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 Feb. 29, 2020
They have tier one drug but if expensive, will not give tier one pricing but instead blame it on a “system/network” issue. I have necessary med that is tier one but priced at $400 via Optum but with cheaper cash price. Very dishonest in that they receive so much money from my insurance company but will not provide scripts when needed. Constantly blame things on prescriber or PAs or on my “benefits” despite telling me meds covered by benefits at tier one. No way to contact optum in writing which is suspicious as if they want to avoid paper trail. They do everything over the phone and constantly transferred to other CS agents who spend ~15 minutes looking into benefits but all five different prices and interpretations.
Reviewed Feb. 28, 2020
My Blue Cross plan switched from Caremark to Optumrx starting January 1, 2020. So far, we have found that the cost of our routine medications is more than 50% higher than with Caremark. One medication is even the generic of the brand name Caremark was supplying, and it’s still 52% higher. But the real kicker was the discovery that the eye drop my husband needs ISN’T EVEN COVERED. This same prescription was filled twice in 2019 with Caremark with a copay of $7.25 each.
I picked up his refill yesterday and was informed that Optumrx doesn’t cover it. This is not some fancy, specialty or experimental drop, and there is absolutely no justification for excluding it. Two other beefs are their terrible website and the excruciating process of getting covered Rxs filled. It took more than 2 weeks after the Dr submitted a prescription for a blood pressure medication for the prescription to be processed and mailed.
I had to call 3 times, and was told twice they didn’t even have it in the system. Then they put the Rx on hold because they said there was a problem with the address, despite having the same address on record as the Rx they just mailed. And as for the online customer account info... what a joke. Tells me how much I could be saving with a 90 day mail order of an ** that was a one time deal. And the amount changes every time I log in. The site even lists the non-covered eye drop suggesting we try mail order but nowhere is there an indication that they denied coverage for that drug. This is a TERRIBLE company to deal with. I am extremely unhappy that it is now our Rx provider. If you have any other option, take it.
Reviewed Feb. 28, 2020
New to Optum RX and this is the worst pharmacy that I have ever dealt with in my entire life. Stay away from them... It takes forever to get a prescription filled and when we talk to an employee they just tell you lies.
Reviewed Feb. 27, 2020
OptumRX is very hard to use. They reject your refill requests and never contact you to tell you. This has happened many times and this time my doctor even tried to call in the refill. After being transferred 7 times, he gave up and gave me a new prescription on paper to send in. OptumRX also gives you conflicting information. And when whatever they promised when you call and speak to one rep will be rejected, leaving you to call back and talk to someone else who won't help you, won't listen to you and won't let you talk to a manager. This kind of behavior makes me so angry. It's essential I receive my meds and when you can't get OptumRX to help you, you have nowhere left to turn. I'm only using them because United Healthcare makes it mandatory. They are terrible.
Reviewed Feb. 26, 2020
Dr. prescribed ** for SIBO... OptumRX took 1 day to deny, second and third day to deny appeal from Dr., then said they would send a letter to explain why (another three days)... Still no help... Going out now for more **...

Reviewed Feb. 26, 2020
First of all, my Company just switched from CVS to OptumRx, from my experience so far, this was not a good move. We are encouraged to use the mail order service, I ordered a prescription that had refills available, it has been in excess of 15 days and I have received nothing. I am a Diabetic, I was going to order one of the medications I use weekly to help my body produce insulin. OptumRx said I would have to try other medications before they could approve it, the same medications they said I need to try first, were meds I was already taking. I contacted them asking them to have their staff Endocrinologist, contact mine, as I assumed that they must have staff physicians, as they were willing to deny medications essential to my health. After asking this of them, resulted in them dropping all communications with me.
Reviewed Feb. 26, 2020
The company that I work for switched to OptumRx for 2020. What a disaster it has been dealing with these people. I have been trying to fill prescriptions for kidney transplant related maintenance medications For two months now and so far I have not been able to get a single prescription filled. The so called customer advocates do not care about your health. They couldn’t care less if you live or die.
Reviewed Feb. 22, 2020
Our Companies Retiree Medicare Advantage plan recently changed to Optum. Because I use an insulin pump I need to pay a copay of $329 per 90 day supply. If I wasn't on a pump and was injecting insulin I would pay $150 per 90 day supply. When I tried to contact them I could not get a hold of anyone that had any authority to even look into the matter. Diabetic pumpers: Don't let them know you are on a pump!
Reviewed Feb. 22, 2020
Got a letter from Optum RX in November that my maintenance medication ** is no longer covered by my plan. So I contacted my doctor to send a new script for the generic which he did. So come February I go to order and they cancel my order. Call them up and they say "We have nothing on file". Contact my doctor again and he sends another script. Again I order and it gets cancelled. I call up again and they state "They have nothing on file". How convenient apparently they lost it or something again. So here I sit with only 30 pills left wondering if I will die due to running out of medication in 30 days. Have no thyroid BTW was removed surgically.
Reviewed Feb. 22, 2020
Optum Rx is the best argument yet for a MAJOR Socialist Revolution to END "private, for-profit" health care once and for all. Republicans made "health care" a for-profit business in 1973, and it's been a disaster ever since. Sick Americans NEED their medication, and Optum does NOTHING to help this. They are the "contractee" for Cal PERS for California state employees, and I have over a dozen prescriptions I take each month. They have NEVER gotten an order correct, and it takes countless phone calls to troubleshoot. They "sound good" on the phone with all their surveys and such, but there is NO quality control.
They say they send refill requests to your doctor's office (two of mine) and they don't. They say they will improve, but they don't. They're too busy focused on rich, rich, rich, profits, profits, profits to care about patient well-being. We need public-option, Medicare-For-All style health care with NO "private" for-profit entities involved to come between patient, doctor, and medication, just to exploit Americans with chronic illness. RISE UP IN REVOLUTION! WORKERS OF THE WORLD: UNITE!
Reviewed Feb. 21, 2020
First, let's talk about their software. Their systems don't function properly, with multiple downtimes in the past 4 months that included being unable to place an order over the phone. By default, you can't place/edit/complete an order online because you have to OPT OUT of automatic refills. This would be fine and dandy, but they place a pending order weeks (up to 4 weeks for me) in advance of you actually needing the refill, with absolutely no warning. Thus making their website absolutely useless. But they will call you upwards of 3 times per day to leave an automated message telling you to refill your order. Nonstop calls until you do.
Next, the Customer Support. So now I'm forced to have a 30 minute call to complete my order as the support reads off of a mind-numbingly long script. They either don't understand simple questions or are told not to go off script. It's terrible and I feel terrible for having to hang up early as they continue to read a script well after my order is completed.
My last complaint is either the system or the support. Because I've had medications that need refrigeration delivered overnight on the wrong day while I was on vacation. So either they put it in wrong, or something is wrong with the system. Hard to imagine human error inputting a future date and not the day I call in 2/5 times. It's either that or the save functionality has some edge-case bugs. Pretty ridiculous either way.
Reviewed Feb. 20, 2020
I have never had more problems in my entire life than I have had with this company. Their pharmacist continually second guess my doctor's requests, often denying a prescription without telling me or the doctor why. The only way I know something wasn't being filled is when the item doesn't arrive. Then I have to go to the website and find out that the pharmacist has put a hold on it. I have to talk to many many customer service reps before I can find out why it is on hold and usually it is because of some erroneous reasoning that doesn't make any sense. If my company doesn't change this mail order option soon I will be forced to pay higher prices at a local pharmacy for my prescriptions.
Reviewed Feb. 20, 2020
For the second time in the last few months, OptumRx mislabeled a bottle of my medications. The bottle contained a different one of my prescriptions than the labelling indicated, and unfortunately I didn't notice until the 90-day supply was nearly gone. Incredible (and potentially dangerous) incompetence!
Reviewed Feb. 19, 2020
I get quarterly Botox injections for chronic migraines. Getting the quarterly refill processed is hellish. You get automated calls 4-6 weeks BEFORE doctor's appointment telling you to call and pay for your prescription. First your doctor gets pissed because they're receiving the medication too early and don't have the storage. They will not delay the shipment once it's paid but if you don't pay at the time they make their automated call but opt, at THEIR instruction, to call back 1-2 weeks before you want it delivered, you CAN'T pay for it because it has to go through the insurance again. So you can either risk losing your doctor who's telling you not to have it delivered so early or you can start the approval process all over again if you try to get it delivered 1-2 weeks before the appointment. Also, EVERY time I call I end up getting transferred at least twice and can count on being on the call for at least a half hour.
Reviewed Feb. 18, 2020
My company switched to Optum Rx this year. Last year I was getting a brand name med for 90 days for $20. Optum rx is now charging almost $700 for 90 day supply brand name. This med generic has been recalled several times already but not the brand name has not been recalled. Yet I can go directly to the company of brand name and get it for $30 for 30 day supply. Optum rx yearly cost would be $2800/year vs brand name company cost $ 360.00/year. Makes no sense at all. How are senior citizens able to pay these prices for their meds? Very unhappy with Optum Rx.
Reviewed Feb. 18, 2020
I called in a new prescription on Fri. 2/6/20 to Optum's Specialty Pharmacy Dept to be delivered by 2/14/20. There was no delivery, so I called to inquire on Mon. They told me that my order was cancelled and they eventually gave me multiple and differing reasons why it was cancelled and kept changing the date of when it was cancelled. I talked to at least 8 different people to try to figure out the issue and correct the problem. They passed me around from agent to agent claiming that I needed to talk to "a different department." Many agents I spoke with resisted divulging the specific department they worked in.
Anyhow in looking at other 1 star reviews, they all seem to be occurring now (Feb. of 2020). I am hoping there is a temporary issue happening at this company that will be getting resolved soon, as it is the only pharmacy allowed by my insurance for my specialty drug.
Reviewed Feb. 16, 2020
Our company switched to OptumRX recently. We have had two terrible experience with them which never occurred with previous providers. Optum RX sent out a message telling the patient an auto-refill medicine was on its way. The medicine never arrived. When the patient called to ask about the refill order status, the patient learned from the Rep the medicine was on long-term out-of-stock status and the order was cancelled. The patient was never notified. It is mind boggling that Optum RX can simply cancel an order they can't fulfill without notifying the patient who is dependent on the medicine.
Reviewed Feb. 14, 2020
My first 2 prescriptions were sent to the wrong address after verifying my correct address twice. My medication was to be to me by the 4th. Since it was returned, they said it wouldn't be here til around the 22nd. My prescription is for **, not a medication that can be stopped abruptly! After calling my doctor and my pharmacy, I finally got my prescription transferred back to my original pharmacist. This place has very poor customer service and extensive time on hold. Boy did I learn a lesson! Will never use them again. I wish there were negative stars to choose from on their ratings.
Reviewed Feb. 12, 2020
If I could give negative stars, I would. I have never encountered a company more inefficient than Optum, and that says a lot given the state of medical care and insurance in this country. They have made mistake after mistake regarding my specialty medication, it has taken 2 weeks on average while I'm left suffering from not having the proper meds. They even cancelled my order on a Friday, without any notification to me or my dr, and I was left having to wait another week to get my meds. Completely unacceptable when you are in the business of people's health. Utterly unprofessional, EVERY SINGLE EXPERIENCE WITH THEM HAS BEEN A DISASTER.
Reviewed Feb. 11, 2020
These guys just lie and lie and lie. Then when Rxs don't show up when needed they apologize but don't offer any solutions that are going to ease the pain in my legs...Wish we could make the call reps experience the reactions/pain some of us do when we are without some meds. Good old thumb vise for a minute or so for each rep might make them take a bit more ownership of the information they pass on. Half the time they are so inconsistent I think they may just be making it up. 1 star is way too much.
Reviewed Feb. 11, 2020
First, you have to wade through 15 departments to get to Briova/Optum Infusion services. Then they will lie to you about the status of your claim. I'm considering a patient negligence suit at this point.
Reviewed Feb. 10, 2020
Horrible! They lie! You spend hours on the phone trying to get the mess figured out as they pass you from person to person and each one tells you something different! I moved all my regular prescriptions to Walmart and so wish I could move my Chemo too! This is the WORST company to deal with if you are sick and depend on a specialty medication!!

Reviewed Feb. 7, 2020
I recently had to switch employers and was expecting a 60 lapse in my health I insurance. My doctor called in three prescriptions, one of with is an expensive birth control. They confirmed via phone that the prescriptions were being filled and later noticed me that one was not coming. Numerous calls later, I was assured everything was on its way. None of the three prescriptions ever came. When I called, I was told by the manager that he saw the activity, confirmed I provided my credit card info but couldn’t speak to why the prescriptions were never filled. While I appreciate that he acknowledged they were at fault, it does me no good. They are getting paid by the insurance company to fill prescriptions and then intentionally not filling them. This feels like theft. Also, it looks like they end calls to keep the CSAT score up. I wish I could give zero stars but that isn’t an option.
Reviewed Feb. 6, 2020
My son has been on a prescription for over a year and a half. No problems ever with CVS Specialty. Then, our employer decided to switch to Optum in 2020. I had no choice. It’s Feb 6th. He hasn’t had his meds filled once. I have spent over 20 hours on the phone with Optum. Each time, the issue is fixed and his meds will be shipped out the next day. Each time, they are not. No supervisor is ever available. It’s the doctor’s office fault or the other insurance company’s fault. I even arranged a conference call with myself, Optum, and Tricare (a govt-run insurance Co) lasted for an hour and a half.
The incessant issues that Optum comes up with were finally fixed after that phone call. The Tricare supervisor actually taught the Optum Resolution team member some insurance stuff. Meds to be shipped next day. Wrong. Optum is circular and has now gone back to original issues. I found out today that they all work at home. I’m blaming the fact that my son has been without his meds being refilled for a month on that today. The employees don’t care. Supervisors are not available if even existent. I have cried. I have yelled. My son still doesn’t have his Rx. This company is an absolute disgrace to our healthcare system. Every employee, every officer should be ashamed that they call this a company or that they call what they do “work.”. When the govt-run insurance company has better processes and works with more logic than your company, hmmm. Something needs to be done.
Reviewed Feb. 6, 2020
This company is horrible. They lied to me about their financial assistance programs. I was on IV antibiotics for 11 months. They sent me a bill in Sept, for near 1k. I told them to stop sending meds. They led me to believe I was able to get financial assistance from them, then never heard anything back until Jan. I received a bill for over 3k. Now that I am getting meds from a different company, they refused to send the home nurse which is paid 100% by my insurance. They are a horrible, unprofessional, and uncaring company.
Reviewed Feb. 5, 2020
We have had nothing but positive experiences with OptumRx thus far. Prescriptions are arriving on time. They even called us to let us know we did not have to call back for meds that would be able to be filled at a later date as they would be set to auto refill. They have seemed very knowledgeable and have answered all our questions. They were also very nice to talk with over the phone.
Our doctor is used to approving prescriptions for OptumRx from his other patients and approved it right away, so maybe that is why some reviews are so negative if their doctors did not approve quickly, or maybe OptumRx has improved recently based on negative feedback. We almost cancelled after reading all the negative reviews but are glad we did not because now my mother can get her meds for free and also delivered. I hope they continue to provide us with the same great service as they have been. They even told us when the delivery was shipped and when it should arrive and thus far have been correct.
Reviewed Feb. 3, 2020
I have United Healthcare through my company and OptumRX is an option for getting prescriptions. I have never used them before as I go to my local pharmacy for what I need. However they filled numerous very expensive prescriptions by some DR. In another state and posted to MY healthcare account. After hours on the phone and explaining to many people they offer no explanation.
Reviewed Jan. 31, 2020
If I could give them negatives stars I would. Inept, incompetent and overly bureaucrat. I spent hours on the phone with them (while at work, unfortunately) trying to get an already authorized prescription shipped to me. This is a perfect example of why our insurance rates are sky high: multiple layers of inane bureaucracy most of which is completely unnecessary. To make matters worse, I have to call them every month to get my medication shipped to me, even though this is a maintenance medication for asthma which is not going to change. Stay far away form this company if you value your sanity!!!!
Reviewed Jan. 31, 2020
They claim to have a functional online refill process. I am never able to fill my specialty prescription without problems. The due date says it's available for refill, but the button never works and requests me to call Patient Service. Every month, I have had to call OptumRx customer service to initiate my refill. Each call has required me to be transferred on average 5-6 different representative, who cannot refill my prescription! I'm on hold for a minimum of 40-60 minutes. Some reps state they need to contact an old BriovaRx department for refill, then some say they don't have authorization, and some claim their manufacturer is out of stock. It's so frustrating! I'll request a refill date, and it's never documented correctly after being transferred SO MANY TIMES. And I end up missing doses. This is not helpful in keeping my lupus under control. They need to figure out this merger of BriovaRx and OptumRx systems now!
