OptumRx Reviews

formerly Prescription Solutions

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About OptumRx

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


OptumRx Reviews

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    Page 9 Reviews 1240 - 1440
    Customer ServicePriceStaff

    Reviewed June 27, 2019

    Have been trying to get medication my Dr ordered for a month now, with no results. Says they have to have a prior authorization form for FISH OIL TABLETS!!!! Can you believe that... Fish Oil. I could perfectly understand if it were some type of controlled medication, or something top that effect, but Fish Oil, c'mon man, really. So I call them out on it, and they blamed my doctor didn't put a diagnosis on the "prior authorization form", that's why it was denied. Asked to speak to a supervisor, and he told me the above was the reason, and until my doctor completed the form it was denied.

    So, I asked them to send me an "appeal" document and he told me that he could not send this to me, but he could send it to my doctor. We PAY THEM, not the other way around. They should do as they are paid to do. The bottom line I found out is that the medication the doctor prescribed is pricey, that's the whole reason they are denying it.... But it's all about the price. It's really sad that the insurance companies control what the patients consume. "They know better that the doctor you are seeing." :( Really sad the health care has gotten to this point.... SMH

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed June 27, 2019

    I was a years long customer at Wal-Mart pharmacy until I became a UHC member 2 yrs. ago. I was given the options of using CVS Pharmacy or OptumRx. Things started out well enough. Prices are great.The last 6-8 weeks have been a nightmare. I recently transitioned to a new insulin pump system. One day I got an email informing me that a prescription had been received & was in transit. I had no idea what was going on. The rx was for test strips that were for a glucose meter included in the starter kit. I use a different meter that is more affordable so I didn't need this prescription nor did I request that it be filled especially not for $135. I called to cancel the order but as the email read it had already shipped. Against my wishes, OptumRx took the funds from my account in the blink of an eye.

    I'm paid on a biweekly schedule. I cannot stress how important it is to plan out my expenses. It was still a week 'til payday & I had 2 Dr. appts that I had to reschedule. Even though OptumRx was so speedy in withdrawing the funds. It took a month to refund them. Now no more than a couple weeks later they've done it again. I asked OptumRx who placed the order & I was told my doctor did & could do so & OptumRx could process filling, shipping & billing without consulting me. I have multiple medical conditions. Payroll will be deposited tomorrow & there are already charges pending against money I haven't even received yet. But here's the shady part. I was seeing a provider at my endocrinologist's practice. She is the one who sees to any refills or new meds needed.

    By the way this practice utilizes a completely electronic system which means requests for refills are sent to the pharmacy at the speed of light. My last appt. was Apr. 30th. Today is June 26th. And may I point out that the last few prescriptions I tried to refill by phone were never shipped due to alleged failure to reach my provider for authorization which has never been a problem. So I was told to contact my provider myself.

    In addition my last appt. with my provider was just that. Ms. ** submitted her resignation prior to Apr. 30th & her last day of work was May 3rd. I am being assigned to a new provider whom I will meet August 6th. The prescription is for a 90 day supply of insulin, 11 vials. I filled this same rx so recently ago that I still currently have 8 vials in my fridge. My plan this payday was to fill my other maintenance meds. 6 in all. I guess my plans have now changed. Thanks a lot OptumRx. I've decided to opt out of OptumRx. Maybe CVS will be the better choice.

    I feel I deserve an explanation. How is it that a pharmacy or Dr. has the authorization to withdraw funds from an account not owned by them? And wouldn't the professional & ethical way to conduct business be contacting the patient to confirm 1. The patient is aware a prescription was received. 2. Confirm the prescription is correct & needed. 3. Confirm the funds are available or confirm when the funds will be available. In other words do your due diligence.

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    Coverage

    Reviewed June 26, 2019

    I have diabetes and my medication at 750mg was pretty cheap to refill a 3 month supply, something on the order of less than $20. My doctor increased my dose to 1000mg, a 33% increase in my dose. At first they refused to fill the prescription saying that it was not covered. My doctor had to fill out a request for pre-approval. I got the medication so I figured I am approved. It is now time for my refill and and they are now charging me $100 for the medication even though I paid less than 20% of that at 750mg! I would freaking drop these guys in a heartbeat but this the is the only insurance carrier that I am sure will let me keep my current medical group.

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    Customer ServiceCoverage

    Reviewed June 26, 2019

    Denied medication I've been on for 13 years. Just awful. My Dr. called in expedited pre-authorization. Apparently, the pharmacist tried calling her 1 time. Since she did not answer the call that 1 time, she wasn't even given a chance to call back, they made a medical decision to deny my coverage.

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    Reviewed June 21, 2019

    I was on a medication for a long standing medical condition. I have been on this medication for over 5 years. Optum refused to renew my primary care physician's order and instructed us that I was to be off my medication until I became sub-therapeutic to show need. While I feel that force anyone on a non-narcotic medication to withhold their medication intentionally to make them sub-therapeutic against what that person's PCP has ordered borders on either medical malpractice or practicing medicine without a license if these decisions are being made without a medical provider. I did comply and became extremely sub-therapeutic with the expected physical issues of being so. When my PCP requested again to restart my medication it was denied and a 2nd, later sub-therapeutic level should be drawn. Why is my pharmacy dictating my medical care?

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed June 19, 2019

    In March my obgyn prescribed ** cream for atrophy. The price for the medication was over $100/mth so I asked for a generic version called ** which was $25/mth. OptumRx would not accept the doctor's prescription without her filing a "step therapy" request. That request was granted but I was billed $101.00; not $25. I called OptumRx and they said my doctor needed to file a "tier cost exception" form because for some reason this generic medication is considered third tier and is almost the same price as the brand medication. (Why didn't OptumRx mention this the first time round?) I called my doctor and the nurse spent time filling out the "tier cost exception" and then faxed it back to OptumRx. Fax is the only option and that means OptumRx can say they never received the fax. I did dispute the charge on my credit card but had a family emergency and could not follow up so I ended up eating the $101 charge.

    I refilled the prescription again in June and was again charged $101. I called OptumRx and was told that they had accidentally charged me for the brand name and would send a note to research and would hear back in three days. I called on the fourth day and they said research hadn't responded so they were sending a second note to research and to accounting and that I'd hear back in three days. Nothing happened so I called four days later. This time I spoke to a woman who explained in great detail without letting me speak how their system worked and that my doctor had never sent in a "tier cost exception." She also said the people I'd spoken with earlier had misquoted me. The cost was $75; not $25. $25 was for pills. (I don't take the pill form because the doctor is concerned about intake of hormones vs using a topical treatment.)

    She insists several times that my doctor failed to send in the fax and had failed to write "tier cost exception" on the fax, may have taken too long to send the fax back as there was a time limit and that they have no records of ever receiving the fax. I finally asked her to stop saying my doctor "failed to send in the fax." She did send in the fax and your office failed to receive it. The woman remained rude and really seemed to make an effort to put all the blame on the doctor. She said she would send a fax to the doctor and carefully explained all the details I'd heard 20 times again. I called my doctor and the nurse said she'd kept records, written "tier cost exception" on the fax and had proof. She also said she sent the fax again and had then called OptumRX to confirm they received the fax. She said the person she spoke to said they tried to enter the form in the system but instead of saying "processing" it said accepted.

    I called OptumRX to find out. This time the customer care person was even more rude.. He used the same strategy as the woman the night before; lots of detail about what I had to do, accused the nurse of not sending the form in, didn't let me speak etc. It was as though the staff have been trained to turn on the customer and doctor/nurse so we give up and don't ever get our discount. He told me there was no way he could see if the fax came in; that they receive thousands of faxes a day and it takes time to process the faxes. I tried over and over to ask questions and for phone numbers of departments I could speak with. I did receive one phone number but with great reluctance. Finally he told me "ma'am you are not understanding what I have been saying.." I thought well and you have not listened to anything I've said..but at that point I'd had it.

    I told him I was sick and tired of being forced to jump through hoop after hoop and spend hours and hours of my and my doctors time trying to get something done. As I talked he talked over me and continued to say "ma'am, ma'am." I mean maybe I was rude because I did curse and hang up but what kind of service is this? Let's top this whole thing off with the fact that you are trapped into your health care provider's rules or I'd be paying $450 for this medication. One more thing. I went to Mexico to visit a relative, got off the plane, went to the pharmacy and purchased ** (same brand; same name but in Spanish) for $10. I'm sure this is illegal which makes this all worse. This is a negative rating.

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    Customer ServiceStaff

    Reviewed June 15, 2019

    Disappointing and frustrating (1.0). I am caretaker of my husband who has several medical issues and takes a lot of medications. I also take many. The hassle of going to different local pharmacies one day and another on another day was wearing me out. Solution? OptumRx - NO. As hard as I tried to set up accounts for my husband and myself, could not. Signed up as caregiver but it didn't allow me to see my husband's account. So now I am caregiver to myself. Maybe it's an online issue but that's what I wanted, to manage online!

    I registered for myself but then couldn't get his. I registered for him but then couldn't see mine. I called several people, several times and couldn't get them to understand the problem. Each kept telling me to change passwords then receive a text with a code. Did this several times! I have been dealing with this all day. I do not want to change anything again! Set up for caregiver isn't working. VERY frustrated. Don't I have enough to deal with?!

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    Customer ServiceStaff

    Reviewed June 14, 2019

    I am now a week past when I was supposed to have my medicine. I have been waiting on a PA, which has so far taken longer than their maximum estimate. No news. First call I made, go through the automated system, get the status, wait for a real person, finally get one. She calls me ma'am the whole time.. Not that I really care, but firstly; I have a deep voice, second; this is a health company isn't it?? Seems to me they should be able to double check their guess quite easily. Whatever though, not a big deal, just a red flag as to competence. She also didn't know what medication I was calling about, but there's only ONE. You looked up my account, twice. umm.. Literally the only thing she could do was repeat exactly what I can see online. 'Pending'. Could not tell me anything else. Told me I had zero course of action. I'd just have to go without meds that are time sensitive and scheduled. Cool. You do realize you're supposed to be a 'health' company, right?

