate refund, I am expected to return the shipment before I can get a refund to my card. I should not have to lift a finger to get my refund. It's their fault. It seems like a 50% discount would be appreciated for this screw up. Next time if I receive a shipment I did not order I'll keep it and call my credit card company to dispute the shipment and charge. Sure, it's "nice" of them to anticipate my needs, but how else do you combat a company that auto ships when it's clearly not set to do so? This is completely unethical and deceptive.
Reviewed July 8, 2021
Updated on 08/25/2021: This company is a subsidiary of United Health Care and is their mail order/online pharmacy. At UHC's urging, I have used it as their co-pays for 90 day supplies are lower than local commercial pharmacies. However, I have had issues EVERY time I place an online order. Last month I became severely ill as a result of delays in getting one of my meds. While the pharmacy blamed the doctor, I'm positive the doctor responded appropriately as they had the fax evidence.
Today I placed an order for insulin and received a confirmation (if you can call it that) that said the order was successfully received and was being processed. Further down on the same document it says there was a problem and I should see the details below. There were no details below so I called the number given on this notice and they could not even find the order. Spent almost an hour on the phone AFTER I submitted the order online. This has happened over and over again. I am in the process of filing a complaint with the Texas Board of Pharmacy as the people are going to get someone killed with their incompetence!
Original Review: I have used OptumRx as part of my AARP United Healthcare benefits. I have found the website to be extremely unreliable. I will order 6 med refills and the order is processed with only 3 being shipped. Upon return to the website, reorder the ones that are missing and they still are not being shipped. I called the customer service dept and am told I never ordered them.
At this point, it's been a week since the original order was placed and I still have NO meds. I am out of some and using OTC on others. In addition, I was told that I still owed a co-pay for ** needles purchased in April as well as one for the new order a week ago. I advised the representative that I had authorized payment of both over a week ago. Once again, she had no record of the payment being authorized but I'm very hesitant to authorize it again in fear they will take multiple payments from my bank account. So I am still not sure if I will receive my ** needles or not. I am hopeful the meds will arrive but I am not holding my breath. This company is totally irresponsible and cannot be depended upon.
Reviewed June 24, 2021
We use UnitedHealthcare for our insurance, and OptumRx approached us aggressively about home pharmacy. I have a prescription that can either be obtained once a month or every three months. At my local Medicap, this prescription costs me $20 for three months for the name brand. OptumRx said they could match that price and deliver it to my door for the name brand. Instead, I just received generic medication and a bill for $90 for the three months.
I called them to say I'm not spending 4.5x both what I normally pay and what they promised. The first gentleman hung up on me, so I called back and demanded an expedited return mailer and to make sure that this would not affect my ability to refill the prescription locally. "We'll void it from your insurance as soon as we receive it back, the mailer should get to you in ten days." I had to explain twice that I needed the prescription refilled in a more timely manner than that to two people until they finally agreed to expedite the return mailer. I would not recommend.
Reviewed June 7, 2021
This is an incredibly frustrating company to work with. My ortho uses them for ** so I've been stuck in this nightmare. They make you authorize after Dr sends prescription - literally a verbal yes. This last time there were multiple rounds of finger-pointing on where the hold up was but it took a month. I can’t get online account set up. I have the ID but it says it can’t confirm it's me. They hound you with automated calls and make you call them - goes to call center in India and some of their accents are very heavy. Even though I gave credit card during my authorization call and told them to charge me, they now are doing automated calls for me to pay my balance. First time around I had to request paper copy of my bill. This time after a week of daily auto calls now they sent an email that says to log in and pay. except I can’t log in!!! Dealing with this company is so frustrating I may stop treatment or find another Dr that doesn’t use them to fill the prescription.
Reviewed June 6, 2021
I receive only three medications every month and I signed up with Optum Rx about six weeks ago. My insurance had changed to United Health Care, and Walgreen's prices became too expensive. Optum's prices seemed to be the lowest I'd been quoted and I liked the idea that I could conveniently receive them by mail.
I've had so many problems in the short amount of time I've been with them I'm going to close my account and go to CVS, even if it means paying a little more. First, Optum didn't send out the medications for two weeks after I registered with them and when I called to ask about it they informed me I had to "authorize" them to do so! There was no mention of this when I called to set up the account and we went over my prescriptions, which should have clearly been an authorization that I wanted them sent to me! Despite finally " authorizing" them, I continued to receive texts for two days telling me they hadn't been. Then they sent me only 90 tabs of a medication when it was supposed to be 270 because they had gotten a prescription wrong. I had to talk to a supervisor because the rep I was speaking with kept informing me that even when the rx was corrected, they would be unable to fill the remaining part of the rx for 90 days.
I'm still waiting on the rest of this medication. I was informed 9 days ago that they had been sent out, and now today I received an email telling me they would be shipped soon! I have to agree with another posting here that the phone reps say whatever they think you want to hear when you call, and then the next person you speak with there tells you the exact opposite. The last straw was when I spoke with a rep whose English I could barely understand and she was holding her crying baby throughout our conversation! I had to keep asking her to repeat what she was saying because I couldn't hear her over the wailing! United Health Care seriously needs to investigate this terrible place! I've never dealt with a business quite this unprofessional.
Reviewed May 29, 2021
OptumRx called me about their home delivery service. Total scam fake pricing just to get me to enroll. Now they are denying speaking to me. Never give these guys any information is a total scam. They just want your credit card to charge you 3-5 time what they quote you.
Reviewed May 25, 2021
I take an expensive medication for a stomach disorder. My Medicare plan is United Health Care through Walmart. OptumRx (somehow affiliated with this Medicare plan) offered 3 of my very reasonably priced medications free which I took advantage of and appreciated very much. I only have a bill for them when I fall into the doughnut hole at the end of the year. Last year the bill was about $25.00. Optum Rx then called me to offer deals on my other prescriptions and I'm sick about the fact that I agreed to let them fill them. They offered my most expensive drug for about $40.00 for a month's supply which was about $5.00 less than the price at Walmart. I let them fill the prescription and paid around $120.00 for a 3 month supply which was fair.
A month-and-a-half later, they sent an email saying they were refilling the prescription. I didn't think anything about it because the medication is always around $40.00 per month until I fall into the doughnut hole when it can go as high as $100.00 per month. I then received the medicine and looked at my bank account and Optum Rx had deducted $425.82 for a 3 month supply. I am now out $305.82. If I had stayed with Walmart, I would have continued to pay $40.00 per bottle instead of what Optum Rx charged which was $141.94 per bottle. I am retired and on a fixed income and I can't begin to explain what the loss of $305.82 means to my livelihood. I wish I'd never heard of Optum Rx and I'm stopping all prescription service with them. I hope this review helps other people avoid Optum Rx. It is a terrible company.
Reviewed May 21, 2021
Takes several days before they even mail your prescription, then another couple of days of mailing... quit using them over a year ago. Just recently my dr accidentally submitted two prescriptions to them. OH MY GOD!! I went thru HELL trying to get them cancelled! I never did get it resolved because they are totally clueless and incompetent.. you never can get someone in charge.... you just get put on hold and left there. As another reviewer stated, you have to talk to a new person every time about your situation... then you get hung up on... PLEASE PLEASE don’t use this service!!! For your own peace of mind!
Reviewed May 20, 2021
I started using OptumRx because our insurance encouraged it and it provides a slight savings. I will no longer be using them and just switching back to Costco. I have had 2 situations where I needed to speak with a customer service rep to sort out an issue. Both times, the representatives gave me different information and didn't seem to understand how to solve my problem (once it was because they sent me the WRONG medication and the second time was because they didn't send me a replacement after my medication was recalled).
On top of the customer service representatives being almost completely unhelpful, this most recent gentleman was rude to me. He was condescending and terse and it was very uncomfortable. This is just unacceptable when your company has made a mistake... you need to have folks on the frontlines who can bridge the gap and fix the situation with professionalism. This company is the worst customer service experience I have had in a very long time. And that's just a deal breaker when it comes to something as important as medication.
Reviewed May 18, 2021
In the past month I have had two different doctors send renewal prescriptions to Optum. They seemingly lost both. Needless to say this has turned into an exercise I really did not need. Not my first problem, but my last. I will not renew and will encourage others to find other options.
Reviewed May 8, 2021
Optum RX recently purchased the Diplomat pharmacy I've been using for quite some time to perform my weekly infusions. So I was forced to change pharmacies since they handle my prescription needs. I have yet to receive a prescription shipment on time. They are late every month. These are life saving infusions and I have not been able to get anyone at Optum RX to return my calls or emails. These guys are terrible! Every month it's just like a re-occurring nightmare trying to get them to ship my supplies so I can infuse on time.
Reviewed May 7, 2021
YES, I also a victim in the OptumRx scam, I must have made 20 phone calls to them, OptumRx, United Healthcare and my doctor. UHC kept sending me ads to join Optum, I did and it's been a big mistake. It's has caused my health to decline, STRESS, DEPRESSION, AGITATION, BLOOD PRESSURE, ANXIETY!!! And guess what? United Healthcare Don't Care!!! Every time I call to complain, I get offshore people answering the phones, and get nothing but useless answers. So the problem really is United Healthcare, I'm seeking Legal Council, it might be the only way to take them down!
Reviewed May 4, 2021
You speak on phone to one consumer advocate, next time given totally different information. Such as dates released for prescription(s), then told now need a prescription from Dr or prior authorization from your Dr. Absolutely no consistency and seems as no one cares about these situations. The OptumRx consumer advocates at OptumRx I just found out use the OptumRx.com but when on .com either get bounced out or screen is screaming to us their app. App vs. .com gives totally different information. So using app get one type of information. End having to call CS to reconfirm information I need on my prescriptions.
The worse is lack of consistency. Can not state it enough....You get a different answer, resolution, date of shipment each time you call. I have to call because such problems with the .com and app. Have no choice but to use OptumRx because of insurance. When I know I have to address situations w/ OptumRx, I get gut wrenching feelings knowing I'm in for a whole new scenario or explanation of my account. I despise the thought of working with OptumRx. It is a nightmare every single time.
Reviewed April 29, 2021
I used OptumRx for several years. They work best on auto-refill as they adapt to their own slowness by starting refill early. When, however, they make a mistake, rather than apologize and/or take action to minimize the impact of the error, they pretend nothing went wrong, sending emails with convoluted airheaded "logic" explaining why everything is actually OK. My guess is that "Customer Service" is actually some AI purchased from the lowest bidder. It exhibits no integrity and no awareness that something out of the routine has happened. If the mistake involves a prescription for a complex medication that causes both entry and withdrawal symptoms, then the experience is exceptionally unpleasant. If you need anything more than a common statin, stick with your local pharmacist.
Reviewed April 28, 2021
DO NOT USE THIS SERVICE!! It has been an absolute nightmare. I would give negative stars if I could. Key things if you don't want to read this whole saga: The OptumRx customer service folks will say ANYTHING to get you off the phone, including lying to you. They will pretend they are doing what you ask just to find out later they 100% did not do anything. You cannot trust anything they say, even when you request it in writing via an email, they will say "The email should show up in ___" (10 minutes, a day, 2 days, it doesn't matter, it's all a lie) and you'll never receive it. They fake prescriptions! My doctor did not sign off on my prescription and the name of the doctor on it was for someone I have never heard of/spoke to in my life. Concerning!! They will charge you WAY more than what it looks like. I was expecting to pay around $30-$60 dollars for my 3 month supply, the customer service rep said I would be charged $425!!! The whole story:
I recently enrolled in my workplace insurance (United) and they sent me an advertisement for the OptumRx mail service. I figured, why not, I'd love to not have to go to a physical store during a pandemic for my meds. Well, I submitted my meds through the website and they tell you they are sending paperwork to your doctor's office for a prescription and that they would need that paperwork returned before filling your medicines. I waited a week, contacted my doctor's office, and they said they never received anything from OptumRx. I called OptumRx's customer service, went through the whole process again (customer service rep said he was "submitting the paperwork directly", which was a lie because my doctor never received anything from them).
It was at this point I was getting worried about what I had gotten myself into - if it was THAT hard to enroll and their customer service was that poor on what felt like a simple task (getting me enrolled), I didn't really want to use their services. I also googled and saw horrific reviews of people being scammed, sudden price jumps of $$$HUNDREDS$$$ of dollars at a time, necessary meds not being sent out despite being told they were, horrendous customer service like what I had experienced and worse.
I called and asked them to close my account, delete my bank information (they force you to give them a payment option before allowing you to add any meds, which I felt was odd), and cancel any pending orders. The rep made it sound like he was doing all of that, said it was closed, said I would not be receiving any more meds and that my bank information was deleted. Promised I'd get an email summarizing that, never did.
...Then maybe 2 weeks later I got a worrying email that said a medicine (this particular med is a controlled substance) was being processed?! When I looked at the prescription, some person I have *NEVER* heard of was the "doctor" that signed off on my prescription. This just seems illegal and a great way for people to scam for controlled substances, considering they obviously didn't check with my doctor's office or verify if I had that prescription coming from elsewhere (I had already alerted my actual doctor's office to shred/delete any paperwork they received from OptumRx because I didn't want their services anymore and didn't want the process to go any further). When you check on the website, there is no place that I could find (I spent maybe 30 minutes trying to find an option) that says to cancel "in process" medicines, but it also looked like I needed to order the medicine myself before it would ship out to me.
This morning, I got an email saying they are shipping the med to me. Back to the phones... First customer service rep refused to transfer me to a supervisor, despite me asking multiple times and saying "I'll place you on hold while I contact my supervisor so I can tell them the situation before I transfer you", and then not ever transferring me over. She would not close my account, said she couldn't cancel the meds that were already shipped, that I'd be charged ($425!!) but could return it (... because I haven't wasted enough hours of my life dealing with this scammy, crummy company) and claiming that my insurance needed to cancel the OptumRx service.
Called my insurance, first rep tried to say my employer (?!?! **?!?!) needed to be the ones to request cancellation. Got a supervisor on the line at my request, he thought I wanted to cancel my pharmacy benefits altogether, not just the OptumRx service. Finally got him to understand I just wanted my OptumRx account to close forever and be banished from life, but he asked "Did you speak to OptumRx??", I told him they wouldn't do a damn thing for me and had said they wouldn't close it because I needed to contact him/the insurance company.
He stayed on the line, called OptumRx, they FINALLY start acting helpful and told me my account is closed/they deleted my bank info/already started a return request for the med that's coming in the mail. I'm not certain as of this time if any of that is actually going to happen (email summarizing the cancellation etc. is supposed to arrive in 24-48 hours), but this is literally one of THE WORST businesses I have had the extreme displeasure of working with.
Reviewed April 19, 2021
After 5-weeks using Optum for Rx delivery they have yet to get anything right and now today did not deliver on time for an infusion Rx. They do not know what they are doing and are to be avoided, even if they are chosen by your medical provider. Their incompetence can cause more medical issues.
Reviewed April 11, 2021
OptumRx is a awful awful company to try to dispense your Prescription. I would advise you go elsewhere to get it done. It will take weeks if not months to get it filled. This place is a joke and I’m not sure how they stay in business other than a strong arming insurance companies to force you to fill your prescription through their service.
Reviewed April 10, 2021
Optum screws its patients and providers out of covering anything. It especially screws providers trying to provide mental health services. Just do not do it. If you are a company who is thinking of buying this for your employees, use Optum only if you want your employees to leave you
Reviewed April 5, 2021
If you need a medication that requires a Pre authorization, I feel sorry for you. I have been trying to get my husband's prescription approved for over three months. They deny, deny, deny and then require you and the doctor to jump through hoops. They put the person needing the medication in the middle. They lie and say they did not get the pre authorization letter the doctor wrote so that you have to make MANY phone calls between them and the doctor's office. You speak to a person that is "offshore". When you can't get them to understand what you need and request to speak to a supervisor they tell you there isn't one. They had the wrong mg. for the medication and so denied the medicine.
When we finally received a letter stating that the denial was reversed, we were happy only to receive a phone call stating that we needed a pre authorization. When I told them we have a letter stating approval, they couldn't find it in their system. Unbelievable!!! They will not call the doctor's office if they need something, they send cryptic messages through the portal that do not really tell you anything. You are forced to call them and be on the phone for hours over nothing. If only they would do their job and help people but they do not care to do that. If you do not have to use them, don't. They are despicable.
Reviewed April 2, 2021
OptumRx provides consistent low levels of service. It can take 2 weeks to over 2 months to fill a prescription, and some may never be filled. The worst part is that the company really doesn’t care. I have filed several complaints and even managers are not responsive. If I could give them lower than a 1 star rating I would. My recommendation is to go to Walgreens, CVS or any of the other pharmacies and avoid this mail order service at all costs.