Reviewed Jan. 30, 2020
My employer switched to this Jan 1. I have had a horrendous experience getting my chemotherapy prescription refilled. I made 16 calls in two days trying to find out what the holdup was. After being placed in the never-ending hold line (46 minutes listening to a recording thank me for my patience is my record, and still no one picked up), when I finally got through to the pharmacist that was “reviewing” my medication, I was told it wouldn’t be sent out that day .... because it was too late in the day! So now I am out of my chemo medicine, the promised next-day delivery is a myth and I have zero confidence my medication will get here. But, hey, it’s not like it is a crucial medicine or anything. Horrible, horrible experience, and my health will suffer. Can’t wait to try and get next month’s prescription refilled.
Reviewed Jan. 27, 2020
For the second time in a row, OptumRx claims my medicine is out of stock. This first happened in early November 2019. Now, almost 3 months later, they say it's still out of stock. I've had no problem finding it locally, and my pharmacist has told me that she is unaware of any shortages. It's a very common medicine with many generic manufacturers, and they receive shipments all the time. She said that she would have been informed by corporate if there was a shortage.
So, my theory is that OptumRx either can't get the low price they want or they have decided to only buy from the cheapest Chinese company, and that one happens to be out of stock. Either way, it's a pain in the butt. Our prescriptions cost 50% more on my plan if we get a local 30 day supply instead of a mail-order 90 day supply. Also, I have to call my doctor each month and get him to extend my temporary, one-time local refill prescription.
I wouldn't have bothered to write a review, except that I have had multiple horrible experience with OptumRx over the past 5 years. One time, they shipped my medication 2 weeks late yet still refused to approve a local refill. (I would have run out of pills one week before the new pills arrived.) This is a medicine that my doctors have told me to never miss, because I could die (due to withdrawals and a flip-flop reaction). So, it's not like I just have some pain or something if I can't take it. I could literally die. My aunt went 4 days without the same medicine and had a heart attack. So, this is no joke.
Fortunately, in the previous case, the pharmacist agreed to sell me just a one week supply. It still cost me $50, but that's a small price to pay for living. It's just frustrating, because I'm supposed to be covered. Most people have no choice in their prescription "management" service. I think United Healthcare only uses OptumRx, and people often don't get to choose their provider. If you have any control over this, though, do yourself a favor and steer clear of OptumRx.
Reviewed Jan. 26, 2020
I have to use them for our scripts. They have been horrible. Customer Service lies to you. Every assistant has a different reply. Auto refills run out because they are don't contact the doctor like they say. I call Optum more than I call family members that's how much trouble we have with their service. They can't even follow directions on how they get payment
It's easy, use the CAC card until my credit balance is zero THEN switch to my credit card on file. Don't just NOT send our meds and then send me an email that I might not read for a week or more. Now I'm out of my medication and have to call to straighten out again. Then, promise expedited delivery that takes 7 days. OptumRx needs a lawsuit filed against them.
Reviewed Jan. 24, 2020
My husband’s employer just switched to OptumRx. This company is awful. I had to make several phone calls to get my husband’s meds filled, AFTER the Dr sent them the scripts twice. They will not cover my daughter’s medicine that she has been on for 8+ years. Their excuse is they want an acceptable written reason from her Dr as to why she takes it (seriously!). OptumRx also does not cover my generic meds for my skin. So basically we are paying full prices out of our own pockets which we can’t afford to do much longer. Avoid this company if at all possible.
Reviewed Jan. 22, 2020
I have been receiving my ** (for RA) for over a year. At some point, Optum Rx took over Briova, the company I was previously getting my ** from. From day one, after I received my first order from Optum, I called them to ensure they had all of my correct information. I provided them with the order number, invoice number that came with a prescription FROM THEM and they could NEVER LOCATE ME IN THEIR SYSTEM. Every refill has been 30 minutes minimum on the phone as they try to find my information, never have my information correct as I have a card that covers my co-pay.
The most recent call, well, actually it took THREE calls in one day, and over the course of those three calls, one insisted I had to make the co-pay; they could not comprehend I had a card that PAID the co-pay for me (despite this had been how payment was made for my script for over a year). The second call [again, these are all in one day regarding one refill) I was cut off. The third and final call, which last 40 minutes, I was initially told they "no longer contracted with my insurance/co-pay assistance program." I never understood exactly what they were referring to and I'm not sure they did either. Then I was told they DID contract with them. Then they could not get the same co-pay assistance card that I have been using SINCE DAY 1 with them to work. After this near hour long endeavor ended, I requested to speak with their supervisor, to which I was left on hold indefinitely (which I am not surprised).
Reviewed Jan. 22, 2020
Today I learned what horrible health insurance companies can do to turn your life upside down. Bear with me: For the last 5 years I’ve been prescribed 30mg ** generic 4 x a day..last year with the innovative breakthrough adhd drug ** my doctor combined 50mg ** 2 times a day. 4 ** & 2 ** a day, because I’ve been taking ** for 20 years and I have a high tolerance. Blue Cross Blue Shield Express Scripts had no problem paying for it, because it does not exceed government max dosage.
I have severe adult adhd, and finally my provider has stabilized the symptoms, because of tolerance issues, and short duration of effectiveness with low doses.. and she increased the dose to the maximum allowed. Well my company switched to OptumRx as of Jan 1...and today I had to pay my provider an extra $50 to submit the preauthorization form and make the 800 phone call... Optum maximum allowance for ** dosage is 60 mg a day and ** 50 mg a day... Half of what I’ve been prescribed these last few years. My doctor Jumped through all their hoops, submitted the forms and spoke with them over the phone...and specifically stated “patient has severe adhd and requires combination therapy at high doses. Patient has been stable and side effect free on this combination of meds at current dosage. Primary care monitors EKG monthly and BP monitored weekly.”
Problem solved? Wrong! It was DENIED! I Went round and round with them over the phone today when my pharmacy tried to submit the claim, and it rejected it...so the pharma tech called them...they kept transferring the pharmacy techs call...the tech handed me the phone after 15 minutes of this run around with them... There's no reasoning with these people.... When I spoke into the phone, it was an international speaking lady who I could not understand, who kept repeating the same nonsense over and over.. She was rude and told me “Tough luck...obviously you didn’t read the criteria...your dosage exceeds the criteria.”
Their criteria is that they play it cheap at the cost of patient care...she told me I could appeal it... I told her, “I see how this is going to play out...I’m dealing with incompetence and it’s an all or nothing- take it or leave it option. I see that this is your all’s game...wear me out with bureaucracy red tape, until I give up...cause you're never going to approve it...I’ll quit now, cause pursuing this is futile. You're not a real doctor but you play one in real life... At my expense.” ** cost $567...Sooo guess who didn’t get his meds filled today? This guy. I’m done with them...I never had this issue with express scripts.
Reviewed Jan. 21, 2020
After numerous attempts to fill my mail order prescriptions correctly, the reps continued to bungle the process. Many times I was reassured that everything was now OK but to my dismay the bungling continued. Because of their errors I was not able to fill my prescriptions within the 2019 calendar year. Prior to each call to rectify the situation, I agreed to stay on the line to take the follow up survey. Each time the call ended with the rep I was blatantly disconnected so the survey could not be answered. I would call back and specifically ask to be connected to the survey and, after being placed on hold, would again be intentionally disconnected.
Reviewed Jan. 21, 2020
My Health Plan switched to Optum RX January 1st. I called shortly thereafter, gave the person all my info, and was told my prescription was on the way. Approximately 2 weeks later someone called and told me my prescription had not been processed. I gave all my info again and was told the prescription was on the way. This happened a third time before I was finally put through to a Pharmacist. The Pharmacist had been faxing the Prescription info to Harvard Pilgrim Health Care. Harvard Pilgrim Health Care does not accept these faxes and has not for 2 years. Harvard has made this policy clear to Optum Rx on numerous occasions. Had the Pharmacist simply called me or Harvard; this 20 day delay in my having my medications would not have occurred.
Reviewed Jan. 18, 2020
This year OptumRx has made a poor choice to not apply copay assistance to the consumers deductible. They are receiving the copay assistance but will not apply that to the consumer's deductible. This choice puts consumers that are taking treatments with expensive medicine at risk of not being able to continue with the treatment. OptumRX is getting the money for the medicine and they should apply it to the consumer's deductible since it is similar to someone paying the consumer's part on their behalf. I don't understand why they chose this new policy but clearly they are thinking about their financial gain in lieu of the care and needs of their consumers that by using their services have raised the company to where it is today. They need to revisit this policy and return to what they were doing prior to 2020.
Reviewed Jan. 17, 2020
Pray you do not use insulin and pray harder if it is a new prescription. In a week, I was going to run out of insulin and ordered online for my remaining refill (3 vials). Seems I ordered too soon and was told I had to wait. In the meantime, I have changed my Primary Care Physician and she wrote a new prescription. The new prescription has been "under review" for 2 weeks now. Why? I will have to switch the type of insulin I use and go to Walmart where I can get insulin over the counter for $25.00 so I can live.
Reviewed Jan. 16, 2020
Every time my physician sends new scripts to OptumRx they manage to screw it up. Countless hours on the phone trying to get a correct answer from the incompetent customer service and incompetent pharmacists, it's getting very old and irritating. As a Nurse of 42 years I find this rx company's behavior unacceptable and a disgrace to the healthcare industry.
Reviewed Jan. 16, 2020
This pharmacy is a nightmare! Our son gets specialty medication and has had to go almost a week without it this very important med because the pharmacy is incompetent and can't get their crap together. They don't care about others or how important the med is and they sure as heck don't get in a hurry or try to go out of their way to help you or get the problem resolved. They give you the same run around every time you call. You might as well be talking to a telemarketer. HORRIBLE and very unprofessional!! Do not go here if you can help it!
Reviewed Jan. 15, 2020
My physician had to fax the information over 7 times and they continued denying the prior auth even though my Physician’s office had fax confirmations they still wouldn’t help. We got different conflicting information from everyone we spoke with. There were a few polite and professional employees but the majority of them were rude and even hung up on me. Every single time I asked to speak with a supervisor I was told “they are in a meeting” and “they would return my call within an hour” that never happened. I have worked with insurance companies for many years and have had this medication approved yet they have found every delay tactic possible to not approve it. No words other than poor patient care!
Reviewed Jan. 15, 2020
Thought I had finally put this company behind me once and for all, but here we are, new year, new plan. OptumRX is notorious for denying coverage for soooo many medications. 3 years ago I used to fight with them all the time about coverage for my sons Adhd medications and I was thankful to be done with the insanity. Here we are again though... I call in to see about coverage for THE ONE medication I use and I went from a $0 copayment with BCBS OK to a $110 “tier 3” copay with these swindlers unless I have my doctor fill out a “tier exception” form and fax it back over. Yay for more headache and paperwork for the doctor. They make it soooo difficult to access medications and I’m not sure how they continue to get away with it. #healthcarereformnow.
Reviewed Jan. 15, 2020
Trying to get to the site is harder than logging into the FBI. I'm sure some of the links that showed up in Google when I finally gave up and just Googled lit were definitely phony and phishing.. I have to used a local pharmacy. This is scary.
Reviewed Jan. 14, 2020
On Dec. 26, 2019, when paying a balance of $61.07, $200 was deducted. I noticed this error on Jan. 3, 2020, and have spoken to 5 different Optum advocates, on 3 different dates, attempting to get the credit difference of $138.93. The ONLY consolation I have received is "I'm very sorry", I understand", and "it could have been $500... That's the 'cap' amount". Wow, don't I feel better?! I am told that a check is in the mail (3 different mailing dates given). Also, Optum does NOT use FedEx to mail CUSTOMER (I'm paying your wages) refunds. This company is a joke. Their business system is a joke. Very unprofessional... from an RN who knows the medical profession WELL.
Reviewed Jan. 14, 2020
I have attempted to place my first order with this mail order pharmacy that was required with a new medication. What an absolute disaster this company is!!! The customer service reps are completely incompetent, and after calling 6 different times in the same week to try to confirm my initial order, I still do not have the issues resolved. And to make it worse, they will not let you talk to a supervisor/manager until they’ve tried to resolve something for over an hour, and then they still put you on hold until you end up hanging up... and you can never make it to the end where you can answer their “survey”. The only part of their system that works are the system generated call-backs telling you a prescription is ready... but when you call you can't get it!!! ARGGGGGGG!!!!
Reviewed Jan. 13, 2020
As long as you do one of the few choices their bot site requests your good. Apparently they need to tell me something. I have told them in an email many times NOT TO PHONE ME. My work is such that I can't talk securely on the phone. They have removed any email option for customer service so I guess I will be closing my acct. and going to CVS. Their last voicemail actually had someone saying "**" before they let the recording take over. NICE.
Reviewed Jan. 13, 2020
Unreal, wtf!!!! Absolutely incompetence. Blundering clowns. They have my mind completely spinning out of control on how this "Specialized pharmacy" can actually function on a daily basis. I feel like I've boarded a ship of pirates in diapers & clown suits. 1st time in 12 years I've missed my critical to my health & wellness medications!!!! Mis shipped, mishandled. Dozens of calls to get no headway on my medication. I'm actually on hold for the 12th phone call to resolve a mis shipment in Dec 2019!!! We are now in 2020!!
Reviewed Jan. 13, 2020
This company will not notify you when a pre-approval is required for your medication. The pre-approval can take up to a week or more. My Wife went for a normal script re-fill and was suddenly told a pre-approval was needed by our insurance. She is now 5 days past her refill date and counting without her medication. Every person we spoke to at this company said there is nothing that can be done. My wife's physician has been in contact with this company and warned them of the medical consequences of just stopping the medication and nothing is being done to help her. Her doctor and her pharmacist are up in arms over this awful company.
Reviewed Jan. 11, 2020
I have Blue Cross, my employer recently changed our prescription benefits over to Optum RX. All of our co pays have increased, they require you to run out of meds before refilling if it is a scheduled 2 med, I was told it required prior authorization and would take 10 days, so I filled it out of pocket to only later find out it was denied because it can only be filled on the same day of the month it was filled on the month before. That was a $570 lesson. Had they just said wait until the next day and it won't require the prior, easy enough. But all you get is the run around. Yet they just filled another script of mine on auto fill 10 days early from the previous month but refused me reimbursement for the other medication over 12 hours. On January 2nd, my first dealing with them, going to be a long year.

Reviewed Jan. 10, 2020
My mom signed up with UHC Medicare and OPTUMRX was the mail in prescription service. We called January 2. Talked with a rep and thought everything was grand. Wrong. She called today to see what the hold up was and after speaking with FOUR different reps she was told she had SIXTEEN different accounts in the system. 16!!! Several had the same address and some had her new address. The reason? Different variations of her hyphenated name. That’s the biggest bunch of bunk I’ve ever heard. This is why nobody called her doctor to see about getting what I can only assume is account number 17 started. This place is a joke and one of their offices is right here in town. Oh how I want to pay them a visit. Avoid them if you can. I suggested she just deal with the monthly pick up and I’d go get them! I’m certainly much more reliable!
Reviewed Jan. 10, 2020
My physician had sent prescriptions to Optum RX back in October when I worked for my previous employer. The employer decided to change insurance carriers in October, so I didn't have insurance through my old company. I was told on my first call that I would need to call OptumRX to fill any medication over the phone because they couldn't change my prescriptions to self-pay in their system. What!? It's 2020; this should be an easy flag change for a pharmacy, online or otherwise.
Roll around to January when I need a refill, I call in as advised, and informed by OptumRX that they will not refill my medication because I don't have insurance any longer. OptumRX representative quoted me $411.00 if the pharmacist agreed to refill ** .5mg (60 pills). This drug cost $15 at Wal-Mart for comparison, without insurance. It didn't matter anyway since the pharmacist denied the request to refill my medication. This company should go out of business! I had to call my doctor and have him fill the prescription somewhere else to get my medicine. OptumRX believes they know what is better for patients regardless of what Physicians have ordered. Don't use this company!
Reviewed Jan. 9, 2020
Moved to a new company which put us on being required to use Optum RX for all prescriptions. So I had filled all of mine beforehand and figured I would take the three weeks until I needed something else to get everything in the system and any issues worked out. Man was I optimistic. First off they told me that I didn't have any coverage. This was in spite of my having a card from them and the online showing that I needed to call them to finish setting up. Then they had my birthday one day off. Well they had gotten me to identify myself and I said, "Ok. Change it." They proceeded to blame my HR group and say they cannot change it in the system (found out later this was a lie). Got hold of my HR over the holidays and they submitted automatic change.