    Second call, same thing but at the end she said there was a different number to the PA department. Later when I called it was the same person. Couldn't tell me anything. She did say my doctor's office could waste some more of their time filing out an 'expedite' request (why didn't anyone say this before now?). Even though the time period they already quoted had lapsed. For some reason, the PA department couldn't just do that, and neither could I. My doctor and MA have to spend more of their very valuable time doing your job for you instead of helping people. What's messed up is that this company seems to be making people less healthy, which I guarantee eats into your profitability. Unless the only point is to do the minimum necessary to keep up the sham of a service, and screw the rest out of benefits. My employer just switched plans, I would never recommend.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 12, 2019

    Really bad customer service. Got the runaround when I needed a prior authorization for a medication my doctor prescribed. Medication was prescribed on May 31. Received notification that a prior authorization was required. Dr. sent required paperwork. Prior authorization was denied the same day, May 31. Dr. sent in more information on June 5. OptumRX appeals department says they didn't get the information until June 7, 2 days later. I called on June 10 and was told that it takes 48 hrs for appeals. Called back on June 12 and was told by John that there was nothing in my file for the medication. Called the appeals department and was told it takes up to 15 business days for the appeals review. What the heck is going on with this company? I can see information on the portal that your employees say they can't see. You need to properly train your employees. You are messing with someone's health and well being.

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    Reviewed June 11, 2019

    WORST mail-order pharmacy EVER! I had a three week supply of insulin when I placed order. I have NONE and not expecting to get the order for at least 2 days. They can't manage anything in a reasonable manner. Order was on hold but I was not notified it was on hold! How am I supposed to resolve a hold if I do not know there is one!

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    Customer ServiceStaff

    Reviewed June 8, 2019

    The customer service person did everything she could to keep me from getting my prescription from CVS. I insisted that I would pay the additional cost to use CVS several times. She finally said she would set it up so I could use CVS get my prescriptions but she was put off by having to do it and rude for the rest of the call. By the end of the day I was no closer to get my prescription. Being with CalPERS we have no choice but using OPTUMRX. They know that and so why should have put themselves out.

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    Customer ServiceStaff

    Reviewed June 7, 2019

    Saying they are inept, incompetent idiots does not adequately describe OptumRx. Most recently, I entered a refill order a month ago. When it didn't arrive, I went online and saw all five prescriptions were available for refill, so I assumed I had only imagined ordering. I placed the entire order again and saw the confirmation. After a week, checked and guess what. Yes, nothing had changed. All still available for reorder. The billing department is no better. A year ago they billed me nearly $600 twice. Called and got them and they agreed to refund the charge. The refund, for some reason, was $7.94 less than the charge. Called them three times and sent them copies of the credit card statement. Still no luck so I've given up.

    Three months ago I got a letter stating there was a problem processing my order and I should call them. Called to find out there was no problem, the representative thanked me for being a customer for the last six months. I've been a customer for over three years. Then it dawned on me, my account was out of balance by $7.94 so they cancelled that account and started a new one. This place needs to be audited and investigated. Avoid them at all costs.

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed June 4, 2019

    My company switched us to OptumRx in January 2019, and dealing with them has been a nightmare since day 1. The customer service reps are friendly, but they're clearly not trained in anything medical---they spell drug names to me because they can't pronounce them. Don't bother using their online form for someone to contact you---they don't bother to call you.

    In addition to using OptumRx for mail order scripts, they have a contract with a large drug store chain so you can get 90 days meds at your local pharmacy, but they aren't allowed to dispense 90 days of meds. I use an eye drop for glaucoma and have always gotten 3 bottles each time I get a refill. OptumRx has counted the drops in each bottle and won't let the local drug store dispense 3 bottles because the amount of drops comes out to more than 90 days. But OptumRx is allowed to dispense the 3 bottles. I had to switch a maintenance drug because OptumRx does not cover my dose, but the replacement drug isn't on their maintenance list, so I can only get 30 days supply at my local drug store. But once again, OptumRx is allowed to dispense 90 days of this medication.

    OptumRx FORCES you to use their mail order service but makes you fight for everything you need. This company is shady for forcing you to use their mail order service, and they really need to train their customer service reps---they should be able to pronounce the medications we call them about. OptumRx needs an overhaul, and maybe the Insurance Commission should pay them a visit.

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    Customer ServiceCoverageStaff

    Reviewed June 4, 2019

    I have gone around and around with this company that it has been the standing joke with friends. Every time you call you get a different answer, it’s a complete circus act at this company. I spend so much time on the phone with this company and get nowhere. My doctor wrote a script for a 90 day supply, they won’t send it. They will send me a 30 day supply but a 90 day. They have given me an excuse that my plan doesn’t cover it. The latest drama. I took a medication 6 months ago, it was an extended release, I’m on the medication with the same strength but on a sustained release. The pharmacist won’t fill it because she wants “clarification” from the doctor. I have never heard a pharmacist feel she needs to intervene on a valid script. I am filing a complaint with my company. This company is absolutely horrible.

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    Customer Service

    Reviewed June 2, 2019

    Must be making tons of cash, because their service is outrageously poor. I am not a paid response and rarely share my perspective. So, it’s the truth. Call back, doesn’t exist, lost prescriptions are common and there’s way to expedite the order. If you’re dependent on your medication, have an supply before you trust Optum with your health.

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    Customer ServiceStaff

    Reviewed May 30, 2019

    In the last 2 weeks I have spent no less than 6 hours on the phone trying to find out why we were not getting a medication refill that is supposed to have a valid script good through 12/31/2019. Each and every time the person I talk to tells me something different from the last person I spoke to. Yesterday evening when the call center rep (notice I didn't say customer service) came back to the line after putting me on hold for 54 minutes that I was done. She would come back on the line at least every minute to say 'I'm still working on this, thank you for your patience'. At the 54 minute mark I said NO MORE. This call put me over 3 hours with this company yesterday alone! And, as of today, still no resolution.

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    Customer ServiceStaff

    Reviewed May 29, 2019

    My employer uses OptumRx as a pharmacy benefits manager. I use one specialty medication, ** eye drops for a chronic dry eye condition. ** is supplied in two formats, a multi-dose bottle which has a month's supply and individual dropperlets which are one or two day's supply of medication. My eye doctor prescribed the multi-dose medication in February and I received a 3 month supply from OptumRx. Now that it is time to refill the prescription, the manufacturer is not able to supply ** in the multi-dose format. OptumRx instructed me my doctor would have to write a new prescription for the dropperlets method of delivery. My doctor's office sent the prescription to OptumRx electronically 6 days ago and OptumRx has no record of receiving it.

    Today they sent a fax to my doctor's office requesting a prescription. I will have to call back into OptumRx to find out whether they've received the prescription, and then there's another step where I have to order it! It is annoying and embarrassing to have to keep calling my doctor's office to compensate for the broken processes on OptumRx's side. My doctor's office is a small business that is bearing the burden of a lot of work for a company whose parent is a multi-billion dollar health care company. I feel sorry for all the customer service reps I speak to on the phone who have to bear the brunt of all the frustrated customers. My next step is to complain to my company's benefits department about the poor service and bad experiences I've had with OptumRx. Oh, and worst of all they have chatbots to deal with questions! Automation is no substitute for broken processes.

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    Reviewed May 28, 2019

    A mail order company that is not saving me any money and requires me to buy three months of a prescription that I have problems paying for one month. Forced to go off my medication. Absolutely ridiculous. And one star is too much.

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    Customer ServicePricePunctuality & Speed

    Reviewed May 25, 2019

    I am forced use OptumRx via contract through my retiree benefits. Every time my insulin order is suppose to ship it does not. I have to call every time and argue with someone. It states clear on packaging when the next can ship. When I call they always give some arbitrary date down the road 5-10 days later. I realize that insulin is expensive but to try and shave days every due date is just plain wrong. They save all those days over the course of a year it saves them thousands regardless of what risk it causes to already debilitating disease. They should be investigated.

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    Customer Service

    Reviewed May 24, 2019

    Every time I need a prescription there is a delay and problem. My doctor authorized a new medication for me that required pre-authorization before it was covered. This went through 4 days ago and I ordered the medication. They have been "reaching out" to my doctor for approval for the last 4 days. My doctor's office contacted them again yesterday and were told all is complete, still no updates, no reply to messages. Wasting 20 mins on the phone to be told the same thing. It is now a holiday weekend and I am without medication. This was a process that began over a week ago. I cannot wait until my company changes back to another script service. OptumRx is frustrating and doesn't care about the patient.

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    Customer Service

    Reviewed May 22, 2019

    My 82-year old mother is being forced to use OptumRX for one particular subscription -- it is a brand name sleeping pill. Every three months it is the same old song and dance... "We need a new script from your doctor," or "His signature looks wrong so we are calling to confirm (and of course, that takes days)," or "It is being sent out and you should receive it on XX day" and then XX day comes and you hear it has been cancelled. My mom has a heart condition and is an insomniac -- with this pill she gets 4 hours of sleep a night which helps to lower the strain on her heart. OptumRX does nothing but stress her out on a regular basis. This to save a few bucks?! Ridiculous. Their customer service absolutely sucks. If you have a choice to work with another pharmacy, ANY OTHER PHARMACY, take it -- nothing is worse than this company.

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    Customer Service

    Reviewed May 21, 2019

    One window in my OptumRX account says that I have no email address on file. So I click on the add an email address and it goes to the window that shows my email address. It is very confusing. I am trying to go paperless but can't enter an email address. They say I don't have when it clearly shows it in the system, This company's website sucks.

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    Customer ServicePunctuality & Speed

    Reviewed May 21, 2019

    I called at 12:45PM EST for help. I had ran out of ** insulin. My mistake, I thought I had a box left but it was **. After a couple transfers, I was assured that the 90 day supply was on its way and that an exemption for an emergency 30 day was on its way to CVS in my area. A full 6 hours later I went to CVS in my area and they had no idea what I was talking about. I called UHG back and they recognized that I had called earlier and asked if it was about the same thing. I said yes and was put on hold for 30 minutes (thanks for asking). Someone finally answered and he had no idea what I was talking about either (clearly I was transferred to the right place, and thanks again for asking). He transferred me to another guy who said CVS has to provide me with a prescription for a 30 day supply before OptumRx can cover it.