Reviewed March 29, 2021
I had to change to Optum Rx when I enrolled with United Health Care. From day one my time has been wasted on the phone getting switched from one department to another and getting nothing done to get my ** medication. The total lack of concern when one calls is crystal clear. Here's the time frame: This past Friday, spent 3.7 hours/phone. Saturday 4.2 hours/phone. Monday 4.6 hours and still no answers to my questions....they lie, lie, lie... blaming everyone else for their inept service, knowledge. Getting a prior authorization completed is a total joke with rude personnel at every level.
I was transferred 6 times to different departments getting the run around each time and still no answers to critical questions concerning my medication. All the hoops that one must go through is astounding again with NO resolution to the problem. Playing the blame game when it comes to a medication that is extending my life is WRONG, dead WRONG... I'm sitting here tearful and beyond being upset...no meds in my near future. Shameful!!!
Reviewed March 13, 2021
I've been using them for quite a while (2 years)... Every time, I have issues! Either they don't send my meds or they send the wrong thing. STAY AWAY FROM THIS COMPANY!!!! They have serious issues!!!! Beware! They suck!!!! Will
Reviewed March 11, 2021
I have had a kidney transplant so I take a lot of medications. I had them on auto ship until I realized one had not shipped when I ran out of the previous fill. I took them off auto ship and ordered immediately. Now once again, I see another prescription was supposedly shipped last month and I received no notification it and did not receive it so I had to manually order it. The website for ordering I find slow and cumbersome and it is difficult to find that last date filled. I am seriously considering going back to Walgreens.
Reviewed March 5, 2021
Spent 45 minutes on hold or talking to people who could not help me. Transferred five times, Given three different telephone numbers. They requested that I call, then they didn't know why they asked me to call. This is for a prescription that my husband needs to BREATHE! And while they kept telling me how sorry they were, they couldn't/wouldn't help! Larry, Moe and Curly are running the business.
Reviewed March 3, 2021
This company is terribly disorganized! The employees don't know the prices of medications, can find account information or understand the formularies. They randomly change the formularies and costs associated with prescription copays. My prescription copay jumped from $45/month to $1,404/month without prior warning or notice. That should be illegal. They couldn't explain why the price jumped like that. This company needs to be investigated for unethical practices.
Reviewed March 3, 2021
I placed an order to have my medicine refilled on February 23, 2021. I received a confirmation email stating my meds would be delivered on February 26. When no medication was received, I contacted their customer service on the 27th and was told lie after lie about why the medicine was not received and told I would receive it on the 28th by a third party carrier. After not receiving it on the 28th, I called and was told the same third party carrier would deliver it on the 1st of March. Well guess what... Still no medication delivered on the 1st. No one could give me no answer as to when I would receive my medicine.
The medical condition that I have makes me have bad out breaks with boils, so now I have missed my injection, I have 4 boils, and I asked to speak with pharmacist to ask how the missed dose could affect my body. I was advised my Alana (the pharmacist) that it is recommended that I don't miss a dose but she could not tell me what could be the outcome of a missed dose!!! I asked to speak with the manager of the facility, and was told one could call me tomorrow.
If you value your health and life, this is the wrong facility to use for your medication needs. No one that I spoke with had knowledge about NOTHING!! I will never use this pharmacy again and I am also seeking legal advice on what actions I could pursue. I will also be making a complaint with every agency possible to ensure this does not happen to anyone else, especially the elderly.
Reviewed Feb. 27, 2021
A new prescription required preauthorization from my physician. To my knowledge Optum Rx made no effort whatsoever to obtain the information including notify me or notify my doctor when this occurred. There was no notice in my account on their website that a precertification was required. The only way I knew about the preauthorization was when I called Optum Rx because my prescription was not moving forward after two days. Once I was informed a preauthorization was required, the process of requesting the information required me to then contact the physician to request they contact Optum Rx.
I did so and their office informed me they contacted Optum Rx and provided the information requested. Optum Rx sent me an e-mail the next day informing me the prescription request was denied because the preauthorization process was not completed within their acceptable time frame. Optum Rx received the prescription on 2/24 and I received the denial on 2/27. If you use Optum Rx, be prepared to immediately make multiple phone calls and navigate their system to have your new prescription approved within their short approval window.
Reviewed Feb. 27, 2021
Try to download my records on FMH and no records have been entered for over 9 months. The messages have a "you requested to disconnect from Optum", which I never did. Very difficult to find any contact telephone or even email to try to contact them. Basically an organization that wants your money and does not give a damn about you or providing any reasonable service. My advise: go elsewhere.
Reviewed Feb. 26, 2021
I have been struggling to work with Optum to get my daughter's ** prescription filled. Previously we had Blue Cross and used Walgreens online pharmacy with never a glitch. Recently my company switched to United Health Care and we have been forced to use Optum for the on-line service. For the first month they informed me that my co-pay was in excess of $2,000. When we expressed shock (previous co-pay was zero) they tried to resolve. Eventually they realized they were not including our ** co-pay card in the calculation. They still said the co-pay was $500 or more. As a result the medicine was delayed more than two weeks and my daughter missed her shot by a week. Finally they figured it out and shipped with no copay.
This month we tried to order online. Two days after submitting the order, we received an email saying there was a problem. When I called Optum said they were working on it. Two days later I called back and they said there was a problem with the ** Complete Savings Card. I called ** and they confirmed the card was fine. Awful. Awful Awful. Still waiting on the shipment
Reviewed Feb. 23, 2021
This company did not fill prescriptions for my son or myself. After waiting the 10 days without our prescriptions arriving, running out of medication, and being late on monthly medications, I called them to find out that they did not fill these prescriptions. The rep and pharmacist told me they did not receive the prescriptions, or they received prescriptions but that they will not requested to be filled....from 4 different doctors!!!! These doctors have had NO pharmacy errors at other pharmacies in the 5-10 years I have been using them. They are calling my doctors liars to cover up their incompetence. I just want to get my meds filled for myself and my son. They would not even let me speak to a supervisor. DO NOT SWITCH YOUR MEDICATIONS TO THIS PHARMACY! You may think it is easier to get three months supply of medication shipped to your home but this pharmacy will not make your life easier. They will screw up your medications.
Reviewed Feb. 22, 2021
We had to use this company because United Healthcare contracts with them. They are horrible, frustrating and so not worth dealing with. Three times they “lost” my faxed prescription from my doctor and from Costco. I finally got the US number and when talking to a customer care rep was told me they would not process this since it was a controlled substance, read narcotic. It was not a narcotic, but the blood pressure med **. This is our second week dealing with them. Still no success. I will be changing insurances in November.
Reviewed Feb. 22, 2021
I have been with Optum just under a year and have not had a single good experience. I have to take one pill a day and I receive them in blocks of 30. So every month I need a refill. I have had to get around 9 or 10 refills and not a single one went smoothly. First they lost my authorization form, and after numerous three way calls with my insurance, my doctor, and Optum they finally worked it out (never taking the blame nor apologizing for their screw up). Then, for whatever reason, they only allow me to refill my meds every two months, despite only being sent one month at a time. That means I would go a whole month without meds before they would allow me to refill my order. So, I would chat online, call, and do whatever I could to get my meds delivered monthly.
7 out of ten times this meant I missed doses. I would ask them to please change when I can order my meds so I don't miss doses and every time they say "you should be able to order them once a month." Yet every month, for 9 months, I had to jump through their hoops just to place a refill order. Half the time my order was on hold, so I ask them to release it and they said they need permission from my doctor. What on Earth is the prescription for if not to inform them of my doctor's permission to get the meds?? I have received so many excuses out of Optum as to why I never get my meds on time and it is honestly so exhausting. It seems any time an issue comes up they wait for you to discover it yourself and then deal with it retroactively.
Just now, Feb. 22 2021, they said they cannot refill my order because my prescription expired, despite having five more refills on my prescription. Ok, so maybe that happens to a lot of people, but why did they not call? Why was I not informed about them not having an active prescription? Why did they not automatically send over my form to get reauthorized?
On another issue, they would randomly try to charge me full price for the medication despite having insurance and assistance through the company that makes the drug. They would say they did not have any insurance on file so if I wanted my drugs I would have to pay full price, which would have been $10k a month without insurance. So again, I would have to go through all these phone calls and three way connections just to show Optum that they keep dropping my insurance information. Their customer relations and business practices are so poor, they almost border on corrupt. This is the worst pharmacy experience I have ever had and cannot wait to switch insurances to avoid this god awful pharmacy.
Reviewed Feb. 21, 2021
My employer switched to OptumRx for prescription coverage. They cannot keep my records straight. I go through a nightmare phone cycle every month where they tell me I am not active and I need to have my employer call them. When my employer calls, they are told that there are two of me in Optum’s system and that one of the records is incorrect. They say they will correct it. Despite this, when I need to refill a prescription the following month, they tell me again I am inactive and will need my employer to call them. What a terrible company.
Reviewed Feb. 20, 2021
My doctor started me on a new prescription which after insurance cost me $32.00 for 30 days w 1 refill. I called OptumRx and asked the gal if they could fill the 1 refill. She said they only do 90 day supplies do I want her to contact my doctor and ask to make it 90 day supple? I asked her how much it would cost me for 90 days. She said $0, I said yes contact my doctor. 2 days later I’m online paying my Visa bill and see OptumRx had charged me $130. I immediately call and was told that it was too late for her to cancel the order. I explained the situation and $0 price. She said that when I get the prescription to hold onto it. She was sending me a return label. Once I get that I return prescription & they will refund the $130 to my account. (Remember, I had got a 30 day supply for $32 at a different pharmacy). 90 days would have been $96. If she would have called me and told me that she was mistaken about the $0 price.
For $130 I would not have had them fill it. But because they did, now no other pharmacy can fill my refill because it says, “too soon” when it is put in their computer until they get back this 90 day supply which I now have but do not have return kit. I’ve called so many times and talked to so many associates this past week. Seven yesterday alone. They are so sorry but nothing they can do. Call this number. I’m so sorry but nothing they can do, call this number.
Finally one wonderful associate (Kelly) said there are only two things that you can do. (1) Call in prescription to another pharmacy and have them call for prescription override -OR- (2) since it can be dangerous to interrupt your medication schedule -only having 2 days left, call member services on your AARP Medicare Advantage United Health Care card and under the circumstances see if they will let you keep the prescription you received in the mail ( because we are not able to reuse any medicine that is returned to us anyway) and refund your $130 SINCE you were quoted $0 to begin with!
So I call, my third transfer was to Tierra who said absolutely not! Too bad for me and she was going to make sure Kelly - the only associate who gave me good customer service - was reprimanded & retrained. ??? Today I am waiting to hear back from different pharmacy hoping they will get a override. I still have not received return kit from OptumRx. After tomorrow I’m out of my medicine. Monday I will be changing my insurance.
Reviewed Feb. 18, 2021
I joined United Healthcare Feb 1st 3021 and decided to try the Mail Order Prescription Benefit from OptumRx. This has been the single biggest Rx benefit mistake I have ever made. I had the same 6 prescriptions that I had been receiving from the University of Iowa for some time. My doctor made sure my prescriptions were delivered to them Day 1 on Feb 1st and gave me a week supply from a local pharmacy to get by until delivered. I called Feb 2nd to check and was told all was on track. (So far from the truth) I began to get emails saying that my prescriptions were on hold because they couldn't reach my doctor. Called Optum and was told that was a mistake. No mistake. Status online says they were on hold. I called the next day and they said they straightened everything out. Not true.
A week later I got 4 of the prescriptions in the mail but not my anti-depressants or anti-anxiety meds. I called again and was lied to saying my doctor never replied (I had a virtual visit with him right before the call and he contacted them twice). I tried to call again the 4th time explaining and was told they were "on-the-way". The status bar online showed they never had shipped. I never should have been without these 2 medications due to side effects. On Feb 16th I called United Healthcare and asked for help. The agent was fantastic and started a 3-way call.
We were given excuse after excuse and told the meds would be delivered "on or about" Feb 23rd! Inexcusable!!!! Then (as if dismissing us both) we were told the only way we could file a complaint was by fax. My UHC customer service agent was going to do that on my behalf. Awesome! Yesterday, I checked the status online and it said they had shipped. But.... it was to the wrong address so I called OptumRx at 0630 and told them. They said no problem, they'd change everything when it gets to that destination and resend it when it's returned to them, Keep in mind... this is US mail... not even Priority. Disgraceful!
Reviewed Feb. 18, 2021
I have been on a specialty medicine for going on 11 years and have dealt with several pharmacies over the years through IBX. These jokers have wasted so much time through copay billing issues and automated phone and email glitches I can't believe they stay in business dealing out medicines that people need to survive. I have a copay card through the medicine manufacturer and I am very responsible maintaining my prescription renewals and medicine delivery to myself. I can go on and on but will just leave some concise problems:
- They bill old copay cards that don't exist anymore and then everything becomes my problem to resolve.
- At one point during the buyout of Briova RX I had two accounts in their system and it became my problem to figure out which account information was active and inactive.
- They only care about fulfilling the copay at all cost whether you get your medicine or not. They will put the $5085 (Joke) medicine on hold because they charged the wrong card for the $35 copay.
- If there is a problem with the order they don't tell you. You have to figure it out on your own and waste your time calling to figure out what happened.
- I can't understand the people because it sounds outsourced to India (they do try to be nice).
- Once you miss two (2) copays (total $75) they hold you hostage until you resolve payment for the medicine.
- I have ordered medicine, received confirmation for the order and watched the order disappear in their system.
- They have called my doctors office telling them that I am unreachable yet I had already received and dosed my medicine.
There's more but the point is how do they stay in business for such an important thing to some people? I will continue to battle to get my medicine thanks to my persistence and hopefully enough of these reviews will bring them down.
Reviewed Feb. 10, 2021
Having changed to a new medicare health plan we really needed to have my husband's breathing medication delivered. Having called and arranged (so we thought) to have this taken care of,,,after 10 days without medication we called again,,only to find out they had NO RECORD of said order nor conversation??? My husband has cancer and tumors in his lungs with severe lung disease that needs these medication every day! No one called,,,and after today's conversation nothing has been done,,,We can't take any more,,,called the Doctor myself and got the medication sent to local pharmacy and they can deliver within 3 days or less,,,no more dealings with these uncaring people!
Reviewed Feb. 7, 2021
I have consistently had problems with OptumRx over the last several months. For tier 2 meds, you pay 100% and they reimburse if you submit for 80%. However, if the t is Tier 4, they will pay 80% and you cover 20%. So the ultimate cost is the same, the difference is you have to float them a loan for the 80% until they decide to mail you a check. What is the advantage of a Tier 2 med?
Additionally, when I call in, I provide my identifying information. Often, they will then begin working in my problem and asking questions. Sometimes we get several questions in and they will ask if I work for ______. If they are looking at my account, why can they not determine which employer the coverage is through? Is it a test or just abject incompetence? They have even routed my call around and after another round of info and questions, it comes out they have routed me incorrectly. I have reached the point I trust nothing they say. I would like to quit my job to go to another employer just to get away from these people. They have deep issues.
Reviewed Jan. 31, 2021
My husband had a kidney transplant about 7 months ago. We are required to go through Optum for his anti rejection medication. We have had nothing but problems trying to get his prescriptions filled correctly and timely. We are often scrambling at the last minute trying to find out why they didn't fill his prescriptions and did not let us know. These are life saving drugs that must be taken consistently. Very unprofessional! I really wish we didn't have to deal with this every month!!!
Reviewed Jan. 30, 2021
What a complete hassle this company is to deal with. I spoke to three different people and got three different answers. One lady told me my Rx was covered 100% under preventative, the next person told me it wasn’t covered at all, the next person told me he was going to get it switched to a generic version. The generic version through their pharmacy was 2x as much money as any pharmacy I could have gone to in my area and they shipped it and charged me without even making sure it was ok! I will never use them again.
Reviewed Jan. 29, 2021
Very confusing and hard to find the drug your tracking plus shipping is very slow. Emails that are sent does not specify which medication is coming. More clarification is needed so items are easier to track especially with an inept USPS that does not care if you get your mail or deliveries.
Reviewed Jan. 28, 2021
I had to get prior approval on a script in2020, my husband's company updated Ins for 2021, kept Optumrx but changed member ID & they denied me on same script, said I had to do another PA because was a different ID. They said they couldn't transfer from my old member ID to the new one but yet they had the old one right there in front of them. They had told me that I didn't need a PA in the beginning but then said I did. They also raised my med coverage unless I went through their mail service...$35 for a 30 day supply thru local pharmacy or $50 for a 90 day supply for one script thru them, another script they raised $10! GoodRx charges half of what optum is charging me.
When I threw a fit with an operator, she was able to get me an "emergency" supply for 5 days...$25!...FOR 5 DAY SUPPLY!!!! In 2 days, I talked to 7 different operators, 3 of which said I didn't need a PA, 1 said I didn't have coverage and refused to let me speak to a supervisor, 1 that I scared (which I feel bad but I was angry) and 2 that said I had to have it!! So their training of operators is worse than their service. I really want my husband's company to find a different provider for they are horrible and are trying to push their pharmacy home delivery which if WRONG!! We pay for the insurance so I should have a choice of where I want to go to get my scripts and who are they to say what they approve especially when a Dr prescribes it!!! Ok rant over.
