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

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

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

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

Reviewed April 21, 2020
You name it, Optum Rx has failed. Tabs fail, logins fail (verification code required EVERY attempt). Tech support can't resolve issues, I receive unrequested prescriptions, codes not sent, just on and on.
Reviewed April 21, 2020
I was forced to join OPTUMRX I was informed that if I did not join I would pay retail price for all my medications. They did not give me an option. So now they have my sleep medication which has been refilled by United Health Care since 2001 with no problem. OPTUMRX has that medication on hold. First time I called I was told because they needed a 90 prescription from my doctor. Medication still on hold, second time I was told OPTUM was waiting for CVS to transfer the prescription. I called CVS they told me I had no active prescription with them. Third time I called OPTUM they sai the reason it was on hold was because United Health Care was denying payment.
I called United Health Care they said they had no idea because they have been filling that prescription since 2001. Fourth time I called OPTUM the said the medics was on hold because my secondary insurance was going to pay for it. I do not have secondary insurance, the lady was screaming at me. The conversation ended when she hung up on me. The fifth time I called OPTUM said the medication was on hold because they needed a medical approval from my doctor. Five calls five different reasons. I have 3 days left on my sleep medication, I do not sleep without it. I have no idea what I am going to do.
Reviewed April 15, 2020
My experience mirrors many that I just read on this website. No coverage for ** inhaler. Walgreens indicated cost was retail, so insurance was not covering (UnitedHealthcare w/ OptumRx). On website CHAT indicated could buy for $47.14 for 3 months. Actual charge when the medication showed up was $188.57. After calling, chatting, emailing, still no resolution. Could have purchased a 3 month supply from Costco with an online coupon for about $54. The practice of quoting a price and then charging 3.5 times more is bordering on being illegal and at the very least is abusive. Hard to believe UnitedHealthcare uses OptumRx!!!
Reviewed April 14, 2020
We pay monthly for our Prescription coverage. They reject Prescriptions that we have been using for over 10 years. Then they make you go through a lengthy process to review our doctor's Recommended medications. OptumRx then decides If they will allow you to continue using your doctor recommended prescription. This is not fair. It's actually criminal. We pay, they deny us our Doctor Recommended prescription. The final insult is OptumRx has a satisfaction survey at the end of the phone call and if you answer 2-3 of the first questions negative they will end the survey and say it's a bad connect. This is criminal.
Reviewed April 13, 2020
They were not concerned with the fact that I was out of medication and had been out for 10 days as of today. Rude. One lady even hung up the phone with me. I was not given a choice of this insurance d/t my employer but if you are able to choose your prescription pharmacy I would not recommend at all.
Reviewed April 13, 2020
OptumRx is the WORST mail order pharmacy I’ve ever had to use. Nobody there seems to know what is going on with any prescriptions. For every prescription I’ve had, I have had to call them at least two or three times to get them to process the prescription. On every call, I get transferred to different departments. Why can’t I simply make one call to request a refill of an approved prescription and then feel confident that it will be sent to me??? Dealing with OptumRx is all kinds of crazy!!! I will be glad when our insurance company changes to a different mail order company at the end of this year so I can escape from the OptumRx nightmare!
Reviewed April 11, 2020
We get e-mails that our orders have shipped when in fact, the Rx is out of stock. They claim they're 24/7 - but not if you want to deal with an out of stock item, then you have to wait until Monday. "Pharmacist reviewing" seems to be the default status and can take 3-4 days even for a refill. You can make changes of your address, phone number and preference for text online - and they will still call you using the wrong phone number. I'm done, switching all our Rx to a local pharmacy and braving the outside world to pick meds up.
Reviewed April 6, 2020
I have worked with Tenncare Medicaid pharmacy department since 2017, staying on top of all the changes that were occurring. January 2020 Magellan was either bought by (or something) by OptumRx. Since this change, working with this pharmacy has been an ultimate nightmare. When attempting to initiate a PA via Covermymeds, it's IMPOSSIBLE because OptumRx still hasn't updated their system so that they recognize the patient's information. This is an unnecessary headache!! Shouldn't be so. Now Covermymeds isn't user friendly and it's clearly not their fault. OptumRx knows of the issue but has done nothing about it.
