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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.


Visit www.optumrx.com/en

OptumRx Reviews

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    How do I know I can trust these reviews about OptumRx?
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    Page 8 Reviews 830 - 980
    Refunds & Payouts

    Reviewed March 22, 2022

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

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    Customer Service

    Reviewed March 22, 2022

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

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    CoveragePricePunctuality & SpeedRates

    Reviewed March 16, 2022

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

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    Customer ServiceCoveragePunctuality & SpeedOnline & AppRefunds & PayoutsStaffBilling

    Reviewed March 10, 2022

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

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

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    Customer ServiceSales & MarketingPrice

    Reviewed March 2, 2022

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

    TOTAL per Month, $2091

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

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    Reviewed March 1, 2022

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

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    Customer ServiceCoverageTechPunctuality & SpeedStaffHonesty & Transparency

    Reviewed Feb. 26, 2022

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

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

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

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

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

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

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

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    Refunds & PayoutsStaff

    Reviewed Feb. 13, 2022

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

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 4, 2022

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

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    Customer ServiceContract & Terms

    Reviewed Jan. 28, 2022

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

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 26, 2022

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

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    Customer ServiceContract & TermsCoveragePriceRefunds & PayoutsStaffBillingRates

    Reviewed Jan. 19, 2022

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

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

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    PriceRefunds & PayoutsRates

    Reviewed Jan. 17, 2022

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

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    Reviewed Jan. 6, 2022

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 3, 2022

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

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    Staff

    Reviewed Dec. 30, 2021

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

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    Punctuality & Speed

    Reviewed Dec. 13, 2021

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

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    Customer ServiceCoverageTechPriceStaff

    Reviewed Dec. 4, 2021

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

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

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

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    PriceMaintenance

    Reviewed Nov. 22, 2021

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 19, 2021

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

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

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    PriceStaffRatesHonesty & Transparency

    Reviewed Nov. 14, 2021

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

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    Customer Service

    Reviewed Nov. 11, 2021

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

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    Customer ServiceContract & TermsPrice

    Reviewed Nov. 10, 2021

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

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    Customer ServiceCoverage

    Reviewed Nov. 10, 2021

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

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    Customer ServiceCoverageTechPricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed Nov. 10, 2021

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

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

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

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    Customer Service

    Reviewed Nov. 3, 2021

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

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    Customer Service

    Reviewed Nov. 1, 2021

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

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    Reviewed Oct. 26, 2021

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

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    Customer ServicePunctuality & Speed

    Reviewed Oct. 22, 2021

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

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    Customer ServiceStaffTimeliness

    Reviewed Oct. 22, 2021

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

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    Customer ServiceStaff

    Reviewed Oct. 21, 2021

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

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    Customer ServiceCoverage

    Reviewed Oct. 4, 2021

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

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    Customer ServiceRefunds & Payouts

    Reviewed Oct. 2, 2021

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

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    Customer ServicePunctuality & SpeedBillingRates

    Reviewed Sept. 23, 2021

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

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    Customer ServicePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Sept. 16, 2021

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

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

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    CoveragePrice

    Reviewed Sept. 13, 2021

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 12, 2021

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

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

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    Refunds & PayoutsStaff

    Reviewed Sept. 9, 2021

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

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    Customer ServiceStaff

    Reviewed Sept. 1, 2021

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

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Aug. 24, 2021

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

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

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

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    Customer ServiceStaff

    Reviewed Aug. 7, 2021

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

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsStaffTimeliness

    Reviewed Aug. 6, 2021

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

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

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

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

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

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

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    Customer ServiceCoveragePriceRefunds & PayoutsStaffBillingRatesTransparency

    Reviewed Aug. 5, 2021

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

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

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    Refunds & PayoutsStaff

    Reviewed Aug. 3, 2021

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

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    Customer Service

    Reviewed Aug. 3, 2021

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

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed July 23, 2021

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

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    Customer ServiceCoverage

    Reviewed July 22, 2021

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

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

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    Customer ServicePricePunctuality & SpeedStaffRatesHonesty & Transparency

    Reviewed July 21, 2021

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

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

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    Customer ServicePunctuality & SpeedRefunds & Payouts

    Reviewed July 19, 2021

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

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    Customer Service

    Reviewed July 15, 2021

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

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    Customer ServiceSales & MarketingPriceRefunds & PayoutsBilling

    Reviewed July 12, 2021

    OptumRx today just decided to take my money today by shipping my $80 renewal Rx when my setting was disabled and I did not order it. There's no chat feature so I had to waste time calling to explain. Instead of receiving an immediate refund, I am expected to return the shipment before I can get a refund to my card. I should not have to lift a finger to get my refund. It's their fault. It seems like a 50% discount would be appreciated for this screw up. Next time if I receive a shipment I did not order I'll keep it and call my credit card company to dispute the shipment and charge. Sure, it's "nice" of them to anticipate my needs, but how else do you combat a company that auto ships when it's clearly not set to do so? This is completely unethical and deceptive.

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    Customer ServiceRefunds & PayoutsStaffBillingTransparency

    Reviewed July 8, 2021

    Updated on 08/25/2021: This company is a subsidiary of United Health Care and is their mail order/online pharmacy. At UHC's urging, I have used it as their co-pays for 90 day supplies are lower than local commercial pharmacies. However, I have had issues EVERY time I place an online order. Last month I became severely ill as a result of delays in getting one of my meds. While the pharmacy blamed the doctor, I'm positive the doctor responded appropriately as they had the fax evidence.

    Today I placed an order for insulin and received a confirmation (if you can call it that) that said the order was successfully received and was being processed. Further down on the same document it says there was a problem and I should see the details below. There were no details below so I called the number given on this notice and they could not even find the order. Spent almost an hour on the phone AFTER I submitted the order online. This has happened over and over again. I am in the process of filing a complaint with the Texas Board of Pharmacy as the people are going to get someone killed with their incompetence!

    Original Review: I have used OptumRx as part of my AARP United Healthcare benefits. I have found the website to be extremely unreliable. I will order 6 med refills and the order is processed with only 3 being shipped. Upon return to the website, reorder the ones that are missing and they still are not being shipped. I called the customer service dept and am told I never ordered them.

    At this point, it's been a week since the original order was placed and I still have NO meds. I am out of some and using OTC on others. In addition, I was told that I still owed a co-pay for ** needles purchased in April as well as one for the new order a week ago. I advised the representative that I had authorized payment of both over a week ago. Once again, she had no record of the payment being authorized but I'm very hesitant to authorize it again in fear they will take multiple payments from my bank account. So I am still not sure if I will receive my ** needles or not. I am hopeful the meds will arrive but I am not holding my breath. This company is totally irresponsible and cannot be depended upon.

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    Customer ServiceContract & TermsCoveragePriceBillingRates

    Reviewed June 24, 2021

    We use UnitedHealthcare for our insurance, and OptumRx approached us aggressively about home pharmacy. I have a prescription that can either be obtained once a month or every three months. At my local Medicap, this prescription costs me $20 for three months for the name brand. OptumRx said they could match that price and deliver it to my door for the name brand. Instead, I just received generic medication and a bill for $90 for the three months.

    I called them to say I'm not spending 4.5x both what I normally pay and what they promised. The first gentleman hung up on me, so I called back and demanded an expedited return mailer and to make sure that this would not affect my ability to refill the prescription locally. "We'll void it from your insurance as soon as we receive it back, the mailer should get to you in ten days." I had to explain twice that I needed the prescription refilled in a more timely manner than that to two people until they finally agreed to expedite the return mailer. I would not recommend.

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    Customer ServicePriceRefunds & PayoutsBilling

    Reviewed June 7, 2021

    This is an incredibly frustrating company to work with. My ortho uses them for ** so I've been stuck in this nightmare. They make you authorize after Dr sends prescription - literally a verbal yes. This last time there were multiple rounds of finger-pointing on where the hold up was but it took a month. I can’t get online account set up. I have the ID but it says it can’t confirm it's me. They hound you with automated calls and make you call them - goes to call center in India and some of their accents are very heavy. Even though I gave credit card during my authorization call and told them to charge me, they now are doing automated calls for me to pay my balance. First time around I had to request paper copy of my bill. This time after a week of daily auto calls now they sent an email that says to log in and pay. except I can’t log in!!! Dealing with this company is so frustrating I may stop treatment or find another Dr that doesn’t use them to fill the prescription.

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    Customer ServiceCoverageTechPricePunctuality & SpeedStaffRates

    Reviewed June 6, 2021

    I receive only three medications every month and I signed up with Optum Rx about six weeks ago. My insurance had changed to United Health Care, and Walgreen's prices became too expensive. Optum's prices seemed to be the lowest I'd been quoted and I liked the idea that I could conveniently receive them by mail.

    I've had so many problems in the short amount of time I've been with them I'm going to close my account and go to CVS, even if it means paying a little more. First, Optum didn't send out the medications for two weeks after I registered with them and when I called to ask about it they informed me I had to "authorize" them to do so! There was no mention of this when I called to set up the account and we went over my prescriptions, which should have clearly been an authorization that I wanted them sent to me! Despite finally " authorizing" them, I continued to receive texts for two days telling me they hadn't been. Then they sent me only 90 tabs of a medication when it was supposed to be 270 because they had gotten a prescription wrong. I had to talk to a supervisor because the rep I was speaking with kept informing me that even when the rx was corrected, they would be unable to fill the remaining part of the rx for 90 days.