    If I had not not been LIED TO earlier in the afternoon, I would have had time to request a prescription from MY DOCTOR! I mean I know that doctors have less and less authority these days but I think they still need to issue prescriptions (you know the paperwork). I pressed the OptumRx guy further and he insisted, "Yes, the Pharmacy must issue you a prescription". When I told him what he was saying he corrected himself and said, "Oh yeah, a doctor has to prescribe a 30 day supply." A lot of good that does me now, 6 hours later when all doctors have already gone home. I asked again, 'Is there nothing you can do'? He said 'No not without a 30 day prescription'. Why did I bother calling, I'd get better service in a morgue.

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    Customer ServicePrice

    Reviewed May 16, 2019

    OptumRx is owned by United Health Care. I recently cancelled United Insurance and moved to BC/BS. I had couple of Rx refill with Optum. I called Optum to see how much they would charge without insurance as I could buy those medications from Costco or Walmart for 5 dollars or less. Publix provides them for free. Optum quoted me 145 dollars and I said no thank you. I told the operator not to send any Rx and I will be transferring them to Walmart. They also have my credit number but they are not Allowed to charge without my permission.

    Three days later I get an email that they shipped my order. I called right back and explained that I neither ordered the Rx nor did I authorized to charge my credit card. I spoke with the supervisor who assured me that the order wasn’t shipped and my credit card will be promptly credited. I asked her to send me a confirmation email that she said will go out but later. The email never came at the end of the day so I called back. This time A gentleman answered my call and could find any record of the content of my earlier conversation. I told him I am not accepting the shipment. He told to accept the shipment and return them. They are going to send a return package to send it in. I never got the return envelope. They also never reversed the charges. I finally filed a dispute with the credit card. NEVER trust Optum with your credit card, debit card or bank account.

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    Reviewed May 15, 2019

    I was forced to use OptumRx Specialty Pharmacy so I can be treated with severe migraines (I have them so bad I have a service dog who alerts me when I can't drive or leave my house) and they have been absolutely terrible to deal with. I have an outstanding bill from over a year ago when I started using a company that was actually in-network with my insurance (and Optum never notified me that I was paying for out of pocket services for 4 years!!!!).

    I started using another company to ship to my doctor's office and without my consent or payment upfront they shipped my medication to my doctors anyway (so I had a double shipment) and they have been claiming that I still owe the amount of the medication since my doc's didn't send it back!!!! I also moved during that time and they updated my mailing address but they didn't update my billing address so I didn't receive the duplicate bill for over a year after I had already moved pharmacy companies. I can't believe their incompetence. One other time it actually took them a year to file a claim with my insurance and then expected me to pay for it!!! Unbelievable.

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    Customer ServiceStaff

    Reviewed May 15, 2019

    My doctor sent in a prescription which should've been sent out on 5/6/19. I called them on 5/10/19 to get an idea of when I would receive it, only to be told they haven't processed it yet. After being on the phone for over an hour, the lady finally told me they've processed it but to call this other number to find out when they'll send it out. I call the other number and they have no record of my order and don't fill for that particular prescription. Then I call back and have to explain everything to the second person, as they don't make notes. Second person hangs up on me or gets disconnected and doesn't bother to call back.

    I call a third time, and the this guys seems helpful and says he's processed it and I should receive it no later than 5/13/19. I don't receive it. I call them again on 5/15 asking the status and the lady says she'll process it and have it expedited. I share my frustration and explain that the gentleman on 5/10 said that, and she puts me on a long hold for 43 minutes until I hung up. Worse experience ever! They don't care at all about their patients or their needs. They seem very unorganized, incompetent, unapologetic, and don't care to put you at risk with their delay.

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    Reviewed May 11, 2019

    Prescription received 2/15/2019 with a $125 co-poy. OPTUMRX by ACH transfer charged my checking account $375.00. On 2/21/2019 I was told it was a computer glitch and a request for a $250.00 would be made to the accounting dept. Today, May 10, 2019, after many emails back and forth regarding this refund, was advised the refund is pending.

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    Customer ServiceCoverage

    Reviewed May 9, 2019

    They are an extreme headache to work with. They charge you for prescriptions that are covered by your insurance. Their customer service is HORRIBLE. I have endometriosis so I need a consistent birth control and they’re sending me a new brand every 3 months. I have now been on my period for 3 weeks and the cycle I had beforehand only ended 2 weeks before that. I have been non stop sick. They’re always trying to cut corners to save pennies here and there. Make sure you tell your doctor to put “prescribe as is” on all your prescriptions or they will be sending you something new every 90 days.

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    Customer ServiceStaff

    Reviewed May 7, 2019

    OptumRx is the worst. Avoid them at all costs. My PA came expired as it does annually. OptumRx failed to notify anyone about this until I was being denied at the pharmacy counter for a Rx they approved and filled without issue for the past 12 months. Now they stopped filling it stating manufacturers suggested dosage, which hasn’t changed since they previously approved it. Long story short, OptumRx does not care about improving patient outcomes and frankly, after hours of pointless waiting on hold to speak with customer service that can offer no assistance whatsoever, I’m not sure they even have patients' best interests in mind. Period. Still without meds... Thanks for looking out and improving my patient outcome.

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    Punctuality & SpeedStaff

    Reviewed May 6, 2019

    This is May 6, 2019. For over 4 months I have reoccurring problem that ended two days ago with my calling emergency to obtain medicine. Doctor I have not seen in almost a year kept getting Rx reorder faxes from OptumRX. Caused many problems as I would neither receive my medications nor any notice until week later! Each time OptumRx would PROMISE to purge old Doctor and replace with current one. Every time they DID NOT DO SO! Then beta blocker/blood pressure ran out, did NOT receive Med at all. AGAIN had sent to old Doctor!!! I have screenshots of recent calls for 58 minutes, 1 hour 23 minutes, etc. Team came to house, saw my evidence, did exam and immediately sent to pharmacy and I got lucky as not having is probability for stroke, heart attack and death. THIS IS NOT RIGHT!

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    Customer Service

    Reviewed May 4, 2019

    This mail order company is okay as long as your drug is generic. I need to take a Brand drug and my experience has been nothing but a MIGRAINE. I have only been using this company since January 2019. Initially it took me 9 calls to get my medicine delivered that included a prior authorization and a tier reduction. Now that I need a refill, I have made at least that many calls again to be told a variety of stories with each call. Today I am going to a local pharmacy to pick up a 30 day supply and will have to pay out-of-pocket $350 because OptumRx refuses to fill a prescription for a medicine that I have been taking for 15 years.

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    Customer Service

    Reviewed May 3, 2019

    I am new to OptumRx. I have a hearing problem and am deeply disappointed that the customer service is now outsourced to a foreign country because I can’t understand their accent and get frustrated when I have to ask them to repeat information. HOW CHEESY. Then, I have 2 scripts that they are sitting on which went thru their PA system, peer review and now, 7 days later claim they don’t have the script. I don’t care that I am paying more, I don’t have time for insurance games! Shame on you UHC.

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    Customer ServiceStaff

    Reviewed May 3, 2019

    OptumRx has overfilled my prescription for ** so that I have 3 bottles of 90 day meds. I see that ORx has sent 3 bottles from 3 different manufacturers for the ** in less than 6 months. How can this possibly be the case? Who changes manufacturers for a major product class every few months? When I called in about the issue the rep stated there was nothing they could do about it. I felt as if she only patronized me so I asked to formally log a complaint.

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    Reviewed May 2, 2019

    I ordered medication but did not receive it. Order date 10th April -2019. Today's date May 2nd 2019. Even after calling they told directed me to go to local pharmacy and ask doctor to refill, until the time they figure out what happened to the order.

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    Reviewed May 1, 2019

    The way these people operate this pharmacy is IMO, a health hazard. Four meds in at least five shipments, one med is in a bottle so they want to only send 2 bottles or discard part of the third. I wonder if the right hand knows what the left hand is doing. What is truly scary is that they handle any controlled substances.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed April 30, 2019

    Had OptumRx for 5 years for my elderly father, service never better than mediocre and mostly horrible. Flakey website (was literally down/unusable for more than a year), incomplete orders, inability to fill Rx filled many times before, hard to get help, late deliveries. Many hours on hold, sometimes told that an Rx we have had for years is suddenly "not covered," which was not true, but had to press very hard to get it put back into the rotation. Also, when the website finally got back to functional, it was still very difficult to track Rx orders, when last filled, when next available to be filled, when expires, how many refills left. The information is in there somewhere, but not in one place. We need time sensitive meds that can't be filled until last is done, but then there is no wiggle room, we need the new order.

    Many times had to go pay full price to get hold-over because the OptumRx could not ship or would not ship or was promised but was late. Not just once, but over and over. Incompetent personnel, awkward website, lack of follow through. Better than no meds at all...but barely. We finally give up completely, went with a local pharmacy where there are nice people and real customer service. Never looking back to OptumRx, would never try them again. If you have to use them, good luck. Keep careful records and use the telephone as needed. I would give no stars but his site requires at least 1 star, so there you go.

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    Customer ServiceCoverageStaff

    Reviewed April 29, 2019

    Our insurance plan from our employer uses OptumRx for our prescription benefits. I have been working over 7 weeks on trying to get a prior authorization for a medication. My doctor's office has called many times on my behalf. Every time I call or my doctor's office calls, we are told different and contradicting things by the customer service reps. It's like NOBODY knows what the actual policies and procedures are...or, that they PURPOSEFULLY GIVE YOU THE RUN AROUND to avoid having to cover anything.

    Last Thursday, I called once, and my doctor's office called twice, all within a one hour time span to work on this prior authorization. We were told 3 different things. In one phone call, my doctor's office was told the prior authorization request had already been considered, but was denied. So, I called to ask for the reference number and my denial letter. I was told there was no record of the prior authorization request, and to have the doctor call and request a fax form to submit for compounded medication. The doctor's office called back and was told there is no fax form for that. Also, they were told that the prior authorization request for the medication did show in my account notes, but that nothing had ever been done. It was just sitting there "not considered"... Seriously, I have not one good thing to say about this company.