My 2nd complaint would be these 3 day approvals for ** medications. This is dumb! Why would any authorizing organization only authorize anyone 3 days to pick up medications? If a patient was aware of the approval, this stipulation may not be as awful... BUT THEY ARE NOT! WE, THE PRESCRIBING OFFICE ISN'T! More often than not, the approval notification is NOT faxed or it's faxed on weekends. Really??? I guess it's faxed to the ghost and dust bunnies!! FYI, ** is a medication designed specifically for Sickle Cell patients and its a MAINTENANCE medication. This means they will need/take it all the time.
OptumRx will only approve a 3 day authorization - which means patients only have days to pick it up. In addition to this, it's only approved for that 1 month - even though the Rx calls for 11 refills!! What agency has the time to initiate a PA for every freaking patient every month for the SAME MEDICATION!! Correction… every week because if for some reason the patient was unaware of the approval or unable to get the medication in 3 days, the agency has to reinitiate another PA. This is not considerate of the Prescriber's time or the patient's health. But you claim to be a pharmacy that cares. No..it's financial for you. Get it together and make these necessary changes TODAY!! PA's for ** medication should be authorized for a minimum of 6 months to 1 year!!!
My last complaint is the customer service I received today. I have no problem with different dialects or speaking with reps from different regions (although it's quite difficult to understand them)… but I do have an issue with rude behavior. This lady continued to attempt to speak over me as I explained the patient's situation and then even as I gave pertinent patient information. SHUT UP!! LISTEN!! Rude behavior is a no no! This made me hate OptumRx even more. I'm calling that they are shut down or either replaced. I have began a petition because if they can't listen to the general public and make changes accordingly, we don't need them. And because I am pissed, I have NOT proofread. No apologies!
Reviewed April 1, 2020
I have been on my medications for several years, now I need a preauthorization for it. I drop my original script off and they didn't like the way it was written. My doctor rewrote the script to fit into their guidelines. They again rejected it for a prior authorization. I am now a week without my medication. When I called and asked for explanation. I was told it could take 24 hours. I said it's been 8 days. I asked for a supervisor and was reconnected to the automated system instead. I waited on hold for well over 1/2 hour before giving up. Sure hope I don't suffer any side effects from not having the medication. They sure don't care.
Reviewed March 30, 2020
This company is the worst I have ever dealt with. Customer service people who are CLEARLY overseas have no idea what they're doing. This company keeps billing me $100 even though I haven't placed an order. I can't refill prescriptions because they say I owe them $100. I call them over and over and over again to correct their mistake - it takes weeks for them to do anything. I've had to contact my bank and report the $100 they took out of my account as fraudulent. What is wrong with these people?
Reviewed March 28, 2020
When my company switched to this mail order pharmacy, I expected some glitches. It took 2 months to get one of my medications. Finally worked out, no problem. As soon as they found out our contract with them had expired, all heck seemed to break loose. Prescriptions that were low cost appeared without much problem (including BOTH strengths of one which the doctor had changed! Their notifications don't mention strength, and often not on the website.
Suddenly, the pre-authorization from the doctor who had closed his practice wasn't good enough for my most expensive medicine. My new doctor sent it in TWICE, and the prescription at least twice. Still can't get it, though they tried twice to send half-strength. Claimed the authorization AND the rxs were for the lower amount, even though I'd been receiving the correct, high amount all year. Also, even though another preauthorization for a higher dose of a Tier 2 med was still good, they required another one for it, too. And still would not send the medicine.
On top of everything else, rather than charging me the usual $140, they are trying to charge me over $2200 for this one. I called to figure this out, and the prior authorization department hung up on me. He kept reading the same sentence over and over about expiration date (in two months), but would not explain what that had to do with anything. This morning, the person I spoke to in the pharmacy put me on hold. 20-30 minutes later, she hung up. Suddenly, I got my THIRD text telling me my prescription was on it's way. It is not. If I ever have to use OptumRx again, I will go a year without insurance.
Reviewed March 28, 2020
I've been on a certain medication for a while. All of a sudden, for this current renewal, they want prior authorization. This time they declined it. Their pursuit of profits to the exclusion of their customers' health is unconscionable. And this post is from a conservative!