    I'm still waiting on the rest of this medication. I was informed 9 days ago that they had been sent out, and now today I received an email telling me they would be shipped soon! I have to agree with another posting here that the phone reps say whatever they think you want to hear when you call, and then the next person you speak with there tells you the exact opposite. The last straw was when I spoke with a rep whose English I could barely understand and she was holding her crying baby throughout our conversation! I had to keep asking her to repeat what she was saying because I couldn't hear her over the wailing! United Health Care seriously needs to investigate this terrible place! I've never dealt with a business quite this unprofessional.

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    Customer ServiceSales & MarketingPriceBillingRates

    Reviewed May 29, 2021

    OptumRx called me about their home delivery service. Total scam fake pricing just to get me to enroll. Now they are denying speaking to me. Never give these guys any information is a total scam. They just want your credit card to charge you 3-5 time what they quote you.

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    Customer ServicePricePunctuality & SpeedStaffBillingRates

    Reviewed May 25, 2021

    I take an expensive medication for a stomach disorder. My Medicare plan is United Health Care through Walmart. OptumRx (somehow affiliated with this Medicare plan) offered 3 of my very reasonably priced medications free which I took advantage of and appreciated very much. I only have a bill for them when I fall into the doughnut hole at the end of the year. Last year the bill was about $25.00. Optum Rx then called me to offer deals on my other prescriptions and I'm sick about the fact that I agreed to let them fill them. They offered my most expensive drug for about $40.00 for a month's supply which was about $5.00 less than the price at Walmart. I let them fill the prescription and paid around $120.00 for a 3 month supply which was fair.

    A month-and-a-half later, they sent an email saying they were refilling the prescription. I didn't think anything about it because the medication is always around $40.00 per month until I fall into the doughnut hole when it can go as high as $100.00 per month. I then received the medicine and looked at my bank account and Optum Rx had deducted $425.82 for a 3 month supply. I am now out $305.82. If I had stayed with Walmart, I would have continued to pay $40.00 per bottle instead of what Optum Rx charged which was $141.94 per bottle. I am retired and on a fixed income and I can't begin to explain what the loss of $305.82 means to my livelihood. I wish I'd never heard of Optum Rx and I'm stopping all prescription service with them. I hope this review helps other people avoid Optum Rx. It is a terrible company.

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    Customer ServicePrice

    Reviewed May 21, 2021

    Takes several days before they even mail your prescription, then another couple of days of mailing... quit using them over a year ago. Just recently my dr accidentally submitted two prescriptions to them. OH MY GOD!! I went thru HELL trying to get them cancelled! I never did get it resolved because they are totally clueless and incompetent.. you never can get someone in charge.... you just get put on hold and left there. As another reviewer stated, you have to talk to a new person every time about your situation... then you get hung up on... PLEASE PLEASE don’t use this service!!! For your own peace of mind!

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    Customer ServiceCoverageMaintenanceStaff

    Reviewed May 20, 2021

    I started using OptumRx because our insurance encouraged it and it provides a slight savings. I will no longer be using them and just switching back to Costco. I have had 2 situations where I needed to speak with a customer service rep to sort out an issue. Both times, the representatives gave me different information and didn't seem to understand how to solve my problem (once it was because they sent me the WRONG medication and the second time was because they didn't send me a replacement after my medication was recalled).

    On top of the customer service representatives being almost completely unhelpful, this most recent gentleman was rude to me. He was condescending and terse and it was very uncomfortable. This is just unacceptable when your company has made a mistake... you need to have folks on the frontlines who can bridge the gap and fix the situation with professionalism. This company is the worst customer service experience I have had in a very long time. And that's just a deal breaker when it comes to something as important as medication.

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    Reviewed May 18, 2021

    In the past month I have had two different doctors send renewal prescriptions to Optum. They seemingly lost both. Needless to say this has turned into an exercise I really did not need. Not my first problem, but my last. I will not renew and will encourage others to find other options.

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    Customer ServicePunctuality & Speed

    Reviewed May 8, 2021

    Optum RX recently purchased the Diplomat pharmacy I've been using for quite some time to perform my weekly infusions. So I was forced to change pharmacies since they handle my prescription needs. I have yet to receive a prescription shipment on time. They are late every month. These are life saving infusions and I have not been able to get anyone at Optum RX to return my calls or emails. These guys are terrible! Every month it's just like a re-occurring nightmare trying to get them to ship my supplies so I can infuse on time.

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    Customer ServiceSales & MarketingStaff

    Reviewed May 7, 2021

    YES, I also a victim in the OptumRx scam, I must have made 20 phone calls to them, OptumRx, United Healthcare and my doctor. UHC kept sending me ads to join Optum, I did and it's been a big mistake. It's has caused my health to decline, STRESS, DEPRESSION, AGITATION, BLOOD PRESSURE, ANXIETY!!! And guess what? United Healthcare Don't Care!!! Every time I call to complain, I get offshore people answering the phones, and get nothing but useless answers. So the problem really is United Healthcare, I'm seeking Legal Council, it might be the only way to take them down!

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    Customer ServiceCoverageOnline & AppStaffTransparency

    Reviewed May 4, 2021

    You speak on phone to one consumer advocate, next time given totally different information. Such as dates released for prescription(s), then told now need a prescription from Dr or prior authorization from your Dr. Absolutely no consistency and seems as no one cares about these situations. The OptumRx consumer advocates at OptumRx I just found out use the OptumRx.com but when on .com either get bounced out or screen is screaming to us their app. App vs. .com gives totally different information. So using app get one type of information. End having to call CS to reconfirm information I need on my prescriptions.

    The worse is lack of consistency. Can not state it enough....You get a different answer, resolution, date of shipment each time you call. I have to call because such problems with the .com and app. Have no choice but to use OptumRx because of insurance. When I know I have to address situations w/ OptumRx, I get gut wrenching feelings knowing I'm in for a whole new scenario or explanation of my account. I despise the thought of working with OptumRx. It is a nightmare every single time.

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    Customer ServicePunctuality & Speed

    Reviewed April 29, 2021

    I used OptumRx for several years. They work best on auto-refill as they adapt to their own slowness by starting refill early. When, however, they make a mistake, rather than apologize and/or take action to minimize the impact of the error, they pretend nothing went wrong, sending emails with convoluted airheaded "logic" explaining why everything is actually OK. My guess is that "Customer Service" is actually some AI purchased from the lowest bidder. It exhibits no integrity and no awareness that something out of the routine has happened. If the mistake involves a prescription for a complex medication that causes both entry and withdrawal symptoms, then the experience is exceptionally unpleasant. If you need anything more than a common statin, stick with your local pharmacist.

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    Customer ServiceCoverageTechSales & MarketingPricePunctuality & SpeedOnline & AppRefunds & PayoutsStaffBillingRatesHonesty & Transparency

    Reviewed April 28, 2021

    DO NOT USE THIS SERVICE!! It has been an absolute nightmare. I would give negative stars if I could. Key things if you don't want to read this whole saga: The OptumRx customer service folks will say ANYTHING to get you off the phone, including lying to you. They will pretend they are doing what you ask just to find out later they 100% did not do anything. You cannot trust anything they say, even when you request it in writing via an email, they will say "The email should show up in ___" (10 minutes, a day, 2 days, it doesn't matter, it's all a lie) and you'll never receive it. They fake prescriptions! My doctor did not sign off on my prescription and the name of the doctor on it was for someone I have never heard of/spoke to in my life. Concerning!! They will charge you WAY more than what it looks like. I was expecting to pay around $30-$60 dollars for my 3 month supply, the customer service rep said I would be charged $425!!! The whole story:

    I recently enrolled in my workplace insurance (United) and they sent me an advertisement for the OptumRx mail service. I figured, why not, I'd love to not have to go to a physical store during a pandemic for my meds. Well, I submitted my meds through the website and they tell you they are sending paperwork to your doctor's office for a prescription and that they would need that paperwork returned before filling your medicines. I waited a week, contacted my doctor's office, and they said they never received anything from OptumRx. I called OptumRx's customer service, went through the whole process again (customer service rep said he was "submitting the paperwork directly", which was a lie because my doctor never received anything from them).

    It was at this point I was getting worried about what I had gotten myself into - if it was THAT hard to enroll and their customer service was that poor on what felt like a simple task (getting me enrolled), I didn't really want to use their services. I also googled and saw horrific reviews of people being scammed, sudden price jumps of $$$HUNDREDS$$$ of dollars at a time, necessary meds not being sent out despite being told they were, horrendous customer service like what I had experienced and worse.

    I called and asked them to close my account, delete my bank information (they force you to give them a payment option before allowing you to add any meds, which I felt was odd), and cancel any pending orders. The rep made it sound like he was doing all of that, said it was closed, said I would not be receiving any more meds and that my bank information was deleted. Promised I'd get an email summarizing that, never did.

    ...Then maybe 2 weeks later I got a worrying email that said a medicine (this particular med is a controlled substance) was being processed?! When I looked at the prescription, some person I have *NEVER* heard of was the "doctor" that signed off on my prescription. This just seems illegal and a great way for people to scam for controlled substances, considering they obviously didn't check with my doctor's office or verify if I had that prescription coming from elsewhere (I had already alerted my actual doctor's office to shred/delete any paperwork they received from OptumRx because I didn't want their services anymore and didn't want the process to go any further). When you check on the website, there is no place that I could find (I spent maybe 30 minutes trying to find an option) that says to cancel "in process" medicines, but it also looked like I needed to order the medicine myself before it would ship out to me.