Reviewed Jan. 26, 2021
I have been using Optum RX for 4 years. I have never had any problems with getting my prescription refilled, they send me a notification when they are sending it. (I am on the automatic delivery.) I HAVE had problems with the doctor not responding to Optum's request, which has delayed my prescription, other than that, my medications have been taking a lot longer to get here because of the problems with the post office. All of our community is having problems with delivery (as is the rest of the country). I was sent Christmas Cards that took 3 weeks to get here! It is not Optum's fault that the post office is having problems.
Reviewed Jan. 23, 2021
In the last week my doctor's nurse has called and I have called 7 times. Each call has resulted in a different "promise" of what my plan covers. Each time the doctor sends a new prescription to the pharmacy only to have it denied. The latest call is now well over an hour with 5 different people telling me they were transferring me to a manager only to pass me to someone who is not a manager. Multiple times my doctor has had to write multiple prescriptions after being falsely told by a member rep what was covered. Walmart definitely needs to find a different company to manage their plan.
Reviewed Jan. 21, 2021
I called them to find out the cost of **. They said they couldn't tell me until they ran a test request so I told them to go ahead. After finding out the cost, I started shopping around and found the same drug at a difference of $2,000 per month with another pharmacy. Since I'm on Medicare, went with the lower priced pharmacy. Optum did not cancel my order and kept telling my insurance company and doctor that they were filling the order, which was a lie. They have now told me 3 times they have cancelled my order but have been contacting the doctor's office and insurance AGAIN and trying to place the order. Insurance company and doctor's office are fed up and don't want to keep sending in the approvals. They have created a mess and left me to clean it up. 3 1/2 weeks since last dose with no resolution in sight. Stay away from these people, they will misrepresent themselves and cause unnecessary paperwork and frustration.
Reviewed Jan. 21, 2021
UPS changed to this company for mail in prescriptions. Worst experience I’ve ever had. My first order was for a 3 month supply of my asthma inhaler and they sent 1 inhaler. I called and then they said they would this once send me the other 2 even though the prescription called for 3 and then they hit my credit card again! The last time I requested a refill be sent they emailed me and said they couldn’t fill it so I should ask my PCP to prescribe something else! Horrible company! I only gave it one star because I had to rate them to write the review.
Reviewed Jan. 17, 2021
I started using them about a month ago due to the fact that with COVID I’d rather not have to go out to local pharmacies. What a mistake! As others have said on here their customer service is horrible. Their turnaround time is ridiculously slow. My bp medication appears to be lost by the USPS and Optum is doing nothing to help. I spoke with a supervisor and he was condescending and rude and couldn’t have cared less. He essentially told me that I just had to deal with their crappy service. There isn’t even a customer service phone number on their website. The one that’s listed is for technical support for the website. I had to get the correct phone number after being transferred. I’m writing to my State Medical Board and Attorney General. They need to be held accountable or be put out of business.
Reviewed Jan. 14, 2021
No matter who you call they are EXTREMELY difficult to work with. It appears that they have outsourced their customer service and call centers to India. Many speak English but they are very difficult to understand. All the rest are just plain many fries short of a Happy Meal. You explain then you explain again and again and again. You ask for a supervisor and you just start over with the same level of success. I am convinced that they just want you (the caller) to give up and this is why they make it so difficult. I truly am disgusted with OptumRx. Sadly they are who my insurance company has selected.... OptumRx sucks!
Reviewed Jan. 13, 2021
I needed to get a new RX filled and the doctor spent hours on the phone and hours by the fax machine to try to get the prescription filled for me. The pharmacist yelled at the person in my doctor's office while she was trying to give him information about my prescription. I spent hours on the phone with their customer support trying to get it filled as well. There was always something they were missing... the rx was incorrect, there wasn’t enough information on file, the prescription will be filled tomorrow, "You’re all set - we will reach out once it ships."
The next day I get a call saying that they can’t fill the prescription because they don’t refill it at their pharmacy and I would have to go somewhere else. Complete waste of time, horrible pharmacists who say demeaning things to your doctor. I would expect more from a drug dealer on the street. Steer far far away. This company is sketchy at best. I have no doubt there’s some shady business happening behind the scenes.
Reviewed Jan. 8, 2021
For years I've been using Optumrx, and their customer service are so incompetent it's a crime. This review is a consumer warning. Do Not ever put your scripts on auto delivery or if you get a text that a medication is due and there's no cost showing don't reply. My last order for diabetic supplies ended up processing thru the billing dept incorrectly to the tune of $435 - it should've been $0. I noticed the charge in my bank acct & called to cancel because their website said it was still processing, rep I spoke with said no prob, order cancelled. Something told me to Check the website again 15 min later, well that script was now showing in shipping. Called again, told yes indeed it was in shipping and since there was a tracking number nothing could be done. Then the fun started - went on to correct the billing, after 2 days was told to call my insurance co because the error was their fault.
Onto a conference call between me, UH & optumrx - somehow my script was put thru prescription discount card instead of the insurance. Oh boy - I've never even used a discount card. Optumrx claimed they couldn't correct the billing but would refund the charge, send me a RMA kit to return the supplies and told me I would see the credit within 24hrs. This started on 12-31-20, as of today 1-8-21 there's still no credit on the acct, been on the phone for the 5th time and now being told the credit went thru on 1-7, requested to talk with accounting dept and was told that can't be done and the only way for contact is email - seriously? WTH. I won't be giving this joke of a co anymore of my business and will be emailing my insurance Co about their unbelievable incompetence and non English speaking reps.
Reviewed Jan. 7, 2021
I have been without my heart medicine for 6 days. Optum is suppose to automatically send out your prescriptions if you sign up for it. When I saw I was going to run out I called them and got the runaround. I finally agreed to pay extra for quicker service. I am still waiting for my prescription.
Reviewed Jan. 6, 2021
The last time we order ** insulin the site said it costs so much a dose as a co-pay after our insurance payment. When our credit card arrived and we figured out the actual cost we were floored. The cost was 12.5 time that much when locally we could have gotten it for half that cost. When I called they explained the insurance companies payment process payments and co-pays, not why they suckered us in with a lowball price. Even after I complained the fake price is still on their site. We'll deal with local pharmacies from now on.
Reviewed Jan. 6, 2021
My husband and I began using Optum Rx for prescriptions a couple years ago with our insurance plan. In December my husband ordered heart medications he needs for Afib. Well here it is January 6 and they still getting runaround. It has gone beyond stressful! They don't care that the meds are sitting in Florida!! What kind. Of place is this. Beware! If you take necessary meds rethink using optum!!!!
Reviewed Jan. 6, 2021
Online submitted a request to refill an RX on file on 1/3/2021 (that was the date Optum's website showed it could be refilled). Its website showed it would be processed immediately. Checked the website on 1/4/21 to see the processing status. Showed no action had been taken. Sent an e-mail message via a link on their website asking what was going on. Got answer they were looking into it.
Heard nothing further so on 1/5/21, I called. Spoke to their rep who said the issue was they were having an issue with my mailing address. This is strange (actually a lie) since I've been a customer for over 8 years, haven't moved in all that time and had received an order from them just a few days ago. I verified my address. Rep told me the order would be processed immediately and on an expedited basis. Checked on 1/6/21. Now the website shows that it won't be processed (it will not ship for at least a day) until more than 2 weeks from the date I called. Even expedited I'll be out for at least 5 and I'm not sure this order will actually be expedited. Nothing better than a local pharm except the price. If you sign up for Medicare part D do not sign up with them or United Healthcare which uses Optum for their mail order supplier. You'll regret it.
Reviewed Jan. 6, 2021
OptumRX will put you through an exhausting, unending battle to get your medication. They will ask you for the same paperwork over and over, you will fax it to 10 different people, over and over, and still Optum will say they have not received it. My doctor will no longer deal with them on any level. He finds their entire company completely incompetent and you will have speak to at least 20 different people for 15-45 minutes each and still have not gotten anywhere. I waited 4 months to get a prescription filled. When I finally got it done, it arrived 2 weeks late and unusable since it needed to be kept cold and the ice packs had melted. Optum refused to take it back and I had to go buy it at CVS.
your life. OPTUM RX-you should be ashamed of yourselves.
Reviewed Jan. 5, 2021
For some reason a number of years ago my insurance switched my mail order pharmacy from Medco to OptumRx, and IMO it has been the WORST choice, over the years I have actually been yelled at by their representatives, been charged for medications I didn't order or authorize, had financial information retained but been told it had been deleted, lost prescriptions, malfunctioning web sites, CSR's that can barely speak English and recently they tried to authorize a medication I am allergic to, even after I called and was told it was corrected, due to the current world conditions I needed an emergency refill to tide me over until my december 2020 refills showed up, (ordered 3 Dec 2020, 5 Jan 2021 still no prescriptions), was assured repeatedly I would not be charged for the short term refill, another lie, I ended up being charged when I went to pick up the prescription, over all if I could give negative stars it would be a -10 star review, you have my sympathy anyone that has the misfortune of dealing with this company.
Reviewed Jan. 5, 2021
They did not do what they said they would- provide me with a hassle-free reduced rate 3-month at a time supply of my medications. They have made this very difficult and have not helped me to remedy this, they will not even communicate with the doctor office, and cost me more money- they simply sent one month at a time and the amount they charged was 1 1/2 times more than the pharmacy charges. I plan to make sure my review of the organization is well heard in the public forums, and I let them know this also.
Reviewed Dec. 30, 2020
My doctor sent in a prescription on Dec 7th 2020 since I'm no longer allowed to use a pharmacy of my choice. Yesterday Dec 29th, I was on the phone for over 3 hours trying to find out where my medication is since I have been out of medication for over a week. After finally calling customer service on the back of my insurance card I spoke to someone that could help me. He said the order was ran under a different insurance that I don't even have, and that is why I was denied, but yet I was told when I used the app to have them call me, they never received a prescription. I then called my doctor had a new prescription sent in, and told OptumRx that I needed it overnight since I have been out of my medication.
Today December 30th I still have not received my medication so once again I called. The little girl that I spoke with said I would get it by January the 5th and they do not do overnight service. I told her I do not understand, I do not have my medication of no fault of mine or my provider it was there pharmacy that tried to run it under a different insurance, and was told yesterday I would get it today.. All she could do was continuously repeat "It should be there by January 5th". This is definitely the sorriest mail order I've ever used. Prior to this my employer was using CVS Caremark. And why they decided to change is beyond comprehension. So now I am preparing for and entire year of calling OptumRx to make sure I receive my medications on time due to lack of trust with this company. Being in the health care industry, my heart goes out to my aging patients who are on much more serious medications that are required to use this medication factory.
Reviewed Dec. 29, 2020
This company should be banned from doing business, they do not care about their customers and prey on the elderly they are supposed to serve. Totally incompetent and nonexistent customer service. Find a different company if you need your medicines.
Reviewed Dec. 28, 2020
Customer service is awful. Wait times are awful. I have spoken with OptumRx on three occasions and they have had a difficult time answering typical pharmacy questions. I included a manufacturer discount card with my prescription which they failed to add on to the cost and charge me the entire amount of the medicine. After speaking to them I was advised it would take 5 business day for the (back office) to ensure the manufacturer discount card is accurate, up to date, and apply to my account is it is. Where as when I was using Walgreens they were able to apply the discount within seconds. After the 5 days of all is accurate it will take another 5 days to process a refund. Completely unbelievable. OptumRx lacks typical pharmacy knowledge & customer service skills. There is absolutely zero reason for any type of change to take 10 (business days) to correct. This company shouldn’t be allowed to operate.
Reviewed Dec. 28, 2020
I am writing this review on behalf of my mother. She contacted Optum Rx regarding the delivery of her BP medication to which she was informed it was shipped December 14, 2020. I understand there is a delay in deliveries and we are in the middle of a second wave pandemic so delays are expected. We are now 14 days out and she ran out of medication last week. She called customer service and is told again it's in transit. So today I step in the medication was NEVER shipped because I tracked the package and the representative confirmed it hasn't shipped.
You are now playing with a person's life my mom's life which is not his concern. I ask to speak to a supervisor this would be the 2nd time I'm assisting her with the same issue. This particular representative decided to leave me on hold and then transfer me to a personal voice-mail where I can do nothing but disconnect the call. Great job! My mom will now have to go to the hospital in the middle of a pandemic because the ball was dropped and no medication has not been shipped.
Reviewed Dec. 27, 2020
I can't even begin to count the number of times this company has "forgotten" to send a prescription that is on automatic refill. Customer service reps are always very nice and helpful, but why should I have to be repeatedly call them for something that they can't seem to correct. I have had prescriptions "disappear" from their data base, not get reordered on time, said they called doctor's office when they haven't--- the list goes on and on. This has been going on for years. I have never had this problem with any other prescription supplier. This is one horrible company!!!
Reviewed Dec. 16, 2020
They try to force you to mail-order your meds. Even after opting-out of mail-order repeatedly, I still end up having to call and opt-out again with most new prescriptions. However, that is just a mild inconvenience. The real problem came when I developed Rheumatoid Arthritis. Doc had me on one medicine for a year and the inflammation was still a problem 4-5 days a week. Doctor gave me a new prescription which was 60 pills for a 30 day supply. I was shocked when the pharmacy said it would be $185! Turns out this 'provider' (read: denier) refuses to pay for more than 30 pills every 90 days and tells me my only recourse is to convince my doctor to spend time on the phone arguing with my insurance provider. I'm stuck because this is my insurance through work. If you have a choice, keep looking.
Reviewed Dec. 11, 2020
I do not know how many times I have gone through this with them. They send a serious prescription medicine through the mail, it does not arrive, USPS shows it as "pending" and they appear to be unable to track it when it does not arrive. They just throw the ball back to the customer and tell you to get another prescription from your doctor called in to a local pharmacy if you need the medicine. I escalated to the second level and they told me they give themselves 10 days to get it to you and if it does not arrive, they will mail it to you again then. So DO NOT RELY ON THEM if you need a prescription to be covered regularly, or if you do not want to have to get another prescription from your doctor to a local pharmacy every time they use USPS and it does not arrive on time.
Reviewed Dec. 10, 2020
I was hoping that an online Rx company would know how to serve its customers. They don't. It took days for them to process my order, days for them to prepare it for shipping and then they used USPS for shipping. Really? Thousands of dollars charged to the insurance companies for prescriptions and you use the worst company in the world for shipping? USPS? Hahaha, that's another story, thieves. Where is the customer service there? Emailing them doesn't work. I just got a form letter. Calling them didn't work, I was just told they would do everything I asked for to get me off the phone and nothing was resolved. Today I try to send another email and wouldn't you know it my email mail won't go through. Just another example of corporate America taking advantage of society. This country is imploding. Thanks Optum, thanks for nothing.
Reviewed Dec. 5, 2020
My drug required prior authorization, but absolutely no one from OptumRx is able to assist myself, my doctor or my pharmacy. We are given different answers every time, and their customer service reps are telling a new story or reason every single time. If I could choose, I would select a different provider, but this useless company is required to clear all prior authorizations for United HealthCare. If you have an option, stay FAR AWAY from these people.
Reviewed Nov. 20, 2020
Was going along fine for 3 months, then, for some reason, they started claiming I owe them $1300. I disputed; they told me I didn’t owe and they were looking into it and they were investigating, but this would not affect my shipments. However, every month they put me on hold for 15 to 20 minutes so a manager could override my account b/c I had an unpaid balance. This continued and they told me 2 more times that they were sorry, and they would ship me my medicine, b/c I did not owe the money. They even told a CS agent for the drug company that I didn’t owe them money, and my account balance was Zero.
Today, 11/19/2020, got a call that I still owe $1300. I told them that I didn’t owe them money, and told them the entire story. They actually asked me if I would pay the bill, b/c my copay assistance wouldn’t pay for the month of April, which is the month they are claiming that I owe for, but they have told me and a drug rep numerous times that I do not owe the money, and my balance is zero. If you don’t have to use this pharmacy, then don’t.
I switched pharmacies, and my new pharmacy bills my copay assistance $100 less. They don’t know how to do their jobs, but they are very willing to lie to you to keep your business, but don’t worry, while they apologize for the mistake they’ll just sweep it under the rug till next month: that’s what they did to me, and then still claim you owe them money. Funny? January to October, but I only owe for the month of April? Every other month got paid. Sounds like a billing error, but instead of fixing the problem and getting paid, they told me and my rep that everything was fine and I didn’t owe. Now they’ve waited too late and can’t get paid, and that’s my problem How? Buyer Beware.
Reviewed Nov. 19, 2020
A typical pharmacy order from Optum takes 8-15 phone calls to get it shipped and then it takes about a year to fix the incorrect billing on every order. My doctor's office cannot stand working with this pharmacy and I am always angry with their incompetence.