I called back and got a supervisor who proceeded to lecture me on what I and my HR had done wrong and told me to hush and listen to her. I did and then I proceeded to go through each one of her points and detail how what she told me was wrong. Her response was to screw up the account so bad that it deleted prescriptions and I had to go back to my doctor and ask for them to resubmit. She then set me up as the 003 in the account, instead of the 001 which is the primary. In their system if there isn't an identified 001 primary member none of the others have coverage, welcome to another week of getting stuff fixed.
I finally got one prescription filled and it wasn't the one I asked for, in spite of giving them a credit card to bill to. I also got an invoice for the drug. I checked with my credit card online bill and sure enough they had already billed my credit card. So I am going to get on the phone once again with them and hopefully they will not delete all of my families' prescriptions because I am once again telling them they screwed up. Stay away is about the best thing I can tell you and our benefits representative at my office is pulling her hair out after all of the complaints, so I am not the only person having continual issues.
Reviewed Jan. 8, 2020
I will keep this short. There is no shortage of scathing one-star reviews of this company. My experience has also been harshly negative. All manner of problems but it can be summed up best in two words. Incompetent. Unprofessional. Avoid.
Reviewed Jan. 8, 2020
I've contact their web support over the last 2 months because I continually get an error while trying to log in and they tell me that they will get back to me and never do... Any time I need to call to refill it takes a minimum of 15 minutes. Not convenient when I need to call once a month and travel frequently.
Reviewed Jan. 8, 2020
Recently our insurance was switched to OptumRX. I have had to make numerous calls to get the process for a prescription started. I have spoken to 5 representatives of the company and encountered difficulty understanding the language. They constantly repeat what you have said to them and most times they don't get the information correct. Thus, once again needed to provide the information. United Health Care should find another pharmacy or at least, someone who can speak intelligible to be understood!
Reviewed Jan. 7, 2020
Unfortunately, I have had to deal with this pharmacy since becoming a member of AARP medicaid advantage plan. They lose orders, place orders on hold and if you are really busy in life, don't realize you have no medication until you see only three left in the bottle. This year I finally get to choose a local pharmacy to do business with. I suggest if you have that option, take it. Stay away from Optum RX.
Reviewed Jan. 6, 2020
I don't know that you can appropriately use the word "service" to describe OptumRx. Seems like all they do is reject, reject, reject. When they DO fill a prescription, they miss the automatic refill dates, they insist on PAs when the drug is not classified as such, and other errors filling in the past. I wouldn't use them IF MY LIFE DEPENDED ON IT!
Reviewed Jan. 6, 2020
I am new to United Healthcare for about 6 months and have picked up prescriptions at my local CVS. United Healthcare referred me to OptumRx for my prescription refills. Since I was very happy with ExpressScripts in the past I thought this would be perfect. Ha, not so! I placed one order with them over a month ago. After 5 emails and 3-4 phone calls I still do not have my medication. When following up today they do not have record of my order on line and when I called them they informed me I do not have home delivery. Wow, this was a complete waste of time. I'll stick to CVS for all future prescription needs.
Reviewed Jan. 5, 2020
The past few weeks, I have been lied to, medication has been sent to the wrong address, even after calling to be sure they sent to the right address. My wife has been denied medication. I have been on the phone for hours, mostly on hold with people who do not understand the English language very well, and today, I was lied to by an alleged "supervisor" at United Health Systems, who was going to send me the necessary details on how to get my wife's medication approved via email. Well, guess what, here it is over 6 hours later and no email. Not even an alleged supervisor, allegedly in the US can be trusted.
I have complained to AARP as they are sponsoring OPTUMRX through UNITED HEALTH CARE, I have complained to United Health Care and I am getting very frustrated. "WE" depend on and trust these people with out medication/healthcare needs and it seem, all they can do is collect your money. Find another supplier. If I could give zero stars I would. There is so much more than I can put here. They are just totally incompetent and they farm out their customer service to people who don't have a full understanding of English.
Reviewed Jan. 4, 2020
I'm a state employee in Alabama, and we switched from Blue Cross prescription benefits to OptumRx on the first of January. My med costs immediately increased by about a third. And I haven't even seen what my diabetic son's insulin costs are going to be now, but I'm bracing for the worst. Looking at all the other reviews here, I'm wondering if the state of Alabama did any due diligence at all when looking at this company, or if all they saw was "this will save the state $50 million over three years". Yeah, it'll save the state money because the money is now being taken out of OUR pockets.
Reviewed Jan. 1, 2020
There isn’t a rating low enough to reflect the quality of this organization. It’s been forced on me by insurance companies twice and both times it was total chaos. Their site and app provide unreliable and inaccurate information, there has been an immediate increase in prescription prices, a reduction in the number of pills “allowed” on other prescriptions, and hoops to jump through with each refill on others. They control costs by restricting access and they play games. Anytime I tell a healthcare provider that my Rxs are through OptumRx they roll their eyes or groan. Not one has had anything positive to say about this organization. If you have a choice RUN as fast as you can. If you don’t have a choice then my sympathy is with you.
Reviewed Jan. 1, 2020
Submitted refill for meds on 12/1/19 (date available for refill on packaging). Got notification from Optum that the doctor needed to be contacted (why it’s a refill of an existing prescription). Little did I know they were requesting a new prescription so doctor sent a new prescription. Optum cancelled the existing refill stating they could not refill when they have received a new prescription. I was never notified. All this has pushed back the meds being sent into the new year. Drugs went from 118.00 for 90 day supply to 430.00 for a 90 day supply. Still not notified. The only reason I found out was by calling today 1/1/20. But as of 1/31/19 last night the website still showed it be would shipped at the 118.00 price. Customer service is of no help. Just another way to get more money out of the customer.
Reviewed Dec. 31, 2019
This was the worse experience I've ever had with trying to get my medicine refilled, you're paying insurance and not able to get what you need and all they can say is the person needs to get mail orders. 12/30 I had to call several times and speak to a Manager before I could get someone to over a request from my pharmacy so I could have enough bills to last until I got my mail order.
Reviewed Dec. 31, 2019
Whenever I call because my medication is late they always blame it on my Dr. This last time I called they gave me a 24 hour exception if I called my Dr. and had him call in a 30 day refill at my local pharmacy. They guaranteed I would still receive my 90 day supply within a week. My Dr. did his part but Optum did not, I never received that 90 day supply. When I called today to voice my concerns I was told once again they were waiting on my Dr. I then received a follow-up email regarding our conversation about a totally different drug!! I no longer feel safe using OptumRX and will be terminating my insurance with UHC and going to Anthem.
Reviewed Dec. 27, 2019
I am a customer using OptumRX through NJ State. Every time I call I get different information about prescriptions that have been placed by my doctor. OptumRX keeps telling me the prescription is being processed, then it’s being reviewed by the pharmacist, then it’s denied, then they tell me they don’t have a prescription at all and that they’re trying to get it from the doctor, yet the doctor sent it over to them and that was confirmed. They are too incompetent. I don’t know what else to say. They are the worst that I’ve ever dealt with.
When I call, the first person tells me they need to transfer me to someone that can help me, then I have to ask for a supervisor, and again, they were not helpful at all. So I asked if there’s anyone above them that I can talk to, and they said they can transfer me to a level 2 supervisor. This person, who you’d think could help, couldn’t. They also don’t know what’s going on. So now, on on the phone with the prior authorization department. Sorry to go on and on, but in the end I’m going to have to just pay for the prescription if I want it filled. And yes, it’s a generic. Stay away (if you can) from OptumRX. Stay far away. Gary
Reviewed Dec. 23, 2019
I sent in two written prescriptions three weeks ago, I have made three phones calls now to try and get my prescriptions mailed to me and have been told they are waiting for the doctor to approve the refill. I was not asking for a refill, simply to have the two new prescriptions filled. Still waiting and my husband is out of one medication. This is not the first time this has happened. For a drug company that touts they are the choice for maintenance drugs they do a lousy job of filling your prescriptions and getting them to you in a timely manner.
Reviewed Dec. 22, 2019
Pharmacy implies some standard of care, OptumRx has none. They don't prepare medications, and they try their hardest not to dispense any medications through constant denials and appeals that are impossible to navigate without a lawyer. OptumRx is worse than a terrible pharmacy "benefit" provider, they are a dangerous company. If you have any kind of decision-making clout, know that by contracting with OptumRx you will be putting your employees' health and lives in danger. They provide almost nothing, and they do almost nothing except stand in the way of you getting the medication your doctor prescribes.
Reviewed Dec. 21, 2019
I just want to say what a disgusting company this is. They have completely ruined my Christmas Holiday. I went to get my meds yesterday 6 days early as the doctor's office was closing until January 2nd. So go down to the Pharmacy to pick up my meds and I'm told only 1 will go through. The most expensive one of course and the other 1 will go through on the 23rd.
So as I explained to the pharmacist I was leaving last night at 9:00 to see my son and his family as they are being moved to Ireland for my son to attend Major School and it was going to be the last time I saw them for quite a long time. So I call customer service and am told there is nothing that can be done. There are no override, I just couldn't believe it. There was nothing that could be done. I have never been so angry in my life for what this disgusting company has done to me and the money lost is another major issue and the pain for not being able to say good bye in person is horrific. I mean everyone I know get at least 2 vacation overrides per year. Also Medicare patients also get overrides.
Reviewed Dec. 20, 2019
Optum RX is great, IF there’s not a problem with a prescription, then it’s a horrific & lengthy process to straighten out. Two of my husband’s Rx’s were simply ‘cancelled’ by Optum - and no one there could tell me why. They also NEVER receive faxes from our Dr's office, even though they have the correct number. I and my doctor’s office have made several calls and faxes to try to fix the problem which was MADE BY OPTUM RX. We still don’t have the RX, let alone the meds. Super frustrating. Probably won’t continue with United Healthcare.
Reviewed Dec. 20, 2019
OptumRx is a horrible company. Their standard procedure is to deny coverage and make it as difficult as possible for people to get the medications covered that they need. After being discharged from a lengthy hospital stay, my wife was prescribed medication and when we tried to fill those prescriptions at the pharmacy, they were denied coverage, even though they were the same medications she had been on for weeks in the hospital. When we contacted them, they said we needed to have a pre-authorization completed from the doctor. We gave the doctor all the pre-authorization paperwork and even had the doctor's office call them several times, but surprise! When we tried to fill the prescriptions the next time, they were denied again. We contacted them several times as did the doctor's office to try and resolve, but they only give you garbage and confusing information and say you can file an appeal.
In the meantime, we had to pay out of pocket full price for medications that my wife needs to get better. I think they know that if they just delay long enough, people will have no choice but to pay out of pocket because they can't go without their meds. Do whatever you can to convince your company not to use these guys and by all means do not contract with them if you have a choice.
Reviewed Dec. 20, 2019
I called in to get my member ID as it was the first time using this service since my employer changed who they utilized for prescription drug coverage. I asked to confirm that through health care reform my preventative drug was covered at no cost at the retail pharmacy of my choice. I was told yes, but moving forward is either have to do mail order or go to a Walgreens. I went to pick up my prescription and was told I had $158 bill. I called back into Optumrx to find out why, I was on the call for 1 hour. They couldn't give me an answer then said they'd have someone call me in a few hours to investigate. It was 4pm by this time, I need to start the medication in the morning, Pharmacy closes at 8pm.
No one called by a little after 6 so I called back. I explained the situation and said up front to transfer me to a supervisor as it needed to be taken care of asap. I wasn't, instead was on hold for 25 plus minutes, then was told that 30 day supply wasn't covered and it would have to be a 90 day supply. I asked for the policy to be sent and was told they couldn't. There is no paperwork I had been given stating they wouldn't fill a 30 day supply.
They would not make any accommodation, if also want to a supervisor at this time either as I asked to be transferred to initially. Now on the phone for nearly 2 hours wasted, I stated that there was no reason why I should have wasted this time to get this policy answer which by this time it was too late so I couldn't call into my doctor to ask for a 90 day supply. I have a very specific window to start my medication in the morning and there was no accommodation made to cover a 30 day supply... But it would be $0 if it was 90 day supply.
Reviewed Dec. 19, 2019
I was taking my blood pressure medication from my local pharmacy for years but recently I transferred my medication to OptumRx home delivery system. I started having problems with controlling my high blood pressure. After a lot of tests we found out that the blood pressure medication they have provided is not effective. I got some from the local pharmacy and everything is back to normal. I think they get cheap drugs from third world country to save some money.
Reviewed Dec. 19, 2019
I finally pulled the plug on this terrible dishonest and incompetent outfit. The final straw was this past week wasting over 10 hours of my life on the phone with OptumRx and my insurance trying to get life sustaining meds. I was finally told my meds would arrive in 7 days, and no it was impossible to get any sooner. I had to borrow insulin from family to make it through the week. I waited all day on the delivery date but no meds. I went on their web site to track the meds only to see that the meds were CANCELLED at 4:30 pm on the day of promised delivery. I then called my insurance to get involved to get my meds.
I told my insurance I expected all my meds to be Shipped overnight or to cancel the entire order and transfer the subscriptions to a local pharmacy. Insurance rep talked to a supervisor at Optum who promised my meds as quick as possible. The supervisor then transferred me to a rep that stated they could only ship a partial order and that I would be charged for expedited shipment. I then told her to cancel the entire order. She asserted she could not cancel because the partial order had already shipped. I told her that was a lie because their web site showed it cancelled and the costs had not cleared my bank. Again told her to cancel and I would not pay or accept a partial order.
I then went online and locked my credit card. The following night the partial order arrived and I would not accept it. I called my insurance to inform my actions and asked them to override my subscriptions with Optum and give them to Walmart. By 10am the NEXT morning Walmart called with all meds ready for pickup. NEVER, EVER do business with Optumrx unless you love aggregation and confrontation.
Reviewed Dec. 18, 2019
This is the worst mail order pharmacy I have ever had the unfortunate luck to deal with. In the matter of 2 hours on the phone I have been told I need a prior authorization, that I do not have insurance, and that there is no way for me to obtain my medication. I take at home infusions for a serious illness, and to be dismissed and have to spend hours on the phone and still not obtain my medication is ridiculous. People do not order medications for fun, they do it to treat serious illnesses. And I am left with no resolution of what even is the problem even is and I still have no medication.
Reviewed Dec. 18, 2019
Stay as far away from Optum RX as you can. They hurt people for money just like a mob enforcer. My Doctor sent a prescription to CostCo for 90 tabs of a medicine I have used many times in the past. Optum has refused to cover the medicine in the past meaning I am accustomed to paying the retail CostCo price, $1.42 per tab for 90. In the latest request to CostCo Optum got involved. They refused to fill the 90 tab prescription but instructed the Pharmacy they would cover 30 tabs. However, the price was $1.72 per tab, a 24% higher cost which I would pay in total for some unknown reason since my deductible has been paid for this year. I can think of a lot of ways to describe this transaction but they all end with me getting swindled out of 24% of my hard earned cash by Optum Rx. Keep your distance from the Optum medicine monster. It aims to gobble you up to feed its hunger for cash.
Reviewed Dec. 17, 2019
I have had a "Prescription On Hold" message for almost a week. I have talked to three different pharmacists. The first pharmacist asked for a clarification if this prescription was replacing a prior prescription. I told him yes and he assured me my order would be processed. The next day the order was still on hold. The second pharmacist asked me the EXACT SAME question and then assured me my order would be processed.
The following day... still on hold. This time the pharmacist had the wrong patient information and began asking me about a medication that I do not even take. Once she figured out who I was (this is after jumping through MULTIPLE security hoops, passwords, and on-hold time) she told me that they needed clarification from my doctor. From start to finish, this company is disorganized and trying contact anyone for assistance is cumbersome and time-consuming. The pharmacists I have talked to are unaware of prior contacts and concerns and there seems to be no protocol to follow when talking to customers who are return callers.
Reviewed Dec. 17, 2019
I have two addresses. When I place my orders I give a billing address and the current shipping address. In the last six months they have shipped to the billing address when I requested the shipping address. They can’t justify why but give me lots of lip service. What interesting is I always say yes to the survey but I never get transferred to it when I have a problem, they dump me in a queue that goes nowhere.
Reviewed Dec. 16, 2019
This is the third time that our prescription has been delayed and taken two weeks to get the order. We are two hours from Walmart where I have to go to get them filled when they fail to get them out to us. Now again I ordered the prescription last week, I called today, Monday, they have the doctors order but still they say it will be two weeks before I can get the pills! Next year I am getting a new service.