    This morning, I got an email saying they are shipping the med to me. Back to the phones... First customer service rep refused to transfer me to a supervisor, despite me asking multiple times and saying "I'll place you on hold while I contact my supervisor so I can tell them the situation before I transfer you", and then not ever transferring me over. She would not close my account, said she couldn't cancel the meds that were already shipped, that I'd be charged ($425!!) but could return it (... because I haven't wasted enough hours of my life dealing with this scammy, crummy company) and claiming that my insurance needed to cancel the OptumRx service.

    Called my insurance, first rep tried to say my employer (?!?! **?!?!) needed to be the ones to request cancellation. Got a supervisor on the line at my request, he thought I wanted to cancel my pharmacy benefits altogether, not just the OptumRx service. Finally got him to understand I just wanted my OptumRx account to close forever and be banished from life, but he asked "Did you speak to OptumRx??", I told him they wouldn't do a damn thing for me and had said they wouldn't close it because I needed to contact him/the insurance company.

    He stayed on the line, called OptumRx, they FINALLY start acting helpful and told me my account is closed/they deleted my bank info/already started a return request for the med that's coming in the mail. I'm not certain as of this time if any of that is actually going to happen (email summarizing the cancellation etc. is supposed to arrive in 24-48 hours), but this is literally one of THE WORST businesses I have had the extreme displeasure of working with.

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    Tech

    Reviewed April 19, 2021

    After 5-weeks using Optum for Rx delivery they have yet to get anything right and now today did not deliver on time for an infusion Rx. They do not know what they are doing and are to be avoided, even if they are chosen by your medical provider. Their incompetence can cause more medical issues.

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    Coverage

    Reviewed April 11, 2021

    OptumRx is a awful awful company to try to dispense your Prescription. I would advise you go elsewhere to get it done. It will take weeks if not months to get it filled. This place is a joke and I’m not sure how they stay in business other than a strong arming insurance companies to force you to fill your prescription through their service.

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    CoverageTechStaff

    Reviewed April 10, 2021

    Optum screws its patients and providers out of covering anything. It especially screws providers trying to provide mental health services. Just do not do it. If you are a company who is thinking of buying this for your employees, use Optum only if you want your employees to leave you

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    Customer ServiceStaffHonesty & Transparency

    Reviewed April 5, 2021

    If you need a medication that requires a Pre authorization, I feel sorry for you. I have been trying to get my husband's prescription approved for over three months. They deny, deny, deny and then require you and the doctor to jump through hoops. They put the person needing the medication in the middle. They lie and say they did not get the pre authorization letter the doctor wrote so that you have to make MANY phone calls between them and the doctor's office. You speak to a person that is "offshore". When you can't get them to understand what you need and request to speak to a supervisor they tell you there isn't one. They had the wrong mg. for the medication and so denied the medicine.

    When we finally received a letter stating that the denial was reversed, we were happy only to receive a phone call stating that we needed a pre authorization. When I told them we have a letter stating approval, they couldn't find it in their system. Unbelievable!!! They will not call the doctor's office if they need something, they send cryptic messages through the portal that do not really tell you anything. You are forced to call them and be on the phone for hours over nothing. If only they would do their job and help people but they do not care to do that. If you do not have to use them, don't. They are despicable.

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    PriceStaffRates

    Reviewed April 2, 2021

    OptumRx provides consistent low levels of service. It can take 2 weeks to over 2 months to fill a prescription, and some may never be filled. The worst part is that the company really doesn’t care. I have filed several complaints and even managers are not responsive. If I could give them lower than a 1 star rating I would. My recommendation is to go to Walgreens, CVS or any of the other pharmacies and avoid this mail order service at all costs.

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    Customer ServiceStaffHonesty & Transparency

    Reviewed March 29, 2021

    I had to change to Optum Rx when I enrolled with United Health Care. From day one my time has been wasted on the phone getting switched from one department to another and getting nothing done to get my ** medication. The total lack of concern when one calls is crystal clear. Here's the time frame: This past Friday, spent 3.7 hours/phone. Saturday 4.2 hours/phone. Monday 4.6 hours and still no answers to my questions....they lie, lie, lie... blaming everyone else for their inept service, knowledge. Getting a prior authorization completed is a total joke with rude personnel at every level.

    I was transferred 6 times to different departments getting the run around each time and still no answers to critical questions concerning my medication. All the hoops that one must go through is astounding again with NO resolution to the problem. Playing the blame game when it comes to a medication that is extending my life is WRONG, dead WRONG... I'm sitting here tearful and beyond being upset...no meds in my near future. Shameful!!!

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    Reviewed March 13, 2021

    I've been using them for quite a while (2 years)... Every time, I have issues! Either they don't send my meds or they send the wrong thing. STAY AWAY FROM THIS COMPANY!!!! They have serious issues!!!! Beware! They suck!!!! Will

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    Punctuality & Speed

    Reviewed March 11, 2021

    I have had a kidney transplant so I take a lot of medications. I had them on auto ship until I realized one had not shipped when I ran out of the previous fill. I took them off auto ship and ordered immediately. Now once again, I see another prescription was supposedly shipped last month and I received no notification it and did not receive it so I had to manually order it. The website for ordering I find slow and cumbersome and it is difficult to find that last date filled. I am seriously considering going back to Walgreens.

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    Customer ServiceStaff

    Reviewed March 5, 2021

    Spent 45 minutes on hold or talking to people who could not help me. Transferred five times, Given three different telephone numbers. They requested that I call, then they didn't know why they asked me to call. This is for a prescription that my husband needs to BREATHE! And while they kept telling me how sorry they were, they couldn't/wouldn't help! Larry, Moe and Curly are running the business.

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    PriceStaffRates

    Reviewed March 3, 2021

    This company is terribly disorganized! The employees don't know the prices of medications, can find account information or understand the formularies. They randomly change the formularies and costs associated with prescription copays. My prescription copay jumped from $45/month to $1,404/month without prior warning or notice. That should be illegal. They couldn't explain why the price jumped like that. This company needs to be investigated for unethical practices.

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    Customer ServiceMaintenanceHonesty & Transparency

    Reviewed March 3, 2021

    I placed an order to have my medicine refilled on February 23, 2021. I received a confirmation email stating my meds would be delivered on February 26. When no medication was received, I contacted their customer service on the 27th and was told lie after lie about why the medicine was not received and told I would receive it on the 28th by a third party carrier. After not receiving it on the 28th, I called and was told the same third party carrier would deliver it on the 1st of March. Well guess what... Still no medication delivered on the 1st. No one could give me no answer as to when I would receive my medicine.

    The medical condition that I have makes me have bad out breaks with boils, so now I have missed my injection, I have 4 boils, and I asked to speak with pharmacist to ask how the missed dose could affect my body. I was advised my Alana (the pharmacist) that it is recommended that I don't miss a dose but she could not tell me what could be the outcome of a missed dose!!! I asked to speak with the manager of the facility, and was told one could call me tomorrow.

    If you value your health and life, this is the wrong facility to use for your medication needs. No one that I spoke with had knowledge about NOTHING!! I will never use this pharmacy again and I am also seeking legal advice on what actions I could pursue. I will also be making a complaint with every agency possible to ensure this does not happen to anyone else, especially the elderly.

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    Customer ServiceOnline & AppTimeliness

    Reviewed Feb. 27, 2021

    A new prescription required preauthorization from my physician. To my knowledge Optum Rx made no effort whatsoever to obtain the information including notify me or notify my doctor when this occurred. There was no notice in my account on their website that a precertification was required. The only way I knew about the preauthorization was when I called Optum Rx because my prescription was not moving forward after two days. Once I was informed a preauthorization was required, the process of requesting the information required me to then contact the physician to request they contact Optum Rx.

    I did so and their office informed me they contacted Optum Rx and provided the information requested. Optum Rx sent me an e-mail the next day informing me the prescription request was denied because the preauthorization process was not completed within their acceptable time frame. Optum Rx received the prescription on 2/24 and I received the denial on 2/27. If you use Optum Rx, be prepared to immediately make multiple phone calls and navigate their system to have your new prescription approved within their short approval window.

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    Customer Service

    Reviewed Feb. 27, 2021

    Try to download my records on FMH and no records have been entered for over 9 months. The messages have a "you requested to disconnect from Optum", which I never did. Very difficult to find any contact telephone or even email to try to contact them. Basically an organization that wants your money and does not give a damn about you or providing any reasonable service. My advise: go elsewhere.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 26, 2021

    I have been struggling to work with Optum to get my daughter's ** prescription filled. Previously we had Blue Cross and used Walgreens online pharmacy with never a glitch. Recently my company switched to United Health Care and we have been forced to use Optum for the on-line service. For the first month they informed me that my co-pay was in excess of $2,000. When we expressed shock (previous co-pay was zero) they tried to resolve. Eventually they realized they were not including our ** co-pay card in the calculation. They still said the co-pay was $500 or more. As a result the medicine was delayed more than two weeks and my daughter missed her shot by a week. Finally they figured it out and shipped with no copay.