Reviewed Nov. 17, 2020
OptumRx has filled most of my prescriptions promptly. The price is great, you can't beat $0.00. However, twice in less than 3 weeks I have run out of a critical cardiac drug, one that can do great harm if you suddenly stop using it, up to and including death. The first time, a representative told me that the prescription "had been canceled." No information beyond that. I certainly did not cancel, nor did my cardiologist.
After days without the drug, I managed to get an emergency refill for 14 days locally. Then it started again. I had to call OptumRx twice to make sure they received a new prescription, which they well over two weeks ago. Besides their being slow in filling the prescription, now mailing is delayed. My prescription has been between Florida and New Mexico for at least five days, with no prediction of when it will arrive. Back to calling the doctor's office, getting another emergency supply, and it is now five days without this drug. I cut a pill into minute pieces, but used the last yesterday. I'll give OptumRx one more chance, but after that I will pay a premium to use a local pharmacy where I am known to them, and they to me. Sometimes free isn't worth it. I should add that there is never a notification when there is a problem with filling a prescription, and no communication when a refill is delayed.
Reviewed Nov. 9, 2020
For months I keep getting numerous customer service phone calls and automated calls from people who have incorrect information medical information that I have tried to correct numerous times. This company outsources their customer service to Philippines and these people don’t know how to make corrections in their system.
Reviewed Nov. 9, 2020
Website portal = Sucks. Customer Service = Sucks. Be aware they also keep your medical records FOREVER! You would have to go to the supreme court, get a jury trial, and legal services before they got rid of your records. Not even Edward Snowden can help you! Scary world.
Reviewed Nov. 9, 2020
Facts brought out about the OptumRx Drug Program and reported to OptumRX.
Issue: There is no communication other than the fax to ensure the fax was received.
- If there is no reply from the fax then the prescription goes unfilled.
- There is no timer on when a call back is required due to a non-response.
- OptumRX uses an Internet phone system to send faxes so there is no caller ID and many offices block the calls so the fax is never received.
2. OptumRx does not communicate at all with the subscriber if there is an issue with the insurance it is the subscriber that is required to find out.
3. Orders are not being processed and are causing in some cases the customers to seek return medical visits or to check into emergency rooms in order to receive medication delayed or rejected. This drives up Insurance costs and can overwhelm health care operations.
4. Opioids only allow a one week supply unless there is a Prior Authorization (PA). That is what the Pharmacy understood and that is what the Doctor's office understood. As a post-surgical drug for pain was needed everyone learned the uncommunicated rejection, only two prescriptions are allowed in a 54 day period without a different Prior Authorization (PA). The PA was put in but not processed and this is several days later. Total Hip replacement surgery was required from March of 2020 and the Operation performed at the end of October 2020 the insurance claims that 14 days of pain medicine for surgery should last the 54 days leaving 40 day for the claimant to seek Urgent Care at a local hospital for pain resolve and the question is will insurance pay for the hospital stay?
5. The computer system used by OptumRx has major issues. A doctor ordering blood pressure medications such as ** where a 180MG and a 240MG dosage is required once a day the computer will rejected it because the drug has the same name. The requirement is for 420MG once a day. The workaround was to order the supplies at different times.
The only way I have found to work with this insurance is to talk to them directly and create a complaint. The complaint department is very nice and did work with me to straighten out a few issues. I still have a pending issue not resolved but I did call again. I am currently searching for how to make a complaint for this with the State of Michigan hopefully things will get better if fines or compliance issues are found and resolved.
Reviewed Nov. 9, 2020
I am the caretaker of my 95 year old mother. It is difficult to impossible to log on to their internet site and each time I have to change my password to do so. The website is inefficient to clear up problems so I have to follow with a phone call that is beyond frustrating. The automated voice cannot understand my input and finally transfers me to agent which is what I want anyway. After being on hold a long time I get a rep who verifies they've shipped the wrong product and twice they've told me to call when I receive pkg to return it when they know they can't accept returns. I end up spending three times as much on their product. They continually call to refill the expensive drugs that I have found at a different source for a lot cheaper. I hate doing business with them.
Reviewed Nov. 1, 2020
I received my order ** without **. Today I got an email from OptumRx about a problem with the order **. The representative said there is no more ** and suggested to go to the local pharmacy. After that I have a problem with transferring a prescription from OptumRx to CVS. Is OptumRx a nationwide company with millions of customers or it is a local pharmacy with numbered customers? Who is in charge of supply? I cannot imagine situation like this at the Ford or Toyota assembly line. No more wheels! Thousands of people are waiting for wheels! What gonna be with such company and where the supply managers gonna be?
Reviewed Oct. 30, 2020
I have no choice but to use OptumRx. My employer won't let us opt out. First of all im on anxiety and depression medication that I cannot go with out. If I do I will have to start the process all over again to get it to work again (6 weeks) during that time I feel like I don't want to live anymore. Optumrx doesn't care, every month is a battle trying to get them to send me my medication. Here I am again.. dwindling on my meds, even though my dr gave me a 90 day prescription on 2 medications - OptumRx sent 30 day supply on one of them and 0 of the most important one. I've been waiting a month to receive them. I will have to call again, probably several times before they will give me an over ride to pick up at walgreens because they didn't send my meds. If you can choose to opt out I would. Unless you like being on the phone begging people for prescriptions. Dangerous if you depend on medications for your life.
Reviewed Oct. 29, 2020
As a senior on various medications, I was reluctant to give home delivery a try, but I did, and I am very very sorry I have. What a fiasco mess of inaccuracy and horrible intelligent customer service people who say they are taking care of the problem but it never resolves after three hours on the phone with different representatives. There is no management email to contact for a real resolution or ability to chat online. I do not trust their customer service to continue to maintain my medications where they failed to properly mail a very important blood pressure medication at the end of September and I have since been out after dealing all month long with them trying to explain how their set up was an error they caused.
None the less, even so, the three separate hour long phone calls to customer service should have resolved the problem asap and rushed me delivery... but not so. It is now the end of October and they just emailed me that they have shipped an order to me.... which is two medications that are not even ready to be renewed till the end of November. All I can say is the competence and customer service is dangerously inferior at OptumRX and can't be trusted for anything you depend on.
Reviewed Oct. 21, 2020
I ran out of medication while waiting over 2 weeks for delivery. I ask for an overnight re-ship since I was out of med's but they refused and said it could take another 2 weeks. Suggest anyone using this "service" request a refill 30 days before running out of med's.
Reviewed Oct. 21, 2020
Cannot say anything good about OPTUM-RX. After 5 years, I am dumping United Health Care Medicare Part D. I got robocall yesterday saying that my medication had been recalled due to carcinogen contamination. After that robo-statement, the robocall immediately went to a busy signal and cut off. So I called customer service. Spent the next 25 min. on hold trying to confirm or deny the recall. Hung up. Sent message to OPTUM. The message reply next day did nothing other than promise to open a case file and to confirm that I agreed to deal with my issue via email. [WHAT???]
So, today had phone call with customer service rep (not a pharmacist) who immediately told me to stop taking the medication (which, by the way, was delivered to me AFTER the recall notice had already been issued by the Food and Drug Administration). I asked the customer service rep for details. He put me on hold and five minutes later got back on line and corrected his statement. Told me OK to take the medication, that the lot issued to me had not really been recalled.
I searched around on internet and found an OPTUM phone number to call to demand to speak with a pharmacist (NOTE: the OPTUM website does NOT notify you of your right to speak to a pharmacist; nor does it give you a phone number to connect to a pharmacist). I finally got a pharmacist, who confirmed that my medication had in fact been recalled and promising to send me a replacement. This is dangerous and puts my health at risk. Note: This is only one of about 10 complaints I have logged with OPTUM-RX over the past five years. This is one of the most expensive Part D plans on the market. My annual Part D charge is almost $1,000. The service is the worst.
Reviewed Oct. 18, 2020
When everything goes well, the maintenance medicines come on time with no hassles. I love that all of my maintenance meds come free through Optum. But if anything gets crossed up, it takes several days, a couple of visits to the website, several phone calls to both Optum and my doctor's office to get it straightened out. I got notice a couple of weeks ago that I needed to contact Optum because they needed more information to process my next order. So I called, and it turned out that THEY needed to inform ME that they were out of stock and did I want to contact their procurement division to be put on the wait list. I was hoping for an estimate of how long it might be before they would have more, so I could decide what to do. The person I spoke with transferred me and I hung up after 20 minutes on hold.
I called my doctor's office and they had my prescription filled at my local pharmacy. My insurance charges a copay for using the local pharmacy. Oh, well, thank God it was a common, inexpensive medication. But a couple of days later, I get email from Optum, saying my doctor canceled the original order. I called the doctor's office again, and no, they hadn't. They had confirmation from Optum that the order was placed and were surprised. So now they have to call Optum and waste their time. Who knows if I'll ever get my 90 day supply?
Reviewed Oct. 17, 2020
I inject ** 1x per month and every time I order this stuff from OptumRx something happens on their end to screw it up. Today I am frantically trying to get my UPS driver to come back because the extremely rude and inappropriate agent put "signature required" after I refused signature verification and double checked before hanging up! He sounded like he was about 18 and went on and on with personal information and telling me what he thought of the president. All I wanted was to put in my order but he wouldn't shut up, like he was talking to someone he knew not a customer trying to put in an order.
I just knew something was going to be royally screwed up and here I am on a Saturday, UPS knocked quick and split before I could get downstairs and now I can't get my meds until Tuesday when the ice will be melted and it will be ruined thanks to this stupid kid. That stuff is $1782 a vial!!! I want to cry right now. I can't believe how horrible this company is but I can't get this medicine any other way.

Reviewed Oct. 17, 2020
I am very satisfied with my mail-in pharmacy, they are always so helpful and courteous in answering my questions and concerns. I am always treated as a valued customer. I never have to wait long.
Reviewed Oct. 17, 2020
They have gone out of their way to research and save me money. Always easy to talk to and very understanding and courteous to talk to.
Reviewed Oct. 16, 2020
Very professional and down to earth. Explains things in laymen's terms for non-pharmacist like myself???? Well I used to be but that's decades ago??? I love this place. ❤
Reviewed Oct. 15, 2020
I would avoid getting involved with OptumRx due their to the unsatisfactory service I received in 2020. If they messed up a prescription they would delete the order number and start with a new number. If you voice any concerns they would bully you and try to make your refill a nightmare and painful. One request was submitted on 8-21-2020, I did not receive the medication until 9-15-2020; optumrx intentionally delayed and failed to make any reasonable adjustments. When I used CVS for the same prescription refill, it took two days to complete. On 9-4-2020, Scott & White Health Plan & I requested optumrx eight times to transfer all my prescriptions to CVS whereas nothing was ever done.
Reviewed Oct. 14, 2020
This company constantly pushes you to refill your prescriptions even when they're not due. I got so tired of them calling me that I switched to another pharmacy that has local locations, better prices.
Reviewed Oct. 13, 2020
The worst. Period. Independence Blue Cross in Philadelphia forces you to use Future Scripts for mail order pharmacy which forces you to use Optum RX which forces you to put up with total incompetence. I enjoy getting emails telling me my drug is out of stock, you must call immediately, and not being able to speak to a human being .... and when you do wait 60 minutes and get a human, they put you back on hold to avoid the problem with your drug. It's criminal. I don't know what to do, except go back to a traditional 30 day, pickup pharmacy which costs my insurance company more money, me more time.... all because of this awful company call OptumRx.
Reviewed Oct. 13, 2020
\hey were difficult to deal with when I was first required to use them. Refills have been easy and delivered on time. Customer service is mediocre when needing an explanation of cost changes.
Reviewed Oct. 12, 2020
This online pharmacy is good at sending out reminders, and getting the scripts correct, but they're not good with customer service.
Reviewed Oct. 11, 2020
They are now denying my breathing meds because they don't feel that I need what is prescribed & that the Dr should try other medicine. Which by the way we've already tried. I have severe COPD & I need my medicine just like I need all of my maintenance medicines but they continue to deny me. Makes me wonder if they just don't care. What's going to happen is I'm going to end up in the er with withdrawals from pain meds that I've been on for over 15 years for degenerative disc disease from 6 back surgeries. Plus my body will start shutting down because they won't refill my thyroid medicine. If they are going to play God with people's lives they best be prepared to be sued by family members.
Reviewed Oct. 11, 2020
I have ordered from Optum RX a few times now through my insurance. I had an issue and reached out to their customer service. The agent was helpful, but provided me with incorrect information.
Reviewed Oct. 10, 2020
Great customer service. The representatives are professional, knowledgeable and kind. Timeliness for processing and receiving medication is great.
Reviewed Oct. 9, 2020
OptumRX is my pharmacy for my United Health Care a division of Optimum and they should be ashamed and disgraced regarding their support of their clients on Medicare!
Reviewed Oct. 8, 2020
Optum ensured that I had all prescribed medications in a timely manner. They communicated effectively with my PCP when necessary. I felt cared for. The care team at Optum was very professional.
Reviewed Oct. 7, 2020
Nine out of ten times I call, they give me some ridiculous reason why my medication can’t be filled. Today the reason was that I hadn’t opted out of Home Delivery. When I told her I don’t think that’s the case, she rambled on about Home Delivery. They always create more confusion than is necessary. I’ve called with the same issue multiple times, and each person will give me a different ridiculous reason. ONE time I was able to talk to someone who actually helped me and was logical. He was flabbergasted by his coworkers giving me the run around for something really simple. Optum should seriously pay us for the hours we spend untangling their mess.
Reviewed Oct. 7, 2020
Prescriptions by mail, 90 day supply they refill automatically, they call doctor if need additional script. Order arrives within 3 days usually.
Reviewed Oct. 7, 2020
I love the fact that I get a 3 month supply of my prescriptions and I do not have to contact my doctor every time I need a refill, they do all of that for me, then lo and behold, my script arrives.
Reviewed Oct. 6, 2020
With Medicare, I do not pay anything for some of my meds. The one I buy is not the cheapest, but is convenient to order from them. Not everyone carries it. They make reorders easy.
Reviewed Oct. 6, 2020
Shipping is fast, quick to get meds when you don’t have any. Friendly, professional. They make sure your needs are met. Home delivery is the way to go. No standing in lines. Straight to your mailbox.
Reviewed Oct. 5, 2020
I began mail order with OptumRx within the past 12 months. I have two insurance companies and I have to deal with coordinating benefits. That has worked well as opposed to another well known company.
Reviewed Oct. 5, 2020
Very good prices; but website experience is not the best; constantly changing names and log-in experiences. One password is good today; not tomorrow. The best thing to do is call-in and that is great.
Reviewed Oct. 4, 2020
I was much happier with my local pharmacy. These guys are slow to ship and cancel vital prescriptions, always with the same excuse "they couldn't reach my doctor" (they don't even try). This is my life - they just DO NOT CARE!
Reviewed Oct. 4, 2020
The CS Reps have much room for improvement. I had an issue and needed to speak with a manager and got hung up on twice while my insurance rep was on the phone. I have never had a pleasant conversation.
Reviewed Oct. 4, 2020
OptumRX sends email reminders when they see your medication needs to be refilled. This is extremely helpful as I tend to forget to calendar stuff like that. OptimRX asks if you have enough medication.
Reviewed Oct. 3, 2020
The idea of delivery of prescription to homes is great. Sometimes I can't drive to the pharmacy because I just don't have time. I have had excellent results since I started with OptumRX.
Reviewed Oct. 3, 2020
Optum Rx keeps tabs on when I need refills to make sure I am never out. Prices are advantageous. 90 day supply. Very interactive. Easy to reach by phone.
Reviewed Oct. 2, 2020
We have been fortunate enough to have been given OptumRx with our insurance. It is one thing I do not have to think much about in this upsidedown world. Their website is easy to use.
Reviewed Oct. 2, 2020
The customer services rep at OptumRx are great. I was a little leery about switching my mom's meds to mail-order, but they've never missed a delivery and our out-of-pocket cost is $0.
Reviewed Sept. 28, 2020
OptumRx is the most incompetent group of pharmacy benefit managers that I've ever experienced. Issues take a minimum of 4 calls and 2 hours to sort out. Additionally, their phone service reps are completely clueless of my benefits and my account status. They will blame anyone and everyone including United Healthcare and my own doctor to get me to go away. They either lie about how my benefits work or transfer me to dead line. I can't even leave a rating for their service at the end of the call - they'll either drop the call so that I don't rate them or transfer me until the call times out.
Reviewed Sept. 26, 2020
My experience with Optum Rx was initially fine when we only used private insurance; however, once my son received Medicare due to a kidney transplant, the service has been terrible. They are not knowledgeable in how to process claims using Medicare as secondary. The average phone time I spend to refill the transplant medications is approximately 1 1/2 hours per month. Optum RX owed me a refund due to overpayment. I spent approximately 18 hours total of phone time over 11 months before I received my refund. I have had one customer service rep yell at me. I've had one lie to me multiple times stating that Optum submitted claims to Medicare and that Medicare denied the claim. The claims had not ever been submitted to Medicare per medicare and per a different OptumRx rep.