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    Customer ServiceOnline & AppStaff

    Reviewed April 29, 2019

    I'm a retired Purchasing Manager with hundreds of thousands transactions similar to OptumRX experienced. They are the worst all-around company by far that I have ever dealt with. I have 11 prescriptions filled with them quarterly (all at no copay if for 90 days supply) and it is always a nightmare when the scripts are renewed. I sit with the nurse and watched her enter the meds into their system and she enters them correctly... only to have OptumRX screw-up the order. There is always one or two scripts that do not show up on OPTUM'S site and one or two that are for a thirty day supply and I'm charged for the 30 day supply when I would not have been charged for the 90 day supply that the doctor ordered.

    I've told Optum reps several times that I would never except a 30 day supply where I had to pay a copay and for them to note that in my account but they just keep sending and charging over and over. Optum's website does not tell you if the prescription is entered as a 30 day or 90 day supply! The website also somehow has good prescriptions with refills just vanish with no explanation. So I'm constantly calling Optum's so-called customer service only to have them blame my doctor for their terrible service.

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    Customer ServicePunctuality & Speed

    Reviewed April 26, 2019

    Unreimbursed FSA money get returned to your company, so you *should* be concerned if this company is denying claims that a judge would say are appropriate and substantiated... Like documented chemotherapy treatments and MRIs for cancer. Those are not "consumer expenses." If the insurance company accepts the claim, so should the FSA. Mail Order drugs often come weeks late leading to lapses in critical medications. But getting phone alerts about when I should take my meds is "really helpful." Not.

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    Customer Service

    Reviewed April 24, 2019

    Had a 90-day supply prescription with them that they sent every month until there were no more refills left. I am now sitting on a 5 month supply and get an email from them saying they contacted my Doctor and got a new prescription and have sent me out another 90-day supply. I had taken the prescription off auto-refill, removed all my cards on file, removed all meds from my account and have told them to cancel my account as well as contacting my doctor office to ask them not to accept any refill request from OptumRX. Either they can't read a prescription or they think they know better than you and your doctor of how many pills you should take a day even if it says "one pill daily."

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    Customer Service

    Reviewed April 23, 2019

    Absolutely the worst mail order service I've ever experienced. After 3 attempts to get my refill order filled I finally gave up and had the prescription sent to a local pharmacy. OptumRX lied to my face about the prescription they received from my doctor. It took numerous calls to them and each time they had some wrong information for me. I'm thinking this is a sham operation and am ashamed to think this is what United Healthcare thinks is a good source.

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    Customer ServiceStaff

    Reviewed April 23, 2019

    To begin, every time I renew my medications it requires 4-8 telephone conversations and as many emails. Information given online, by telephone, and in their notifications are all different. No one I have spoken with in their many departments is aware of what others do. Among the worst 10 companies in the US, without a doubt. Errors of all types occur--one pharmacist told me that one drug was not recalled, only to be followed by an email informing me of a recall. On another occasion, one of my physicians was hounded for a refill over a month before the item was to be renewed. Like most large companies, the "executives" feel their time is far more valuable than the low-life customers they serve. I could go on and on. Almost every conversation reveals yet another problem.

    The reps on the telephone are of marginal help, since much of the time, they are not aware of what others are doing and saying that differs. In my medical renewals in the past few days, there were 9 emails and 10 phone calls about it. I was disconnected once, and just now, a surly rep refused to turn his volume control up and when I said I couldn't hear him, he put me on hold for 17 minutes, until I called back on another line.

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    Coverage

    Reviewed April 22, 2019

    They don't even cover my meds, shame they get away with this. My company just made the switch. No warning, sign here. We are changing our prescription plan only. I guess I'll die sooner than later, we all go at some time? Good luck, all!

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    Customer ServiceCoverage

    Reviewed April 19, 2019

    Our Union changed everyone’s prescription plans to OptumRx on January 1st this year and it’s been a nightmare for us. They won’t cover several prescriptions I’ve had for years and are uncooperative and difficult to communicate with. It took me almost 3 months to get my ** inhalers refilled on a 90-day basis. 90 DAYS!! I had to beg and borrow from friends and family. I have asthma, it’s not an optional medication. I dread next month when I will have to try to get the next refill. Their customer service is like talking to a computer - or a brick wall. Same outcome. If you have a choice, do yourself a favor and please pick any other provider.

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    Customer ServiceStaff

    Reviewed April 18, 2019

    If you have other options I would use them. My mail order prescription hadn't come for 10 days. When I contacted them (customer service) very lengthy phone call..... They stated it was out for delivery by USPS and when I asked what address he stated he couldn't provide that info based on USPS. Also stated they couldn't overnight the medication. I asked to speak with a boss she stated they would resend but the initial mailing was a USPS issue. I provided the correct address. I called back 5 minutes later. Got another customer rep. He stated the replacement prescription was being sent to MN not IL. After 15 minutes he struggled with repeating my concerns but straightened out the correct address. I asked again for a manager. This person offered 2 day shipping and stated there would be follow up conversations with the previous reps.

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    Customer ServiceCoveragePricePunctuality & SpeedOnline & App

    Reviewed April 17, 2019

    I've had to make 7 phone calls, wasting upwards of 6 hours of my time, trying to get these people to do their JOB. I was prescribed for "Drug x" by my Primary Care Doc. What followed is beyond belief: 1) I was told "X" wasn't covered by my health plan and would cost $695 for 6 pills. 2) Next phone call they tell me it IS covered and all I need is Prior Auth from doctor. I obtained that Prior Auth later that day. 3) NOW I'm told that "Drug X" isn't on my plan's formulary at all, and it will cost me $6,800 for three month supply... BUT if I get a new prescription for generic version of "X" it's $187.50, so I got new prescription. 4) 4th phone call, and I'm informed the generic version of "X" will cost me $7,823. MORE than the brand name, also not covered by my plan. 5) This call I was thrown a different generic I'd never heard of, and I needed to get a prescription for THAT, now.

    6) These morons then proceed to send me refill forms for BOTH Drug X and its generic version, asking to return the form for only the drug I want... So it turns out this whole time, I was lied to about it not being covered. I chose "Drug X" and mailed the form in. (But wait, there more!) 7) On THIS call, I'm told the dosage of "Drug X" THAT THEY SENT A REORDER FORM FOR is discontinued. I got their letter 4 days ago, and now I'm hearing that it's discontinued. 8) Supposedly, finally, an order was placed, and is showing up on the website. If I ACTUALLY get these meds it will be a miracle at this point.

    This company is the worst I've ever experienced in my life. I cannot believe how I've been treated, and I hope to save other consumers from the nightmare that is OptumRX. They are much more interested in blocking you from what you were prescribed, rather than getting it delivered to you promptly, as they SHOULD BE DOING. I wish ZERO Stars was an option.

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    PriceOnline & AppStaff

    Reviewed April 14, 2019

    I decided to order my thyroid medication with them, originally brand was confirmed $14.80 and generic was $ 7.00. Then they make me run in circles for many days over small issues. Brand name price was confirmed over the week for several times but on the day of prescription refill price was changed to $88 dollars instead of $14.80. Upon confrontation they denied everything and insisted $14.80 was for generic only. I checked on their website under my profile, first brand name was showing $14.80 but after talking with them, within few minutes they changed all the pricing information instantly. I didn't knew I was dealing with bunch of crooked thugs. They are taking advantage of the vulnerable patients and charging them whatever amount they want. I wish I could them 0 star.

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    Customer ServiceCoveragePriceStaff

    Reviewed April 12, 2019

    Updated on 04/15/2019: My review of a few days ago mentioned that Optum owed me $64 for nearly three weeks. They refunded to my card four days ago, but since then my account is frozen for owing $64. They assured me four days ago that the issue would be remedied in 24 hours. It just keeps getting better with this company.

    Original review: I have way too many complaints from the past to detail here. However, there are currently two major issues.

    1. Recently this organization decided that all new prescriptions for controlled substances would be limited to 30 days instead of 90. However, their insurance plan (UHC Medicare Part D premium plan) only covers 90-day prescriptions. Therefore you have to pay full price for controlled substances.

    2. A recent prescription from my doctor failed to denote tabs or capsules. Optum wrote back for clarification, and he replied, "capsules if covered by insurance." They sent me capsules, which were *not* covered by insurance, and in fact, cost $65, unlike the tabs which were free. I intercepted this shipment in transit via the carrier's website, and it was returned to the sender. Meanwhile, the "professionals" at Optum showed on their website a package with the tabs being sent out, complete with a tracking number. I knew this was bogus, as it did not include a claim, and the package was never picked up. Yet I had to wait over two weeks to get my critical meds, most of the time without any left at home.

    Finally, after maybe six calls, they generously sent me the tabs. However 17 days after they received the refused capsules, after only four calls from me, they still have not initiated a refund. Representatives assure me the issue contains a directive from a supervisor to refund my money, but no action has been taken.

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    Customer ServicePricePunctuality & SpeedOnline & AppEase of Use

    Reviewed April 11, 2019

    Like others, I'd give zero stars if I could. United Health Care makes me use their in-house mail order medication service called OptumRX, or I can pay retail prices at a pharmacy, if I want. My choice, right? They constantly screw up my orders, are glacially slow with shipping, and always play dumb with me when I call them. They are currently refusing to fill my blood pressure medication because they figure I can finish my last prescription, that was different, before they'll send the new medication that my doctor prescribed a month ago.

    Their web site never works and it is obtusely difficult to use. I believe this is intentional. I can't track orders, can't price check meds, nothing. Every month I have to call them for one screw up or other. I call them and get some drug-addled dunce on the phone whose job it is to say, "I dunno. I can't check that. My computer is down again." My current beef is that they raised the price of one medication from $3.16 per month to $10 per month with nobody able to explain why. "I dunno." I know it's not a huge amount of money, but if it was another, more expensive medication, that kind of unexplained price increase could hit a person hard. That's more than triple. All I got from them after the "I dunno" phone call was a form letter saying I should use their mail order service because it's cheaper. That's where this is all coming from!!

    I'm so sick of them. I now have gotten to the point where I query them, and then the next day I can figure on complaining to the state insurance commissioner. It doesn't fix the problem, but at least I get my issues on record with the state and maybe, just maybe, someday the state will take some action against this shady company.

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    Customer ServiceOnline & AppStaff

    Reviewed April 7, 2019

    I would give them a zero if I could. They changed the address to send meds to, unknown to me, so I was billed for meds that I never received. Cannot get anyone on the phone. Cannot correct the address on the website even though it is my 'profile'. Avoid these people.