    This month we tried to order online. Two days after submitting the order, we received an email saying there was a problem. When I called Optum said they were working on it. Two days later I called back and they said there was a problem with the ** Complete Savings Card. I called ** and they confirmed the card was fine. Awful. Awful Awful. Still waiting on the shipment

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 23, 2021

    This company did not fill prescriptions for my son or myself. After waiting the 10 days without our prescriptions arriving, running out of medication, and being late on monthly medications, I called them to find out that they did not fill these prescriptions. The rep and pharmacist told me they did not receive the prescriptions, or they received prescriptions but that they will not requested to be filled....from 4 different doctors!!!! These doctors have had NO pharmacy errors at other pharmacies in the 5-10 years I have been using them. They are calling my doctors liars to cover up their incompetence. I just want to get my meds filled for myself and my son. They would not even let me speak to a supervisor. DO NOT SWITCH YOUR MEDICATIONS TO THIS PHARMACY! You may think it is easier to get three months supply of medication shipped to your home but this pharmacy will not make your life easier. They will screw up your medications.

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    CoverageTechPriceStaff

    Reviewed Feb. 22, 2021

    We had to use this company because United Healthcare contracts with them. They are horrible, frustrating and so not worth dealing with. Three times they “lost” my faxed prescription from my doctor and from Costco. I finally got the US number and when talking to a customer care rep was told me they would not process this since it was a controlled substance, read narcotic. It was not a narcotic, but the blood pressure med **. This is our second week dealing with them. Still no success. I will be changing insurances in November.

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    Customer ServiceCoveragePricePunctuality & SpeedRatesHonesty & Transparency

    Reviewed Feb. 22, 2021

    I have been with Optum just under a year and have not had a single good experience. I have to take one pill a day and I receive them in blocks of 30. So every month I need a refill. I have had to get around 9 or 10 refills and not a single one went smoothly. First they lost my authorization form, and after numerous three way calls with my insurance, my doctor, and Optum they finally worked it out (never taking the blame nor apologizing for their screw up). Then, for whatever reason, they only allow me to refill my meds every two months, despite only being sent one month at a time. That means I would go a whole month without meds before they would allow me to refill my order. So, I would chat online, call, and do whatever I could to get my meds delivered monthly.

    7 out of ten times this meant I missed doses. I would ask them to please change when I can order my meds so I don't miss doses and every time they say "you should be able to order them once a month." Yet every month, for 9 months, I had to jump through their hoops just to place a refill order. Half the time my order was on hold, so I ask them to release it and they said they need permission from my doctor. What on Earth is the prescription for if not to inform them of my doctor's permission to get the meds?? I have received so many excuses out of Optum as to why I never get my meds on time and it is honestly so exhausting. It seems any time an issue comes up they wait for you to discover it yourself and then deal with it retroactively.

    Just now, Feb. 22 2021, they said they cannot refill my order because my prescription expired, despite having five more refills on my prescription. Ok, so maybe that happens to a lot of people, but why did they not call? Why was I not informed about them not having an active prescription? Why did they not automatically send over my form to get reauthorized?

    On another issue, they would randomly try to charge me full price for the medication despite having insurance and assistance through the company that makes the drug. They would say they did not have any insurance on file so if I wanted my drugs I would have to pay full price, which would have been $10k a month without insurance. So again, I would have to go through all these phone calls and three way connections just to show Optum that they keep dropping my insurance information. Their customer relations and business practices are so poor, they almost border on corrupt. This is the worst pharmacy experience I have ever had and cannot wait to switch insurances to avoid this god awful pharmacy.

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    Customer ServiceCoverage

    Reviewed Feb. 21, 2021

    My employer switched to OptumRx for prescription coverage. They cannot keep my records straight. I go through a nightmare phone cycle every month where they tell me I am not active and I need to have my employer call them. When my employer calls, they are told that there are two of me in Optum’s system and that one of the records is incorrect. They say they will correct it. Despite this, when I need to refill a prescription the following month, they tell me again I am inactive and will need my employer to call them. What a terrible company.

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    Customer ServiceContract & TermsCoveragePricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed Feb. 20, 2021

    My doctor started me on a new prescription which after insurance cost me $32.00 for 30 days w 1 refill. I called OptumRx and asked the gal if they could fill the 1 refill. She said they only do 90 day supplies do I want her to contact my doctor and ask to make it 90 day supple? I asked her how much it would cost me for 90 days. She said $0, I said yes contact my doctor. 2 days later I’m online paying my Visa bill and see OptumRx had charged me $130. I immediately call and was told that it was too late for her to cancel the order. I explained the situation and $0 price. She said that when I get the prescription to hold onto it. She was sending me a return label. Once I get that I return prescription & they will refund the $130 to my account. (Remember, I had got a 30 day supply for $32 at a different pharmacy). 90 days would have been $96. If she would have called me and told me that she was mistaken about the $0 price.

    For $130 I would not have had them fill it. But because they did, now no other pharmacy can fill my refill because it says, “too soon” when it is put in their computer until they get back this 90 day supply which I now have but do not have return kit. I’ve called so many times and talked to so many associates this past week. Seven yesterday alone. They are so sorry but nothing they can do. Call this number. I’m so sorry but nothing they can do, call this number.

    Finally one wonderful associate (Kelly) said there are only two things that you can do. (1) Call in prescription to another pharmacy and have them call for prescription override -OR- (2) since it can be dangerous to interrupt your medication schedule -only having 2 days left, call member services on your AARP Medicare Advantage United Health Care card and under the circumstances see if they will let you keep the prescription you received in the mail ( because we are not able to reuse any medicine that is returned to us anyway) and refund your $130 SINCE you were quoted $0 to begin with!

    So I call, my third transfer was to Tierra who said absolutely not! Too bad for me and she was going to make sure Kelly - the only associate who gave me good customer service - was reprimanded & retrained. ??? Today I am waiting to hear back from different pharmacy hoping they will get a override. I still have not received return kit from OptumRx. After tomorrow I’m out of my medicine. Monday I will be changing my insurance.

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    Customer ServicePunctuality & SpeedStaffTimelinessHonesty & Transparency

    Reviewed Feb. 18, 2021

    I joined United Healthcare Feb 1st 3021 and decided to try the Mail Order Prescription Benefit from OptumRx. This has been the single biggest Rx benefit mistake I have ever made. I had the same 6 prescriptions that I had been receiving from the University of Iowa for some time. My doctor made sure my prescriptions were delivered to them Day 1 on Feb 1st and gave me a week supply from a local pharmacy to get by until delivered. I called Feb 2nd to check and was told all was on track. (So far from the truth) I began to get emails saying that my prescriptions were on hold because they couldn't reach my doctor. Called Optum and was told that was a mistake. No mistake. Status online says they were on hold. I called the next day and they said they straightened everything out. Not true.

    A week later I got 4 of the prescriptions in the mail but not my anti-depressants or anti-anxiety meds. I called again and was lied to saying my doctor never replied (I had a virtual visit with him right before the call and he contacted them twice). I tried to call again the 4th time explaining and was told they were "on-the-way". The status bar online showed they never had shipped. I never should have been without these 2 medications due to side effects. On Feb 16th I called United Healthcare and asked for help. The agent was fantastic and started a 3-way call.

    We were given excuse after excuse and told the meds would be delivered "on or about" Feb 23rd! Inexcusable!!!! Then (as if dismissing us both) we were told the only way we could file a complaint was by fax. My UHC customer service agent was going to do that on my behalf. Awesome! Yesterday, I checked the status online and it said they had shipped. But.... it was to the wrong address so I called OptumRx at 0630 and told them. They said no problem, they'd change everything when it gets to that destination and resend it when it's returned to them, Keep in mind... this is US mail... not even Priority. Disgraceful!

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    Customer ServicePriceStaffBilling

    Reviewed Feb. 18, 2021

    I have been on a specialty medicine for going on 11 years and have dealt with several pharmacies over the years through IBX. These jokers have wasted so much time through copay billing issues and automated phone and email glitches I can't believe they stay in business dealing out medicines that people need to survive. I have a copay card through the medicine manufacturer and I am very responsible maintaining my prescription renewals and medicine delivery to myself. I can go on and on but will just leave some concise problems:

    - Their automated phone and email system tells me to order my medicine at the wrong times. The automated phone calls (5 times per renewal) are such a hassle I don't answer the number.
    - They bill old copay cards that don't exist anymore and then everything becomes my problem to resolve.
    - At one point during the buyout of Briova RX I had two accounts in their system and it became my problem to figure out which account information was active and inactive.
    - They only care about fulfilling the copay at all cost whether you get your medicine or not. They will put the $5085 (Joke) medicine on hold because they charged the wrong card for the $35 copay.
    - If there is a problem with the order they don't tell you. You have to figure it out on your own and waste your time calling to figure out what happened.
    - I can't understand the people because it sounds outsourced to India (they do try to be nice).
    - Once you miss two (2) copays (total $75) they hold you hostage until you resolve payment for the medicine.
    - I have ordered medicine, received confirmation for the order and watched the order disappear in their system.

    - They have called my doctors office telling them that I am unreachable yet I had already received and dosed my medicine.

    There's more but the point is how do they stay in business for such an important thing to some people? I will continue to battle to get my medicine thanks to my persistence and hopefully enough of these reviews will bring them down.

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    Customer ServiceStaff

    Reviewed Feb. 10, 2021

    Having changed to a new medicare health plan we really needed to have my husband's breathing medication delivered. Having called and arranged (so we thought) to have this taken care of,,,after 10 days without medication we called again,,only to find out they had NO RECORD of said order nor conversation??? My husband has cancer and tumors in his lungs with severe lung disease that needs these medication every day! No one called,,,and after today's conversation nothing has been done,,,We can't take any more,,,called the Doctor myself and got the medication sent to local pharmacy and they can deliver within 3 days or less,,,no more dealings with these uncaring people!