I have had promises for OptumRx to research my account and call me back; however, I have never received a return call from Optum. I have requested to speak to supervisors and then to the managers of supervisors. These leadership positions never call me back. If the customer service reps sense that I am not pleased with the service that I receive, then I am disconnected at the end of the call before I am able to complete the satisfaction survey. I continuously speak to Optum customer reps who apologize for the experience that I've had; however, there has not been one customer service rep who has fulfilled promises made to me...even the ones who state they they understand my frustration.
Reviewed Sept. 25, 2020
Optumrx charged us and took 732.00 out of our bank for medicine we never received. We have tried unsuccessfully for 2 weeks as of today and they keep telling us one lie after another about giving us our money back. We have been on hold-disconnected and told a variety of conflicting info as to our money being given back to us. This Company and United Healthcare has been horrible to communicate with and the hardship they have caused us is devastating. They don't care about how the mistake they made has put us in dire straights. We no recourse but to give up on getting our money back, they should be prosecuted for the evil and illegal act they have done to us. No food, utilities shut off and a nightmare. I pray God puts them and United Healthcare out of business forever and ever.
Reviewed Sept. 24, 2020
I have had OptumRx since I retired about two years. Mail order is great and medication comes quickly, but customer service is horrible. Two days in a row I spoke to a representative and the first time I thought it was me. The representatives both days were rude, sarcastic, hateful, hmm I'll let that sit there. I don't know if they're trained to be ignorant and rude or just the pervasive attitude of the land. I hope I never have to call them again.
Reviewed Sept. 24, 2020
My company health insurance switched to United Health Care and under the policy I have to use mail in orders. Setting up their mail in order for my wife's and my prescriptions was fairly easy. It only took an hour and the staff were extremely rude saying I should already know how to do this... Long story short we have to wait a month to get medication my wife with disabilities needs to function on a day to day basis because they no longer want use using the pharmacy we've used for 8 years. Absolutely worst company I have ever worked with and they choose to make fun of serious issues instead of helping people.
Reviewed Sept. 23, 2020
I have never dealt with such an unprofessional drug company in my life. They told me that they never received my check even though my bank had it cancelled. It was months and they refused to send my insulin to me. That is a save my life drug. I really got scared and my sugar was very high. It seems money was more important to them than a life saving drug. Do not use this company, what a horrible experience I had with them.
Reviewed Sept. 19, 2020
Do not use this company! In this health plan which using OptumRx for 9 months and been trying to get my one and only prescription filled for the last 6 weeks. Disapproved exactly one day after they sent prior approval request to doctor. OptumRx claimed to appeal needed list of all other medications ever used for this condition (used this RX for 30 years). Sent them list of all medications/treatments used and got message from Dr and OptumRX that it was approved and processing.
Went into online system a few days later and system shows needed payment information, yet I never received email or text to that effect. Put in payment information and instead of $15 co-pay, the payment amount by me is $493 for 2 tubes of cream! Called their customer service which appears to be overseas and spoke to a representative to canceled the order as there was no way to do this online. Representative claimed this is a tier 3 drug and that is why the price is over $200 each. The price without insurance at club stores is about $65! Completely inefficient and changing my insurance during this current open enrollment so that I no longer have to use their pharmacy services. Absolutely awful communication and poor customer service.
Reviewed Sept. 19, 2020
I used to think highly of this company. Unfortunately, not anymore. Reordered a prescription and it did not show what the cost would be. The next day I see that they deducted over $270 from my checking account for it! I checked online to see what all of my other prescriptions would cost and they all said the cost was unavailable. So I looked them up using their price checking feature. Prescriptions that cost me $0 in the past, now cost me money. One of them that had a small charge now was $50 more! No notification or any communication from them warning of the increase. I sent them and my prescription plan an email asking what is going on but have not yet heard back from either.
Reviewed Sept. 16, 2020
We utilized Optum RX to order ** for our patient, whom has been on it for several months. We were told on a Thursday that the order was verified and delivery would be on the following Monday (when patient's appointment was). Every work day after that I have been on the phone with Optum RX because they needed more information. Every phone conversation I had to continually provide the same information such as provider name, office location, DEA number, etc. Each conversation I was told they needed something different, that something was incorrect or wrong. I called back every day after and provided the additional information but each person I talked to said they needed something else.
After 4 days of calls to Optum, requiring something more from us each time with no delivery set up, we decided to go with another pharmacy. Immediately we were set up with delivery of ** for our patient. This was the worst experience with a pharmacy so far in my nursing career. They seemed to not know what was going on, ever, and delayed our patient's care.
Reviewed Sept. 11, 2020
This is the worst possible specialty pharmacy I have ever done business with. They are unorganized, their customer service reps are hard to understand, and their billing department SUCKS! If my insurance would go through any other company besides OptumRX for my Botox for my migraine treatments, I would get down on my knees and kiss the ground. This pharmacy doesn't provide medicine to treat my migraines, they actually have caused me MORE migraines. I am typically very patient, but when I wait on the phone for 30 minutes to be transferred to someone who can help me with my bill, and then they hang up on me? Ridiculous. Why can a company with horrible reviews continue to operate, and take advantage of consumers? This makes me sick.
Reviewed Sept. 9, 2020
Called OptumRX this morning and placed on HOLD for over an hour, and finally requested a callback. Got callback 5 min later and was placed on hold again, hung up. Finally called United Health Care, the parent company of OptumRX and talked to a rep. there. He tried for a half hour to reach a OptumRX rep. and finally got a hold of one in the Philippines. She could not do anything about the issues. UHC/OptumRX do not care about the service they have. AARP should be ashamed to endorse this company, must be getting a kickback.
Reviewed Sept. 9, 2020
I ordered a well-known generic prescription (**) using their website. Received an email that the order in process. No delivery or message for two weeks. When totally out of prescription, decided to see what is happening. Check their site, tried to reorder it, the site didn't take my order. Called UHC to see what is going on, they connected me to a pharmacist she apologized and said they are out of stock! If it was a critical medicine, I would have been in emergency room. In their system, patient critical needs is not one of their priorities. They are only there to make money by selling you more drugs.
Reviewed Sept. 9, 2020
I used OptumRx several years ago & stopped because of poor delivery & poor customer service. At the prodding of United Healthcare, I tried using this service again. I received an email that my ** refill had an issue & could not be shipped. Customer service placed me on hold for 30 minutes & then shut off. On subsequent calls, the same thing happened. I made several attempts and could not reach anyone.
Reviewed Sept. 9, 2020
I have been working with a patient for some time now who comes for an injection every 2 weeks. We order her medication every other week. It is nothing but a hassle and it takes at least 2-3 phone calls to set it up. The patient is scheduled for tomorrow at 0800 and I found out they sent the medication to a facility 100 miles away after multiple phone calls and an assurance that it would be delivered here today. I would not recommend them to anyone.
Reviewed Sept. 2, 2020
They said they would overnight my insulin pump. It never happened. I called and said I have one day left in pump. They again said they would overnight it. Never arrived. I ended up in ER. No insulin pump. NEVER use this horrible. It could cost you your life. I’ve had suppliers 48 years and this has never happened. I could have died had my husband not rushed me to hospital.
Updated review: Sept. 16, 2020
OptumRx worked hard at getting my initial issue resolved. They filled my order and promptly sent it out. They kept me apprised of the shipping progress through text and emails. I raised my satisfaction from a 1 star to a 4 star. I couldn't raise it to a 5 star because I believe there is still room for improvement, especially with their phone customer support. I will continue to use OptumRx to fill my prescriptions, and I will continue to monitor their phone customer support for improvement to my satisfaction. My satisfaction will be met when I receive knowledgeable help from customer phone support.
Original Review: Aug. 31, 2020
My Doctor sends my Rx to them to fill and my Rx is delayed because they can't process the information properly. It is just less hassle and less frustrating to get it filled locally. No more dealing with OptumRx for me.
Reviewed Aug. 31, 2020
I wouldn't recommend that you fill your prescription with Optum RX. We thought mail to home orders were going to be easy, but Optum delayed the whole process. They had the prescription sent over from Walgreens, but they didn't fill it, even when we were told that they would. We kept waiting and waiting for a shipment, and when we called, they didn't mail it out. They said they had to wait for the doctor to respond, but why if they had the prescription transferred from Walgreens. Then they tell you, just to back to Walgreens to get a 30 day refill until it comes in, which Walgreens denied!! I had to call again and get the shipment overnight. Thank god it didn't cost us to do this, but where is the loyalty to people who need medication? I am going to let us this fill, but NEVER AGAIN, will we have this filled. I rather take the time to drive to Walgreens and know that I am going to get the meds on time!
Reviewed Aug. 27, 2020
After they messed up my second order, I decided to part ways. They sent me half the amount of my medication my doctor prescribed. I called multiple times and so did my doctor's office to try to correct this. Their customer service is horrible. They lost the notes from a call from my doctor's office and could not explain how this happened. All OptumRx would do is throw my doctor under the bus when I would call trying to resolve this. I have never had an issue with local drug stores. My doctor agreed it was better to stop using OptumRx because they did not come across as reputable or professional.
Reviewed Aug. 22, 2020
I ordered my Transplant medication from Optumrx. Was told it will be delivered 7/21/20. Did not receive. Called. Again and was told it will arrive 7/23. Did not receive. Called again 7/23. Was told will receive 7/27. I received a letter of denial on 7/27 because they billed Medicare D. I don’t have D. Only B. That was billed before. No problem. I spoke with a supervisor that was stupid cause she had no right answers. Kept apologizing. I called my nurse and she spent 2 hours on the phone. They told her I needed approval. She spoke with Aetna. Got approval and they still did not sent medication until 7/30. 1 week late. I tried to send an email. Optumrx does not have a valid email address. Optumrx should be investigated.
Reviewed Aug. 22, 2020
I have been on the same medication for 10 plus years. Every year I get denied in August on refilling my medication. IF I was to abruptly stop all at once like they want me to I will DIE. Oh but hey it's just 1 human life right? I am not 1 of their family members. They do not care. Never have I ever been in trouble for selling my meds, or anything else they had listed on the letter sent to me. My urine test comes back fine every time with ONLY the medication I am given by doctor on that list. Yes it's a pain med. No these tumors will not just vanish. More will appear. On every nerve ending...I am so mad...
Reviewed Aug. 14, 2020
Spoke to customer advocate of 07/28/20. Ordered a refill of my medication. On 08/08/20 I called again to inquire about my medicine. I was told that the order was not filled due to error by advocate I talked to on 07/28/20. I was told that medication would be overnighted to me. Medicine was finally shipped via USPS overnight on 08/11/20. Called again on 08/13/20 and was informed medicine was to arrive no later than 08/14/20. Time is now 5:00 pm CST and medicine has not arrived. This company has no business being associated with United Healthcare.
Reviewed Aug. 14, 2020
I am on a specialty drug for PAH. Every year I go through the same issue around Aug. Even though I have been on this medication for years, they deny it. Not sure why and no one can give me answers. I end up going without for a month before I get it approved. Which this medication is a tritrate med. It can harm me badly without taking it. I got the letter of the denial a day before I need to reorder. I’m not understanding why they do this!!! Especially, since Cigna approves it and says it is Optum denying it. This is ridiculous! They are putting patients at risk!!!
Reviewed Aug. 10, 2020
I have been with them for over a year and have never had a co-pay due to my insurance through my employer and the Benlysta Co-pay Assistance card. Ever since they switched from Briova to Optum I keep having issues with the Benlysta Co-pay assistance Virtual Credit Card. The rep will usually find a way to bypass it and send me my meds but it's a hassle to always have to call also it can take several different calls to get it resolved. I tried downloading the app and that's been worse since if the order gets delayed there are no notifications so if I don't think about it I can lose a lot of time thinking it's being processed. If I could choose another Specialty pharmacy to handle my medicine I would in a heartbeat. Very poor service.
Reviewed Aug. 10, 2020
They are the worst. I told them to never auto fill anything on my account and they still auto refilled all of my daughter’s medications twice. The second time it took them over a month to take back those medications and refund my money. On top of that, I had to call them at least 4 different times and argue with a different manager each time before anything was resolved. If you request a prescription and your doctor’s office doesn’t respond that same day the request is pretty much voided out. I have never had to fight with a prescription management co about EVERYTHING but everything with them is a fight. I would not recommend them to anyone!
Reviewed Aug. 9, 2020
Ordered refills on 2 prescriptions but they sent me the wrong prescriptions using auto refill even though I’d called numerous times to have those removed from their auto refill list. Because of the lengthy time to send me the right prescriptions, my body went into withdrawals and I became seriously ill! After over a week I finally got one of my meds, but instead of giving me 90 days per my doctor’s orders, they only sent me 60 days. The 2nd one they claimed that it had expired and they to call my doctor with no success. But when I spoke to my doctor he said he never received any messages from them. But when I ordered the refills a month in advance, the med had not expired and I still had at least 2-3 refills remaining. I’ve had problems with since day one (2 years) with them and my meds. It doesn’t matter if I do it online or talk to a live person; only this time it could have caused me my life.
Reviewed July 29, 2020
Tried to refill an order this morning. Later received a call about how the company needed my insurance information, which was odd because it should have that information from prior prescription orders. The rep assured me she didn't have the information. I asked to get transferred to a manager. The rep hung up on me. Concerned about my medication not arriving on time, I called the regular customer service line (855-427-4682). After spending a couple minutes providing my personal information, got hung up on again.
Called a second time. This time reached a customer service rep. She admitted that she has my insurance information but explained that it was rejected, and that's probably why the previous rep asked for insurance information. This rep politely asked if my insurance information has changed. After replying no, she said she would reach out to billing so that they can run the information again. She said that she would briefly put me on hold. I waited about ten minutes, but got hung up on again. The sad thing is, this isn't the first problem -- or even the second or third -- I've had with this company. I will stop using this particular medication.
Reviewed July 29, 2020
The entire process has been a nightmare. Not only for me, but for my physician and his office staff. I thought it may be convenient to have my prescriptions delivered. PLUS, OptumRX even showed how much money I would save if I chose to fill my prescriptions through them. I acquired Prior Authorization months ago for 2 medications. From that point on, these 2 medications should be refilled monthly...as long as the prescription goes directly from my doctor, to the pharmacy. That's how it is at Walgreens, CVS, or any other Pharmacy ... right? Well, NOT with OptumRX.
OptumRX wasted my time AND my physician's time. They failed to tell my physician the exact information they require to fill a medication...and there was a back and forth, UNORGANIZED exchange of requests, submissions...it has gone on for 1.5 weeks. I TRIED to cancel the prescription orders altogether and go back to being a Walgreens customer...but OptumRX failed AGAIN. Yesterday afternoon, I called OptumRX for the THIRD TIME to cancel my order with them so Walgreens would be able to fill my medications...and the CS Associate confirmed the order was canceled. The Associate even said the cancellation would show up on my OptumRX account by the next morning. NOPE! At 9:08pm, CST last night, I received an email notification indicating my ORDER HAS SHIPPED!!!
What in the heck?!?!? So here I am, without medication for 1.5 weeks...and I still don't have it because I'm still waiting for the package to be dropped off at UPS/checked into the UPS system. The label was created at 4:44PM yesterday. Not only am I without medication...BUT the package is going to require a signature to be delivered!!!! Yet ANOTHER inconvenience from horrible OptumRX. Wow. This ENTIRE experience has by FAR been the absolute worst experience I've ever had with customer service, a business, an insurance company, ANYTHING. Customer hindrance is OptumRX’s specialty. It is astounding. OptumRX is an issue. Please, do not count on them…you will be let down…over and over and over and over again…!! Many thanks, Incensed and Bewildered.
Reviewed July 29, 2020
I placed an order on 7/11/20 for a med I was very close to being out of & it was shipped out on 7/13/20. While tracking my order online, I noticed it was held up at a Post Office Distribution Center. I contacted the Post Office on 7/23/20 to inquire about the status of my med. The Rep I spoke with at the Post Office submitted an inquiry for me & gave me a case #. I then contacted OptumRX & I spoke with a Customer Service Rep, I advised the Rep that the Post Office was doing an inquiry on my missing med & that I need the med resent ASAP. The Rep said she would have the med resent & have it expedited to me.
On 7/27/20 I received a call from my local Post Office informing me that my med was put in the wrong bin & was sent back to where it originated from. After hearing nothing from OptumRX on the status of my med being resent & expedited, I contacted them again on 7/29/20. The Head Lead informed me that OptumRX put a 10-day hold on my RX to see if I receive the one that was shipped out on 7/13/20. I was livid!!! I reordered my med on 7/11/20 because I desperately need it & take it daily. I then contacted my MD's office to submit a new prescription to Sam's Club RX. Needless to say, I will not be using OptumRX again & I will be contacting my insurance company & filing a complaint against OptumRX!!!