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    Coverage

    Reviewed April 3, 2019

    Once my employer was merged and I had to go on COBRA OptumRx has denied my coverage. I have formal evidence of paid coverage from the COBRA assist, Discovery Benefits. Last month after Optum said I had no coverage, I called Discovery Benefits and they had proof that they provided Optum with my coverage information. Discovery sent a second notification file to Optum the next day. This month, Optum again says I have no coverage and they never received Discovery's notice. Discovery just told me they sent notification to Optum twice. Now I am in urgent need because I only have 3 pills left. Discovery is sending ANOTHER notification, but tells me that Optum is known for not even looking at these notices for at least 2 days, then processing. But obviously they haven't processed ANY of my coverage notices. I don't know what I'm going to do.

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    Coverage

    Reviewed April 3, 2019

    Coverage is horrible. It says it's covered, then it's not. Optum Rx sucks. I feel stuck. I can't afford anything else, but coverage is bad. It's as if you are dealing with a used car salesman. Can't believe them, can't trust them.

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    Customer ServiceOnline & AppStaff

    Reviewed April 2, 2019

    OptumRx is horrible. I've been trying to get a prescription filled for over a week. I'll do anything to stop using this company. They run you around in circles, say the doctor "denied" prescription refill (totally false); then they say the prescription is in the mail; 4 hrs. later, they send an email saying the doctor the refill is denied, over and over and over again. I go to my account on the website to see the status, and it is totally different than what they told me on the phone. Even the rep on the phone said she does not have accurate information. My issue is STILL not resolved, because nobody at this company has a clue.

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    Customer ServiceCoverage

    Reviewed April 1, 2019

    I have no words how bad this insurance is. Any time I order medication there is a problem! Not competent customer service. It is terrible! Too bad I have it through my employer, otherwise I would NEVER renew it.

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    Customer ServiceCoverage

    Reviewed March 31, 2019

    I was taken medication for years prior to my work prescription plan changing to OptumRx, now this medication is no longer covered. They sent me medication made in China that has been recalled. I was told I would receive a refund (90+ days of medication) and did not. I sent a prescription via mail and a month later I received an email from OptumRx that the doctor has approved it and it would be sent. Five days later, I receive another email. There is a delay in the processing. Now I am out of the medication. I called and was told the delay was that my doctor did not sign the prescription and the pharmacist was waiting on the doctor.

    After finding a photocopy of the signed prescription I mailed, I called again. This time I was told the pharmacist could read the prescription due to the way it was sent. I told her I physically mailed the prescription and the medication name was legible. Her response was tomorrow have a local pharmacy call their pharmacy to have the refill available transferred to be partially filled. Oh and today, the first lady asked me if I wanted to refill my prescription that is not covered by OptumRx.

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    Customer ServiceStaff

    Reviewed March 29, 2019

    I have called these people 12 times and successfully gotten 2 prescriptions from them. They lie to you and are poorly trained. I never had to sign for prescriptions. They sent one this time by USPS. Signature required. They do nothing consistently at this place.

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    Customer ServiceStaff

    Reviewed March 27, 2019

    Worst customer service, ever. I have had many of the same problems as the other reviewers: orders mysteriously vanish, orders delayed, literally hours on the phone, being told outright lies by reps and managers. 30 minutes today to simply update a credit card number, (they called me, at work - else I would have updated online). The root of my issue is that my company's United Healthcare Plan mandates that I use Optum, I can not use any other pharmacy or they will not provide any benefit. With no possibility of competition, they need not provide ANY level of customer service. They are responsible only to United Healthcare and their shareholders, and therefore it is in their financial interest to substitute, delay, loose orders, and generally find excuses not to fill orders. Profit before patients. This industry needs to be regulated.

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    Customer ServiceCoveragePriceStaff

    Reviewed March 25, 2019

    I feel like I am working with a state owned and run agency. They have canceled my subscriptions. Said they haven’t been sent prescriptions by doctors, delayed refills, refilled items I didn't approve or ask for. Tried to force me into accepting generic for an on label product only. Transferred me to hell and back. Half of the people on the phone will tell you if you ask, they are not in America, can’t give any information other than what is on their screen, extremely difficult to understand their accents. They are rude, cut me off, make decisions that they then don’t inform you of and don’t get meds to you sometimes in a timely manner.

    Nothing is their fault and you as the “unskilled health worker” don’t know what you are talking about. They are dangerous and this business needs to be shut down completely. This is increasingly worsening as consumers and persons who need our prescription needs taken care of have no say so other than paying, full price and out of pocket. This is not freedom. This is a form of slavery. You pay for the coverage without any of the real benefits. Wish I could have given negative stars.

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    PricePunctuality & SpeedOnline & AppEase of Use

    Reviewed March 25, 2019

    They have some of the lowest prices and offer quick delivery of prescriptions. Their app is very easy to navigate and they have excellent customer service to assure that you get your prescriptions on time.

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    CoveragePrice

    Reviewed March 22, 2019

    Optum refused to cover my brand name medications that I’ve been stable on for 10+ years. Despite providing medical justification to verify reasons why I can’t take generic versions of the medications and my MD writing DAW-1 Rxs, they claim I’m ‘choosing’ the brand and thus am being charged the brand penalty of... the entire price of the medications which is over 2K per month. They’ve been a nightmare. Honestly if I could take generic I would but can’t. How dare you Optum!

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    Customer ServiceProcess

    Reviewed March 18, 2019

    Each 90 days I request my sleep medication and I am placed in the queue. In a few days I get a notice the order is being processed. Then it suddenly disappears. I call and endure the hour long wait and runaround. Then I am called and told to call OptumRX. Then they tell me there is a shortage. Then the process begins again with me being at the back of the line. This seems to happen every 90 days. I called my small local pharmacy and they said they had a plentiful supply.

    I am done with OptumRx.

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    CoverageStaffProcess

    Reviewed March 18, 2019

    First time using United Healthcare and Optum RX. The experience has been horrible. I had to do two overrides just to get one prescription, paying out of pocket for it. This effort took at least 11 hours of my time. Now I need to fill another Rx for my Dad. It is already in their system. Optum has already mailed it in the past. Optum refused to re-fill, saying that the med is not due for refill until 3/25/2019. Well, Dad's will have consumed the last of the script by then! The service rep said there was nothing they could do; I would have to do an override to get an 'emergency' supply. Like I want to spend 11 more hours going through that horrid process again. Gee, is this how United Healthcare manages to keep people from getting their drugs covered? UHC and Optum are shameful operations. Write your state and national representatives to let them know how horrid they are.

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    Reviewed March 18, 2019

    This is a mail-order pharmacy associated with United Healthcare and it works quite well and in most cases my copay is zero dollars which is very nice. They even ship my product that needs to be kept cold in a chilled box.

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    Customer ServicePrice

    Reviewed March 14, 2019

    I need a special eye drop. My previous mail order company always delivered with no problems. Then my company switched to OptumRx. EVERY time I need to order this I end up spending anywhere from 30-90 minutes on the phone at least 6 times over the course of 4-6 weeks in order to get it. I get every excuse there is and they always try to get me to get it at the local pharmacy (who never has problems with it being in stock) where it costs $40 opposed to mail order which is $5 or switch to a different drop (higher profit for them) which I can not use.

    It's out of stock, it's in stock, they're so sorry, they'll ship it overnight (doesn't happen), send shipping info but it never actually ships, etc. etc. etc. They charge my credit card, return the charge, then charge the card again. Over and over and over it's the same thing every 3 months! I think I have talked to everyone that works for this company from the lowest to the highest. I eventually get it but I must go through this nightmare to do so! If I could change companies, I would in a second. If I could give negative stars for the review I would.

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    Customer ServiceProcess

    Reviewed March 12, 2019

    I have been on the phone for two hours switched from person, to pharmacy, to care representative back to pharmacy and the process for pre-authorization for necessary medications for immunosuppression following a ten year old organ transplant is ridiculous. Each year, I (or my doctor) must spend time getting pre-authorization for a drug or drugs I have taken each year since 2009. Each year we "do the dance" of pre-authorization. We are first rejected, spend hours on the phone, explain why the drugs are Medicare Part D and not Part B, ultimately get approved and proceed through the year.

    Then in January we start the process all over again, even though nothing has changed since it was approved the last time! This year it is something new. They tell me the medicine I need has a grandfathered approval, but the system keeps rejecting it. They don't know why. I have tried calling the Patient Care Advocate three times. She does not call me back. I just finished with a patient care rep. She is trying to get it approved. I am now waiting for her to call me back. Seriously?

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    Customer ServicePrice

    Reviewed March 11, 2019

    Every single time I have ordered from them and I was basically forced to order from them thru their letters stating there would be penalties. Every order has been wrong, when I call, they state the Dr's office didn't send the script... B.S. When I call the Dr office they can tell me exactly when the scripts were sent. Now my Dr has transmittal receipts. They screw every single order up then lie to you. I hate them. Wish they had to deal with their own dummies like we do. I was happier getting med scripts from Walmart who by the way was cheaper.

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    Reviewed March 11, 2019

    After a nightmarish experience with Express Scripts, I refused to provide any credit card info to OptumRx when my new plan required we use them. My prescriptions have a $0 copay, so they don't need it, right? So when I recently logged on to renew a prescription, why did I find they have my cc#... and their system won't let me remove the information. Beyond pissed here.

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    CoveragePriceOnline & AppStaff

    Reviewed March 7, 2019

    This company has been a problem since they started with me in Nov. 2017. I am a retired NJ State employee who retired with Express Scripts and had no problems. Then NJ State decided to go with OptumRx and it has been nothing but a nightmare. First, OptumRx would not allow me to stay on a non-generic drug which I was on for years with Express Scripts. They would only pay for generic even after the doctor calling them and complaining that the generic did not work as well for me as the non-generic. Then, I got a prescription from my doctor on another occasion for allergy. OptumRx website (when you log in) stated that the cost would be 5.00 but when I took the script to the local pharmacy, they said that OptumRx does not cover that drug. I called OptumRx and they said their website was a mistake and they never offered to make any concessions.