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    Customer ServiceCoveragePriceRefunds & PayoutsLoan Process

    Reviewed Feb. 7, 2021

    I have consistently had problems with OptumRx over the last several months. For tier 2 meds, you pay 100% and they reimburse if you submit for 80%. However, if the t is Tier 4, they will pay 80% and you cover 20%. So the ultimate cost is the same, the difference is you have to float them a loan for the 80% until they decide to mail you a check. What is the advantage of a Tier 2 med?

    Additionally, when I call in, I provide my identifying information. Often, they will then begin working in my problem and asking questions. Sometimes we get several questions in and they will ask if I work for ______. If they are looking at my account, why can they not determine which employer the coverage is through? Is it a test or just abject incompetence? They have even routed my call around and after another round of info and questions, it comes out they have routed me incorrectly. I have reached the point I trust nothing they say. I would like to quit my job to go to another employer just to get away from these people. They have deep issues.

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    Staff

    Reviewed Jan. 31, 2021

    My husband had a kidney transplant about 7 months ago. We are required to go through Optum for his anti rejection medication. We have had nothing but problems trying to get his prescriptions filled correctly and timely. We are often scrambling at the last minute trying to find out why they didn't fill his prescriptions and did not let us know. These are life saving drugs that must be taken consistently. Very unprofessional! I really wish we didn't have to deal with this every month!!!

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    Verified purchase
    CoveragePrice

    Reviewed Jan. 30, 2021

    What a complete hassle this company is to deal with. I spoke to three different people and got three different answers. One lady told me my Rx was covered 100% under preventative, the next person told me it wasn’t covered at all, the next person told me he was going to get it switched to a generic version. The generic version through their pharmacy was 2x as much money as any pharmacy I could have gone to in my area and they shipped it and charged me without even making sure it was ok! I will never use them again.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 29, 2021

    Very confusing and hard to find the drug your tracking plus shipping is very slow. Emails that are sent does not specify which medication is coming. More clarification is needed so items are easier to track especially with an inept USPS that does not care if you get your mail or deliveries.

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    CoverageTechPriceRefunds & PayoutsTransparency

    Reviewed Jan. 28, 2021

    I had to get prior approval on a script in2020, my husband's company updated Ins for 2021, kept Optumrx but changed member ID & they denied me on same script, said I had to do another PA because was a different ID. They said they couldn't transfer from my old member ID to the new one but yet they had the old one right there in front of them. They had told me that I didn't need a PA in the beginning but then said I did. They also raised my med coverage unless I went through their mail service...$35 for a 30 day supply thru local pharmacy or $50 for a 90 day supply for one script thru them, another script they raised $10! GoodRx charges half of what optum is charging me.

    When I threw a fit with an operator, she was able to get me an "emergency" supply for 5 days...$25!...FOR 5 DAY SUPPLY!!!! In 2 days, I talked to 7 different operators, 3 of which said I didn't need a PA, 1 said I didn't have coverage and refused to let me speak to a supervisor, 1 that I scared (which I feel bad but I was angry) and 2 that said I had to have it!! So their training of operators is worse than their service. I really want my husband's company to find a different provider for they are horrible and are trying to push their pharmacy home delivery which if WRONG!! We pay for the insurance so I should have a choice of where I want to go to get my scripts and who are they to say what they approve especially when a Dr prescribes it!!! Ok rant over.

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    Customer Service

    Reviewed Jan. 26, 2021

    I have been using Optum RX for 4 years. I have never had any problems with getting my prescription refilled, they send me a notification when they are sending it. (I am on the automatic delivery.) I HAVE had problems with the doctor not responding to Optum's request, which has delayed my prescription, other than that, my medications have been taking a lot longer to get here because of the problems with the post office. All of our community is having problems with delivery (as is the rest of the country). I was sent Christmas Cards that took 3 weeks to get here! It is not Optum's fault that the post office is having problems.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 23, 2021

    In the last week my doctor's nurse has called and I have called 7 times. Each call has resulted in a different "promise" of what my plan covers. Each time the doctor sends a new prescription to the pharmacy only to have it denied. The latest call is now well over an hour with 5 different people telling me they were transferring me to a manager only to pass me to someone who is not a manager. Multiple times my doctor has had to write multiple prescriptions after being falsely told by a member rep what was covered. Walmart definitely needs to find a different company to manage their plan.

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    Customer ServiceCoveragePriceMaintenanceRatesHonesty & Transparency

    Reviewed Jan. 21, 2021

    I called them to find out the cost of **. They said they couldn't tell me until they ran a test request so I told them to go ahead. After finding out the cost, I started shopping around and found the same drug at a difference of $2,000 per month with another pharmacy. Since I'm on Medicare, went with the lower priced pharmacy. Optum did not cancel my order and kept telling my insurance company and doctor that they were filling the order, which was a lie. They have now told me 3 times they have cancelled my order but have been contacting the doctor's office and insurance AGAIN and trying to place the order. Insurance company and doctor's office are fed up and don't want to keep sending in the approvals. They have created a mess and left me to clean it up. 3 1/2 weeks since last dose with no resolution in sight. Stay away from these people, they will misrepresent themselves and cause unnecessary paperwork and frustration.

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    Customer ServiceBillingRates

    Reviewed Jan. 21, 2021

    UPS changed to this company for mail in prescriptions. Worst experience I’ve ever had. My first order was for a 3 month supply of my asthma inhaler and they sent 1 inhaler. I called and then they said they would this once send me the other 2 even though the prescription called for 3 and then they hit my credit card again! The last time I requested a refill be sent they emailed me and said they couldn’t fill it so I should ask my PCP to prescribe something else! Horrible company! I only gave it one star because I had to rate them to write the review.

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    Customer ServicePunctuality & SpeedOnline & AppStaff

    Reviewed Jan. 17, 2021

    I started using them about a month ago due to the fact that with COVID I’d rather not have to go out to local pharmacies. What a mistake! As others have said on here their customer service is horrible. Their turnaround time is ridiculously slow. My bp medication appears to be lost by the USPS and Optum is doing nothing to help. I spoke with a supervisor and he was condescending and rude and couldn’t have cared less. He essentially told me that I just had to deal with their crappy service. There isn’t even a customer service phone number on their website. The one that’s listed is for technical support for the website. I had to get the correct phone number after being transferred. I’m writing to my State Medical Board and Attorney General. They need to be held accountable or be put out of business.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 14, 2021

    No matter who you call they are EXTREMELY difficult to work with. It appears that they have outsourced their customer service and call centers to India. Many speak English but they are very difficult to understand. All the rest are just plain many fries short of a Happy Meal. You explain then you explain again and again and again. You ask for a supervisor and you just start over with the same level of success. I am convinced that they just want you (the caller) to give up and this is why they make it so difficult. I truly am disgusted with OptumRx. Sadly they are who my insurance company has selected.... OptumRx sucks!

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    Customer ServiceTimeliness

    Reviewed Jan. 13, 2021

    I needed to get a new RX filled and the doctor spent hours on the phone and hours by the fax machine to try to get the prescription filled for me. The pharmacist yelled at the person in my doctor's office while she was trying to give him information about my prescription. I spent hours on the phone with their customer support trying to get it filled as well. There was always something they were missing... the rx was incorrect, there wasn’t enough information on file, the prescription will be filled tomorrow, "You’re all set - we will reach out once it ships."

    The next day I get a call saying that they can’t fill the prescription because they don’t refill it at their pharmacy and I would have to go somewhere else. Complete waste of time, horrible pharmacists who say demeaning things to your doctor. I would expect more from a drug dealer on the street. Steer far far away. This company is sketchy at best. I have no doubt there’s some shady business happening behind the scenes.

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    Customer ServiceCoverageSales & MarketingPricePunctuality & SpeedOnline & AppRefunds & PayoutsStaffBilling

    Reviewed Jan. 8, 2021

    For years I've been using Optumrx, and their customer service are so incompetent it's a crime. This review is a consumer warning. Do Not ever put your scripts on auto delivery or if you get a text that a medication is due and there's no cost showing don't reply. My last order for diabetic supplies ended up processing thru the billing dept incorrectly to the tune of $435 - it should've been $0. I noticed the charge in my bank acct & called to cancel because their website said it was still processing, rep I spoke with said no prob, order cancelled. Something told me to Check the website again 15 min later, well that script was now showing in shipping. Called again, told yes indeed it was in shipping and since there was a tracking number nothing could be done. Then the fun started - went on to correct the billing, after 2 days was told to call my insurance co because the error was their fault.

    Onto a conference call between me, UH & optumrx - somehow my script was put thru prescription discount card instead of the insurance. Oh boy - I've never even used a discount card. Optumrx claimed they couldn't correct the billing but would refund the charge, send me a RMA kit to return the supplies and told me I would see the credit within 24hrs. This started on 12-31-20, as of today 1-8-21 there's still no credit on the acct, been on the phone for the 5th time and now being told the credit went thru on 1-7, requested to talk with accounting dept and was told that can't be done and the only way for contact is email - seriously? WTH. I won't be giving this joke of a co anymore of my business and will be emailing my insurance Co about their unbelievable incompetence and non English speaking reps.

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 7, 2021

    I have been without my heart medicine for 6 days. Optum is suppose to automatically send out your prescriptions if you sign up for it. When I saw I was going to run out I called them and got the runaround. I finally agreed to pay extra for quicker service. I am still waiting for my prescription.