Reviewed Dec. 16, 2019
I was getting my prescriptions filled by a local retail pharmacy and everything was great. Then I get numerous letters in the mail "requiring" me to get all of my prescriptions filled by OptumRx and then shipped to me by mail. I started this process (transferring my prescriptions) over a month ago and still have not received any prescriptions. I called my Dr's office and they tell me they are "working on it with Optum Rx." It seems that I can't get a straight answer from anyone, and my prescriptions continue to run out. OptumRx (United Health Care) is HORRIBLE; there is just no other way to say it.
Reviewed Dec. 14, 2019
I elected to use the mail order service for my prescriptions. I received a prescription from my doctor and I asked Optum if I could fax it to them; they advised no they needed the original. I was advised by their office to mail it in, they provided the following address: OptumRX, PO Box 50975, San Diego, CA 92150-9075. I mailed in the prescription in and I called approximately 5 days later to get an update. They could not tell me if it was received. I asked to speak to a supervisor, I got bounced to leads, and specialists.... but no supervisor. After being on the phone for over an hour I asked Dario G #** who is the supervisor I am waiting for and why is it taking so long? (You can't make this part up). Dario G told me Stephanie C the supervisor is probably in the lobby greeting peers and taking pictures. I rated them a 1 star because this platform does not allow a lower rating.
Reviewed Dec. 13, 2019
Where do I start. Here are some thought that come to my mind, incompetence, slow, horrible customer service. I had my doctor prescribe me some medication on the 26th of Nov. I go to the pharmacy later that day only to have them tell me that a PA (prior auth) is required. So I call OptumRx to find out more. They stated that they sent my Dr's office a form that needs to be returned. I call my doctors office and they tell me that it was sent to OptumRx. A week goes by, I hear nothing. I call back OptumRx only to find out there was no record of any pre auth or nothing has been received. They told me to have my Dr's office send the faxed requested info and mark it urgent since it can normally take 14 days to process. "14 days to process"! Seriously!?
So a few more calls back and forth to my doctor's and OptumRx gets nowhere and another week goes by, although while the innocent patient is waiting for the meds and having to be the middle man between the 2 entities because there is apparently a disconnect. Fast forward to today Dec 13th, still no word or meds. My doctor's office called earlier this week and confirmed with me that they received and submitted the requested info, via fax. I called OptumRx today only to find out that the there are denials on the PA. Who are you to deny, not let anyone (my Dr's office) know and move on.
The 1st 2 attempts were denied, these are before the fax that was resubmitted from my Doctor's office this week. I finally get someone on the phone at OptumRX and again a clueless agent give me the generic response and run around. I ask them the reason for why I don't have my meds, after looking into it further they state that they have to contact PA dept. I wait on hold for 5 minutes then get dropped to some automated response menu, as is when I 1st dialed in. I hit the option to get to an operator and have had it at this point. After giving my story again, I hear the denials of the PA. I ask for a supervisor and in which I am placed on hold once again only to come back with the same operator stating that she is going to take ownership and walk this one through till the end by contacting the Dr's office and getting what is needed.
Now I commend her on that however it;s the end of the day and my Dr's office is closed so guess what. I have to wait till Monday which is going on week 3. This operator exemplified proper customer service, however ever one else i spoke in the handful of times calling were just waste of my time and someone should have done what this operator is willing to do. Mind you I never got a supervisor on the phone. I will be filing a formal complaint with this company and its work ethics. I wish to never have to deal with this company again nor do I wish it upon anyone.
Reviewed Dec. 13, 2019
Twice this year this company has refused to fill my prescription as the Doctor wrote it. In shear frustration I used GoodRx to buy my medication cash out of pocket, it turned out I saved a couple dollars by using GoodRx. The Senator of my state has named this company of as one (of 3) that is NOT passing on savings to consumers but yet are getting their drugs at huge discounts.
Reviewed Dec. 13, 2019
Horrible company, when I switched jobs and got this drug insurance company I had to fight tooth and nail to get my life saving drugs approved. They play games and give you the run around. Thank god for my doctor, who was giving me samples of my prescriptions. This went on for over a month. I will never do business with this company again. I am switching insurance companies. STAY AWAY FROM THIS COMPANY!!
Reviewed Dec. 12, 2019
I have a special needs son who we are constantly adjusting his medication and they want me to enroll in in their plans and they bully you into it. They said multiple letters in the mail telling you you have to enroll or otherwise you will no longer get your prescriptions. To un enroll in the program you have to call or you have to go online and create an account and it’s a big waste of time.
Reviewed Dec. 11, 2019
I could not get United healthcare to allow me to get this particular drug through my local pharmacy (I believe due to cost). So every time I call they give me a new excuse for the delay in shipping. It has been two weeks now and I am suffering every day. I can't believe that they are in the business of drugs if they can't do a better job than this. It has now been two weeks and they cannot tell me when they will release the drug to me. Pretty Sorry way of doing business! BTW United healthcare is the same company as OptumRX.
Reviewed Dec. 10, 2019
OptumRx is without a doubt the worst company I have ever dealt with. When they call you, with important information rather than someone on the phone, you have to call back, this process is insane, not sure how they can fill a prescription. I would never recommend them, and or use them!!!!
Reviewed Dec. 10, 2019
What is your Clinical Management? We asked how your clinical management was run. We requested to speak with someone in clinical management. We were told to hold for supervisor and were hung up on after several minutes. Second call we were directed to a "supervisor" with no clinical experience. How can a pharmacy be clinically managed by uneducated people?
The pharmacy didn't have our PCP on file correctly. I don't know the provider they had on file. We have used OptumRx since 2012. No-one confirmed a PCP in 7 years? Clinical Management admitted they did not send a reminder to renew our prescription with our PCP. This year the heart medication wasn't delivered. The heart medication is one of several needed for survival. Customer service, a.k.a clinical management stated the medication would be here by the 19th. (That's 10 days without a mandatory medication).
There is no clinical management. It's all about money. OptumRx does not have any Clinical Management. They have a call center run by uneducated salespersons regurgitating sales jargon to get you to place an order. This is an unacceptable standard of care. It is dangerous for consumers that do not understand the importance of taking medications as directed. How many people end up with hospital admission because they were waiting for OptumRx to deliver medications?
Reviewed Dec. 5, 2019
I went with OptumRx because we live in two areas thinking it would solve the problem of duplicate prescriptions. Wow, was I wrong. They have no control of orders. I called in one instance and requested they not fill a script.. The rep said that would be accomplished and then the script shows. In another instance they shipped a new script to the wrong location without notifying me in advance...You cannot do that if I had not given them my credit card...Then when I informed them they shipped a second script so I ended up with two 3 months supplies with a drug I subsequently didn't use.
Reviewed Dec. 5, 2019
I notice that a lot of complaints are about ordering over the phone, I do all of my ordering online without ever having a problem. I had to call up once to order and it took a couple of minutes, however I have had a couple of problems with other thing. My advice, ORDER ONLINE.
Reviewed Dec. 5, 2019
If I didn't have to deal with these idiots, I certainly would NOT! For over 2 years I had spent hours on the phone, speaking with supervisors who said they put a note in my file to not auto-ship meds without my consent, yet they kept shipping them. Finally had to cancel my credit card I used for them. It seems that no transaction with them can go smoothly - now I find that they are out of my blood-pressure medicine, so it's MY responsibility to go back to my doctor to have a new prescription sent to my local CVS store, and now I have to go pick it up. Saying you're sorry just doesn't cut it when you're dealing with people's health and lives. If you want to treat this as a hobby rather than a serious business, you should not be in it!!!
Reviewed Dec. 5, 2019
This is the worst specialty pharmacy I have ever dealt with. Every month when I call to refill my daughter’s prescription, I get someone who comes across like it’s their first day on the job. They have no clue about medications, copays, shipping, etc. It’s extremely frustrating when you’re dealing with a sick child and medication that costs thousands of dollars. We spend 15-20 minutes waiting to even talk to someone and then it takes another 30 minutes to actually get the prescription (that she’s been on for 5+ years) filled. It’s ridiculous...especially when you have good insurance and your copay was paid 12 months ago. No excuse.
Reviewed Dec. 5, 2019
This is the 2nd situation of this type I have had. Had been receiving a RX for blood pressure on a 30 day cycle through Walgreens. Since drug is working Dr. switched to 90 day and ordered through OPTUMRX. Got an Email from Optum saying I would have drug in 10 days. Because of past bad experiences with company I contacted to verify that this is true. Surprise Surprise I was told they do not have drug available. Questioned WHY was I not contacted. Was told, "We were going to call you!" I questioned why I got the note that I was getting the med in 10 days and was told it is a problem because the note is automatically sent when they get an order! This is the 2nd time this exact thing happened. As a health care professional I am appalled at the quality of service provided.
Reviewed Dec. 4, 2019
I can't believe they haven't been shut down yet. Routine, monthly refills typically take 45-60 minutes over the phone. You can try to do it through the app or online but chances are something is going to ** up and you are going to have to call it in. Hold times are unbelievable. If you ever run out of refills good luck! Half the time they are out of meds and make you go to a local pharmacy to get it. Which wouldn't be so bad if it didn't' take an hour and a half long phone call to get to that point where they realized they are out. Which is why you couldn't order it online or on the app! Is there a bright side? The call center employees have so much experience dealing with pissed off customers they are amazing at customer service. If you are a business owner you should hire them away from this atrocious company.
Reviewed Dec. 3, 2019
I take ** for pain and have been for years. I never received my pain meds for November from Optum RX. On the 4th they sent me an email stating that it was being shipped overnight. On the 7th I was at my doctor's office and his nurse called them to see why I didn't get my meds. They told my nurse that it was never shipped. And that they had no idea as to why. And that I would get them in 24 to 48 hours. On the 11th I called back to see if they could track it. They said yes and put me on hold and looked up the tracking they said they had. After about 10 minutes they came back and said according to the tracking number I should get them the next day. Which was a Saturday but nope nothing again. So I called back on Monday. And they said it never shipped them. So they lied about even having a tracking number.
This time they said it was to early to fill. Which I knew was another lie. So I had them look up when it was filled last. And it was actually 3 weeks overdue to fill. So then it was a computer glitch. Mind you I'm having cancer surgery on the 19th. So trying desperately to have pain meds at home when I get back. So this time I talked to a supervisor and a pharmacist. They both told me to have someone at my home while I was in the hospital recovering so they could sign for my meds. I came home on the 23rd. And still no pain pills. And this is all after 8 phone calls, from me and the nurse + 7 emails from them. Saying every time that there's no action needed from me or my doctor and the meds are on the way. I'm truly hoping they lose their license and the pharmacist see court time doing this to people. Please take warning. Go anywhere but here for your medication needs. It's not worth the stress and lies. My name is James **. I hope this was helpful.
Reviewed Dec. 3, 2019
For my daughter I need to call them every month for prescription refill. That phone call takes at least 30 mins!!! Sometimes it takes even longer. When last time I called them for my daughter's refill, they kept me on hold for 30 mins and they kept switching from 1 representative to another and every time they were asking for identity verification then again on hold. And after 40 mins call disconnected and no one called me back!! Still I could not reach them after 3 attempts!! I do not recommend this pharmacy. Worst pharmacy ever!!
Reviewed Dec. 3, 2019
My experiences with this company are similar to other recent reviews. I am trying to get a prescription that I have been taking for three years refilled. Despite messages from my doctor and from OptumRx themselves, they couldn't find the prescription. I was shuffled through four reps over the course of an hour and a half, each time starting from the beginning and slowly working through the same history until they reached the point where they didn't know what was happening. It's been left that they will call me in 3 to 5 business days if they get their problems sorted out. They suggested that my doctor might be able to help me. BriovaRx was getting better, but now they've apparently been bought out by Optum? Anyway, if I had any choice whatsoever, I would have nothing to do with them.
Reviewed Dec. 2, 2019
First off, you call their automated service and whether you elect for a return call or stay on hold, you end up being on hold for 7-10min then disconnected. When you do get a live person it is clear they are not well trained. They speak as if they are guessing and they have no idea how to fix an account. Then, when you do get your account pulled up, they cannot follow specific directions on how to process an $0 co-pay order. Multiple calls, multiples representatives and after 3 hours I still do not have my refill processed.
Reviewed Nov. 30, 2019
This is a crooked company that should be shut down by the government!! After you get a prescription filled 3 times at the pharmacy of your choice they force you to use Walgreens or get your prescription mailed to you from them. The only thing that they care about is getting as much of your money as possible. They waited until after my 3rd time of getting my insulin filled and I was out of insulin to tell me I had to get a 3 month supply which isn't cheap. I called and told them I didn't have the money for a 3 month supply and their response was that I would save money by getting 3 months instead of 1 month.
I now have a $0 copay card from the insulin manufacturer but with the copay card I'm required to get 1 month at a time. When I called Optum to explain the situation they basically tried saying I would save money by getting 3 month supply even though $0 is definitely not more than the price I have to pay without it. If you are considering using this insurance do yourself and your family a favor and don't. In my entire life I've never wanted a company to be shut down until dealing with these greedy inconsiderate people.
Reviewed Nov. 29, 2019
If I could give them NO STARS I would. This is the WORST COMPANY EVER. My son a (child) needs a med that has been approved. They called me to set up delivery, but I need a copay assistant card, got it, called them back. Delivery was set up. I waited all day for it. Come to find out it wasn’t shipped because it was denied. I am done, now my husband is handling it. For 2 days he was on hold for over 2 hours to get a runaround. This med is for a CHILD. I am so mad. This company is incompetent, not a good combo with medical field. I have an approval letter, they called me about delivery so what is the confusion. I have had it.
Reviewed Nov. 27, 2019
This company is sooo bad. First of all why is an American Company who is handling American citizens accounts sending people offshore. I have been breached 3 times in the past 2 years and all have been from Malaysia. They ask for personal information that I am not willing to give. Secondarily, my most current order for my prescription was placed nearly 3 weeks ago. It was not shipped although it was not. I had to get an emergency prescription locally to tide me over. Now Optum RX says that it is too soon to order the prescription. Doesn't matter that I work, it has taken 1 1/2 hours 2 days in a row to try to get this worked out. The people are untrained and rude. M Here is the for the doctor's line. You will at least get an American and hopefully proceed from there. 800-791-7658. This is a. Negative rating but this is not an option.
Reviewed Nov. 25, 2019
This company is run by incompetent people who seem to not have any idea of what they are doing. You have a conversation with one person and get a completely different answer that someone else. When you are dealing with people's health and livelihoods, that becomes a problem. They force you into a situation to where you have to order through them or pay extra to go through a local pharmacy. And then they screw up your order and won't fix it until they process a return. Avoid them at all costs if possible. Go to any other pharmacy and you are better off.
Reviewed Nov. 23, 2019
I’ve had a serious, chronic health condition since childhood. I need several prescription medications to literally stay alive. I've dealt with several pharmacy benefit manager companies through the years via my employer sponsored health insurance, including Express Scripts and Merck/Medco - had no problems with either. My employer plan switched to OptumRX 2 years ago and I’ve had nothing but problems since: 1) they drop coverage of long term medications with little or no notice. 2) CSRs are not trained to offer any assistance. 3) They switch meds with no notice or consent from patient. 4) They charge the highest co-pay amounts of any PBM. It’s all about OptumRX making a big profit at the expense of patients - avoid them if you possibly can.
Reviewed Nov. 21, 2019
Twice I have been billed 3 times the price quoted me online under my account when OptumRX tells me it's time to refill. When I call the first time the excuse was site not updated. ** was quoted 4 vials 134 day supply for 71.66 (my cost with insurance) and they sent 3 vials 90 day supply and billed my CC card 207.83. Only 1 of the 3 drugs ordered was the price quoted. I printed this info because after the last time I don't trust them at all. I will pull my CC card from their database. The right hand does not know what the left hand is doing. This company cannot be trusted!
Reviewed Nov. 19, 2019
Operators are not well trained and using a computer system that is far too difficult for them to use. I have been on the phone for 1 hour and 20 minutes being bounced back and forth from 'specialty pharmacy' to 'retail pharmacy'. Four prior calls went on for more than 40 minutes each pushing me past the time I could remain on hold. Tonight I anticipated being on the phone for a ridiculously long call. I had not anticipated a supervisor coming on the line for the last 10 minutes who came across throughout the call as being aggravated with me. I do not recommend this service. If you can get your prescriptions any other way, do it.