    Another problem is if you use their website to price out a medicine before you take the prescription to the pharmacy, I have noticed that the actual price you pay at the pharmacy very rarely comes out to the price indicated on their website. So it becomes difficult to make the best choice on whether to mail in the script or go to the pharmacy for the better price. I never had any of these problems with Express Scripts and hope the NJ State would get rid of OptumRX.

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    Punctuality & SpeedStaff

    Reviewed March 6, 2019

    When I left my employer I paid ahead of time for Cobra, Aetna and VSP medical/vision activated my continued insurance with immediately however OptumRx are continuing to say they have not received notification from Cobra - which is a lie, and says it will take 15 days to process... Meanwhile I can't pick a prescription without paying the full amount. Their staff are useless and just read from a script - not solutions focused. This company does everything it can not to pay for your prescriptions - AVOID THEM PLEASE!

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    Reviewed March 5, 2019

    My doctor sent a prescription to OptumRx on 2/25/19. They did not receive it till the following day. Order # **. As of 3/2/19, my order had still not yet shipped & they promised it would ship 3/4. As of 3/5, it has still not yet shipped, but I'm now informed it will ship tonight, & it will take 4 more days to deliver. Pony express could deliver it faster. Unacceptable!!!

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    Customer ServiceCoverageStaff

    Reviewed March 5, 2019

    OptumRX has been allowed to control what my doctors can prescribe by denying specific medications and arguing that the medication doesn't treat my condition. Keep in mind my medication was prescribed by a Specialist who treats this specific disorder. When you are sick it is rather impossible to go thru the many, many levels of dispute that OptumRx requires. Often the information is first responded to by a Pharmacist. How would a Pharmacist know how to RX and treat a rare disorder? Next a nurse practitioner responds...then a MD who is not a specialist with the specific disorder that the medication was recommended to treat. Keep in mind all this is going on...patient is sick and, there is a TIMELINE to respond.

    OptumRX is discriminatory towards elderly who need a specific medication that at one time they even reimbursed. To now...trying many new arguments as to reasons NOT to provide medication. They actually control what the doctor is allowed to give and will argue the diagnosis. My quality of life was getting better until OptumRX was hired by Michigan Public Employees (Teacher's Retirement) Plan. The amount of medication had decreased and I was able to become more independent. Now that my medication are controlled and doctor's ability to prescribe the medication they know will work for me I am progressively slipping. Everyone has a unique body chemistry. However OptumRX tells doctors and patients what type of medicine they HAVE to take In order to be covered...even if it has been proven that that specific medication doesn't work or work as well as another.

    Under the OptumRx regime we have become 'Stepford patients." This is becoming a form of socialized medicine in which doctors will be keep in line and told what medications and even diagnosis are permitted and if the patient and/or doctors wants to deviate from OptumRx's required drug and brand they are refused reimbursement. The patient may not respond to the required drug or it is not the drug of choice that would improve the quality of a patient's life.

    OptumRX needs a Class Action Lawsuit to stop this machine from ruining patients' quality of life as well as keeping doctors from doing what they know is best for a specific patient. Soon doctors will be punished for thinking outside the box and understanding how to use medication to treat unusual disorders or diseases. What happened to democracy in medicine?

    I would like to be a part of a Class Action Suit against OptumRx for denial of medication and creating a process of appeal that no person who is sick can possibly fill out requirements... Contact doctors to repeated write and/or make phone calls on my behalf as well as all the other patients that are having trouble getting the medicine they need from OptumRx. No sick person can keep up with rigid timelines that have to be adhered to. No sick person can continually argue with a pharmacist, Nurse, and or doctor as to their diagnosis and need for specific medication that they had paid for for the last 8 years.

    Now...I get a letter saying I have to live within a certain area or I will be disenrolled from the OptumRX Medicare Prescription Drug Plan. OptumRX just keeps getting worse. Now they can control where I live in order to fill my prescriptions. What is odd...I have only gone to Florida for the winter months. I return home to get my medications. I have had my medications send to me from my home based pharmacy on 4 occasions. Now OptumRx says they 'received information that my address has changed' and I am going to be disenrolled by a specified date if I don't report my new address. Is this 'big brother'?

    This is the first time I have been away from home for winter months. I do NOT get my medications from the state where I am vacationing...and, I still get a letter from OptumRx threatening to disenroll me from the drug plan. Go figure... It is time to end this company's ability to control where I get my medication and where I live and what type, kind of medication my doctor can prescribe in order for me to receive my reimbursement. It is almost not worth having a drug plan that only allows drugs that they deem as appropriate for my diagnosis and treatment plan.

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    Customer ServiceOnline & AppStaffEase of Use

    Reviewed March 4, 2019

    I'm forced to use this company, and they are the pits. Absolutely horrible. It's supposed to SAVE me money and in some cases, I have to pay MORE for maintenance prescriptions. Although the people you deal with are very pleasant, the overall service is just terrible. The website is difficult to navigate, it never remembers default payment, so you have to call - and even though the people are pleasant - you won't get away with anything less than a 30 minute call. If you have other options, I suggest you explore those first.

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    Customer ServiceStaff

    Reviewed March 1, 2019

    My mother needed a prescription for ** - which was sent to OptumRx, we were told the doctor did not get a release to fill the prescription, OK - the doctor's office calls and takes care of it. A couple of days later I call (2/28/19) to find out when we can expect the medication - a week! Well my poor mother needed it before that, OK - they will overnight it for delivery today (3/1/19). Nothing delivered. I called back - no record of my calls. They cannot reach the doctor - last call to them was at noon. The doctor's office phone message specifically states that they are at lunch from noon until 2:00 pm. When I stated this to the person at the other end of the line, she accused me a yelling. I said I was yelling but my mother is in excruciating pain!!

    To make a long story short - she was going to transfer me to the pharmacy (?) - after 2 and a half minutes - the call disconnects. I tried calling two more times to complain, with the same results - the call gets transferred and disconnected. I feel bad for my mother, I'm glad she didn't have to deal with this incompetence! The doctor called in the prescription to a local pharmacy and is cancelling whatever is happening with this one at OptumRx. Good thing I didn't get charged for customer service - because I didn't get any!!

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    Customer ServiceCoverage

    Reviewed March 1, 2019

    I am allegedly enrolled in their "hassle-free" program but my medications never get shipped out automatically. I've called them twice today. I am actually on the phone with them now, I called back to make sure my medication was being expediated. Good thing I called, because my order had not been. My insurance wants new "preauthorizations" for a medication but OptumRx did not notify me until I called today. Not sure what the point of their online portal is - why can't they send a message or an email to notify you of changes? Super frustrating. Has anyone been able to make a formal complaint anywhere that got results?

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    Customer ServicePrice

    Reviewed Feb. 28, 2019

    I logged into my OptumRx account to search for a medication my Urologist had prescribed. It clearly states $31.92 for 90 day supply, under my account. My doctor logged in the prescription and I received the delivery with a charge of $356 for the 90 supply. They had charged my credit card which they apparently have kept on file without my specific approval for this transaction. I have spent probably 3 hours on the phone being passed from one person to another. Their first point customer service is clearly not US based. They won't honor their stated online price. (Yes! I still have a print out of this price!) They say they will refund the price if I take the meds to an approved disposal site with instructions they will send to me. We'll see! What a rip off!

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    Customer ServiceCoverage

    Reviewed Feb. 28, 2019

    We have been trying to get our son's insulin, **, approved for approximately 2 months. They informed us that ** would no longer be covered and ** would be covered. Our son tried ** approximately two years ago and his blood sugars were OUT of control. At that time, we returned to **. Our doctor has been trying to get a preauthorization for ** for two months! We received an emergency supply of ** after I cried on the phone with a nurse advocate. They said we could pay $3800 and receive a 90 day supply of ** insulin. I received a letter in the mail dated January 24, 2019 that stated we already had a preauthorization from July of this past year. So, I thought they would be sending the medicine. Then I received an email to call them.

    After an HOUR on the phone, the preauthorizations department told me that the policy changed. I asked the person when the change took place and he stated January 1. I shared with him that I received the letter dated January 24 that stated the preauthorization had already been approved. All he could do was apologize. I really think this is a money making venture and they have NO understanding (or do not care) that this is a life and death situation for our son. I have been a Republican most of my life, but I think I might become a Bernie Sanders healthcare for all fan. This SHOULD not be that difficult. EVERY time I call them, I spend an enormous amount of time on the phone and get so upset!... and we PAY BIG bucks to have United Healthcare insurance!!!!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 26, 2019

    I receive emails from OptumRx that say my prescription is on its way. It never comes. I have to call them to find out why. They tell me that it was not ordered on the day it was supposed to be. I have hassle free refills. When I ask for people's names they tell me that their name is Dandelion, Lavender and what I think are fake names. I am told I have to go to the doctor's office and get a new prescription. I am not allowed to drive at this time since my surgery. I am currently cutting my pills into pieces to try to get my dose...FOR PILLS I HAVE BEEN TAKING SINCE I WAS 42 YEARS OLD. I AM NOW 64.

    I have never had a problem with any of my other past mail order companies. The pharmacists say they can't help me. They tell me that they have called my doctor...I grew up with my doctor and his family and he would not lie. Neither would the staff that I've known forever. They are stressing me to the limit. I had a stroke at age 42 and now am in complete Heart Block. Are they trying to get rid of me? I am a Registered Nurse and my husband is a Pharmacist. We realize how things work. OPTUMRX company is the worst and something needs to be done.

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    Customer ServicePriceStaff

    Reviewed Feb. 26, 2019

    I phoned last week to order blood pressure meds as required by my plan. I was told I had an outstanding balance but I don't believe that was true and could not prove it. So I had to pay the balance before making the new order. The CS was rude and tried to say her tone of voice was just how she speaks. Anyway, she charged my card and said she placed the order. Today I get a letter in the mail which wasn't very clear but made me think perhaps I did not have a current order. So I called the call center and found out that I did not have an order that it had been cancelled because it was too soon to place the order according to them but that doesn't make sense when my 30 day supply I received at the local pharmacy is almost gone. I have 5 days left. The rep I spoke with today place to order and swears I will get it in three to 5 business days. Somehow I don't believe her.