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    Customer ServiceCoveragePriceBillingRates

    Reviewed Jan. 6, 2021

    The last time we order ** insulin the site said it costs so much a dose as a co-pay after our insurance payment. When our credit card arrived and we figured out the actual cost we were floored. The cost was 12.5 time that much when locally we could have gotten it for half that cost. When I called they explained the insurance companies payment process payments and co-pays, not why they suckered us in with a lowball price. Even after I complained the fake price is still on their site. We'll deal with local pharmacies from now on.

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    CoverageStaff

    Reviewed Jan. 6, 2021

    My husband and I began using Optum Rx for prescriptions a couple years ago with our insurance plan. In December my husband ordered heart medications he needs for Afib. Well here it is January 6 and they still getting runaround. It has gone beyond stressful! They don't care that the meds are sitting in Florida!! What kind. Of place is this. Beware! If you take necessary meds rethink using optum!!!!

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    Customer ServicePriceOnline & AppStaffRatesHonesty & Transparency

    Reviewed Jan. 6, 2021

    Online submitted a request to refill an RX on file on 1/3/2021 (that was the date Optum's website showed it could be refilled). Its website showed it would be processed immediately. Checked the website on 1/4/21 to see the processing status. Showed no action had been taken. Sent an e-mail message via a link on their website asking what was going on. Got answer they were looking into it.

    Heard nothing further so on 1/5/21, I called. Spoke to their rep who said the issue was they were having an issue with my mailing address. This is strange (actually a lie) since I've been a customer for over 8 years, haven't moved in all that time and had received an order from them just a few days ago. I verified my address. Rep told me the order would be processed immediately and on an expedited basis. Checked on 1/6/21. Now the website shows that it won't be processed (it will not ship for at least a day) until more than 2 weeks from the date I called. Even expedited I'll be out for at least 5 and I'm not sure this order will actually be expedited. Nothing better than a local pharm except the price. If you sign up for Medicare part D do not sign up with them or United Healthcare which uses Optum for their mail order supplier. You'll regret it.

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    PricePunctuality & Speed

    Reviewed Jan. 6, 2021

    OptumRX will put you through an exhausting, unending battle to get your medication. They will ask you for the same paperwork over and over, you will fax it to 10 different people, over and over, and still Optum will say they have not received it. My doctor will no longer deal with them on any level. He finds their entire company completely incompetent and you will have speak to at least 20 different people for 15-45 minutes each and still have not gotten anywhere. I waited 4 months to get a prescription filled. When I finally got it done, it arrived 2 weeks late and unusable since it needed to be kept cold and the ice packs had melted. Optum refused to take it back and I had to go buy it at CVS.

    I spoke directly to one of their pharmacists who stated that Optum will put you through hoops to get your medication especially if it is expensive. They will make your life extremely difficult hoping you will give up. This company has sooo many bad reviews I am not sure how they survive. The only thing I will say is that they are very good at making you sick by not filling your meds and wasting an inordinate amount of your time not to mention the added stress to

    your life. OPTUM RX-you should be ashamed of yourselves.

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    Customer ServiceCoveragePriceStaffHonesty & Transparency

    Reviewed Jan. 5, 2021

    For some reason a number of years ago my insurance switched my mail order pharmacy from Medco to OptumRx, and IMO it has been the WORST choice, over the years I have actually been yelled at by their representatives, been charged for medications I didn't order or authorize, had financial information retained but been told it had been deleted, lost prescriptions, malfunctioning web sites, CSR's that can barely speak English and recently they tried to authorize a medication I am allergic to, even after I called and was told it was corrected, due to the current world conditions I needed an emergency refill to tide me over until my december 2020 refills showed up, (ordered 3 Dec 2020, 5 Jan 2021 still no prescriptions), was assured repeatedly I would not be charged for the short term refill, another lie, I ended up being charged when I went to pick up the prescription, over all if I could give negative stars it would be a -10 star review, you have my sympathy anyone that has the misfortune of dealing with this company.

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    Contract & TermsPriceStaffRatesFollow-Through

    Reviewed Jan. 5, 2021

    They did not do what they said they would- provide me with a hassle-free reduced rate 3-month at a time supply of my medications. They have made this very difficult and have not helped me to remedy this, they will not even communicate with the doctor office, and cost me more money- they simply sent one month at a time and the amount they charged was 1 1/2 times more than the pharmacy charges. I plan to make sure my review of the organization is well heard in the public forums, and I let them know this also.

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    Customer ServiceCoverageTechSales & MarketingOnline & AppStaff

    Reviewed Dec. 30, 2020

    My doctor sent in a prescription on Dec 7th 2020 since I'm no longer allowed to use a pharmacy of my choice. Yesterday Dec 29th, I was on the phone for over 3 hours trying to find out where my medication is since I have been out of medication for over a week. After finally calling customer service on the back of my insurance card I spoke to someone that could help me. He said the order was ran under a different insurance that I don't even have, and that is why I was denied, but yet I was told when I used the app to have them call me, they never received a prescription. I then called my doctor had a new prescription sent in, and told OptumRx that I needed it overnight since I have been out of my medication.

    Today December 30th I still have not received my medication so once again I called. The little girl that I spoke with said I would get it by January the 5th and they do not do overnight service. I told her I do not understand, I do not have my medication of no fault of mine or my provider it was there pharmacy that tried to run it under a different insurance, and was told yesterday I would get it today.. All she could do was continuously repeat "It should be there by January 5th". This is definitely the sorriest mail order I've ever used. Prior to this my employer was using CVS Caremark. And why they decided to change is beyond comprehension. So now I am preparing for and entire year of calling OptumRx to make sure I receive my medications on time due to lack of trust with this company. Being in the health care industry, my heart goes out to my aging patients who are on much more serious medications that are required to use this medication factory.

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    Customer ServiceStaff

    Reviewed Dec. 29, 2020

    This company should be banned from doing business, they do not care about their customers and prey on the elderly they are supposed to serve. Totally incompetent and nonexistent customer service. Find a different company if you need your medicines.

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    Customer ServiceSales & MarketingPricePunctuality & SpeedRefunds & PayoutsTransparency

    Reviewed Dec. 28, 2020

    Customer service is awful. Wait times are awful. I have spoken with OptumRx on three occasions and they have had a difficult time answering typical pharmacy questions. I included a manufacturer discount card with my prescription which they failed to add on to the cost and charge me the entire amount of the medicine. After speaking to them I was advised it would take 5 business day for the (back office) to ensure the manufacturer discount card is accurate, up to date, and apply to my account is it is. Where as when I was using Walgreens they were able to apply the discount within seconds. After the 5 days of all is accurate it will take another 5 days to process a refund. Completely unbelievable. OptumRx lacks typical pharmacy knowledge & customer service skills. There is absolutely zero reason for any type of change to take 10 (business days) to correct. This company shouldn’t be allowed to operate.

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    Customer ServiceStaff

    Reviewed Dec. 28, 2020

    I am writing this review on behalf of my mother. She contacted Optum Rx regarding the delivery of her BP medication to which she was informed it was shipped December 14, 2020. I understand there is a delay in deliveries and we are in the middle of a second wave pandemic so delays are expected. We are now 14 days out and she ran out of medication last week. She called customer service and is told again it's in transit. So today I step in the medication was NEVER shipped because I tracked the package and the representative confirmed it hasn't shipped.

    You are now playing with a person's life my mom's life which is not his concern. I ask to speak to a supervisor this would be the 2nd time I'm assisting her with the same issue. This particular representative decided to leave me on hold and then transfer me to a personal voice-mail where I can do nothing but disconnect the call. Great job! My mom will now have to go to the hospital in the middle of a pandemic because the ball was dropped and no medication has not been shipped.

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    Customer ServiceStaff

    Reviewed Dec. 27, 2020

    I can't even begin to count the number of times this company has "forgotten" to send a prescription that is on automatic refill. Customer service reps are always very nice and helpful, but why should I have to be repeatedly call them for something that they can't seem to correct. I have had prescriptions "disappear" from their data base, not get reordered on time, said they called doctor's office when they haven't--- the list goes on and on. This has been going on for years. I have never had this problem with any other prescription supplier. This is one horrible company!!!

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    Customer ServiceCoverageTechRefunds & Payouts

    Reviewed Dec. 16, 2020

    They try to force you to mail-order your meds. Even after opting-out of mail-order repeatedly, I still end up having to call and opt-out again with most new prescriptions. However, that is just a mild inconvenience. The real problem came when I developed Rheumatoid Arthritis. Doc had me on one medicine for a year and the inflammation was still a problem 4-5 days a week. Doctor gave me a new prescription which was 60 pills for a 30 day supply. I was shocked when the pharmacy said it would be $185! Turns out this 'provider' (read: denier) refuses to pay for more than 30 pills every 90 days and tells me my only recourse is to convince my doctor to spend time on the phone arguing with my insurance provider. I'm stuck because this is my insurance through work. If you have a choice, keep looking.

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    Customer ServiceCoverageResolution

    Reviewed Dec. 11, 2020

    I do not know how many times I have gone through this with them. They send a serious prescription medicine through the mail, it does not arrive, USPS shows it as "pending" and they appear to be unable to track it when it does not arrive. They just throw the ball back to the customer and tell you to get another prescription from your doctor called in to a local pharmacy if you need the medicine. I escalated to the second level and they told me they give themselves 10 days to get it to you and if it does not arrive, they will mail it to you again then. So DO NOT RELY ON THEM if you need a prescription to be covered regularly, or if you do not want to have to get another prescription from your doctor to a local pharmacy every time they use USPS and it does not arrive on time.