Reviewed March 17, 2020
OptumRx just took over the prescription benefits for BCBS. They have been terrible to deal with. You expect a certain level of knowledge by those helping you. I had a prescription that they turned down 2 Prior Authorizations and forced an appeal. It has been 11 days but the 3 hour conference call with a BCBS rep and 11 different "specialists" from Optumrx. The first complaint is that 3 of those specialists just hung up on us. The others kept insisting my appeal had to be filed with BCBS.
In the end all 11 Optumrx "specialists" learned that they handle their own appeals and not BCBS. Is that who you want handling your medication approvals. Most of the specialists really appeared to be clueless. I have never been stressed out as much as I have been this week all because of Optumrx. I have had to change medications I have been on for years and one I have been on for a few decades. I am still awaiting one particular appeal. Hopefully it doesn't lead to an ER visit in the middle of the Coronavirus outbreak because Optumrx knows better than your doctors...
I would hope to avoid Optumrx in the future and if BCBS still utilizes them next year I will seriously have to look elsewhere for my insurance. Apparently I am not alone in my problems with Optumrx as their reviews are terrible. My pharmacist says they are the absolute worst they deal with as does my doctors office. I thought they were there to help the patients and the insured. They seem to do what they can to disrupt your health.
Reviewed March 9, 2020
Just about the worst company I have ever dealt with. The OptumRx website simply doesn't work and is not updated in real time. When there is a problem filling a prescription it is not reflected on the website and there is no notification by other means. Promised expedited deliveries are frequently not made. Issues that arise on medication combinations are never resolved as their computer system is apparently incapable of indicating that the issue has been previously solved. The customer service reps are not helpful or properly trained. When multiple calls are made about a prescription hold-up (and this is a frequent event) different answers are given by different reps. Frequently promised resolutions are not delivered.
I have recently begun to switch my prescriptions to Walgreens where I can see the pharmacist, they smile at you, are happy to have your business, and actually deliver the prescriptions. With Optum Rx I am unable to even imagine worse service. I frequently wonder how they are able to stay in business and suspect that it is only because customers are forced to use them.
Reviewed March 8, 2020
My wife and I both have had continual issues with OptumRX. Everything from having to do multiple submissions of prescriptions (up to 3 times) to a website where their features do not function. I've been trying for 3 months to have a discontinued medicine removed from my account, they have it duplicated, and I get two texts every week that my Doctor doesn't approve the prescription. He doesn't want me taking it, and neither do I, but they can't figure out how they messed it up.
You can't communicate with the same person twice in a row, either by phone or message. No direct emails, only messages that may be responded in 3 to 5 days on the website or by phone. But wait making a call to their staff is just fun, they don't know anything about your account, their systems are days behind in information so nothing is current.
The majority of people I have dealt with have little or no training nor understanding of generic replacements. If you look at a bottle that is labeled with a standard name, they don't know that OptumRX will have it in your account as the generic that they sent you, with no cross reference to the information on the label. They like to repeat the same phrases, and not give you any information. When you ask for a supervisor, they are just unavailable. After hours of wasting time with them and different stories about what they are or will do, I have given up on making a call to them.
I wish I could remember the number of times I was told to be patient and they would have someone call me. If they have called, which I really doubt, they have not left a voice mail. Their texts are abbreviated and uninformative. Their online messages always start with: "Thank you for contacting OptumRx Customer Service. We apologize for any inconvenience you have encountered. A request has been submitted to..." Then you wait a week and no response, do a reply and the next message starts with: "Thank you for contacting OptumRx Customer Service. We apologize for any inconvenience you have encountered. A request has been submitted to..." There is just no concern about giving the customer any information nor assistance. I do know that I have learned to check every medicine sent from them, and count the pills. Why can't I give them Zero Starts? Our experience with OptumRX has been just unbelievable.
Reviewed March 3, 2020
The new year brought changes to my husband’s employer medical insurance and we were given OptumRx and had ExpressScripts taken away. Last month we spent in excess of 9 hours on the phone trying to provide OptumRx with information they weren’t even sure they needed. Their method is to frustrate their customers by their long phone menu, the number of times they simply cut the call off and an incredible amount of nonsense, to avoid paying for my prescription.