Reviewed Nov. 18, 2019
I am a nurse working in a community behavioral health center. I frequently order and administer specialty injections. Many insurers are contracted with specific pharmacies to fill medication. Briova was my utmost favorite pharmacy to work with. However, when they made the switch to Optum, it has been a complete disaster. It is extremely difficult to do something that should be as simple as scheduling a delivery. I have literally waited on the phone for up to an hour. Last week, I had a couple client's injections that didn't show up at all after they were scheduled to be delivered. Keep in mind, these are life saving medications. Their processes are convoluted, and it is a nightmare working with them. It would behoove them to switch back, or at least mirror the system that Briova had in place.
Reviewed Nov. 17, 2019
Most horrible, incompetent company I've ever encountered. It would be one thing if they were selling washing machines. But they are selling life-saving drugs. I still don't have meds I need to keep my cancer at bay and I've already missed 6 doses. The agents are very nice on the phone but the string of incompetent actors is unbelievable. "The prescription probably wasn't received because we are putting in a new system and some are on one and some on another". "Have your doctor call this number instead to give the prescription." (It was a non-working number.)
"We have no record of the prescription." (The doctor phoned it in twice and got confirmation after she found another number.) "Oh, now I see it, it just popped up today." (The prescription was sent two days previously.) "I will make sure it's overnighted to you. You will have it tomorrow". No drug the next day so again another very long call. "It has not been verified by the pharmacist which it says it needs to be since it needs to be taken with another drug" (which I am given at the hospital and dont' need to order through them. Why the person who promised to send it overnight couldn't have seen that a pharmacist needed to speak to me I'll never understand).
After a conversation with the pharmacist, "I'm checking FEDEX so that we can get it to you by the next day. It seems they can get it to you." I was waiting so long on the phone I didn't have any idea if she was getting back to me. She did call and leave a voice message that UPS would deliver it the next day before noon. No meds the next day (today). Called once again. "Sorry, this is through oncology, I don't handle that medication. They have gone for the day. They will be in on Monday." "Can I please speak with a supervisor?" "I'm trying to get the supervisor on the phone. No, you can't speak to her. She told me to tell you that she can't help you and you will have to speak with them on Monday".
When I asked if she could check my file to see if there was a tracking number on the shipment she said, "no I can't get into your file but I will try. Wait, I got in and there's a notification that UPS said they couldn't deliver it today. It timed out". I have never heard of such a thing. I'm convinced these are all lies. She wouldn't give me a tracking number.
I take very expensive meds that I can only get through them. United Health Care, if they own this company, should be ashamed of themselves. I think that there are enough injured patients that we should consider filing a class action suit against the company and against UHC for using such an incompetent and dangerous supplier. Any idea how to find other patients? The ones who haven't yet died?
Reviewed Nov. 17, 2019
I have problems logging in to my account. 1. It said that I had to create a new account. 2. I tried to create a new acct and the online service is offline. 3. I got emails that I needed to order new meds but it wonts accept my logon & new password. 4. It is not efficient or helpful. There is no method of contacting them after 5 pm. 5. I am now low on my meds and will have to consider dropping my acct since I am ordering my meds to a local pharmacy that is reputable and cares about its customers. 6. This has been going on for 3 weeks. THAT IS UNACCEPTABLE.
Reviewed Nov. 15, 2019
They send you a notice that something is due for a refill or that they are shipping something but they don't tell you which prescription that they are talking about. You are required to sign in before you can find out. But after you sign in, they just take you to a list of your medications. Then I have to go through all of my medications to figure out which one they are contacting about. Their customer service manager went out to lunch and never returned! I now just delete their messages without even opening them.
Reviewed Nov. 13, 2019
I have medication that is a restricted drug and it requires that I receive it on time. This is the 3rd time, I have completely run out of medication because OptumRx can't fill the medication and get it to me on the date it's due. It is causing me to either go back to the doctor or the emergency room to get temporary medication because I can't be without it. I am beyond frustrated! I have serious medical issues that require I take my medication on a regular basis. At this point, I am removing all of my meds from them, and will be forced to pay a higher price at a local pharmacy that I can't afford, because of them. I am on a fixed social security income and this inconvenience really bothers me.
Reviewed Nov. 12, 2019
I switched addresses and called to inform that my prescriptions would have to be shipped to a different address. It took an hour to give the phone operator my name and address about 20 times. Then when my prescription didn’t come I called again and was told my address was never changed and I never submitted a mail order request. My medication never came so I had it sent to the nearest pharmacy. When it arrived at the pharmacy I was required to pay for it instead of insurance covering the price. I am incredibly upset at the amount of money I lost because of this company’s ineptitude.
Reviewed Nov. 11, 2019
I shouldn't even give one star. Recently we changed insurance and had OptumRX forced upon us. We had Aetna before and used the Caremark system, which was great. I started over a month ago trying to move over my prescription. My doctor has had to call in the prescription three times. I've had to call 4 times. Each time the agent I reach first gives me the wrong information, several versions of the wrong info.
First they say the reason it didn't ship was because it was set up as an auto refill (ugh?). Then they say it is fixed and I should receive by x date. Then I say that doesn't make sense. They look closer and then they say my insurance doesn't cover it because it is a brand name. I say, "The generic equivalent is fine. They don't make the brand name anymore. All you can get is the generic." Then they say they have fixed it and I will receive by date. X date comes and goes, no emails, no phone calls, and no prescription. Then I call again and go through the same routine. Four times. Today I was SCREAMING at the agent. I said I would not get off the phone until I had a tracking number. I refused to accept her lies and finally they transferred me to a US based agent (her words not mine).
Turns out someone had clicked that I would only accept the brand name prescription (God only knows why) and that was why it kept crashing. Again, no phone calls, no emails, the request just disappears. The US agent had seen this happen before. The problem is the call center. The first person you get is out of country, new, inexperienced and they very simply lie. They tell you what you want to hear to get off the phone. I had to tell the agent, Maind, that I would not get off the phone without a tracking number that showed I would receive the drugs tomorrow. I basically refused to budge 6 times saying "nothing is acceptable except these drugs will be received tomorrow." She finally said she would transfer me to a US agent but it was only because I said repeatedly I would not budge.
These are drugs I need to live. I have Parkinson's. Stress is very bad for me and this has caused incredible stress. The link to check your order status in the email you receive confirming your order sends you to UnitedHealthcare. No way to get to the order status from there! And option to send a message from the 'Contact Us" on the OptumRx site doesn't work. So they are incompetent at all levels! I plan to complain loudly to United Healthcare and to our employer for choosing a company that is so bad. Given the reviews posted I am not the only disgruntled one out there.
Reviewed Nov. 9, 2019
What a mess! I’ve spent hours on the phone this week. Holds, dropped calls, missing faxes, and general ineptitude. I can barely even speak of it. It’s galling how poorly this has gone. My blood is boiling. The whole process starts over next week because at this point they say nothing Is queued up and it’s the weekend and my dr. office is closed. I can’t even imagine how someone might handle this if they have a ‘punch-the-clock’ job. I’m going to have to reschedule my dr appointment now because there is no way they’ll get the meds here in time now. Ugh. Does anyone know if there is a way out of this? Can I transfer to a different specialty pharmacy? I never chose this in the first place, I think they are contracted with my insurance company. This is some sort of purgatory I’m in.
Reviewed Nov. 8, 2019
On August 15th I see a bill from OptumRX stating I owe $25 for a prescription drug yet to be received. Calling OptumRX they indicated on July 2nd 2019 a prescription was shipped and delivered to an address on July 5th. Since it was 30 days after the shipment there is nothing OptumRX could do to resolve this. OptumRX continues to bill with ZERO intention to deliver the prescription. Now November 11th 2019 the bill is in collections and they have not delivered any prescription. In my business billing for services not provided is classified as fraud.
Reviewed Nov. 7, 2019
I called last week to be sure my ** would be available to me, when needed. I don’t want to put myself through horrific withdrawals. They start almost immediately. I always keep 10 pills aside, so when I call, I am able to wait the 10 days it takes for the pills to arrive. I called my Dr 7 days ago to get a new prescription, so all would be taken care of this week. I called today and a Representative told me I had to wait until the 8th, I would receive it on the 18th. They could not locate the faxes, my Dr’s Receptionist told me she sent, 4 times. The new prescription not only doubled the amount I take daily, it would have explained I needed it Immediately. No, I won’t pay 12.00 to get a $3.00 med. OptumRx is négligent, causing personal injury to myself and others. The brain shivers have already begun. Your guidelines have been met.
Reviewed Nov. 6, 2019
My neurologists prescribed pain pills for me after a major back surgery and OptumRX. has a pharmacists that said I did not need that rx due to it being an ** though my records with them plainly showed that it had been over 4 years since I was prescribed that medication after a total hip replacement. Who is a pharmacists to override a top neurologist. I pay for my insurance and I do not abuse it or any pain meds. This is wrong for them to be allowed to do this.
Reviewed Nov. 4, 2019
Ordered script renewal on 10/11 on the phone. Told will arrive 4-6 days. Did not arrive. Received an automated call saying order return. It had been sent to an old address. We moved 4 years ago and have received all other orders!?! Called again. In the meantime my husband is running low on his pills. Talked to Karen, explaining situation, verified correct address, asked her to eliminate the 4 yr old address and expedite the order at their expense. This was on 11/17. She assured me we would receive it on Monday 11/21. Got a confirmation number...nothing delivered on 21st.
Called again. Talked with Riena, told her the story and she assured me we would get this “expedited” 3-4 days. Said we’d receive it on Monday, 11/28. Well, it didn’t arrive, I got a phone message from her asking me too... I dialed the number she left and got a recording saying the number was disconnected!?! Now I have been patient, no swearing, no anger when speaking to agents. Everyone has said they’re sorry, it’s on its way. It arrived 11/31. My husband could not get samples, had serious issues. How can a big Pharmacy get away with this? I am looking be a better supplemental insurance to move to. OptumRX should be embarrassed and ashamed.
Reviewed Nov. 3, 2019
My doctor prescribed a medication for 12 months. After 3 (January 1st) months, I went online to get another 3 month supply. They had the prescription marked as expired. I contacted my doctor and she submitted a new prescription. They acknowledged receipt in an email, then said they needed to contact the doctor to clarify. Then the prescription disappeared from my account. I contacted my doctor again, and the nurse said they had already resent the scrip. I did not receive this medication until March, needing it in January. This happened again in June. Same thing. They said the doctor never sent in the prescription. I felt like I was losing my mind. This is not a dangerous or addictive drug.
My next experience was trying to order ** and hormone cream. When I put these in the shopping cart, the price was blank: price unavailable. When I placed my order, the total rang up to $1246, but only after I hit the "purchase" button. They had substituted "name brand" for my generics. I had always gotten generic meds. I called to cancel the order and insisted on proof they had cancelled the order, which they refused to give me, and said that my charge card would have that much held. The name brands are still on my patient portal page (unpriced), though when I called to clarify and order over the phone, they charged me the price of the generics.
My husband's doctor sent in 4 renewals for him this week, they sent a notice that the meds were on the way and would arrive within 5 days. Today he checked and the order had been cancelled. By them. They were unable to explain why, except to suggest that maybe his doctor had not sent in the prescriptions. I don't understand the constant cancellations of valid prescriptions. My doctor should not have to write a new prescription for every refill. And why they cancelled my husband's cheap generic meds (bp med, statin, anti-inflammatory, etc.) is a mystery. By not filling all of our medications for a while, I guess they can save some money. If we had a choice, we would NEVER use OptumRx, but it is the employer's choice.
Reviewed Nov. 1, 2019
Ordered and expedited a prescription yesterday morning. Paid $12.50 extra for shipping to get it here faster, which is usually overnight. No update on their site at all. I call and ask what the issue is and they told me that expedited now can take up to 4 business days. I asked how do they charge for 2 day air, which is cheaper, if expedited will take 4 days. No answer, just was told I guess I was lucky. I ask to speak to an onshore supervisor because the overseas supervisor was getting an attitude when I was asking questions.
Well, the American supervisor was worse. She started lecturing me on prescriptions and I asked her specifically how come they were able to fix the issue two months ago on the weekend, and she said "there's nothing I can do, you'll receive it next week." And then hung up on me. They don't give you names, well, she did give me her name it was Becky. They don't give you reference numbers because they don't want to be able to track down all of the calls and see how much you have to fight to get your prescription. I have always hated United Healthcare and hate it even more today. I switched to an insurance on the exchange because they are that awful.
Reviewed Oct. 30, 2019
As a State Plan insured and a retired insurance agent, I am at my wits end with this company. Their "customer service" personnel have no idea what they are doing or talking about; their pharmacy holds prescriptions so it takes about 15 days to get a refill; their accounting department takes your payments and then says they never received them (hey, my bank shows you got it) and charges you again for the same thing and refuses to fill any more prescriptions until you pay twice. They will not allow you to speak to the accounting/billing department. They will not send you itemized proof of their bills. I have no idea how they are allowed to operate! Everyone out there - please report them to your State Benefits people so this place can be shut down! We never had these problems with Express Scripts.
Reviewed Oct. 30, 2019
I went to my pharmacy to pick up a prescription. The copay changed from around $80 to $325. I was told by the pharmacy I needed to contact OptumRx to get the prescription by mail so the cost would be significantly less. When I called, the person I talked to had zero clue of what she was doing. She told me I had a $1700 individual deductible that had not been met even though my family deductible of $3400 had been met. I argued with her because if that was the case I would have been paying that copay all along. It WAS NOT the start of a new calendar year for my coverage. If at all possible DO NOT USE this company. I ended up going back to my pharmacy and paying the full amount to get the medicine my son needed to breathe because he was leaving town.
Reviewed Oct. 26, 2019
I received an email that they were shipping me a prescription; I called and asked them what was and who ordered it. First they questioned if I had ordered it and then suggested my wife had. Finally, they said they had no record of who ordered it, no evidence of receiving a script, BUT they claimed it was ordered yesterday and was being sent to me. Don't pharmacies have to know who ordered the medication and have a record. They simply claim to have. no record of it and have no way to address the issue other than to ask name if I want to convince the order they claim I had made-ignoring the fact that it had not been ordered.
Reviewed Oct. 26, 2019
After switching to Optum RX as mandated by my insurance, my BP spiked 20 points diastolic and they just informed me that they are out of 1 of 3 medications I'm on. After 2 days of switching back to my local local pharmacy, BP back to normal. BTW 1/3 the cost but I have to go once a month. Who cares. Don't let insurance companies jeopardize your health & steal your money. Who knows where they're getting the drugs. Generic is not necessarily generic!!! My experience with with this company SUCKS!!!
Reviewed Oct. 25, 2019
It is truly rare that a service can so consistently waste time and mental energy. My wife and I have to emotionally prepare ourselves every time we have to fill a prescription. It's almost laughable how incompetent and uncaring OptumRX is. If you have a choice, choose anything else. Anything.
Reviewed Oct. 25, 2019
OptumRx Poor Communication Regarding Drug Pricing Charges. My doctor advised me to compare OptumRx pricing for my next refill of **. The current pricing via the OptumRx app was not available because my routine pharmacy had begun processing the refill. I spoke to OptumRx’s Anna and she quoted a price of $112.01 for a 90 day supply, almost $300 below competitors. Anna stated the price of $112.01 five (5) times during the quote, responding to my request for price verification and her processing the refill from my routine provider. I arranged with my routine pharmacy and doctor to redirect the prescription to OptumRx. Two days later, my credit card alerted me that I was billed $407.01, instead of $112.01. I spoke to OptumRx’s representative-Don and a supervisor- Lou who provided the following advise:
2. I am only being billed a copayment of 8% of the total cost of a 90 day supply of Trulicity. (My answer: This does explain the $300. Error.)
3. They would encourage me to contact my insurance company and complain about the high fees of copayments. (My answer: My insurance company owns OptumRx.)
4. Because of my current copayment position, relative to the “gap,” I should expect to pay high fees.(My answer: This doesn’t explain the $300 error.)
5. The supervisor- Lou, assured me that Anna, who quoted the incorrect fees, and whose job is daily quoting pricing, will be “RETRAINED.” ( My answer: Why won’t OptumRx take responsibility.)
Reviewed Oct. 24, 2019
OptumRX is the prescription plan my coverage requires me to use. In almost two years I have only received my prescription (that is to be taken daily) twice. At one point they claimed my doctor denied the prescription refill request and they just never followed up. Yet again, I have not received my prescription from them this month and they refuse to allow me to pick it up at my local pharmacy. Stating that I have picked it up at the pharmacy too many times.
The reason for picking it up there is because OptumRX is unreliable in sending me my prescription when it’s needed. Now, I have already missed two days of my daily prescription and they promise it will arrive a week from today. There is never any sincerity from staff or any remedies for your issues. One person tells you one thing to make you happy and then when you’re inconvenienced yet again they make it out to be your fault. If I could rate them a zero I don’t even think that would suffice. I am going directly to my HR department this time, I’ve had enough.