Reviewed July 27, 2020
This has to be the most inept company in existence. I’ve been lied to, outsourced and given a different story from each representative I deal with. OptumRx reminds me of Hillary Clinton never taking personal responsibility for her, or in this case their, royal screw ups. Oh, their website is different each time I use the damn thing. It would require more time than I’m willing to expend to describe my misadventures here. If possible steer clear of OptumRx.
Reviewed July 24, 2020
I’ve had nothing but awful experiences with OptumRx. I recently started birth control, and that’s when the letters started coming in the mail telling me to sign up for their delivery system. I ignored it because I thought it was nothing, but then I started getting charged at my local pharmacy for my birth control. So I finally caved and switched to doing OptumRx’s delivery system thinking it would be easier and save me time and money. I was wrong. 2 weeks before my prescription was about to run out, I switched to OptumRx as my pharmacy provider, assuming that it was fast and easy like they said. It was a week before they called me to tell me something was wrong with my order. And then I continued to get call after call with more problems with my order. On top of that, I won’t have my birth control in time, so who knows how my body will react to the change in hormones. Their customer service is AWFUL. Do not choose OptumRx.
Reviewed July 21, 2020
I am now required to work with OptumRX for my prescriptions and over and over again they have sent me orders I have not asked for and sent them to a different address than I asked them to. The people I have spoken with in customer service seem intelligent and claim that they are taking care of my issues, but then they do not. I would do anything to avoid this company! I would give zero stars if that was an option...
Reviewed July 18, 2020
I have been using this company for about a year and every time I have to place an order there is a problem. This time they are shipping my medicine to my home which has NEVER been authorized and I can’t get a hold of anyone at the company to correct their error. I have used multiple other pharmacies over the last decade and have not had problems with any of them. This company either needs to fix the numerous problems that it has or be shut down.
Reviewed July 16, 2020
This business gets one star solely because this is the lowest-rated option. Lack of follow-through and resulting missed doses of medication. Lengthy telephone holds. Staff, who when pressed, are willing to admit that they are embarrassed being employed by this organization. If your insurer forces you to depend on this wretched company, seriously consider changing insurers.
Reviewed July 14, 2020
I am a chemo pt and need an injection to elevate my WBC and been out of the hospital for 4 days now and still no medication. My care team has been working on it for almost a week. Customer service reps are very nice but getting a prescription is like pulling teeth! Best advice: stay away!
Reviewed July 12, 2020
wasn’t at the office and needed it sent to my home address. They confirmed in the call it would come to my home address. After calling Optum, they said that the shipper couldn’t deliver to a business on a Saturday so they were holding my medication and would deliver Monday. They assured me they would reroute to my home address.
Monday, I got a call from the one person in my office that it had arrived there. Now, I’m currently on hold with them because my present order was due to be delivered yesterday (Saturday). First she said it was showing delivered and then after telling her we don’t have it, she said, “Actually it’s showing delivery scheduled for Tuesday.” I explained that the rep I placed the order with assured me it would be here Saturday because otherwise I would miss a dose. I’ve been sitting on hold for 25 minutes while she talks to a supervisor, though to what end I don’t know because I’ve already missed my weekly dose. This is the second time I will have missed a dose because of their incompetence and I’m furious because they’re screwing with my remission. This particular woman is not pleasant in her demeanor either. Optum, you need to get it together!

Reviewed July 5, 2020
If Dr. doesn't reply within 1 business day they cancel your refill requests. No level of staff will listen to you, just irrelevantly blab to unrelated. Think they're doing you a favor. Autocratic. Bad!
Reviewed July 3, 2020
I can not say enough bad things about Optumrx. Last month the prescription I ordered went missing. It was not the fault of Optumrx, it was the fault of Fedex. But, I got the run around for 4 days. I was supposed to receive the medication on a specific day. When it did not arrive, I called Optumrx. I was told it was on the truck, but that if it did not arrive by that night I would get another script sent out the next day. The next day I called and was told it was taken off the truck and would get to me, but if I didn't have it by the next day, I would get a new prescription. This went on for 2 more days. It wasn't until 5 days after the original call that I was finally allowed to have a replacement. I was out of my medication for about 8 days by the time I finally got my medication.
My current refill situation has been almost as bad. I spent time on the phone getting my prescription. I then got a call back. There was a problem with the preauthorization. I did know this and had a reference code from my insurance that I could get an override for my supply for 2 months. When I gave the code to the pre-authorization department, she did not write it down. So, she then, 10 minutes later, after reviewing everything I told her a second time, asked for it again. Then I got cut off. I waited and did not get a call back, so had to go through the whole process of calling again.
The first call was 37 minutes, the second was 25, at which point I had to hang up due to a previous work engagement, 20 minutes later I was called back by the original person and told I was correct that there was an override for 2 month supply, but I needed to stay on the phone and give more information. I told the woman I couldn't speak then because I was doing something for work that could not be interrupted. I was told someone would call me back because she had to leave. I called back 5 hrs later, was disconnected once after 8 minutes and then spent 45 minutes on the phone making sure I would get my medication. I then wanted to make a complaint to member services. I was told they couldn't figure out who to send me to. When my first problem occurred last month I asked to speak to a supervisor. I was told one would call me back. That was over a month ago. Still no call back. Use any other pharmacy if you can.
Reviewed July 1, 2020
To be blunt...OptumRx needs to close. They are the worst specialty pharmacy I have ever dealt with. I have 20+ years of experience dealing with them. CVS...no issues whatsoever. Walgreens...no issues whatsoever. OptumRx...a freaking disaster! Where do I start? Let's see:
1) Worst customer service of any pharmacy I've ever been to (specialty or otherwise). Most of the reps are rude. They hang up on you randomly. Their automated system is a joke (hangs up on you, takes forever, leads you in a loop sometimes, etc.).
2) They don't even know how to read a prescription. Case in point: My doctor sent them a prescription that has a starting dosage for two months, then a maintenance dosage beyond that. I saw the prescription, and it's clear. I don't work in that field, and I had no issues seeing that. Optum, however, kept telling me they only had a prescription for the maintenance quantity. It took 2+ days of phone calls to get them to call my doctor to straighten it out. Even better...after they finally spoke to my doctor, rather than calling me to set up my prescription, they sat on it. Mind you, I had called no less than 10 times to get this set up. I had filed a complaint with their management as well as United Healthcare's management (UHC is my insurance provide...and oh, they happen to own Optum). I was told by management from both places that as soon as they had the info from my doctor, someone would prioritize it and call me. Didn't happen.
3) They don't even know what they've done in their own system. Example: They had my old address in the system. No big deal, just change it. Ha...right. I asked them several times to do so. I was told it was done each time. And each time I called back, they referenced my old address. Even better...when I log into their website, the address was correct. So their internal systems don't even communicate properly. Another example: I finally was able to get my delivery set up last night. This after several weeks of back and forth. They have now called me three times since. Each time I have either picked up or called back. And each time, it's because their system doesn't realize I've already scheduled the delivery. How can it not know??? This isn't simple case of the system needing to catch up.
When I spoke to United Healthcare (UHC), the manager even indicated that OptumRx was a problem. He went as far as to say he's heard it over and over. He indicated they somehow had gotten better (not sure how, but whatever), but that they were still a mess. If you know this, fix it. I'm sure he isn't the only one hearing it. And based on all the reviews I see online (avg of just over a 1.0...which means everyone hates them), the company is either blind or more likely doesn't care.
I am forced to use OptumRx. Probably because they are the cheap option for my company. The manager at UHC confirmed that they do offer other specialty pharmacies, but that with the plan they offered my company, I'm not able to use them. So I'm screwed. I've relayed my issues internally to my company, but as we all know things like that either never change or take forever to change.
The crazy part...this medication can be expensive, and it has no generic (it should, but again, big Pharma has made it so they don't have to). But I'm considering an alternative way to get it. Even if it means coming out of pocket for a bulk of the cost, which would put me in the poor house. But I'd rather do that and have it and not be in pain rather than continually get the run around by OptumRx.
I could go on and on, but you get the idea. Because of the lack of proper access to options and healthcare, people like me have to fight and fight just to get a freaking medication. It shouldn't be this hard. But big Pharma being in the pockets of so many politicians (both sides, so don't make it like I'm one way or the other) is making average Americans like myself have to waste time, money and stress to get something that should be simple. In closing...if you have another option...ANY other option, use it.
Reviewed June 23, 2020
I believe the purpose of OptumRx is to cancel perceptions. Claiming that prior authorization on a pre-exiting order.. My first medication ORX would not grant PA. I decided to go generic MED based on their recommended medications that is approved and in their formulary. ORX denied it blaming my MD did not complete PA paperwork. The paperwork she completed was wrong, she needed their paperwork. It could not be mailed only faxed to her office.
She called and several faxes later ORX agreed to pay for only half the prescription order. ORX will only pay for the immediate release and not the extended release. Claiming that the RX release required PA and the MD only submitted half the paperwork. PA is needs submitted for each individual med. Even though they are the same medication, one is fast acting and the other one is slow acting. DUH. So said I will pay out of pocket. 200 dollars a month for a med they recommended on their approved generic med list. As a matter of fact...ORX said I would have to fail 3 generic meds before they would authorize this med from their approved ** formulary. 1.5 years later paying out of pocket. I have surgery...and now these ** will not pay for meds directed by my surgeon. They need PA.
Are you kidding me. This is the silliest Medication company. I feel like I'm in some crazy movie where your insurance company wont pay for treatment for a new illness ORX will pay for only these disorders and you have to prove you need treatment. While claiming YOUR DOC did not submit the paperwork needed THAT proves you need treatment for THIS condition. The goal is to pin your doctor and local pharmacist against one another in Hopes that you blame them and never get reimbursement because you are tired of fighting. Ultimately you shut up and pay OOP.
In the midst of a pandemic, fear of traveling to a pharmacist or doctor's office, praying that no one calls the cops because you are infuriated about OPTUMRX reimbursement tactics, only asking for what is promised to you and paid for. OhioHealth. I am left with shut up and pay up. Shame on OPTUMRX, they know what they are doing and that is providing paying customers with subpar care.
Reviewed June 20, 2020
I have been using OptumRX for over 5 years and have found no problems with my prescriptions nor with their Customer Services. I truly cannot understand all the negative responses that appear on the comments.
Reviewed June 19, 2020
This is the WORST company/pharmacy I have ever needed to use for a prescription. Had it not been requested by my Doctor I would have changed the pharmacy after my first phone call. *They are extremely unorganized, I had to call them several times and ask that they call my Doctor several times only to reconfirm what we had already discussed in previous calls. *Their automated phone service would call me multiple times in a row and when I picked up, no one was there, not even a machine. *When I would call for a status, the robot on the phone would hang up multiple times in a row. *I had to schedule and reschedule several times with my Doctor because my prescription (shot) kept never being mailed for my appointment. This pharmacy does not have their ** together! Do not use them!
Reviewed June 13, 2020
My insurance always pushes for getting my medication thru this pharmacy; I have never have a shipment of my medicine on time, there's always an issue with either filling out the Rx; it is a extremely frustrating, time-consuming experience. So hard to deal with them. They approve an override after they can't figure out where my medication is and when my local pharmacy calls, they don't honor it. They have the worst customer service of any company I have to deal with.
Reviewed June 13, 2020
I have been told that everything that seems to be the fault of OptumRx is actually the fault of not one but both of my doctors. I have also been told that the doctors must fill out a faxed form and return it within 5 days or the order will be canceled. They have already canceled one order. They claim they will not mail a form to a doctor. They say fax only. When they do cancel an order they email you an 'order has been canceled' email with no contact information on the order. All it says is OptumRx. For them to expect a health care provider to respond to anyone in 5 days is to not be aware of how the world normally works.
Reviewed June 12, 2020
In trying to call the 800#, there is no location available in the state the check was issued from. I have repeatedly searched for admin offices and/or other states they might be doing business in and I only find a number in California.
Upon speaking to the service agent to ask if this indeed a valid check (thinking fraud in order to get people's bank account info on endorsed check$), she had no clue about refund checks. I asked her to please look up our account because certainly there M.U.S.T. Be notation on the account if there is a refund issued. She stated she saw nothing and no notation of any kind since our account was inactive.
After spending time with her on the phone, she said that accounting reviews had been done and anyone owed a refund was given one if OptumRx thought they had overpaid. I find this incredulous. How and why would any reputable company issue refunds and not inform phone clerks/service rep$ about such an event in order to answer caller inquiries appropriately.
Reviewed June 11, 2020
Today 611/2020 I received a text that a refill was shipped. I did not authorize the shipment and billing of Medicare. As a retired Pharmacist, this is illegal. I called Optum. It is impossible to speak with a Pharmacist. I was on hold for over 10 minutes. The lady said my DR authorize the refill. Which is a total fabrication. I have an appointment with the Physician on 6/24 and he was to reduce the dosage for a different strength. The person cut me off after I mentioned it was illegal to ship a medication without informing me. I cannot use the strength they shipped. I was dividing the pills I have now. This company puts profit ahead of patients. I am complaining to medicare and contesting the payment with my credit card.

Reviewed June 8, 2020
Every prescription has a problem. The website has many errors and is next to useless. The customer service people know nothing about the website, even thought you are encouraged to use the website. The long wait times to speak with customer service could be reduced if the website was useful. Customer service is useful and can fix the problem, but this should not be necessary if the website was useful.
Reviewed June 5, 2020
Doctor prescribed 45g of a generic ** cream, it should cost about $7 for co-pay indicated in the UnitedhealthCare online price checking website. The OptimumRX but gave me 3x 15g, and billed for $17.9 for co-pay. Calling customer service, the agent did not understand anything.
Reviewed June 5, 2020
I am a nurse and on the frontline with this COVID 19 and unable to get my medication I have been taking for over 10 years since work changed to Optum Rx. My doctor has submitted 3 prior requests and all denied because one of the questions is so misleading. I never had any issues with my other insurances. I am feeling so hopeless because I can't afford to pay for this med without insurance. Really don't know what to do next.
Reviewed June 5, 2020
My wife has been trying to get her prescriptions for a week now. The company says they send it out quickly. After calling every day still no response. Stay away from this company. They don't say what they advertise.
Reviewed May 30, 2020
If I could opt out of this for my prescriptions I would as it is a complete sham and waste of money. Completely insane process to talk to anyone, multiple phone calls to get to a person in the right department. Once there, they simply won't listen and have their pharmacist (who has never met me and doesn't know my history) overrides the orders of my healthcare provider. Perfect example of when money is more important than patient care.
Reviewed May 30, 2020
If there was a 0 star or negative rating available, I would give it to them. I went on their website 15 days ago to check the status of a prescription my doctor had sent in 30 days ago. There was no information. I called customer service. After 30 minutes on the phone she checked with their pharmacy. Another 10 minutes went by and she came back and said the prescription order had been cancelled because it needed prior authorization. (Why didn’t it show that in prescription status?)
I called my doctor’s office. They said other companies notify them when prior authorization is needed. The doctor’s office sent the prior authorization a week ago. I went on the website again today-surprise-no pending orders or pending prior authorizations. In fact when I searched my prescription history, it showed none even though other prescriptions had been filled. I called customer service and after they found my account told me again they did not see any prior authorization. She put me on hold while she called the pharmacy, came back and said they don’t have any prior authorizations and said they would call the doctor's office. Do I believe them-no. This company has many BBB complaints and class action lawsuits pending.
Reviewed May 30, 2020
This company advertised itself as a prescription delivery service. Nothing is further from the truth. They will "steal" your prescription from your major drug store chain and then fill it with a substandard version from an unrecognizable manufacturer. As such, I believe they are guilty of false advertising. Please help me put these con artists out of business. STAY AWAY!!!

Reviewed May 29, 2020
I have now taken my prescriptions to a local pharmacy and leave only 1 with OptumRx. This company has NO customer service, their employees lie or give false information depending on who or which employee you speak to. They have not even once delivered or serviced as promised. I have a full time job and the time I've spent trying to help OptumRx get my prescriptions correct ... they should be paying me. But I'd never work for such a terrible company!
Reviewed May 27, 2020
I was wary of that company from the beginning. Had a very difficult time getting prescriptions added and they wouldn’t answer when my physicians called. And now, when I finally got one to go through and am on my second refill, they send....AN EMPTY BOTTLE. Yes, you read that right. My completely sealed package/bottle arrived completely and utterly empty. I am upset with myself for how rude I was to the pharmacist, admittedly. I am also, however, confused and appalled at how this could have possibly happened. I asked if they had cameras in their fulfillment area and asked for an investigation. On top of this, they have denied me a medication that I need in order to function, even though I have 20 years of medical history and fulfill their own requirements. I just. I can’t with them.