A medication I have been on for over eight years is now being subjected to their scrutiny and lengthy Pre-authorization process which is simply a game to them, they hope I will do out of pocket payment but I simply am unable to. The resulting withdrawal symptoms from being simply denied a powerful narcotic pain medication is catastrophic. They have no concern for this, it’s truly amazing how detached they are from the impact their actions have on people. This company is truly a bunch of criminals. It’s amazing how low they have stooped.
Reviewed March 2, 2020
My Husband's employer switched to OptumRx January 1, 2020. I have never had so much trouble getting my prescriptions filled. After trying for weeks to get a pain medication filled, I received a letter from Optum. Mind you, this was all in the same letter, Bold Lettered Heading, THIS MEDICATION DOES NOT NEED A PRIOR AUTHORIZATION. First paragraph, this medication was not filled because it needs a prior authorization. Second paragraph: This medication does not require a prior authorization.
When I called Optumrx, I was told that YES It does need a prior authorization. I asked the supervisor to explain the letter. I was told ** the girl who compiled the letter made a mistake when she "put it together" ** So I asked, "What do you mean "put together", do you mean cut and paste?" And the supervisor said yes. I have been trying to get this straightened out since late December 2019 and am STILL trying to get it fixed. If you need any life saving meds or pain meds, I highly recommend you find a way to pay for it without optumrx. It will be expensive but at least you'll have it. I have the letter if any one from optumrx has the stones to address this issue. I will more than happy to send a photo copy.
Reviewed March 2, 2020
I have been dealing with OptumRX for more than a year and they have been nothing but trouble. I am required to use them through CenturyLink (At least that is what I am told by United Health Care). I am a diabetic and required to take insulin. As I said I have been dealing with them for more than a year. The latest dealing started in January of 2020 when I called and requested a refill of on of my insulin pens. The woman on the phone was very nice and eager to help.
At the end of February I had still not received my order. I check their website and did not even see where it had been ordered, so I called them to see why. The customer service person told me that she could see where I called and placed to order, but the fax requesting the refill was not sent to my doctor. I asked for a supervisor. I was at work when I made this call and when the Supervisor came online after a 20 minute hold the supervisor came on the line. I told her I was working and had to make a quick phone call to hold on and her response was "I don't have time to wait on you to make a phone call." I told her that I just waited 20 Minutes and she could wait a minute.
At the end of the call I was assured that I would be receiving my meds. This is the 3rd of March now and I still had not gotten it. Again there was no information on their website and when I called and was told that there was a problem with my credit card and the order was not placed. Why did they not call me, email me or even put on the website under messages. They are the worst. They really do not care about their patients. Pricing changes all the time. They do not take any type of discount cards that are meant to help those of us who cannot afford the copay on some of the meds we have to take. I wish I could go back to my local drug store.
Reviewed Feb. 29, 2020
I contacted OptumRx on a Sunday asking for a refill for a medication. They told me that I could not get a refill until the first week of March. I reminded the representative that I take my medication at a different frequency and my doctor had submitted that documentation seven months ago. I told the representative I did not want them to send me my medication and then I would pick it up at my local Publix.
That Wednesday I got an email stating that they had shipped my medication and the medication listed was the generic version. For the last 10 years I have been receiving the brand medication per my doctors orders. I’ve had to submit an appeal for the brand version which had been approved seven months ago. The representative said she sees that I have to take the brand medication and that’s what I was sent, the email just listed The generic. Having been dealing with this for years I know that what she just told me is not true and probably illegal to state you're shipping a medication that in fact is not the one that was mailed out.
Today is Saturday and I have received the medication, and it is in fact the generic version that I am not supposed to be getting but it is the one that was listed in the email. Along with the incorrect medication I have a balance now. I immediately call OptumRx to complain because the last two representatives I spoke with gave me blatant incorrect information. I honestly can say that there has not been one time that I have spoken with anyone from OptumRx that has given the correct information.
I explain to the representative the issue and ask her to remove the balance. Even if I was ordering this medication from them and they did send me the correct medication, I should have a zero co-pay. Also if I did in fact order the medication from OptumRx and they sent me the brand, I should have a zero co-pay. The brand version of the medication is not covered under a zero co-pay but the generic is. My doctor and I have submitted appeals, which have been approved every year for the last three years and most recently approved seven months ago, that because the medication that I have to take is the brand version that it should also be a zero co-pay.