    I think my plan will be to contact my doctor and have him send a new prescription to the local pharmacy and then I will just use one of the discount cards that are available I either locally or in the app store for instance. I might just use the GoodRx app. The cost is a little more but it would be worth it to be able to get my medications on time and so I can consistently get the same brand medications. This is my second-year dealing with the service. It was fine until my third month are refills and then that's when all the issues started. I have had mail order service from other insurance companies without this much trouble for simple prescriptions. I have three prescriptions from one doctor. How hard could it be.

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    Customer ServicePrice

    Reviewed Feb. 23, 2019

    This service has been the worst aspect of my family's medical care since the day we were told we had to enroll. We have had the wrong medicines sent, we have had no medicines sent, we have been told we have to switch medicines etc. If you can think of a way for a pharmacy to be incompetent, we have seen it with OptumRx. Luckily we have been able to move most of our medications back to Walgreens, where the pharmacists actually listen to our doctors and care how we are doing.

    Optum only cares about their bottom line. BEWARE for long term prescriptions that you can count on your refills being various generic brands EACH TIME you refill. If you are sensitive this can really wreak havoc on your system. Each generic producer of a medication only has to be within 15% accuracy of the name brand composition. That means that each generic product is different. 15% is huge when you are talking about somebody sensitive or a child and you could be changing that every single month. Optum DOES NOT TELL you which generic you will get and the people that answer the phones ARE NOT PHARMACISTS and do not know anything more than how to type in your address and run your credit card. Yes, Optum is often cheaper than going to a local pharmacy but the saying holds true here - you get what you pay for (or less).

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    Customer ServiceStaff

    Reviewed Feb. 22, 2019

    My dr orders a simple antihistamine to control my allergy symptoms, **. It is not a hypnotic, narcotic or control medication. I have tried about everything else on the market including going through a lot of blood test and allergy skin test. I have tried about every med over the counter and prescription and for me ** works!!! No side effects like most of the other products.

    For some outrageous reason this simple antihistamine is classified as a tier 3 medication costing a small fortune through OptumRx. I spent over three hours on the phone with representative after representative at OptumRx trying to get information why they classify it a tier 3 med. No one can tell me. I filed every stinking form they have to try and get an exception so I can afford my antihistamine and kept getting denials. I finally drove over the border to Los Algodones Mexico and bought it legally from a Mexican pharmacy for $3 dollars. Optum quoted me three different prices for the same med, same strength, same amount $ 29., $59., $ finally $99. This is totally ridiculous.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 22, 2019

    Nightmare since enrollment. I was getting my prescriptions automatically every 90 days. Well, I ran out of meds and waited a week to call to see where my shipment was and they told me I was never on automated system and it was never in my policy. I tried to explain that I never had to call it in and why then didn't I ever get email. So now almost 2 weeks later without script they tell me it will be delivered by FedEx and if I am not home when it comes to door I will have to pick it up at FedEx. It's 45 minutes away. I have them delivered because I am disabled. Can't take any more of this. This has got to be a crime.

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    Customer ServiceStaff

    Reviewed Feb. 21, 2019

    I called into Optum RX just to tell them I prefer to get my medications at a pharmacy and not through the mail. The person I spoke to was rude and I had to correct them several times when addressing me, which I am used to and usually not a big deal, but at the end of the call they got an attitude with me, and then when I was supposed to be transferred to a survey, they stayed on the line, hoping I would hang up, and they just muted their microphone. I know how call center agents do this. I've worked in call center management before, and I know the games the agents play. This is extremely rude. Honestly wouldn't go through the trouble of writing a review, but I'm still sitting here while the agent has her microphone muted (her name is Gail) and I have yet to be transferred to the survey. So since she cannot do this, I'm writing a public review about this now.

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    Customer Service

    Reviewed Feb. 20, 2019

    I called in my prescriptions to be refilled on the 11th of the month. On the 15th I was called because they could not fill one of the medicines. Held up processing the entire order. They said the medication (generic) was not available and they did not have a future date when it would come in. I called my local pharmacy and they could not get the meds either. I called my dr. and they wrote a new presc. for a different drug. This drug was out of stock also and no future date. I called different pharmacies to try to find out who may have it in stock and my local Walmart had it available. I dropped off my empty bottle with the presc, 3 refills remaining. when I returned OptumRx had put in the computer that the order had been filled on the 15th which it had not.

    The Walmart Pharmacy could not fill my order. When I called OptumRX to find out what was going on, they didn't understand what was going on and they said "Oh, I see it wasn't filled on the 15 and for some reason they had a block on that prescription." I had to sit on the phone for 30 minutes while she tried to fix the problem but she didn't have the authority to take the freeze off the presc. Put on hold for longer while a supervisor had to fix the problem. After reading my health insurance guidelines. If they don’t have the generic in stock they are suppose to fill the presc. with the brand name at the generic price. No one at OptumRx ever offered this solution. My presc. was finally filled on the 19th.

    While I was trying to get this presc. filled at Walmart the person at OptumRX informed me that they found another different drug they could change it to. They were going to change my medication without a new presc. from my dr. This seems dangerous. During this entire process I don't know how much time I spend on the phone calling pharmacies, calling my General DR. (my dr. wrote 3 diff prescriptions), calling OptumRX. It shouldn’t be this difficult to get medication refills. I was ready to just stop taking the medication that my doctor wants me to take. This is not the first time I have had problems with OptumRX. This is the second case.

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    Customer ServicePriceStaff

    Reviewed Feb. 19, 2019

    After getting married recently, my wife and I decided to continue on my company health insurance. My wife has taken a tier 3/non-preferred drug for at least 12 - 15 years because no other drug works or had stopped working in the past. Up until now she has had literally no issues getting her prescription filled for a reasonable (under $100) price. Cue in the bane of our existence that is OptumRx.

    We've been running in circles with them for over a month now trying to get her prescription renewed and literally no one can figure it out and we almost get a new and completely unhelpful answer with every person we try to talk to; which currently has her price for over $200. We've been told it should cost $0; we've been told it would be a $10 copay; we've been told the high price is because we have to pay the difference between the name brand and generic on top of the copay. It's mind boggling how unhelpful they are and the severe lack of knowledge they seem to hold on their own policies/prices and customer information.

    They say we need a prior authorization, one was sent. Then they say that the prior authorization stated it was a choice and a new one needs to be submitted saying that its required because the generic doesn't work, a new one was sent. Then they said, legitimately "I see your prior auth, I have no idea why this is happening." They asked us to have the doctor call, which resulted in the doctor just getting the same answers that lead nowhere.

    They tried telling us maybe the information we provided from the prescription card they provided was wrong. They tried telling us the pharmacy was entering it wrong and needed to change the product selection. Apparently everyone else BUT them is the problem and everyone BUT them has been extremely helpful and has done everything they can. In the end it still comes back to OptumRx being the center of the issue and they can't even figure out why. Seriously what is the point of this company if they can't even figure their own stuff out? Completely useless.

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    CoverageStaff

    Reviewed Feb. 14, 2019

    I would give this company and their parent United HealthCare a negative 5 rating. Only use if you are healthy. They do NOT COVER WHAT you need to maintain health or if you have any health issues. The executive officers for both companies should be ashamed of themselves and I hope they have very healthy families. Probably their families get coverage but not everyone else. They are what is wrong with our healthcare system in the US.

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    Customer Service

    Reviewed Feb. 10, 2019

    Our prescription coverage changed Jan 1, 2019 from Caremark to OptumRX. We have seen an increase in prescription drugs and now a denial for a med my family has taken for 2 years after being tried on everything. OptumRX customer service is TERRIBLE and so far we are disappointed and very upset. Instead of a safer pain med OptumRX chooses to pay for a cheaper highly addictive drug with more side effects. The opioid crisis is a crisis for drug addicts not normal Joes in pain. Absolutely horrible.

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    Customer ServiceStaff

    Reviewed Feb. 8, 2019

    If I can find another way to obtain my meds, this is probably the last you will ever hear from me. I have tried repeatedly to work with your call center, but over and over they have been unhelpful and/or lied to me about the actions they would take to get my medications to me. I frequently get emails informing me that Optum has 'reached out' to my physicians' office for prescription renewals, etc. I suspect that 'reached out' does not necessarily mean that Optum has actually talked to a human being in my physicians' office... Until you have actually spoken to my physician or a staff member authorized to act to fill your request, you have not 'reached out'!

    I ought to be able to request emergency medications when circumstances beyond my control force me to extend my travel plans beyond the supply of meds I have with me. Say 5 to 10 days, without requiring 'available refills'. These are psych meds that I don't do well, when I run out! This is especially frustrating when you tell me that you will 'reach out' to my physician for refill authorization before you can send me EMERGENCY meds.

    On Sunday, Feb 3, I received an email informing me that my ** 300mg were being shipped. I noticed that the address was that of my sister in Mena AR, where I had been when I was requesting emergency meds. Considering the disorganization of your call center in earlier calls, this was not surprising. So I called the Call Center and asked them to correct the mistake and have these meds rerouted to my home address in Washington DC. The Call Center rep put me on hold for a few minutes. When she came back, she assured me that the Optim routing department had contacted the carrier and the carrier and your routers had arranged for my meds to be routed to my home and not delivered to my sister in Mena AR.

    These are the same psych meds that I had then been without for 2 weeks (As of today, I still don't have this medication...). The next day, Monday Feb 4, my sister called me and told me she received my **. I asked her to write 'refused' on the package and put it unopened, out for the postal worker to pick-up. Now, it is Friday, Feb 8, 2019, and I still don't have my **. I went to your patient portal, logged into my account and pulled up my order history. Bizarrely, none of these ** orders appear! Either past or current, completed or in process.

    So what's going on??? Did your call center rep lie to me when she told me that my grossly delayed, EMERGENCY ** order would not be delivered to my sister, but instead would come to my home address? What happened to my order in your patient portal? Why have I still not received my **? Why do I have these types of problems with you call center, over and over, year after year?? I'm not going to play this game any longer. It's not worth the modest co-pay savings associated with your service. And I don't want you calling me to apologize or ask how you can make this right. I intend to copy and post this letter on as many review sites, like Yelp, as I can find.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Feb. 7, 2019

    Under any circumstances do not use this company! They will give you a price for a drug and make it seem like you’re getting a deal, saving money, the reality is they lie, jack up the price, and your pills will not arrive on time! Case in point I got a price for two drugs ** and **, the price for each refill was $100 US dollars for a 90 days supply. Three days later after they contacted my Dr. for the renewal of pharmacy scripts I went online to order, only to find out the price for the **was ok but the price for the ** was 15 times higher than what the previous lady had quoted me. Astonished, I proceeded to order only the ** from the OptumRx website however, would not let me place my order so I called OptumRx. Talked to a lady from Florida. She looked up the prices said ** was $1503. I laughed. Said I will only order the ** for $100. Said the pills will be in a week.