Reviewed Oct. 24, 2019
If I could give zero stars I would. Dealing with this place has been nothing short of horrible. First of all, they are in the dark ages. My son has coverage through his dad and me. Dad is primary (unfortunately that is why I am stuck with them). When I get my son's Rxs (ADHD meds) I have to pay the full amount up front (almost $200 for 2 30 day Rxs). Then I have to go to their website and print up a form, fill it out and send the original Rxs to them to request reimbursement. I have to call over and over for reimbursement, I get different stories each time... what address payment went to, when the check was sent, etc. and have still received nothing.
I am now owed almost $600 in reimbursement and who knows if or when I will get my money back. I have to budget for this as I cannot depend on getting my money back. Horrible customer service, horrible SERVICE and they do everything by snail mail... No electronic ANYTHING!!! I am literally waiting for my paper freaking checks. If I could avoid using them, I would. Just like having NO insurance! Steer clear... Would not recommend this place at all!!!
Reviewed Oct. 19, 2019
I am a type 1 diabetic and I just found out that it will cost me $550/month for ONE of my two insulin prescriptions. I'm a permanent resident with a PhD in molecular biology, working for one of the largest biotech companies in the world but I think I will have to quit my job and move back to Sweden. And in Sweden insulin is free. You don't pay anything for insulin.
Reviewed Oct. 19, 2019
I talked to an OptumRX rep 2 days ago and told him to HOLD on fulfilling my prescription because I found it to be 4 times less at my local Medicap Pharmacy. He said he would hold but I just received an email saying my prescription was refilled and they charged me $175 when my local Medicap pharmacy was charging 1/3 that price. I will sue if needed just to make a point. This needs to stop!!!!!!
Reviewed Oct. 18, 2019
They told me that I would pay a $ 10 copayment for a medicine, but I needed to talk to my doctor to send the prescription directly to them, finally when I got the doctor to send the prescription to them, the copayment changed from $ 10 dollars to $ 120 dollars.
Reviewed Oct. 17, 2019
Per their website they ask to email them with issues or concerns and that was what I did. It was regarding a couple prescriptions questions but they never responded to my emails. So It was a waste of time. Same thing happened when I called a representative and the rep was not helpful at all.
Reviewed Oct. 17, 2019
This review is for OptumRX prescription fulfillment department, as I believe they are the one that managed United healthcare claims for prescription drugs. I had to leave for a trip outside of the country for an emergency, and left one of my prescriptions medication. Well, unexpected things happened. Due to this I had no way of taking my medication. Imagine having the need for your medication when you are in a foreign country. Not a very desirable situation! Luckily one of my close friend was getting ready to join me. He had his flight leave about a week after mine. By this time I had already missing a week worth of medication. I called my doctor's office and tried to coordinate with my pharmacy. My doctor cleared me to have an emergency refill - which is what they called a vacation override. The pharmacy near my friends house is accommodating by keeping me updated with the request.
Of course the only problem lies with Optum. Not only they refused to grant me my vacation override, this has been a 5 days of hell trying to coordinate international calls from different countries to 3 different parties. I was on hold for 2 hours at a time trying to get ahold of someone with authority to grant me my medication. Have this been a life threatening medication, I would have died. Lesson learned. Optum people are not people who put humans first. They rather put profit first and cover their ** first before you. In the end, my friend could not pick a up a prescription for me to bring. And all 5 days of efforts along with international calls were just wasted. No meds....
Reviewed Oct. 15, 2019
I am FORCED to process ONE of my prescriptions through home order for whatever reason they have never completely explained. I have never ONCE got my order on time or without serious aggravation. They either put my life saving medication on hold, don't send it, don't call for refills, claim my address is wrong.... It goes on and on. Straw that broke the Camels back was Technical support in India, she couldn't understand my accent so kept asking me to repeat myself, as I was already super frustrated and angry, I just got angrier, I could hear people laughing in the background. Must have been hilarious to them to withhold my medication while they laugh. I don't throw this word around lightly but I HATE OptumRX. If you can get out of using them do so. If you are forced to use them like me, I feel your pain.
Reviewed Oct. 15, 2019
Do yourself a favor and do NOT order through their mail program no matter now much they try to tell you to. It is NOT cheaper. In my situation, going to the local pharmacy was $19 without insurance for my prescription and going through the OptumRX, it was $160 after insurance. Unreal, but true! Also, the process to get your prescriptions is a nightmare and it takes weeks. Once you send them a prescription, (it has to be done via snail mail), they have to verify it and they will be calling your Doctor to do that, which can take days and weeks before you get approval. Then, they will just charge your credit card you have entered on the app whatever amount they feel like it without even getting your prior authorization for the amount. They charge when they ship, so you can't stop the shipment once you have determined they have already bill you. WORST EXPERIENCE EVER!!!
Reviewed Oct. 13, 2019
Filling prescriptions with OptumRx is a real pain. The doctor’s office calls in the scrip but OptumRx won’t fill it because they need further clarification. What else can they possibly need? They have the drug, the dosage and quantity. What else? Every time I try to fill a scrip with them it always turns into a real hassle. They need to get their process together and stop harassing the patient as well as the doctor. Ridiculous!
Reviewed Oct. 12, 2019
I had a heart attack three years ago and take a Statin and a Blood Pressure med. I realized early in the process that receiving my medications automatically would reduce stress and help me make sure I take what I am supposed to take. My Cardiologist's office recommended OptumRX. I called them five days ago to order more Blood Pressure meds as my dosage had increased; I let them know that I only had a four day supply left and coordinated with my Cardiologist's office to make sure OptumRX had the appropriate authorizations. OptumRX assured me that they would fulfill my order and sent out a confirmation email.
Five days expired today, I am out of meds and called OptumRX to see where my shipment was; I was told that no shipment had been sent out, as they were out of stock. They did not make any effort to contact me and had no intention of doing so; if we were talking about an order of socks, I would still consider this horrible customer service, but we are not talking about socks, we are talking about life saving meds. Why is this company still licensed????
Reviewed Oct. 11, 2019
I ordered my refill this morning, last ordered 90 days ago to pay nearly $20 extra. I was told the manufacturer increased the prices. This is the most dishonest company I've ever dealt with. I hope the State of New Jersey drops them as the pharmacy company that fills state employee prescriptions. State of New Jersey should take a very close look at OptumRx.
Reviewed Oct. 8, 2019
OK so my husband is going through the same identical thing with OptumRx. I truly feel if you all band together we can file a class action against OptumRx and get this horrible mail order pharmaceutical company out of business. All the complaints I have read are the same thing my husband has gone through and getting worst. I would not be able to bare if my husband takes his life over the service he gets from them by not receiving the medication on time 2 to 3 weeks behind running out all the time. Had to take him to hospital because of horrible withdrawal. He is at his wits end with this company. He has no choice to have. So I ask if we can band together and stop the negligence, incompetence of their customer service. Please we can do this if we get enough people to come together. PS Please contact me at if feel same way....**.
Reviewed Oct. 6, 2019
This company has got to be the worst company I have ever dealt with. Every time I call I have to go round and round with them. We’ve had nothing but problems. Today I called to discuss my prescriptions. I need them this week because I run out of 5 of them on Friday. I was told I would be charged a copay of $100. I got off the phone, looked at my bank account, and saw they charged me $20.00, $60.00, and another $60.00. I immediately called right back and was told to call back in 2-3 hours because their computers were down. All of this happened in less than 5 minutes. It doesn’t make sense. This company is complete ridiculousness!!!
Reviewed Oct. 4, 2019
"This drug is not covered by your plan. Please see the other drug options that are covered by your plan" is the disclaimer that appears for virtually every non-generic medication. Unfortunately, the OptumRX website fails to specify what medication(s) a patient should request from his/her doctor in place of the prescribed medication.
Reviewed Oct. 4, 2019
My employer switched to this RX insurance company and it took over six weeks for them to get my daughter “in the system” to cover her prescription. After NUMEROUS phone calls from myself, CVS and my employer, waiting on hold and then speaking to rude CSRs I FINALLY got the coverage I was paying for. Worst experience. Terrible service. Ridiculous waste of time. If I could give zero stars I would!
Reviewed Oct. 2, 2019
I had OptumRx thru my employer and when ** was recalled. Optum took just over a month to notify any of their customers. Humana pharmacy, which my brother uses, had a banner on their site from the moment ** was recalled and notified their customers in a timely fashion. Optum had nothing on their site and not only had extremely long notification by a letter sent, BUT to make matters worse when I called before during the month that the drug was recalled. I got a robo call from Optum saying my next shipment of ** would be delayed because they were "out of stock." Nothing about the recall and the tainted batch I was taking.
Then I bought an AARP drug plan when my employer plan lapsed. AARP does not tell you that you're going to get Optum RX when you buy the AARP plan. IF I had known that I would not have bought the AARP plan. And again Optum has failed to notify me that I'm taking a tainted (recalled) batch of **. I looked it up and then called AARP. It toook the AARP a while (the info should have been immediately available) but she finally confirmed that I am AGAIN taking a tainted drug (recalled) with no notification.
This is scandalous and no one should buy the AARP plan until it changes away from OPTUM RX or gets Optum RX to change its proceducres. I have no faith that the latter will happen given I reported the ** problem to my university (employer) and they filed a complaint with Optum, which did absolutely nothing to change Optum's procedures as the newest screw-up with ** proves. BEWARE of the AARP plan until they change away from Optum RX.
Reviewed Oct. 1, 2019
I had nothing but trouble with my first prescription from this company, but I thought that was on me since I transferred the prescription myself from my local pharmacy. It took 4 phone calls, double paying for my medication and ultimately going 2 weeks without my very important INSULIN. Anyway, fast forward 3 months and my doc wants me to start a different brand, ok. I thought I was being smart by having her submit the prescription directly to Optum to avoid the problems I had last time. Boy was I wrong! This time it took 10 phone calls, 7 orders (that were all cancelled for reasons unknown to everyone at Optum), and over a week with no medication!
One of the customer service representatives I spoke with opened my file and just went, “Wow! I’ve never seen this many orders and cancellations in one day.” I asked for clarification as to why my orders were being cancelled and NO ONE was able to offer insight. One of the agents said it was because they hadn’t received approval from my doctor (which they had), another transferred me to the “website” customer service line because “that’s who I needed to talk to” only to be transferred right back to the number I called, and another one blamed FedEx and said that Optum sent it to them, but that FedEx never gave them the tracking number and was told I could call for an updated one. She gave me the number for FedEx and I called, well, the number the OptumRx customer service representative gave me was for a PHONE SEX LINE.
I don’t know if she just hates her job, or doesn’t want to help people figure out where their REFRIGERATED medication is, but that was NOT acceptable! She should be fired immediately. I unfortunately didn’t catch her name because 99% of their agents mumble or talk so softly you can’t understand them. Oh, and when I finally did call FedEx with the correct number, they informed me that Optum NEVER sent my prescription to them which is why there was no tracking information. WHAT??!? I am so done with this company. Using Optum saves me hundreds of dollars, but I can’t deal with these people anymore. They do NOT care if you get your life saving medications.
Reviewed Sept. 30, 2019
Please do not use the mail order, I have called four times today and all they seem to do was pass the buck. I know it will not get any better. From now on I will pick up my medication at the local pharmacy. Each month I have to update my credit card to get my order. They do not type in their notes just in case you have to call back. The First Lady who I spoke to, I had to speak to her in Spanish because she did not know English very well. When I called in the evening I spoke to a gentleman and he transfer supposedly to a manager and he tells me I never spoke to a man but the man gives me the name of Jeffrey. He never told me his name was Sherry.
Reviewed Sept. 27, 2019
My healthcare suggested I use Optumrx for cheaper prescriptions. I sent a prescription to them in June. I never received a prescription. They contacted my doctor so many times that they started to doubt me. I finally in September told them to forget it and not to contact my physician again. I will just pay more at my local pharmacy. This is a shame for people who get in the Medicare donut hole.
Reviewed Sept. 26, 2019
They don't care about you getting your prescription. They just care that their records are correct; which apparently they can edit. I requested blood pressure medication before 9/6 and today is 9/26 and I still have not received my medication. I have not taken any medication since 9/23 and it doesn't seem to matter to them. They are the most unconcerned pharmacy regarding making sure their customers get their medication in a timely fashion.
Reviewed Sept. 23, 2019
Customer service reps have no clue what policies are regarding refilling prescriptions and the pharmacists know the policies but do not communicate! My experience covered a 3-week period trying to refill a prescription; never got it after I was assured by supervisors I would. One rep was extremely rude as well as one pharmacist. They all need better training programs so the left foot knows what the right foot is doing. Bottom line, my prescription was never filled and I am so done with them. I called a local pharmacy and had it filled in a day even though I had to pay more!
Reviewed Sept. 23, 2019
After 1.5 hours on the phone with these people last night, including about 50 minutes total on hold and two different phone calls to people mostly in India--nice enough people but either ill-informed, poorly trained, or both--I discovered that one of the pharmaceuticals I needed to refill was "out of stock." "Out of stock"? There was no recall, the manufacturing plants had not burned down, the tractor-trailer with millions of units had not crashed into a fiery pit, so what was the problem? No one knew.
I tried one more time this morning, spending 45 minutes over three calls, much of the time on hold, the first call being disconnected after a ten-minute wait, the second featuring someone with a Hindi accent shouting, "Hello? Hello?" and then hanging up, and the third finally producing at least someone who alleged that he knew what was going on.
"There is a nationwide shortage of that pharmaceutical because of the recalls." "Recalls?" I asked. "Yes. We don't know when we'll have it." "Thank you. Goodbye." I called my previous local pharmacy. They had heard nothing about any "recalls," had plenty in stock, and, after my doctor phone them in, will have the prescriptions ready for pickup today. So much for the convenience and truthfulness of OptumRx. I wouldn't use it to buy poison for an invasion of lice.
Reviewed Sept. 23, 2019
I have been taking the same medication for quite some time, every time my doctor submits a request for the medication, I end up having to call OptumRx to find out the status. Online it will say prescription in progress, they will send an email stating it’s in progress. No action needed. One week goes by still no meds, second week goes by, I call and they say that they are waiting for a response from my doctor. I call my doctor give the appropriate information and he calls the company. Now, the meds are in progress awaiting pharmacist review. I call, and again they state they are awaiting information from the doctor (lies). I had a better experience with WALGREENS and it was cheaper.
Reviewed Sept. 23, 2019
A representative from United health care convinced us to transfer meds from Walmart pharmacy to them. Was a big mistake, for 3 weeks we were trying to get medications with a great failure. Every call we make is met with absolute lies and deception. Different answers for not shipping meds. DO NOT WASTE YOUR TIME AND EFFORT WITH CARELESS CUSTOMER SERVICE.
Reviewed Sept. 21, 2019
I have been trying to get my RX filled for almost a two weeks.. First thing (if you are trying to get LEVEL 2 drugs filled go to your local pharmacy, you save absolutely no money. You will get a lot of frustration. Optum will treat you worst than a criminal). I was first told that I could not send in the scripts, only the dr could, then my dr was told that I could. I did that and was told to overnight them to Optum and they would overnight the medicine back to me. I paid $25.00 to overnight it to them and have been changed 12.50 for Optum to overnight the medicine back to me (at this time I have yet to receive any medication).
Over the past week I have talked to at least 12 people, I have received 12 different answers. I have even talked to someone that was in the Philippines! He told me that there was an eight hour difference in time and that I would have to call back at 10:00 my time.. REALLY?? I was then assured on Wednesday night that I would receive my medication by Friday September 20. The lady gave me the price and took my SS number, because it was a class 2 medication (guess I gave them everything except my blood to prove who I am) only to find out that it is still being processed!! So here it is Saturday the 21st and the medication is still being processed.. Optum how long does it take to process a prescription??? Believe me if you are sick or in pain do not use this company. You could be dead or near death before you get your meds... Optum does not care for you as a customer. They treat you like a drug head and a criminal.. STAY AWAY!!
Reviewed Sept. 19, 2019
I have situation when found out the price for my prescription suddenly was changed. Sure thing - I have a question. There was NO phone number on the paperwork they sent along with my pills. OK. There is still Google available. So, I found the number. Called, answered maybe 7 question to the automatic operator (what for???). Ok. I did. Tired of "automatic service" I just picked "0" and then I was connected to the "advocate" (strange name for the position, isn't it?).
I asked his name - it was Rundy (or Randy?) - didn't sound clear to me. This "advocate" asked AGAIN what was my name and such. I did answer that already, I told him. He repeated his request, not actually in friendly manner. I did not like that. He is "customer service", should serve me, right? So I told him - :"Where is "please"? Didn't your Mom teach you how to ask for something?" ... That was it.