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    Customer ServiceCoveragePrice

    Reviewed Dec. 10, 2020

    I was hoping that an online Rx company would know how to serve its customers. They don't. It took days for them to process my order, days for them to prepare it for shipping and then they used USPS for shipping. Really? Thousands of dollars charged to the insurance companies for prescriptions and you use the worst company in the world for shipping? USPS? Hahaha, that's another story, thieves. Where is the customer service there? Emailing them doesn't work. I just got a form letter. Calling them didn't work, I was just told they would do everything I asked for to get me off the phone and nothing was resolved. Today I try to send another email and wouldn't you know it my email mail won't go through. Just another example of corporate America taking advantage of society. This country is imploding. Thanks Optum, thanks for nothing.

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    Customer ServiceTechStaff

    Reviewed Dec. 5, 2020

    My drug required prior authorization, but absolutely no one from OptumRx is able to assist myself, my doctor or my pharmacy. We are given different answers every time, and their customer service reps are telling a new story or reason every single time. If I could choose, I would select a different provider, but this useless company is required to clear all prior authorizations for United HealthCare. If you have an option, stay FAR AWAY from these people.

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    Customer ServiceContract & TermsPunctuality & SpeedRefunds & PayoutsMaintenanceStaffBillingHonesty & Transparency

    Reviewed Nov. 20, 2020

    Was going along fine for 3 months, then, for some reason, they started claiming I owe them $1300. I disputed; they told me I didn’t owe and they were looking into it and they were investigating, but this would not affect my shipments. However, every month they put me on hold for 15 to 20 minutes so a manager could override my account b/c I had an unpaid balance. This continued and they told me 2 more times that they were sorry, and they would ship me my medicine, b/c I did not owe the money. They even told a CS agent for the drug company that I didn’t owe them money, and my account balance was Zero.

    Today, 11/19/2020, got a call that I still owe $1300. I told them that I didn’t owe them money, and told them the entire story. They actually asked me if I would pay the bill, b/c my copay assistance wouldn’t pay for the month of April, which is the month they are claiming that I owe for, but they have told me and a drug rep numerous times that I do not owe the money, and my balance is zero. If you don’t have to use this pharmacy, then don’t.

    I switched pharmacies, and my new pharmacy bills my copay assistance $100 less. They don’t know how to do their jobs, but they are very willing to lie to you to keep your business, but don’t worry, while they apologize for the mistake they’ll just sweep it under the rug till next month: that’s what they did to me, and then still claim you owe them money. Funny? January to October, but I only owe for the month of April? Every other month got paid. Sounds like a billing error, but instead of fixing the problem and getting paid, they told me and my rep that everything was fine and I didn’t owe. Now they’ve waited too late and can’t get paid, and that’s my problem How? Buyer Beware.

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    Customer ServiceMaintenanceBilling

    Reviewed Nov. 19, 2020

    A typical pharmacy order from Optum takes 8-15 phone calls to get it shipped and then it takes about a year to fix the incorrect billing on every order. My doctor's office cannot stand working with this pharmacy and I am always angry with their incompetence.

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    Customer ServicePricePunctuality & SpeedStaffRatesCommunication

    Reviewed Nov. 17, 2020

    OptumRx has filled most of my prescriptions promptly. The price is great, you can't beat $0.00. However, twice in less than 3 weeks I have run out of a critical cardiac drug, one that can do great harm if you suddenly stop using it, up to and including death. The first time, a representative told me that the prescription "had been canceled." No information beyond that. I certainly did not cancel, nor did my cardiologist.

    After days without the drug, I managed to get an emergency refill for 14 days locally. Then it started again. I had to call OptumRx twice to make sure they received a new prescription, which they well over two weeks ago. Besides their being slow in filling the prescription, now mailing is delayed. My prescription has been between Florida and New Mexico for at least five days, with no prediction of when it will arrive. Back to calling the doctor's office, getting another emergency supply, and it is now five days without this drug. I cut a pill into minute pieces, but used the last yesterday. I'll give OptumRx one more chance, but after that I will pay a premium to use a local pharmacy where I am known to them, and they to me. Sometimes free isn't worth it. I should add that there is never a notification when there is a problem with filling a prescription, and no communication when a refill is delayed.

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    Customer Service

    Reviewed Nov. 9, 2020

    For months I keep getting numerous customer service phone calls and automated calls from people who have incorrect information medical information that I have tried to correct numerous times. This company outsources their customer service to Philippines and these people don’t know how to make corrections in their system.

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    Customer ServiceStaff

    Reviewed Nov. 9, 2020

    Website portal = Sucks. Customer Service = Sucks. Be aware they also keep your medical records FOREVER! You would have to go to the supreme court, get a jury trial, and legal services before they got rid of your records. Not even Edward Snowden can help you! Scary world.

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsStaffCommunication

    Reviewed Nov. 9, 2020

    Facts brought out about the OptumRx Drug Program and reported to OptumRX.

    1. OptumRX uses fax machines to confer questions before filling prescriptions.
    Issue: There is no communication other than the fax to ensure the fax was received.
    - If there is no reply from the fax then the prescription goes unfilled.
    - There is no timer on when a call back is required due to a non-response.

    - OptumRX uses an Internet phone system to send faxes so there is no caller ID and many offices block the calls so the fax is never received.

    2. OptumRx does not communicate at all with the subscriber if there is an issue with the insurance it is the subscriber that is required to find out.

    3. Orders are not being processed and are causing in some cases the customers to seek return medical visits or to check into emergency rooms in order to receive medication delayed or rejected. This drives up Insurance costs and can overwhelm health care operations.

    4. Opioids only allow a one week supply unless there is a Prior Authorization (PA). That is what the Pharmacy understood and that is what the Doctor's office understood. As a post-surgical drug for pain was needed everyone learned the uncommunicated rejection, only two prescriptions are allowed in a 54 day period without a different Prior Authorization (PA). The PA was put in but not processed and this is several days later. Total Hip replacement surgery was required from March of 2020 and the Operation performed at the end of October 2020 the insurance claims that 14 days of pain medicine for surgery should last the 54 days leaving 40 day for the claimant to seek Urgent Care at a local hospital for pain resolve and the question is will insurance pay for the hospital stay?

    5. The computer system used by OptumRx has major issues. A doctor ordering blood pressure medications such as ** where a 180MG and a 240MG dosage is required once a day the computer will rejected it because the drug has the same name. The requirement is for 420MG once a day. The workaround was to order the supplies at different times.

    The only way I have found to work with this insurance is to talk to them directly and create a complaint. The complaint department is very nice and did work with me to straighten out a few issues. I still have a pending issue not resolved but I did call again. I am currently searching for how to make a complaint for this with the State of Michigan hopefully things will get better if fines or compliance issues are found and resolved.

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    Customer ServicePriceOnline & AppRefunds & PayoutsStaff

    Reviewed Nov. 9, 2020

    I am the caretaker of my 95 year old mother. It is difficult to impossible to log on to their internet site and each time I have to change my password to do so. The website is inefficient to clear up problems so I have to follow with a phone call that is beyond frustrating. The automated voice cannot understand my input and finally transfers me to agent which is what I want anyway. After being on hold a long time I get a rep who verifies they've shipped the wrong product and twice they've told me to call when I receive pkg to return it when they know they can't accept returns. I end up spending three times as much on their product. They continually call to refill the expensive drugs that I have found at a different source for a lot cheaper. I hate doing business with them.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Nov. 1, 2020

    I received my order ** without **. Today I got an email from OptumRx about a problem with the order **. The representative said there is no more ** and suggested to go to the local pharmacy. After that I have a problem with transferring a prescription from OptumRx to CVS. Is OptumRx a nationwide company with millions of customers or it is a local pharmacy with numbered customers? Who is in charge of supply? I cannot imagine situation like this at the Ford or Toyota assembly line. No more wheels! Thousands of people are waiting for wheels! What gonna be with such company and where the supply managers gonna be?

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 30, 2020

    I have no choice but to use OptumRx. My employer won't let us opt out. First of all im on anxiety and depression medication that I cannot go with out. If I do I will have to start the process all over again to get it to work again (6 weeks) during that time I feel like I don't want to live anymore. Optumrx doesn't care, every month is a battle trying to get them to send me my medication. Here I am again.. dwindling on my meds, even though my dr gave me a 90 day prescription on 2 medications - OptumRx sent 30 day supply on one of them and 0 of the most important one. I've been waiting a month to receive them. I will have to call again, probably several times before they will give me an over ride to pick up at walgreens because they didn't send my meds. If you can choose to opt out I would. Unless you like being on the phone begging people for prescriptions. Dangerous if you depend on medications for your life.

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    Customer ServiceStaffResolution

    Reviewed Oct. 29, 2020

    As a senior on various medications, I was reluctant to give home delivery a try, but I did, and I am very very sorry I have. What a fiasco mess of inaccuracy and horrible intelligent customer service people who say they are taking care of the problem but it never resolves after three hours on the phone with different representatives. There is no management email to contact for a real resolution or ability to chat online. I do not trust their customer service to continue to maintain my medications where they failed to properly mail a very important blood pressure medication at the end of September and I have since been out after dealing all month long with them trying to explain how their set up was an error they caused.

    None the less, even so, the three separate hour long phone calls to customer service should have resolved the problem asap and rushed me delivery... but not so. It is now the end of October and they just emailed me that they have shipped an order to me.... which is two medications that are not even ready to be renewed till the end of November. All I can say is the competence and customer service is dangerously inferior at OptumRX and can't be trusted for anything you depend on.