Reviewed May 26, 2020
I have had a series of miserable Customer Service experiences with OptumRx for many years. Many of the reps are poorly trained and seem to have difficulty understanding basic information & questions. Often the calls are dropped at their end, especially after I request to speak with a Supervisor. They are not allowed to make outbound calls, apparently, so the whole initial call content is wasted and one must start all over again with another rep. Sometimes I have had to make four consecutive calls just for one often minor issue because of the dropped calls, wasting my time and energy. Medications are mailed out in flimsy white semi-plastic envelopes, so that the medication inside rolls around, rather than being securely protected. I have opened such envelopes only to find the medication has separated from its cardboard container as a result of the insecure cheap packaging. My complaints are ignored.
Most recently, Optum has begun to order medications without confirming the order with me. In one case, Optum fortunately could not mail me a very long-ago expired medication w/o getting confirmation from my MD, who did NOT want me to ever use that specific Rx. Yet Optum claimed that I had requested that Rx by calling them, which was not true. Three reps actually gave me the date & time of the alleged call from my cell phone, a claim not supported by my cell's Call History and by my cell carrier's records.
Another medication, they claimed, was on Auto Refill, also untrue, and was shipped to me without my consent. I have deliberately NOT checked off "Auto Refill" because of my distrust of Optum's service. Each of these Optum errors causes me lost time, energy, and tremendous frustration. I could easily spend another 30 min providing more examples of such incompetence. I am a health care provider, as well as patient, and am astonished how this company has been allowed to do business with such a poor record of customer service.
Reviewed May 24, 2020
This company considers your health a very low priority. They are all about lining their pockets with your money. They take pleasure in denying you your medication and incompetence is a method eagerly employed. Problems are resolved with great difficulty. No one there will provide a name. Any attempt to follow up on an issue is futile. Problems are virtually impossible to resolve and it is obvious they prefer this method of operation because they can delay or deprive you of needed medication in an effort to bolster their bottom line. This year Optum RX acquired Briova RX, which they now call Optum Specialty Pharmacy.
I have Botox Treatment For Adult Focal Spasticity. My health insurance, AllSavers - United Healthcare, requires that my neurologist obtain the Botox from Optum Specialty Pharmacy. My physician successfully obtained the Botox for my treatment done on 2/17/2020. My physician had to cancel my treatment scheduled for 5/11/2020 because they were unable to obtain the Botox for that treatment. I was notified for the first time on 5/7/2020 that there was an outstanding balance from the 2/17/2020 treatment in the amount of $1211.62. I explained that I was unaware of any balance and that I've never received a statement or bill. I told them to please send a bill. I received a bill on 5/20/2020. I have had to cancel two appointments and I am long overdue for my treatment which limits my physical ability and causes a great deal of distress. Optum Specialty Pharmacy is holding my medication hostage over a $1211.62 bill that I received on 5/20/2020.
OptumRX sucks at providing the medication you need. They have no interest in your health and well being. Their system is designed to deprive you of needed medication and thwart any effort on your part to resolve issues. I truly hope that the apathetic employees employed by this organization who have no scruples or integrity experience this type of service for themselves.
Reviewed May 22, 2020
This company doesn't CARE or even attempt to fix their errors....nothing is their fault. All they do is transfer you around and put the blame on different department. God forbid you need your meds because the initial approval can take a MONTH and then they will make NUMEROUS errors and constantly lie to get you off the phone. You will spend countless hours calling them...
Reviewed May 22, 2020
I went to do this review and lo and behold - they have a ton of 1 star ratings. I have to take a non-generic brand of a medication. I must have called 4 times trying to get them and my Dr. coordinated. I was told by OptumRX even last time on the phone that the drug would never be approved even with the Dr. sending in the prior authorization form. So ... I spent 2 days getting it filled at a "regular" pharmacy - first Walgreens where they said they were not allowed to fill it, it had to be through OptumRx or a CVS. I finally got it filled about 10 days ago. What do I get in the mail today? Another 90 day supply. How can they refuse to fill my prescription, but then they are able to refill it 10 days later. Run, people, run.
Reviewed May 15, 2020
After utilizing the order-by-mail refill for approximately 10 years with intermittent problems, I now cannot even access the site at all! My computer tells me it "cannot open this page". It tells me that over and over again, no matter to which Optum suggestion (per Google) I go. When I call for help they "think it must be my browser", a browser the works on all other sites as it always has. Their suggestion that I undo my membership and "re-up" makes no sense because I cannot raise the Optum site or home page to do so. This company's track record is extremely poor and (now) I see why. The people at the other end of the "Help" line are, sadly not equipped to help.
Reviewed May 14, 2020
My job switched to Optum prior to the start of the year. Worst I've ever had. Many of my once covered rxs are now not. I've been through the mill finding rxs that work. Now I can't get them. Had a medication that was coming through the mail. USPS refused delivery twice. Wasnt until I called USPS that I found out a signature was required (not noted in USPS or OptumRx apps). I have a job. How can I be home to sign for meds? Can my husband sign? No. Oh, you'll deliver it to a different address so I can sign for it? So, should I just leave my students in the middle of class to meet USPS somewhere on campus?
I finally got a medical condition under control with a very specific drug that works differently than the others in its class. I've been symptom free for about 2 months. It was covered before. Now it's not. There isn't a precert for this one either. Stay away. Stay far away. Encourage your employer to keep looking if they are considering optumrx. Seriously.
Reviewed May 8, 2020
Customer service seems to have people in different countries that speak very little English. I have spoken to several in the past week to explain my problem and they have no idea what I'm talking about! And it's such a simple matter that I could not have explained more thoroughly and painstakingly. I needed new prescriptions for 2 medications. They sent the request for renewals to the wrong fax - twice. It was back and forth between the doctor's office and OptumRx to get the correct fax number from the doctor and to get OptumRx to send it to the correct fax#. Finally it was sent to the doctor to renew and he renewed it. Two days later I got an e-mail from OptumRx telling me I needed to call my doctor because he had not approved the renewal. This was for the same 2 meds that he had just approved! It was on the way so I didn't bother calling my doctor.
3 days later I got yet another e-mail telling me again to get in touch with my doctor as he wouldn't renew the Rx. I then checked my on-line account with OptumRx and saw that these 2 medications had been ordered 3 times and had 3 different order numbers! I asked that they please delete the last 2 orders as no doctor will approve the same meds 3 times - although I wouldn't mind a 9 month supply! He looked in my account and could clearly see all 3 orders with different numbers and that one of them had been approved and was on its way. When I again asked if he would delete the 2nd and 3rd orders and asked why they would even order 2 meds 3 times for the same person. Then he asked me, "so you don't want us to get your doctor's approval for these meds?" With that I realized I was talking to a buffoon and hung up. No excuse for this - and to think these people get paid.
Reviewed May 7, 2020
I am on a automatic refill every 3 months of ** 250mg. I usually receive it 3 weeks before I am out. I had only a week left and still had not received it. I called and told them I would be out in 5 days and there was a weekend during those 5 days. She said she expedited the prescription. They take the money out of my account when it is filled and shipped. They had taken their money so I thought it had been shipped.
I received an email 2 days later saying "URGENT OUT OF STOCK". I received the email on a Thursday. I called them and they said they were out and they don’t know if they are getting it back. I asked what should I do and she said to call around to find out if someone had it then have a script called in to whoever has it. I had to call 3 pharmacies and found it. I called back and talked to a supervisor. She said the order was put in 2 days before. I told her I called in because I didn’t receive it and am on an automatic refill. She said I would have gotten the script this week but I said I get it 3-4 weeks before I’m out. She was no help and could care less about the predicament I was in. You can stop a medication like that AND I would never had known if I didn’t check my email. What if I didn’t have internet. They can not be trusted for your prescriptions. Be careful if they are life threatening prescriptions.
Reviewed May 7, 2020
Went to refill a couple prescriptions and noticed that some that I seldom used were expired so I clicked to have them renewed, did not click to have them refilled!!! Well they refilled them and charged me and when I called they told me they can't have them returned or refund my money. They could only do that if I was on Medicare. Don't get that at all. One I got I see now can be gotten over the counter, maybe they were trying to get rid of their stock. Will use Walgreens from now on.
Reviewed May 5, 2020
This company is a bad joke. Forced to have them due to company buyout. Denied vital medication and 4 appeals so far, despite this being a covered drug and my meeting the criteria per their own guidelines. Cannot have any quality of life without this medication. Have been on it for 5 years prior, no issues with past insurers. No proper communication from OptumRX, takes forever to get a person and they are no help. Website keeps failing out. I hate this company and the stress they have put me under, as well as the work they have caused my doctor and his staff.
Reviewed May 4, 2020
Our Insurance company chose Optum for our Medication benefits, we are not at all happy with this company. We will be filing a report about the way they handle my medications. Medications that I have been on and no substitute they are now denying, and since I did not want their mail order every medication that I am on there is a problem with. My Doctors are disgusted with this company and my 4 Doctors are getting together to do a major complaint against Optum. If you can stay away from this Company.
Reviewed April 29, 2020
Program does not work. Set up auto refills for 93 yr old mom. Myself as authorized co signer. Meds never send automatically. I call each month, told I am not authorized. Claim to fix, do not. Worst company. Disrespectful.
Reviewed April 25, 2020
I suffer from chronic insomnia. All sleep meds are either excluded or limited quantity. How is anyone suffering from lack of sleep supposed to get help. They give you a 14 day supply. What am I supposed to do the rest of the time? They need to reconsider their decision about this. People with insomnia, especially chronic insomnia need rest!!! I do not like it!!!
Reviewed April 25, 2020
OptumRX and its specialty pharmacy cannot get a prescription to the correct address at the requested time without making the client and physician jump through hoops every month. It doesn’t matter what authorizations are on file, you get a call every month and an apology every month and a promise it won’t happen again, but it always does.
Now they decided to merge their specialty pharmacy computer system with their regular mail order pharmacy system and nothing is right! Routine mail order is going to the Dr. office not your home, spouse phone numbers and e-mails are used rather than the patients. It doesn’t matter who you talk to it is never corrected, it just continues year after year. The only positive thing is the professionalism of their CSR’s who have no ability to fix anything but are always kind, I don’t know how they do it.
Reviewed April 24, 2020
I have been trying to get my medication for over a month. First they told me they were out of my medication and they would have it in a week. I did not get the medicine so I called back and they said that they were out but now had it and they would send it expedited. I did not get it, so then I called back and I was told they were out of the medication and they would need a prescription from my doctor for the name brand. My doctor called them that day with authorization and I got a processing email. The medicine did not come. I called again and they said they would send me the name-brand medication, I got the email that said processing. The medicine did not come.
I called today with United Health supervisor and after an hour and a half they promised that it would go out today. At 4:30 I was sent an email that said it was going to be another week before I got it. I called in and they said they are long-term out of medication and had no idea when they would have more. I am now out of medication and they have been telling me for a month that were sending it. I have spent countless hours talking to Optum and they always tell me if it's coming but they do not send.... It's all been lies. Keeping people from their medication is criminal; all of my conversations have been taped so there is proof of their dishonesty. United Health has been amazing trying to help me but OptumRx has issues.
Reviewed April 24, 2020
I have now run out of the medication ** 10 mg ER for my son. Optum Rx failed me in a few ways. First, they sent me emails telling me that they are processing the order and that I could expect to receive it on 4/10/20. Then, when it did not arrive, I called and found that they were awaiting a call from my doctor's office for prior authorization. I would not have know that if I had not called. My doctor called them promptly and was assured that they would expedite processing the order and mailing it to me. I received an email from Optum Rx saying I could expect to receive the order by 4/22/20. The order did not arrive.
I received an email from Optum stating that I could expect to receive the order on 4/29/20. So I called Optum Rx this morning and was told that my doctor had called in a 60-day script, but Optum can only fill a 90-day script. My question is: Why does Optum Rx send misleading emails regarding expected delivery dates when in truth they have no basis for that claim. And why doesn't OptumRx contact me about these problems with the script also that I can help resolve them in a timely manner? Now, time has run out and I have no medication, despite my best efforts with OptumRx. A final complaint: when I log in to my Optum Rx account online and look at my son's page, the website claims that there are no orders for him in the past 3 months. In sum, I have no access to definitive information about my prescription orders, and the information I do receive from Optum is misleading at best.
Reviewed April 23, 2020
The phone system is borderline at best. I've been disconnected repeatedly, had calls continued in Espanol without pressing a single button, the automated system is inexplicably garbage. That said the people who answer the phones are wonderful. They are helpful and doing their best at a terrible company. I recently tried to switch a prescription over to them because I could get 3 months worth in the mail for what I pay for 1 month at the counter at another contracted pharmacy. My Dr transferred the Rx, and they never filled it. So I filled it at the counter at a Walgreens. I have asthma, and I need the medicine to breathe. They decided to fill it 2 weeks later and my insurance wouldn't cover the refill. Luckily I caught it before they mailed it (a $934.34 refil instead of $10) and had them adjust the date so they could send it when my current Rx ran out.
A week later, nothing, I check. It's scheduled to arrive in two months. You can't adjust a delivery date sooner on the website, so I call. Again, customer service is great, but they can't tell if my insurance will cover the refill. They tell me they can't give a price other than the price without insurance and it will mail in about a week. Yet again, I can go to Walgreens and get it now. Why bother? It's not worth saving $10. It's definitely cost their company 10× that just to answer my calls and try and get my Rx transferred over. I just want my medication. I thought they could save me a trip to the pharmacy every month. Instead, I'm scratching my head and lucky I can get the medicine I need when I need it. I can only imagine if I was in a different situation and not prepared.
Reviewed April 23, 2020
If OptumRx is not yet certified, why are they in business? I am new to OptumRx and am extremely frustrated with those who answer my calls. Prices are misquoted, keep being told to talk to doctor--when I call doctor, am told OptumRx never called, am not getting 90 day prescriptions and then I have to return the one item sent. Turn around time is extremely slow for mail orders. I concur with the 888 reviews that I read. Had I known about the low star ratings and the dysfunctional mail order process, I would not have signed up with UnitedHealth Care.
I have spent upwards of 10 hours on the phone clarifying prescriptions and their cost. I am still waiting for a $289. credit to my credit card for prescriptions that I returned with a return label sent to me by OptumRX. Turns out I was sent the incorrect return label. So, who actually knows how the Optum system works and does the CEO have a clue about the dysfunctional system? When we are given the opportunity to enroll with another insurance carrier, I will do so. I've had it with OptumRx; they are ripping off the consumers.
Irma ** in San Antonio, Texas
Reviewed April 22, 2020
I would give Optum Rx a "0" if I could, but since I can't I will give them a "1". I'm a RN with a specialty physician office and do all the prior authorizations for our specialty medications. I have worked with Optum Rx for the past 5 years and they have consistently gone "down-hill" with their services. I can get an approval, then they tell my that the medication in question has been denied, when I'm sitting at my desk looking at their approval letter. Then they tell me that there is a "hold up" on shipping the medication to either the patient or the infusion center location. I'm really not sure why this company is still in business or why there are no "checks and balances" on any of these specialty pharmacies. They're ALL BAD!
How is it that they can get away with this when I'm seeing nothing but complaints from all the listings on this website? Is anyone doing anything about this? Does anyone even care! I'm a patient advocate and I really don't understand the lack of accountability not required by our government and/or their governing body or even the pharmaceutical board.
Reviewed April 22, 2020
My husband’s new job provided OptumRx as the drug company. On April 3, 2020 We set up accounts to order online medications from them. My husband’s went through just fine. My experience has been hell. They have called me almost everyday. Needed more info from the doctor’s office, I called my doctor they said they had already provided that info to them. They had also tried to put through a prescription for **? I have never been prescribed this. My doctor of course would not O.K., this prescription. Anyway they call everyday about something, called once because they needed my phone number? One day they called because I was listed as a man? I called the insurance company to clear this up. They had me as a female.
On Saturday the 18th they called again to straighten something out. After that call I was assured my account was good and drugs were being shipped. So Monday they called again, needed more Info? Called them back hadn’t a clue why I was called, looked and that was when they said I was listed as a man. I had asked for a supervisor, he assured me he had straightened everything out and drugs had actually shipped already. Guess what? A call today about my order. I give up. OptumRx Is the worst. Is there an option for no stars?

Reviewed April 21, 2020
You name it, Optum Rx has failed. Tabs fail, logins fail (verification code required EVERY attempt). Tech support can't resolve issues, I receive unrequested prescriptions, codes not sent, just on and on.
Reviewed April 21, 2020
I was forced to join OPTUMRX I was informed that if I did not join I would pay retail price for all my medications. They did not give me an option. So now they have my sleep medication which has been refilled by United Health Care since 2001 with no problem. OPTUMRX has that medication on hold. First time I called I was told because they needed a 90 prescription from my doctor. Medication still on hold, second time I was told OPTUM was waiting for CVS to transfer the prescription. I called CVS they told me I had no active prescription with them. Third time I called OPTUM they sai the reason it was on hold was because United Health Care was denying payment.