That customer "advocate" just frozen in silence. Did not say a word. Is it such kind of service? For the customer? I don't think so. I think such "service" should not be paid for, should be punished, and person with such "amazing" skills should never ever work with people. I am respected 66 y.o. patient, The Customer. I do not want to be abused by some boy without any manner....for the money I paid them. No way. I would certainly contact administration of this place. It looks like the company is going downhill - only One Star reviews here. Should not be so for the money we pay them. No way.
Reviewed Sept. 18, 2019
They have been charged my credit acc. Without my authorization and also they have charged my checking account twice one time for $84.00 and after calling five times and asking why they have charged my checking account for 84.00 extra and need to refund me they turned around and charge my checking acc. for $100.00. When I called again they have no idea why it has happened and their respond is that they are sorry but no explanation. I don't know how may people they have overcharged without the customer knowledge. I suggest people check their accounts for double change or overcharge. This is the worst company I have ever had to dealt with and can't wait to dismiss UHC and their mail order pharmacy.
Reviewed Sept. 18, 2019
My work comp changed from CVS Caremark to OptumRx & what a mess this company is. People or a robot will call and leave several different phone numbers to call back on in different states. Then when you give them your account number they still can’t find you in the system. How they got into this business is a wonder all in itself. Hopefully I will get a new company that knows what they are doing soon.
Reviewed Sept. 17, 2019
3 times I have been let down by their incompetence. They can't correctly fill prescriptions. They are rude and don't seem to care if you need your medications or not. United Health Care is going to lose a lot of customers either by choice or by their death depending on these incompetent people.
Reviewed Sept. 17, 2019
I called the number they mailed me to refill my prescription. Lady on phone says I reached the wrong division. Transferred me, next person.... Gave all my info again, says I've reached the wrong division, transferred me to Briova.. Wrong company. OK I am so lost as how screwed up you can be. I am calling to refill a prescription, do you want the business? Last transfer, lady helped me and said they will fill it as soon as the script comes through. MY GOD??? My insurance will not let me use a local pharmacy and only lets me use this place. Is it any wonder why this country is in the state it is?
Reviewed Sept. 16, 2019
How this company is still in business is beyond me! I spent 2 weeks trying to get an Rx filled. At one point, I was on the phone with a rep for an entire hour & we decided an override would be the best option for my case. Optum was supposed to call my local pharmacy to request this override & I found out, personally, from the owner of my local pharmacy that Optum never contacted them. I followed up & was told that they shipped the Rx, against my request. I was also told I'd receive an email with tracking info. The email never came nor did the shipment. Waking up at 4 am this morning in excruciating pain to feed my infant was the last straw. My husband got on the phone w/ Jai who said the shipment was returned due to an incomplete address.
I find that hilarious since they had no problem sending a different Rx to my home 3 days ago. So you mean to tell me the apt # just mysteriously fell off? Jai did provide step by step info on how to request another override which I just did. Now I'm waiting 1 hr for my Rx to be ready. Let's see how this goes. Oh & the OptumRx mobile app is completely useless. The Order Status link shows ZERO status update... ZERO.
Reviewed Sept. 15, 2019
They are the worst prescription company I have ever dealed with. Every time I need a refill it take 2 to 3 calls to get my RX. If I get them at all. I switched to a local Pharmacy because of the problems they have filling my RX's. I will never use their mail in service again.
Reviewed Sept. 11, 2019
Every time I try to sign-in their website or phone app, it never works!! I spend so much time just trying to access my own information. I thought maybe I had my user name wrong, so I chose the "Forgot username" option and it tells what my user name (the one that I had been trying the whole time). So, think maybe I have my password wrong. I chose the "Forgot password" option and put in my user name so I can get a password reset and the website tells me it doesn't recognize that user name. Literally the user name they gave me!!
Reviewed Sept. 10, 2019
Always difficult to reorder online. Can never respond. When I did call in an order for 3 months of ** patch for my mother for almost $400 - saw her doctor the next day. He took her off the patch. I called when the Rx was delivered & was told Optum would send an envelope to return the patches for a refund. When envelope did not arrive I called again & was told - that was a mistake. No refund would be given.
Reviewed Sept. 9, 2019
In an attempt to lower the cost of a very expensive prescription I tried to go through OptumRx (which is the mail order arm of United Health). I had to make numerous calls and each time talked to a different person who gave me different instructions and different prices. I had to bother my doctor twice trying to get what they wanted. The doctor complied but they STILL got the order wrong. I wanted a 90 day supply, 3 packages, but after I thought I had all the details worked out I was offered ONE package at a price that was nearly double what I was already paying. Each call was followed by an e-mail saying that everything was taken care of. But, just to be sure, each time I called to follow up and found that there were more problems, which I then spent more time, and more phone calls trying to resolve. I give up!!!
I don't know what the problem is but I will not be trying to order through this organization again. If I had gotten a cheaper price, it MIGHT have been worth it, but to go through all of that and then have to spend twice as much?? Forget it! I have written a complaint to UHC. If you are a UHC member please do the same and maybe they will find a different mail order pharmacy to do business with.
Reviewed Sept. 7, 2019
I have been trying to use OptumRx for mail order prescriptions for about 1.5 years now. There is nothing that ever goes smoothly with them. It took over 3 months to get my prescriptions from my doctor correct in their system. Then another 6 weeks because their system was not recognizing my payment information correctly. Now, every time a prescription should automatically ship out there seems to be a problem. Today I spent 2 hours on the phone because they state they need to ship me a generic for a product for which there is NO generic version. So frustrating!!!
Reviewed Sept. 7, 2019
Rude inconsiderate people answering phone. My prescription from my cardiologist was dated 6/25/2019. It took over a month for this prescription, it was a blessing that the medicine in question wasn’t a med I needed because of my heart. I’d be dead before I received it, finally after many phone calls to them and threatening to see a lawyer, 60 pills were sent to me overnight , received 7/28/19. I received 60 pills over the next month 8/7/19. The last prescription for 60 pills was sent 8/25/19. Yes I paid a co pay... each time these pills came to my home.
The instructions for taking these pills is 1 tablet by mouth every 6 hours as needed. This company was very slow and the employees I spoke to were the rudest that I have ever talked to in all my almost 80 years on this earth. I was told I’d have to opt out by having a hearing before I could use another prescription service or pharmacy. I’m not sure about that but would love to know where I stand regarding my meds. I’m at a loss for words now. Be careful and may God bless us all.
Reviewed Sept. 7, 2019
If I’ve taken a certain medicine numerous times why does it always have to be reviewed by “their” own pharmacist?? Once it took almost 2 weeks to get my script because they kept going back and forth with my doctors office and local pharmacy. They would then say it’s past the 72 hours so I would then have to call my doc for a new script because it lapse!..Smh it just gets ridiculous & annoying each time. I’ve never had this many issues with meds until now and I don’t have a choice because it’s through my work.
Reviewed Sept. 6, 2019
Yes, they are convenient but every time I try to refill or start a new script they always try to get me to sign up for the auto refill every three months. I have told them several times that I do not want auto refill, but they keep trying to make me go to it. Now, they make it so that I have to Opt Out every time I place an order and they do not make clear on how to, or easy to do so. Sell, sell, sell seems to be their motto. Doesn’t matter if the customer needs more medication or not. If the customer has the money or insurance then generate sales!
Reviewed Sept. 5, 2019
While the prices are lower than what you'd pay at the corner drug store, the service at OptumRx is terrible. 1. Their website is incredibly clunky and is NOT user friendly. 2. Their mail service is slower than molasses unless you pay extra for "expedited" shipments and in fact even a refill can take up to 2 weeks. 3. Even a refill takes 2-3 days to go through a "review" by a pharmacist. What they are reviewing is anyone's guess. 4. Customer service is terrible. They know nothing and spout the same rote excuses over and over again and spend more time "verifying" your account than they do answering any questions. 5. They don't even post a phone number of their web page. You have to fill out a "call me" thing and then still have to answer question after question to "verify" who you are. They offer a cost savings, but it comes at the high price in the annoyance of having to deal with them.
Reviewed Sept. 5, 2019
My employer switched us over to OptumRx at the beginning of the year. I was currently taking two forms of one medication. OptumRx sent me a welcome letter telling me I would be grandfathered in for about three months and then I would need and pre-authorization. I went to fill my script the first month and they told me I needed a pre-authorization. I read the lady my letter and she said she found a note in the system and the shipping department would send them right away. Long story short, the meds never arrived, I received about ten letters from OptumRx, each saying something completely different. Some said the medication was covered, others said it wasn’t and I would have to pay the cash price out of pocket, and others said it was covered but I needed a pre-auth.
My doctor called in a pre-authorization several times. I got letters back saying they declined the pre-auth request because the medicine was covered. I gave up on the medication after trying for four months and countless hours on the phone, dozens of different answers, and all kinds of letters! I have begged my company to ditch OptumRx to no avail. They are the most incompetent company I have ever dealt with in all my life!!!
Reviewed Aug. 28, 2019
Due to retirement and a shift to Medicare Advantage plan's mail order company I will be receiving my doctor ordered meds 4 weeks after they were first ordered. I reached out to customer service 3x over 3 weeks and promised resolutions and callbacks, neither of which happened. It took asking the Medicare Advantage plan's resolutions person to get involved to resolve the issue and in spite of being told they would expedite the order as an apology the meds were sent snail mail. So lucky I had a supply of the blood pressure meds and was not placed in a life threatening situation. It seems follow through was the problem.
Reviewed Aug. 24, 2019
Tried their mail order drug plan and it was nothing short of a life threatening nightmare. Tried to resolve an issue with documentation for POA for over 6 months and all I get are letters threatening to disenroll. I have mailed, certified mail. I have faxed and no resolution. It would be wonderful to have ONE REP take responsibility and have the authorization to resolve an issue. There is no excuse for the frustration and concern for someone's well being that they create.
Reviewed Aug. 15, 2019
Be very careful if you call to sign up for mail order prescriptions. I've had two bad experiences with this company. The first was about one year ago when I called to inquire about their service. The man told me how the mail order works and I said that I would think it over and call back if interested but I wasn't going to make a decision at that time. Well two days later I received a bag filled with several bottles of pills in the mail. I called and spoke to a supervisor and he apologized and told me to send back the pills which I did.
So yesterday I decided to inquire again about the mail order service and spoke to a woman about it and after she told me what my co-pay would be, which really wasn't much, I decided to stay with my pharmacy and she said that's fine and call back if I ever want to use their service. A short time later I received an email saying that my order had been approved for five prescriptions and I was furious! I called back and a man said not to worry that my order had been cancelled which turned out to be false because this morning I got another email saying that the order had gone to my doctor and they would be handling my order from now on, unbelievable! So another to to OptumRx and this time I spoke to a supervisor and she assured me the order would be cancelled but what a hassle. I would be very careful if I were you dealing with these people. I will never order anything from that group ever again!
Reviewed Aug. 13, 2019
I have been dealing with OptumRx for 3 months because AARP MedicareComplete uses them. The people who answer the phone give inaccurate information. I had to call 10x a few weeks ago because each person could not answer my question. I finally spoke with a supervisor who said she will research and call me back. She has NOT called back. I will complain to AARP do they can be dumped. Yesterday I received a 90 day mail order medication and it was crushed, totally destroyed. I called ORx yesterday and the guy said to just go into any local pharmacy and tell them it has an override and it will be free. Well, that is not accurate. I have been hassling all day with local pharmacy and OptumRx. I have spoken with 4 more people in ORx. All giving me the wrong information. I finally spoke with a pharmacy at OptumRx (because I called AARP and they intervened). The pharmacist said they will call my local pharmacist in a few hours. I am still waiting.
Reviewed Aug. 12, 2019
Horrible company. Horrible customer service if you can understand them. They never can get the job done. I get an answer like, "I don't know," and it when they claim they're going to expedite you a prescription that they might have forgot or screwed up on expedite to them is 10 days minimum whereas my other company will overnight it to you generously. I could go on forever however looking at all the reviews with one star or less I think others will understand there has to be an issue.
Reviewed Aug. 12, 2019
OptumRx doesn't train people and does not follow through with any of its promises. While the problems are too numerous to outline here, my last two issues -- which took hours of my time to resolve are emblematic.
1. I travel a lot and specifically asked Optum to send the prescription to my beach home (which they have done in the past). The agent confirmed. The Rx was sent to another location 2,500 miles away. They first said it was a delivery service error. After investigation, they admitted it was a customer service agent error. Wow! They refunded me the co-pay for my hours on the phone.
2. I have been trying to get a maintenance medication Rx filled for nearly a year. Even though it is now generic, Optum tries NOT to fill the Rx. First, they called my doctor's office to get a pre-authorization. My doctor's office did that -- and without further inquiry from me called me to tell me that they got the pre-authorization. Then, I get an email from Optum telling me my doctor's office is not responding -- obviously, a boldface LIE! After 1.5 hours on the phone, calls to my doctor's office and conferencing with pharmacist, I learned that the pharmacy needed an updated Rx from the doctor. Not a problem -- EXCEPT OPTUMRX NEVER ASKED for the updated Rx either from me or my doctor. This "hidden" agenda by OptumRx -- with "cover your butt" emails claiming other people are not doing things -- is a pattern of actions by OptumRx NOT to spend the money to fill Rx.
Too bad I'm tied into them because of Anthem Blue Cross!!! Optum Rx is nothing less than disreputable.
Reviewed Aug. 11, 2019
OptumRx lost all my Scripts. Terrible Company to deal with even for the Doctors. The customer Reps are clueless when asked questions that aren't common. Their Web Site is confusing and I believe it was designed to be just that way.
Reviewed Aug. 6, 2019
This is a follow up on my July 28, 2019 review. Staff at OptumRx told me that my prescription would arrive August 5, 2019 & that I had done everything necessary for the prescription to be filled. Meanwhile, I had to get an emergency fill. August 5th came -- no prescription. Instead a letter came, instructing me to order the medication online. This was the first information I had received about the online site. I immediately went online and ordered it. The website said that it would be a couple of weeks before medication arrived. Since I was again out of medication, I called OptumRx. Of course the staff had no idea about why I was previously told that everything necessary had been done. As a "courtesy to me", she expedited the refill so it will arrive no later than August 13th. Worst experience I've had with a mail-order pharmacy. I am searching for new insurance that does not use OptumRx.
Reviewed Aug. 5, 2019
OptumRx is the worst mail order pharmacy I have ever dealt with. It always takes 7 to 10 days to get my medications even a refill. New medications are even worse. Sometimes they put them on hold when my doctor calls them in and never let me know that they did. I only know because I don't get the meds. They don't e-mail or call even though they have all this information. If you call and complain no action is ever taken. The customer representative is just silent on the other end of the phone. I am forced to use them by medicare or I would stop today.
Reviewed Aug. 5, 2019
OptumRx has been nothing, but a headache. I have talked to customer service multiple times and they somehow still mess up my orders. They have sent me a prescription with the wrong dose and have sent me prescriptions I never ordered and charged me for that prescription without any prior authorization from me. They also changed all my prescriptions to brand name ones even though my doctor prescribed me generic ones in the first place. Instead of spending hours trying to switch my prescriptions back, I am just going to switch to an actual in person pharmacy. OptumRx is not convenient, charges prices that are incorrect, and does not care about their customers at all. They are completely for profit and it shows.
Reviewed Aug. 2, 2019
OptumRx is a joke. Their website is a useless POS. The pharmacy locator tool simply doesn't work and the pricing information for most medications shows as unavailable when you add them to your basket for delivery. These problems have persisted for years. They just don't care about making their website user-friendly at all. Shame on you, Optum. Just continue to line your pockets. Your day will come to an end once this country finally does away with private "health" companies like your own.
Reviewed Aug. 2, 2019
I am new to this company. Was injured at work and the company called me and offered their delivery service. I agreed. I went to check my mail and surprise! Had 3 medicines!! I did not order them so yes, was very surprised. They told me that they'd call 16 days before my meds ran out that they'd put in a request with my doc. They did not. They called me today and after explaining to them that I didn't call them that they called ME, they transferred me to the "pharmacy" where I told her my medicines then, after being on the phone for nearly an HOUR, the call DROPS? So at this point I don't know if they sent a request or not? I do not pay for their service, it's under workmen's comp. But still, do I need to be worried?
Reviewed July 30, 2019
OptumRX constantly refuses to cover my husband's and my medications. I'm fed up with their prior authorization crap. My husband was scheduled for surgery and Optum RX denied the script the DR had written for after the surgery. The DR almost canceled the surgery at the last minute because the script was absolutely necessary. I don't know where they get off thinking they know my medical needs and my husband's medical needs better than our actual Dr's.