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    Punctuality & Speed

    Reviewed Oct. 21, 2020

    I ran out of medication while waiting over 2 weeks for delivery. I ask for an overnight re-ship since I was out of med's but they refused and said it could take another 2 weeks. Suggest anyone using this "service" request a refill 30 days before running out of med's.

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    Customer ServicePricePunctuality & SpeedOnline & AppStaffTimeliness

    Reviewed Oct. 21, 2020

    Cannot say anything good about OPTUM-RX. After 5 years, I am dumping United Health Care Medicare Part D. I got robocall yesterday saying that my medication had been recalled due to carcinogen contamination. After that robo-statement, the robocall immediately went to a busy signal and cut off. So I called customer service. Spent the next 25 min. on hold trying to confirm or deny the recall. Hung up. Sent message to OPTUM. The message reply next day did nothing other than promise to open a case file and to confirm that I agreed to deal with my issue via email. [WHAT???]

    So, today had phone call with customer service rep (not a pharmacist) who immediately told me to stop taking the medication (which, by the way, was delivered to me AFTER the recall notice had already been issued by the Food and Drug Administration). I asked the customer service rep for details. He put me on hold and five minutes later got back on line and corrected his statement. Told me OK to take the medication, that the lot issued to me had not really been recalled.

    I searched around on internet and found an OPTUM phone number to call to demand to speak with a pharmacist (NOTE: the OPTUM website does NOT notify you of your right to speak to a pharmacist; nor does it give you a phone number to connect to a pharmacist). I finally got a pharmacist, who confirmed that my medication had in fact been recalled and promising to send me a replacement. This is dangerous and puts my health at risk. Note: This is only one of about 10 complaints I have logged with OPTUM-RX over the past five years. This is one of the most expensive Part D plans on the market. My annual Part D charge is almost $1,000. The service is the worst.

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    Customer ServiceCoveragePricePunctuality & SpeedMaintenance

    Reviewed Oct. 18, 2020

    When everything goes well, the maintenance medicines come on time with no hassles. I love that all of my maintenance meds come free through Optum. But if anything gets crossed up, it takes several days, a couple of visits to the website, several phone calls to both Optum and my doctor's office to get it straightened out. I got notice a couple of weeks ago that I needed to contact Optum because they needed more information to process my next order. So I called, and it turned out that THEY needed to inform ME that they were out of stock and did I want to contact their procurement division to be put on the wait list. I was hoping for an estimate of how long it might be before they would have more, so I could decide what to do. The person I spoke with transferred me and I hung up after 20 minutes on hold.

    I called my doctor's office and they had my prescription filled at my local pharmacy. My insurance charges a copay for using the local pharmacy. Oh, well, thank God it was a common, inexpensive medication. But a couple of days later, I get email from Optum, saying my doctor canceled the original order. I called the doctor's office again, and no, they hadn't. They had confirmation from Optum that the order was placed and were surprised. So now they have to call Optum and waste their time. Who knows if I'll ever get my 90 day supply?

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 17, 2020

    I inject ** 1x per month and every time I order this stuff from OptumRx something happens on their end to screw it up. Today I am frantically trying to get my UPS driver to come back because the extremely rude and inappropriate agent put "signature required" after I refused signature verification and double checked before hanging up! He sounded like he was about 18 and went on and on with personal information and telling me what he thought of the president. All I wanted was to put in my order but he wouldn't shut up, like he was talking to someone he knew not a customer trying to put in an order.

    I just knew something was going to be royally screwed up and here I am on a Saturday, UPS knocked quick and split before I could get downstairs and now I can't get my meds until Tuesday when the ice will be melted and it will be ruined thanks to this stupid kid. That stuff is $1782 a vial!!! I want to cry right now. I can't believe how horrible this company is but I can't get this medicine any other way.

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    Punctuality & SpeedStaff

    Reviewed Oct. 17, 2020

    I am very satisfied with my mail-in pharmacy, they are always so helpful and courteous in answering my questions and concerns. I am always treated as a valued customer. I never have to wait long.

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    Staff

    Reviewed Oct. 17, 2020

    They have gone out of their way to research and save me money. Always easy to talk to and very understanding and courteous to talk to.

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    Staff

    Reviewed Oct. 16, 2020

    Very professional and down to earth. Explains things in laymen's terms for non-pharmacist like myself???? Well I used to be but that's decades ago??? I love this place. ❤

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    Reviewed Oct. 15, 2020

    I would avoid getting involved with OptumRx due their to the unsatisfactory service I received in 2020. If they messed up a prescription they would delete the order number and start with a new number. If you voice any concerns they would bully you and try to make your refill a nightmare and painful. One request was submitted on 8-21-2020, I did not receive the medication until 9-15-2020; optumrx intentionally delayed and failed to make any reasonable adjustments. When I used CVS for the same prescription refill, it took two days to complete. On 9-4-2020, Scott & White Health Plan & I requested optumrx eight times to transfer all my prescriptions to CVS whereas nothing was ever done.

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    Customer ServicePriceRates

    Reviewed Oct. 14, 2020

    This company constantly pushes you to refill your prescriptions even when they're not due. I got so tired of them calling me that I switched to another pharmacy that has local locations, better prices.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Oct. 13, 2020

    The worst. Period. Independence Blue Cross in Philadelphia forces you to use Future Scripts for mail order pharmacy which forces you to use Optum RX which forces you to put up with total incompetence. I enjoy getting emails telling me my drug is out of stock, you must call immediately, and not being able to speak to a human being .... and when you do wait 60 minutes and get a human, they put you back on hold to avoid the problem with your drug. It's criminal. I don't know what to do, except go back to a traditional 30 day, pickup pharmacy which costs my insurance company more money, me more time.... all because of this awful company call OptumRx.

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    Customer ServicePriceTransparency

    Reviewed Oct. 13, 2020

    \hey were difficult to deal with when I was first required to use them. Refills have been easy and delivered on time. Customer service is mediocre when needing an explanation of cost changes.

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    Customer Service

    Reviewed Oct. 12, 2020

    This online pharmacy is good at sending out reminders, and getting the scripts correct, but they're not good with customer service.

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    Customer ServiceMaintenanceStaff

    Reviewed Oct. 11, 2020

    Every time my Dr sends in a prescription or I call to get refills at my pharmacy they are told they need a PA. Even though I've been on the medicine for years.

    They are now denying my breathing meds because they don't feel that I need what is prescribed & that the Dr should try other medicine. Which by the way we've already tried. I have severe COPD & I need my medicine just like I need all of my maintenance medicines but they continue to deny me. Makes me wonder if they just don't care. What's going to happen is I'm going to end up in the er with withdrawals from pain meds that I've been on for over 15 years for degenerative disc disease from 6 back surgeries. Plus my body will start shutting down because they won't refill my thyroid medicine. If they are going to play God with people's lives they best be prepared to be sued by family members.

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    Customer ServiceCoverageStaff

    Reviewed Oct. 11, 2020

    I have ordered from Optum RX a few times now through my insurance. I had an issue and reached out to their customer service. The agent was helpful, but provided me with incorrect information.

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    Customer ServiceStaff

    Reviewed Oct. 10, 2020

    Great customer service. The representatives are professional, knowledgeable and kind. Timeliness for processing and receiving medication is great.

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    Staff

    Reviewed Oct. 9, 2020

    OptumRX is my pharmacy for my United Health Care a division of Optimum and they should be ashamed and disgraced regarding their support of their clients on Medicare!

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    Staff

    Reviewed Oct. 8, 2020

    Optum ensured that I had all prescribed medications in a timely manner. They communicated effectively with my PCP when necessary. I felt cared for. The care team at Optum was very professional.

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    Customer ServiceStaff

    Reviewed Oct. 7, 2020

    Nine out of ten times I call, they give me some ridiculous reason why my medication can’t be filled. Today the reason was that I hadn’t opted out of Home Delivery. When I told her I don’t think that’s the case, she rambled on about Home Delivery. They always create more confusion than is necessary. I’ve called with the same issue multiple times, and each person will give me a different ridiculous reason. ONE time I was able to talk to someone who actually helped me and was logical. He was flabbergasted by his coworkers giving me the run around for something really simple. Optum should seriously pay us for the hours we spend untangling their mess.

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    Customer Service

    Reviewed Oct. 7, 2020

    Prescriptions by mail, 90 day supply they refill automatically, they call doctor if need additional script. Order arrives within 3 days usually.

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    Reviewed Oct. 7, 2020

    I love the fact that I get a 3 month supply of my prescriptions and I do not have to contact my doctor every time I need a refill, they do all of that for me, then lo and behold, my script arrives.

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    Reviewed Oct. 6, 2020

    With Medicare, I do not pay anything for some of my meds. The one I buy is not the cheapest, but is convenient to order from them. Not everyone carries it. They make reorders easy.

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    Punctuality & SpeedStaff

    Reviewed Oct. 6, 2020

    Shipping is fast, quick to get meds when you don’t have any. Friendly, professional. They make sure your needs are met. Home delivery is the way to go. No standing in lines. Straight to your mailbox.

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    Coverage

    Reviewed Oct. 5, 2020

    I began mail order with OptumRx within the past 12 months. I have two insurance companies and I have to deal with coordinating benefits. That has worked well as opposed to another well known company.

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    Customer ServicePriceRates

    Reviewed Oct. 5, 2020

    Very good prices; but website experience is not the best; constantly changing names and log-in experiences. One password is good today; not tomorrow. The best thing to do is call-in and that is great.

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com