I called United Health Care they said they had no idea because they have been filling that prescription since 2001. Fourth time I called OPTUM the said the medics was on hold because my secondary insurance was going to pay for it. I do not have secondary insurance, the lady was screaming at me. The conversation ended when she hung up on me. The fifth time I called OPTUM said the medication was on hold because they needed a medical approval from my doctor. Five calls five different reasons. I have 3 days left on my sleep medication, I do not sleep without it. I have no idea what I am going to do.
Reviewed April 15, 2020
My experience mirrors many that I just read on this website. No coverage for ** inhaler. Walgreens indicated cost was retail, so insurance was not covering (UnitedHealthcare w/ OptumRx). On website CHAT indicated could buy for $47.14 for 3 months. Actual charge when the medication showed up was $188.57. After calling, chatting, emailing, still no resolution. Could have purchased a 3 month supply from Costco with an online coupon for about $54. The practice of quoting a price and then charging 3.5 times more is bordering on being illegal and at the very least is abusive. Hard to believe UnitedHealthcare uses OptumRx!!!
Reviewed April 14, 2020
We pay monthly for our Prescription coverage. They reject Prescriptions that we have been using for over 10 years. Then they make you go through a lengthy process to review our doctor's Recommended medications. OptumRx then decides If they will allow you to continue using your doctor recommended prescription. This is not fair. It's actually criminal. We pay, they deny us our Doctor Recommended prescription. The final insult is OptumRx has a satisfaction survey at the end of the phone call and if you answer 2-3 of the first questions negative they will end the survey and say it's a bad connect. This is criminal.
Reviewed April 13, 2020
They were not concerned with the fact that I was out of medication and had been out for 10 days as of today. Rude. One lady even hung up the phone with me. I was not given a choice of this insurance d/t my employer but if you are able to choose your prescription pharmacy I would not recommend at all.
Reviewed April 13, 2020
OptumRx is the WORST mail order pharmacy I’ve ever had to use. Nobody there seems to know what is going on with any prescriptions. For every prescription I’ve had, I have had to call them at least two or three times to get them to process the prescription. On every call, I get transferred to different departments. Why can’t I simply make one call to request a refill of an approved prescription and then feel confident that it will be sent to me??? Dealing with OptumRx is all kinds of crazy!!! I will be glad when our insurance company changes to a different mail order company at the end of this year so I can escape from the OptumRx nightmare!
Reviewed April 11, 2020
We get e-mails that our orders have shipped when in fact, the Rx is out of stock. They claim they're 24/7 - but not if you want to deal with an out of stock item, then you have to wait until Monday. "Pharmacist reviewing" seems to be the default status and can take 3-4 days even for a refill. You can make changes of your address, phone number and preference for text online - and they will still call you using the wrong phone number. I'm done, switching all our Rx to a local pharmacy and braving the outside world to pick meds up.
Reviewed April 6, 2020
I have worked with Tenncare Medicaid pharmacy department since 2017, staying on top of all the changes that were occurring. January 2020 Magellan was either bought by (or something) by OptumRx. Since this change, working with this pharmacy has been an ultimate nightmare. When attempting to initiate a PA via Covermymeds, it's IMPOSSIBLE because OptumRx still hasn't updated their system so that they recognize the patient's information. This is an unnecessary headache!! Shouldn't be so. Now Covermymeds isn't user friendly and it's clearly not their fault. OptumRx knows of the issue but has done nothing about it.
My 2nd complaint would be these 3 day approvals for ** medications. This is dumb! Why would any authorizing organization only authorize anyone 3 days to pick up medications? If a patient was aware of the approval, this stipulation may not be as awful... BUT THEY ARE NOT! WE, THE PRESCRIBING OFFICE ISN'T! More often than not, the approval notification is NOT faxed or it's faxed on weekends. Really??? I guess it's faxed to the ghost and dust bunnies!! FYI, ** is a medication designed specifically for Sickle Cell patients and its a MAINTENANCE medication. This means they will need/take it all the time.
OptumRx will only approve a 3 day authorization - which means patients only have days to pick it up. In addition to this, it's only approved for that 1 month - even though the Rx calls for 11 refills!! What agency has the time to initiate a PA for every freaking patient every month for the SAME MEDICATION!! Correction… every week because if for some reason the patient was unaware of the approval or unable to get the medication in 3 days, the agency has to reinitiate another PA. This is not considerate of the Prescriber's time or the patient's health. But you claim to be a pharmacy that cares. No..it's financial for you. Get it together and make these necessary changes TODAY!! PA's for ** medication should be authorized for a minimum of 6 months to 1 year!!!
My last complaint is the customer service I received today. I have no problem with different dialects or speaking with reps from different regions (although it's quite difficult to understand them)… but I do have an issue with rude behavior. This lady continued to attempt to speak over me as I explained the patient's situation and then even as I gave pertinent patient information. SHUT UP!! LISTEN!! Rude behavior is a no no! This made me hate OptumRx even more. I'm calling that they are shut down or either replaced. I have began a petition because if they can't listen to the general public and make changes accordingly, we don't need them. And because I am pissed, I have NOT proofread. No apologies!
Reviewed April 1, 2020
I have been on my medications for several years, now I need a preauthorization for it. I drop my original script off and they didn't like the way it was written. My doctor rewrote the script to fit into their guidelines. They again rejected it for a prior authorization. I am now a week without my medication. When I called and asked for explanation. I was told it could take 24 hours. I said it's been 8 days. I asked for a supervisor and was reconnected to the automated system instead. I waited on hold for well over 1/2 hour before giving up. Sure hope I don't suffer any side effects from not having the medication. They sure don't care.
Reviewed March 30, 2020
This company is the worst I have ever dealt with. Customer service people who are CLEARLY overseas have no idea what they're doing. This company keeps billing me $100 even though I haven't placed an order. I can't refill prescriptions because they say I owe them $100. I call them over and over and over again to correct their mistake - it takes weeks for them to do anything. I've had to contact my bank and report the $100 they took out of my account as fraudulent. What is wrong with these people?
Reviewed March 28, 2020
When my company switched to this mail order pharmacy, I expected some glitches. It took 2 months to get one of my medications. Finally worked out, no problem. As soon as they found out our contract with them had expired, all heck seemed to break loose. Prescriptions that were low cost appeared without much problem (including BOTH strengths of one which the doctor had changed! Their notifications don't mention strength, and often not on the website.
Suddenly, the pre-authorization from the doctor who had closed his practice wasn't good enough for my most expensive medicine. My new doctor sent it in TWICE, and the prescription at least twice. Still can't get it, though they tried twice to send half-strength. Claimed the authorization AND the rxs were for the lower amount, even though I'd been receiving the correct, high amount all year. Also, even though another preauthorization for a higher dose of a Tier 2 med was still good, they required another one for it, too. And still would not send the medicine.
On top of everything else, rather than charging me the usual $140, they are trying to charge me over $2200 for this one. I called to figure this out, and the prior authorization department hung up on me. He kept reading the same sentence over and over about expiration date (in two months), but would not explain what that had to do with anything. This morning, the person I spoke to in the pharmacy put me on hold. 20-30 minutes later, she hung up. Suddenly, I got my THIRD text telling me my prescription was on it's way. It is not. If I ever have to use OptumRx again, I will go a year without insurance.
Reviewed March 28, 2020
I've been on a certain medication for a while. All of a sudden, for this current renewal, they want prior authorization. This time they declined it. Their pursuit of profits to the exclusion of their customers' health is unconscionable. And this post is from a conservative!
Reviewed March 17, 2020
OptumRx just took over the prescription benefits for BCBS. They have been terrible to deal with. You expect a certain level of knowledge by those helping you. I had a prescription that they turned down 2 Prior Authorizations and forced an appeal. It has been 11 days but the 3 hour conference call with a BCBS rep and 11 different "specialists" from Optumrx. The first complaint is that 3 of those specialists just hung up on us. The others kept insisting my appeal had to be filed with BCBS.
In the end all 11 Optumrx "specialists" learned that they handle their own appeals and not BCBS. Is that who you want handling your medication approvals. Most of the specialists really appeared to be clueless. I have never been stressed out as much as I have been this week all because of Optumrx. I have had to change medications I have been on for years and one I have been on for a few decades. I am still awaiting one particular appeal. Hopefully it doesn't lead to an ER visit in the middle of the Coronavirus outbreak because Optumrx knows better than your doctors...
I would hope to avoid Optumrx in the future and if BCBS still utilizes them next year I will seriously have to look elsewhere for my insurance. Apparently I am not alone in my problems with Optumrx as their reviews are terrible. My pharmacist says they are the absolute worst they deal with as does my doctors office. I thought they were there to help the patients and the insured. They seem to do what they can to disrupt your health.
Reviewed March 9, 2020
Just about the worst company I have ever dealt with. The OptumRx website simply doesn't work and is not updated in real time. When there is a problem filling a prescription it is not reflected on the website and there is no notification by other means. Promised expedited deliveries are frequently not made. Issues that arise on medication combinations are never resolved as their computer system is apparently incapable of indicating that the issue has been previously solved. The customer service reps are not helpful or properly trained. When multiple calls are made about a prescription hold-up (and this is a frequent event) different answers are given by different reps. Frequently promised resolutions are not delivered.
I have recently begun to switch my prescriptions to Walgreens where I can see the pharmacist, they smile at you, are happy to have your business, and actually deliver the prescriptions. With Optum Rx I am unable to even imagine worse service. I frequently wonder how they are able to stay in business and suspect that it is only because customers are forced to use them.
Reviewed March 8, 2020
My wife and I both have had continual issues with OptumRX. Everything from having to do multiple submissions of prescriptions (up to 3 times) to a website where their features do not function. I've been trying for 3 months to have a discontinued medicine removed from my account, they have it duplicated, and I get two texts every week that my Doctor doesn't approve the prescription. He doesn't want me taking it, and neither do I, but they can't figure out how they messed it up.
You can't communicate with the same person twice in a row, either by phone or message. No direct emails, only messages that may be responded in 3 to 5 days on the website or by phone. But wait making a call to their staff is just fun, they don't know anything about your account, their systems are days behind in information so nothing is current.
The majority of people I have dealt with have little or no training nor understanding of generic replacements. If you look at a bottle that is labeled with a standard name, they don't know that OptumRX will have it in your account as the generic that they sent you, with no cross reference to the information on the label. They like to repeat the same phrases, and not give you any information. When you ask for a supervisor, they are just unavailable. After hours of wasting time with them and different stories about what they are or will do, I have given up on making a call to them.
I wish I could remember the number of times I was told to be patient and they would have someone call me. If they have called, which I really doubt, they have not left a voice mail. Their texts are abbreviated and uninformative. Their online messages always start with: "Thank you for contacting OptumRx Customer Service. We apologize for any inconvenience you have encountered. A request has been submitted to..." Then you wait a week and no response, do a reply and the next message starts with: "Thank you for contacting OptumRx Customer Service. We apologize for any inconvenience you have encountered. A request has been submitted to..." There is just no concern about giving the customer any information nor assistance. I do know that I have learned to check every medicine sent from them, and count the pills. Why can't I give them Zero Starts? Our experience with OptumRX has been just unbelievable.
Reviewed March 3, 2020
The new year brought changes to my husband’s employer medical insurance and we were given OptumRx and had ExpressScripts taken away. Last month we spent in excess of 9 hours on the phone trying to provide OptumRx with information they weren’t even sure they needed. Their method is to frustrate their customers by their long phone menu, the number of times they simply cut the call off and an incredible amount of nonsense, to avoid paying for my prescription.
A medication I have been on for over eight years is now being subjected to their scrutiny and lengthy Pre-authorization process which is simply a game to them, they hope I will do out of pocket payment but I simply am unable to. The resulting withdrawal symptoms from being simply denied a powerful narcotic pain medication is catastrophic. They have no concern for this, it’s truly amazing how detached they are from the impact their actions have on people. This company is truly a bunch of criminals. It’s amazing how low they have stooped.
Reviewed March 2, 2020
My Husband's employer switched to OptumRx January 1, 2020. I have never had so much trouble getting my prescriptions filled. After trying for weeks to get a pain medication filled, I received a letter from Optum. Mind you, this was all in the same letter, Bold Lettered Heading, THIS MEDICATION DOES NOT NEED A PRIOR AUTHORIZATION. First paragraph, this medication was not filled because it needs a prior authorization. Second paragraph: This medication does not require a prior authorization.
When I called Optumrx, I was told that YES It does need a prior authorization. I asked the supervisor to explain the letter. I was told ** the girl who compiled the letter made a mistake when she "put it together" ** So I asked, "What do you mean "put together", do you mean cut and paste?" And the supervisor said yes. I have been trying to get this straightened out since late December 2019 and am STILL trying to get it fixed. If you need any life saving meds or pain meds, I highly recommend you find a way to pay for it without optumrx. It will be expensive but at least you'll have it. I have the letter if any one from optumrx has the stones to address this issue. I will more than happy to send a photo copy.
Reviewed March 2, 2020
I have been dealing with OptumRX for more than a year and they have been nothing but trouble. I am required to use them through CenturyLink (At least that is what I am told by United Health Care). I am a diabetic and required to take insulin. As I said I have been dealing with them for more than a year. The latest dealing started in January of 2020 when I called and requested a refill of on of my insulin pens. The woman on the phone was very nice and eager to help.
At the end of February I had still not received my order. I check their website and did not even see where it had been ordered, so I called them to see why. The customer service person told me that she could see where I called and placed to order, but the fax requesting the refill was not sent to my doctor. I asked for a supervisor. I was at work when I made this call and when the Supervisor came online after a 20 minute hold the supervisor came on the line. I told her I was working and had to make a quick phone call to hold on and her response was "I don't have time to wait on you to make a phone call." I told her that I just waited 20 Minutes and she could wait a minute.
At the end of the call I was assured that I would be receiving my meds. This is the 3rd of March now and I still had not gotten it. Again there was no information on their website and when I called and was told that there was a problem with my credit card and the order was not placed. Why did they not call me, email me or even put on the website under messages. They are the worst. They really do not care about their patients. Pricing changes all the time. They do not take any type of discount cards that are meant to help those of us who cannot afford the copay on some of the meds we have to take. I wish I could go back to my local drug store.
Reviewed Feb. 29, 2020
I contacted OptumRx on a Sunday asking for a refill for a medication. They told me that I could not get a refill until the first week of March. I reminded the representative that I take my medication at a different frequency and my doctor had submitted that documentation seven months ago. I told the representative I did not want them to send me my medication and then I would pick it up at my local Publix.
That Wednesday I got an email stating that they had shipped my medication and the medication listed was the generic version. For the last 10 years I have been receiving the brand medication per my doctors orders. I’ve had to submit an appeal for the brand version which had been approved seven months ago. The representative said she sees that I have to take the brand medication and that’s what I was sent, the email just listed The generic. Having been dealing with this for years I know that what she just told me is not true and probably illegal to state you're shipping a medication that in fact is not the one that was mailed out.
Today is Saturday and I have received the medication, and it is in fact the generic version that I am not supposed to be getting but it is the one that was listed in the email. Along with the incorrect medication I have a balance now. I immediately call OptumRx to complain because the last two representatives I spoke with gave me blatant incorrect information. I honestly can say that there has not been one time that I have spoken with anyone from OptumRx that has given the correct information.
I explain to the representative the issue and ask her to remove the balance. Even if I was ordering this medication from them and they did send me the correct medication, I should have a zero co-pay. Also if I did in fact order the medication from OptumRx and they sent me the brand, I should have a zero co-pay. The brand version of the medication is not covered under a zero co-pay but the generic is. My doctor and I have submitted appeals, which have been approved every year for the last three years and most recently approved seven months ago, that because the medication that I have to take is the brand version that it should also be a zero co-pay.
So the representative I spoke with today, Saturday, told me she can’t get rid of the balance until they receive the medication back. It doesn’t make sense to me because even if they sent me the correct medication I should not have a balance. The representative said no one can remove the balance until they get the medication back.
The representative admitted that this was OptumRx’s fault. So I now have a balance because they made a mistake but even if I got the correct medication I still shouldn’t have a balance. Representative stated she would submit something to the billing department asking for an adjustment but that would take 1 to 3 days. I told her that the representative I had spoken with on Wednesday told me the same thing. I asked her if she could send me an email with documentation that stated she was going to submit for an adjustment. She told me she could not but I could check back with them in 1 to 3 days to see if that adjustment has been made.
Admittedly I was quite upset because everything from start to finish was a mistake on their part. The representative said she was just trying to help me and that she didn’t have to do that. I reminded her that it was her job to help me and I shouldn’t have to do her job by following up in 1-3 days. For a recap, I was told I would not be sent the medication in time so I told them not to send it. I got an email saying they sent it and it was the wrong version. I’ve had to submit documentation and appeals every year for three years to receive the brand version and a zero co-pay. I now have the generic version and a balance.
OptumRx (formerly Prescription Solutions) Company Information
- Company Name:
- OptumRx
- Website:
- www.optumrx.com