I hate this company. I have hated them from Day one. They have cause most of my coworkers the same problems and I sincerely hope that they go under very soon. They don't care about the real actual needs of the people that pay them. I once went without eating almost a week because they decided I was cured of severe chronic IBS and they refused to cover my **. Almost ended up in the hospital because of their bs. They lie too. They claimed they didn't get fax from my Dr 5 times in a row. Trying to not pay for something. But someone slipped up and admitted they got it the first time and just didn't process it because they didn't think it was that urgent. Optum Rx needs to go out of business. Soon.
Reviewed July 30, 2019
Optumrx, particularly for ophthalmologic meds has become a sick joke. Thanks Tina friendly pharmacist I learned I can purchase drops such as ** for less than the co pay if I run the Rx thru Optumrx $9.95 vs a co pay of.33.00!!!! Communications are non existent. Don't ever try to explain or have you MD repeatedly fax a next Rx with a dose change. If you started on a 1xday regimen and your Md changed to 2x a day this is a concept beyond Optumrx's comprehension. It took cumulative total of LITERALLY my making numerous calls totaling 4 hours over 2 weeks, 3 faxes by MD to accomplish this. I BEGGED record for training purposes. I’ve always been an advocate of hiring the handicapped, just train them OptumRx before putting them on the phone.
Reviewed July 30, 2019
I became a new customer of OptumRx earlier this month when I signed up for Medicare. Trying to get my three prescriptions through them has been an utter fiasco. The customer service reps I've had to deal with are clearly in a foreign country and are hard to understand. I had to continually ask them to repeat themselves. One of my prescriptions has run out and I still haven't received the first order that I placed weeks ago. I don't remember ever dealing with such an incompetent company. I cancelled my account today after learning they still haven't shipped my first order.
Reviewed July 29, 2019
OptumRX decided I don't need the medication my doctor prescribed. They completely suck!!!! They should be denied my money. I pay thousands of dollars on insurance and they can't pay for a prescription that really wasn't that much!!!! They suck!!! They call and pester you and want you to give information over the phone and you have no way to verify it's a legit call.
Reviewed July 29, 2019
New to an insurance who feels these people are a worthwhile pharmacy. You all know that means they are cheap, and cut corners, thus increasing the insurance companies' bottom line. Optum has sent my Rx to the Specialty Ed pharmacy Briova. Or as my phone knows them "Spam Likely". Optum provided me with a letter of my approval for this admittedly expensive drug, and attached to it was a letter stating I could get this filled at the pharmacy of my choice. Which seems to be true, as long as the Mafia owned Briova pharmacy is my pharmacy of choice. About to do the Medicare Part D thing, hopefully the US Government won't give me as much gas as Optum, and their crime syndicate have.
Reviewed July 27, 2019
If I could do zero stars now would be that time. I called in on the day my meds when due for delivery only to be told the my order was cancelled on the 19th when I spoke with someone to verify my address on the 23rd. That same person that told me my medicine would be to me by the 27th. I will just go back to my local pharmacy because of course the young lady could see my order sent from the doctor and were my order was cancelled but not that I spoke with someone. I work in insurance and know that members accounts are supposed to be noted each time.
Reviewed July 25, 2019
Previously used Walgreens' mail order - awesome service. This is my 1st month with Optum United Healthcare. Sent them Rx end of June for July 1st. Today is July 25th no Rxs. Reckless and dangerous to people's health care needs. Probably the worst I have ever dealt with. I just want my prescriptions back so I can get them filled. When I call I get a different answer every time.
Reviewed July 25, 2019
Your phone service needs help. I am a longtime over-the-phone customer. I tried to get a price on an over-the-counter lotion suggested by my doctor and was transferred 3 times to the pharmacy. 1. They had "no record" of me, 2. They could not give me a price, then 3. after waiting 5 minutes, they hung up. Next call I agreed to a survey after calling, then got another person with a heavy accent who told me they did not carry that lotion, but he was pleasant. I wait 7 minutes for the survey questions and finally gave up and hung up. I have only one prescription left with OptumRx and when that ends, I will not use your services again. You hire people with heavy accents and it becomes a trial to order from you. June **
Reviewed July 24, 2019
My company recently switched from Express Scripts to this OptumRx. My daughter's prescription went from $50 a month under Express Scripts to over $800 a month with OptumRx. There was no other change in our medical plan other than this new pharmacy. Needless to say I cannot afford my daughter's medications which means I can no longer afford to work for this company since this must obviously save them money but it's costing me and my family dearly. How OptumRx can charge so much more than any other company is absolutely sickening.
Reviewed July 24, 2019
I have never had such a bad, uninformative, experience with any kind of customer service, much less a delicate thing like health care, where people’s lives are on the line. This lack of information is careless and dangerous!!! United Healthcare should be wary of working with OptumRx because it diminishes their own well earned reputation. I have had United Healthcare for 6 years and have used the same medication for that same lifesaving drug all this time. One of my medications suddenly required previous authorization from my doctor.
OptumRx gave the wrong information to my doctor, created confusion in what should be a straightforward process and when I called to ask what steps needed to be taken to solve the issue, the person was careless and gave me no information. I eventually called United Healthcare and the person there was able to give me the information quickly, clearly and politely. It was the same information the OptumRx customer service person had on their screen, but for some bizarre reason did give me. Without this medication I can potentially die and the person on the other side of the phone did not have the courtesy to give me basic information of next steps they could see on their computer screen. They only said the medication is in process and will take 12 hours to 5 days. That was incorrect.
I had already waited over a month, nobody told me or my doctor that anything else was needed. More alarmingly what the screen showed the person in the phone was that the meds still needed prior authorization. When doc called the person on the phone the person at OptumRx made a mistake and said it was a pre-approved drug (although it was not because I have to take the brand name, I do not respond to the generic). The confusion almost left me without my medication. My pharmacy and doc had to call multiple times to clear up the mess OptumRx made. They are the worst system I have ever had to work with.
Reviewed July 24, 2019
This company is absolutely ridiculous and could have cost my child's life. I put in a prescription a month ago since my insurance recommended for me to use Optum. I did so, gave my prescriber and credit card information. I started running low on my prescription and was wondering when it would be delivered by Optum, didn't think there was an issue since I had received a confirmation about my request being received and no other contact had been made about needing additional information or any sort of trouble with processing my prescription (or talking to my doctor). I sent out an email to check when it would be delivered just wondering since I was going to be running out soon and figured if I ordered it a month ago, it should be coming in soon... right? (FYI, it took them until Friday to respond to this email, by the way.)
After no response, I called the next day. I was only told then that apparently they couldn't get ahold of my doctor (however, they never notified me they were having trouble contacting them and my doctor doesn't have record of them trying prior to this call - I've had no problems with this doctor communicating with anyone else, which right now is a bigger "ring" of people since I am pregnant with a thyroid issue.) The customer service representative told me they would call my doctor that day, get it approved and said they'd send it out to me - okay. Right? No.
I received an email later that week, on Friday AFTER business hours that they were having trouble with getting in contact with my doctor. Meanwhile, I had already contacted my doctor (after I had already spoke with the first customer service representative earlier that week) and had already explained the situation for the prescription - they had my permission to transfer it already. So what should've been done on a Tuesday, they waited until a Friday AFTER the office had closed KNOWING I'd run out of my prescription.
In my first email I stated how I was pregnant (3rd trimester) and *needed* this prescription to ensure that I wouldn't have a stillborn. I told the customer service representative this as well on the phone, who "guaranteed" i would have my prescription by the end of the week just as I'd be running out of it. This email on friday night also said they wouldn't be able to fill it until after the 31st, even if my doctor approved it on 7/22. On top of which, my prescription is a very weird dosage - so it's not one they normally just have samples laying around for.
I went two days without it, which while pregnant is extremely dangerous (and something I explained in my email to them and on the phone to them). I got CVS to fill my script on the spot. My OB told me she was concerned that over the weekend caused a spike in my levels from going without it. Weird how CVS had no problem with communicating with my doctor. Publix has had no problems. In the past companies have kept me in the loop while contacting my physicians for prescriptions, if there was any issue or delays in communication. I had put in my prescription a month ago - it shouldn't have taken this long to be processed.
The worst part? It was when I called Optum to cancel my order and file a complaint. I was told by the customer service representative that she "understood" my concern after I told her that this company's inability to communicate (waited until *I* reached out to *them* to see when my prescription would be coming in - that's when they advised me they couldn't get ahold of my doctor, apparently) could have resulted in my child dying. No. You do not understand lady. Your company's negligence could have cost my child's life. I will never try to use this company again. I will never recommend this company. I cannot believe how they are completely nonchalant about the lives and safety of unborn children. Worst experience of my life.
Reviewed July 22, 2019
No follow-up on the fact that a prescription needed renewal and the doctor's office hadn't responded. In spite of the fact that I have spoken to two people at the Call Center and given them the correct address, they still do not have it in the system. Same thing with my credit card. It would also be easier, if the people at call centers outside the US, were better at English. I don't fault them, I couldn't work in their country speaking their language, and they are just trying to do the job for which they were hired. However, it detracts from the overall experience when you are calling because you already have a problem (or 2).
Reviewed July 21, 2019
My experience with Optimum has already been terrible. Their services are inconsistent and unreliable, which is a problem when they are providing me with life saving medicine. They’ve been unable to procure ** for a good six months so my doctor changed my prescription. UnitedHealthcare denied my new prescription because they say it needs to be ordered by subscription service. Here is where I discovered that Optimum is owned by United. I spent hours on the phone trying to override the directive (RiteAid said this was my legal right). Instead I got United to change me over to Subscription and get me a five day supply through the pharmacy. When I got to the pharmacy they denied the particular manufacturer of the medicine. When the pharmacy called optimum, they said there was no evidence I had switched to subscription, even though the only way I could get the emergency dose is by switching to subscription.
So they were switching the reasons for the denial as I worked my way through the system. I know, this all sounds confusing, and I am leaving out several twists that ate up three days at the office while I made these calls. This is the price no one talks about. The United and Optimum Customer care line is only open weekdays during business hours. Employers that use United/Optimum are losing employee productivity. Every couple of months, I spend hours on the phone sorting out some stupid issue and navigating their intentionally byzantine bureaucracy. It’s not just me paying the price, it’s any employer that uses United. There should be a ranking of insurers based on the man hours required from anyone using their services.
Reviewed July 20, 2019
Extremely difficult to work with. Act as gatekeepers preventing access to the medications prescribed by doctors and allowed by insurance. Consistently provide confusing and conflicting information. App doesn’t work.
Reviewed July 19, 2019
I take ** (contraceptive, generic), it should be free in CA, and it was free when I had Blue Shield of California (CVS Caremark). I have just changed to United Healthcare (OptumRx) and they are trying to charge me: $121.51 for 3 month quantity. I wish I could add screenshot to prove it. I copy paste from my account on OptumRx: New Prescription ** TAB 3-0.02MG. Qty: 3. Prescription bottle medication $121.51. Manage text notifications.
Reviewed July 18, 2019
OptumRx is included with our insurance coverage. I was recently sent a letter informing me that my prescription would need to be transferred to Home Delivery or I would be unable to get refills at my local pharmacy. After three failed attempts to initiate the transfer through their online platform, I contacted customer support. I was told that I needed to contact my physician to request a new prescription be issued through their Home Delivery system. I made the request from my physician and was notified by my doctor that the prescription had been sent. I again contacted Optum, and was informed that my prescription, once received, would be immediately filled and mailed to my home.
One week later, I received a "reorder form" for the prescription that was supposedly coming to my home - I have never received my actual prescription. I am currently sitting on hold with Optum (now in excess of 30 minutes), while a representative is contacting their pharmacy to have the prescription filled. APPARENTLY, prescriptions are not automatically filled, but have to phoned in to their pharmacist. Every refill requires another call. No emails, phone calls or letters were sent or made to convey this process. Their online portal just provides a continuous "invalid order" error message. I would recommend choosing ANY other provider for your prescription/pharmacy needs. OptumRx does not care about the consumer.
Reviewed July 18, 2019
OptumRx claims that they will provide all of your AARP Medicare approved generic prescriptions at no cost. This is a blatant lie. They lure you in with this promise then when you get your prescriptions sent to them by your physician they bait and switch and tell you that you need to have a credit card on file for payment reasons. Why do they need a credit card if they meds are covered? Hint.... Because they lie and tell you the meds are covered but then lie and tell you that you are responsible for shipping which is supposed to be included and for copays even though my AARP Medicare plan generic meds have no copay! Just do yourself a favor and steer clear of OptumRx and their lies.
Reviewed July 16, 2019
I am an organ transplant patient and have been forced to use Optum/Briova by my insurance company. Every time I call them to refill my monthly medications there seems to always be an issue. From them "being unable to contact my doctor", to simply not delivering my medication on time and on top of that having to deal with non caring reps who couldn't care less about patients risking going into rejections.
Most recently, my transplant doctors changed my dosage of my main anti rejection medication due to low levels showing up in my blood work. I first tried to call last week to get the prescription for the new dosage and was told to call back later because "their systems were updating". I then called the following day and spent over an hour fighting with them to get this new dosage delivered. I spoke with three people, and the last person I spoke to had no idea what she was doing; in addition, I could barely understand what she was saying due to an extreme language barrier.
I ended up having to hang up on her because I was getting nowhere. I called back later on and was able to get one part of my new dosage but not the other. The rep explained to me that my insurance would not allow the 1mg capsules yet because it was too soon since my last prescription. Fine, just send me the .5 mg capsules then. I was told the .5 capsules would be delivered Tuesday which is today.
In the meantime, my weekly lab results today show that my antirejection levels are still too low; which makes sense because I still hadn't received the .5 capsules yet. This makes a week with me having low anti rejection levels. To make matters worse, the .5 capsules I was SUPPOSED to receive today didn't show up. Luckily, I was able to speak directly with my transplant doctor before he left for the day and he told me to just double my dosage over the next few days. After speaking with my doctor, I call OPtum and was told the .5 capsules should arrive tomorrow. (crossing fingers). This company really needs an overhaul or something. They are constantly putting their customers at risk who cannot afford to miss dosages of their life sustaining medication. The local specialty pharmacy affiliated with my transplant hospital is so much better but my insurance does not allow me to use them.
Reviewed July 3, 2019
Cannot get ID cards for my children away at college. We have 4 people on our policy and they send us 2 cards. I call the number that came with the cards that it said to call for cards and was told this was not the correct number. When I asked for the correct number she said I do not know and put me on hold. After 5 minutes I hung up. After 3 requests over a 3 week period still no cards and no confirmation they have been sent out. I cannot view another family members prescription online. I have tried the instruction and no luck. It keeps saying not registered, but that is not true. Have an account number to prove it. I have sent 2 emails and both times their response took 2 days and they did not answer my questions. Just gave me standard pre-written answers instead of actually looking into my needs. This is just a sample of my poor experiences. I could go on and on. Simply put nothing is working.
Reviewed July 3, 2019
I work with OptumRX daily for prior authorizations and this company is terrible. They don't even give you enough time to obtain the medication the PA is for before the PA expires. So you have to get a second one and hope they give it to you or the patient will never get the medication. Most of the staff is NOT helpful at all and are mostly argumentative. If I could chose to never work with them again, I would. Unfortunately, I do not have a say in this.
Reviewed July 1, 2019
Three months ago, OptumRX pharmacy indicated that my prescription for ** 40 mg was out of stock and wouldn't be available until the end of 2019. We requested the once daily 80 mg capsule as a replacement. They told me United Healthcare didn't cover the 80 mg once daily extended release medication, only the 2x day 40 mg. After forcing my doctor's office and myself to spend 2 hours calling back and forth, we finally got the 80 mg authorized and paid for since it was their fault it wasn't in stock - not mine.
Pharmacies have this medication, but I was advised I would have to pay a copay. Three months ago, after authorization to fill the 80 mg, when I called to get the 80 mg filled, they said oh guess what, the 40 mg is available. They are totally unconcerned with taking up anyone else's time. Fast forward three months, they are telling me again that the 40 mg. tablet is not available and that I am not covered for the 80 mg tablet. Same garbage. I told them that they needed to figure out how they got the 90 day supply time. They are totally unconcerned with anyone else's time. Not a nice group to deal with. Time consuming. Totally incompetent group of people. Again, we are forced to jump through more hoops.
OptumRx (formerly Prescription Solutions) Company Information
- Company Name:
- OptumRx
- Website:
- www.optumrx.com