So the representative I spoke with today, Saturday, told me she can’t get rid of the balance until they receive the medication back. It doesn’t make sense to me because even if they sent me the correct medication I should not have a balance. The representative said no one can remove the balance until they get the medication back.
The representative admitted that this was OptumRx’s fault. So I now have a balance because they made a mistake but even if I got the correct medication I still shouldn’t have a balance. Representative stated she would submit something to the billing department asking for an adjustment but that would take 1 to 3 days. I told her that the representative I had spoken with on Wednesday told me the same thing. I asked her if she could send me an email with documentation that stated she was going to submit for an adjustment. She told me she could not but I could check back with them in 1 to 3 days to see if that adjustment has been made.
Admittedly I was quite upset because everything from start to finish was a mistake on their part. The representative said she was just trying to help me and that she didn’t have to do that. I reminded her that it was her job to help me and I shouldn’t have to do her job by following up in 1-3 days. For a recap, I was told I would not be sent the medication in time so I told them not to send it. I got an email saying they sent it and it was the wrong version. I’ve had to submit documentation and appeals every year for three years to receive the brand version and a zero co-pay. I now have the generic version and a balance.
Reviewed Feb. 29, 2020
They have tier one drug but if expensive, will not give tier one pricing but instead blame it on a “system/network” issue. I have necessary med that is tier one but priced at $400 via Optum but with cheaper cash price. Very dishonest in that they receive so much money from my insurance company but will not provide scripts when needed. Constantly blame things on prescriber or PAs or on my “benefits” despite telling me meds covered by benefits at tier one. No way to contact optum in writing which is suspicious as if they want to avoid paper trail. They do everything over the phone and constantly transferred to other CS agents who spend ~15 minutes looking into benefits but all five different prices and interpretations.
Reviewed Feb. 28, 2020
My Blue Cross plan switched from Caremark to Optumrx starting January 1, 2020. So far, we have found that the cost of our routine medications is more than 50% higher than with Caremark. One medication is even the generic of the brand name Caremark was supplying, and it’s still 52% higher. But the real kicker was the discovery that the eye drop my husband needs ISN’T EVEN COVERED. This same prescription was filled twice in 2019 with Caremark with a copay of $7.25 each.
I picked up his refill yesterday and was informed that Optumrx doesn’t cover it. This is not some fancy, specialty or experimental drop, and there is absolutely no justification for excluding it. Two other beefs are their terrible website and the excruciating process of getting covered Rxs filled. It took more than 2 weeks after the Dr submitted a prescription for a blood pressure medication for the prescription to be processed and mailed.
I had to call 3 times, and was told twice they didn’t even have it in the system. Then they put the Rx on hold because they said there was a problem with the address, despite having the same address on record as the Rx they just mailed. And as for the online customer account info... what a joke. Tells me how much I could be saving with a 90 day mail order of an ** that was a one time deal. And the amount changes every time I log in. The site even lists the non-covered eye drop suggesting we try mail order but nowhere is there an indication that they denied coverage for that drug. This is a TERRIBLE company to deal with. I am extremely unhappy that it is now our Rx provider. If you have any other option, take it.
Reviewed Feb. 28, 2020
New to Optum RX and this is the worst pharmacy that I have ever dealt with in my entire life. Stay away from them... It takes forever to get a prescription filled and when we talk to an employee they just tell you lies.
Reviewed Feb. 27, 2020
OptumRX is very hard to use. They reject your refill requests and never contact you to tell you. This has happened many times and this time my doctor even tried to call in the refill. After being transferred 7 times, he gave up and gave me a new prescription on paper to send in. OptumRX also gives you conflicting information. And when whatever they promised when you call and speak to one rep will be rejected, leaving you to call back and talk to someone else who won't help you, won't listen to you and won't let you talk to a manager. This kind of behavior makes me so angry. It's essential I receive my meds and when you can't get OptumRX to help you, you have nowhere left to turn. I'm only using them because United Healthcare makes it mandatory. They are terrible.
Reviewed Feb. 26, 2020
Dr. prescribed ** for SIBO... OptumRX took 1 day to deny, second and third day to deny appeal from Dr., then said they would send a letter to explain why (another three days)... Still no help... Going out now for more **...

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

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