    A week later I check to see the order status, to find out was not shipped and they had included the ** in the order price $423, I called. Talk to "off shore customer service" rep then she pulled up the notes from the previous conversation with the lady from OptumRx and revealed that I indeed I told her that I did not want the **. That I could get It locally. I did get it filled locally. She couldn't understand why they added the ** to my order! I told this third person to cancel the order and I would never do business again with OptumRx. She apologized, we'll wait and see if the order gets cancelled in the meantime will call my credit card company to have them blocked them from using my card.

    To summarize: First person from CA either didn't give the correct quote on the **. $100 vs $1503 or the system is broke. Online ordering not working. Second person did exactly opposite of my wishes and proceeded to charge my credit card. Sent me drugs I did not want. Which I never received anyway! Talking to someone would not give me their location only that offshore. Read back the notes from the previous lady that I originally called to place the order to tell me that I was right that I did tell her I was unhappy about the price of the **. I would get it myself locally.

    The lady from OptumRx felt she was doing be a favor by added $323 more to my $100 order to make it $423. State of Michigan Retirement program put me in this drug program only to find out that this is the absolute bottom of the barrel as a pharmacy go. What the heck is going on with this company, prices all over the place. They will not send you an email to notify you on anything because I asked for an email confirming that the order will be cancelled and my credit card will be reimbursed. Lady indicated that they don't do that! REALLY!

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    Customer ServiceOnline & App

    Reviewed Feb. 7, 2019

    They NEVER respond to emails, and their website has errors. My latest email, which has yet to be answered, follows: "Please be advised your website is misleading, and your customer service leaves much to be desired. The following copies of emails and the attachments explain the issue, but I mainly want to state my opinion regarding your organization. First, I never received any acknowledgment or reply regarding either email I sent via your website contact page. Second, I received nothing but a runaround from your customer service department. I was transferred four times and had to hold in excess of five minutes each time."

    "When I finally was able to speak to a supervisor, all she did was argue that I was wrong even though the website clearly showed I was correct. When she said they processed my order correctly and suggested I talk to your I.T. department about the issue, I hung up." At this point, I do not want any resolution to this issue. I just want to make you aware of the problems you have, and I want to assure you I will never recommend OptumRx to anyone.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 5, 2019

    This company has no customer service expertise. The agents are rude. No one knows what to do. They always make mistakes with orders and never deliver on time. I wish the State of NJ would go back to Express Scripts.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 2, 2019

    On January 21, 2019, I tried transferring six prescriptions to mail order, and as of February 2, 2019, I still do not have all of my prescriptions. It has been a horrendous nightmare! I have been on the phone nearly every day for 11 days trying to get things straightened out. It always seems to be my fault or my doctor's fault that they can’t get it right. I guarantee that I will never again use this service even though they offered no co-pay on my medication. I do not recommend you even trying to deal with these idiots. It is a colossal waste of time! I only gave them one star because it is as Low as they go!

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    Customer ServiceStaff

    Reviewed Feb. 1, 2019

    Well my mother has gotten refills from OptumRX for years. We needed a refill and I was transferred at least 3 times being told that they did not take care of USA orders. I finally got a nice American and she said they were waiting on Dr approval. I got an email on 1/24/2019 saying they got approval and order in process. I called OptumRX and was told she would receive meds by 2/1/2019. On 2/1/2019, I called to check on tracking number and where it was since Mother was about out of her meds. Now I am told order was not shipped, out of stock and could not ship multiple orders. I'm like "Why couldn't you let me know before now???" And of course, when I tried to leave a review on phone. I was cut off. Go figure. I'll get meds elsewhere.

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    Sales & MarketingStaff

    Reviewed Jan. 26, 2019

    Just have to add to everyone’s wonderful experiences with this crooked company. Not only have they denied refills of two medically necessary items for me (coincidentally not available generically) but they did the same for a senior citizen in my family who’s been taking this med for years (also only available via trade name). I am in the process of writing letters and op-ed pieces to the newspapers about this, including The NY Times. My goal is simple: expose this fraudulent corrupt company and its incompetent help staff. Post if you’re interested in starting a class action suit. What’s next? Denying insulin because it’s not medically necessary? The sooner the frauds who run this scam operation are in Leavenworth the better.

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    Reviewed Jan. 24, 2019

    My cancer meds were supposed to be delivered a week ago. I have no meds and all they have are "I'm sorry's". If you are not using this company, DON'T START! You've been warned! This is the worst! I thought it would be easy and convenient however I was sooo Wrong!!!

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    Customer Service

    Reviewed Jan. 24, 2019

    This is the worst company to deal with. I've been on the phone for the entire day because they rejected CVS from refilling my blood pressure medicine because they want me to get it thru the mail. My prescription is only for 1 month so they refuse to help me and won't let CVS fill it. Therefore I have to pay for it out of my own pocket. You can only imagine since I have no pills left-how high my blood pressure is right now. They wouldn't even approve a 7 day emergency supply. Horrible horrible company and I pay for my health insurance.

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    Customer ServiceStaff

    Reviewed Jan. 24, 2019

    I've tried for more than 2 weeks to get a pre-approval for a medicine I need for a few serious issues including breathing. The doctor filled their form and faxed to their number with getting a confirmation that they received it 7 times in the last 2 weeks. They insist they never received it. They will not give me a mailing address for me to overnight the forms to them. They called my doctor office liars and refused to give me a mailing address. I spoke to many people there over the past 2 weeks and hardly got the same explanation twice except that they didn't get it. They questioned my name, my ID, my doctor abilities to send a fax, etc. The only advise they actually gave me was to go to the ER. (HA?). I believe the major level of incompetence they show is the Standard Operating Mode of every employee at that company. So it starts from the top.

    I am going to file official complaint with Medicare. I'm trying to keep this message with clean language but any bad word you can think about in any language you choose will probably describe them accurately. If you want to avoid anxiety and a potential heart attack choose a different company for your prescriptions. Thank you for reading my comments.

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    Customer ServicePunctuality & SpeedOnline & AppReliability

    Reviewed Jan. 22, 2019

    I have an elderly relative that I assist with several medications, many important heart medications. She recently changed her Medicare plan to the OptumRX Walgreens plan. Although she was assured all of her medications would be transferred smoothly from her prior pharmacy and doctors, that's not been the case at all.

    Month 1 is off to a bad start. She's had to go to pharmacy to pick up meds cause they wouldn't be delivered on time. They only have 3 medications listed on her account that are being delivered automatically even though she is on about 15. When she calls for a refill she is informed it could take 10 days to receive it. I set up her online account and the website is prehistoric. I tried to pay her balance with a checking acct. and was warned several times that the routing number was invalid. Odd how it is valid for car payment, insurance, credits cards, electric bill.

    Sadly I had to use her debit card finally. I entered the card info and that was accepted. I entered "pay" for one time payment. The screen froze and when I went back into payment methods, the debit card info was gone. The balance remained. So, I went into payment methods again and chose the debit card as default payment and selected pay. Screen froze. No confirmation. Nothing. She may be billed twice! Who knows if there is no confirmation of a payment? Today I checked the account thinking a payment went through and it had not... thankfully. I removed her bank info from website and suggested she block her account.

    I read several reviews about how awful experiences are with this company. Unauthorized charges, late medications, customer service that is unhelpful. I am really surprised that AARP supports this service. It's really a disgrace to suggest a service that is so unreliable. In closing, if you have this service, you may be able to get the medications at Walgreens if you have that plan. If not, there are some discount drugs plans that you can print coupons for or pick up at most physician offices until this is resolved. I wish you luck.

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    Coverage

    Reviewed Jan. 17, 2019

    My wife needs a very important prescription and has been taking it until OptumRX moved it from Tier 2 to Tier 3. We applied to OptumRX through our doctor to cover it under Tier 2, but it was denied. There is no alternative that is in Tier 2.

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    Customer ServiceStaff

    Reviewed Jan. 15, 2019

    I have received quarterly benefits from Front Line Medical (OptumRx) before with no problems. This time I opened the undamaged box and a bottle of ** had spilled out into the box. The top was off the bottle and the seal was peeled back about 3/4 of the way. I couldn't believe my eyes. All the other medical products were ok and packed securely. I called the number given at the bottom of my order page. I told the "shocked" representative and he said that he was writing it down and this situation would be sent to the appropriate department.

    He assured me that someone would be in touch with me about this matter in no more than 2 to 3 business days. I have yet to hear from anyone. I used to work in quality control at a military contractor and I learned about traceability somewhat. I am going to ask details as to who exactly packed this box and did they have something against me. I wonder if the pills are tainted also. It reminds me of the ** scare of the 1970s...

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    Verified purchase
    CoveragePrice

    Reviewed Jan. 14, 2019

    This is the third time that OptumRx has billed us despite the fact that our prescription coverage covers the entire amount of the drug that they sent. They are literally charging us full price for the drug and then billing our insurance company as well which is UnitedHealthcare. I'm still waiting to get to the bottom of this as once again their system is down and they can do nothing to help us. At this point I am going to file a complaint with our local police department for elder abuse and I would suggest that anyone else that has this problem does the same. This is completely illegal or what they're doing it's literally stealing.

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    Punctuality & Speed

    Reviewed Jan. 14, 2019

    Twice they kept giving me the wrong updates on when my prescriptions would be delivered, & I wound up having to go without much meds. The last time, not only were they late, but had the wrong amounts of the prescriptions. Terrible way to handle things that can be life threatening.

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    Customer ServiceStaff

    Reviewed Jan. 13, 2019

    The mail order pharmacy for United Health Care Advantage Plan is unfortunately OptumRx. Because of habitual inept service, I usually bite the bullet and have my prescriptions filled at my local pharmacies. If I were to take advantage of the mail order I would owe zero co-pay, but only rarely has OptumRx gotten it right. I do not understand how this company manages to stay in business.

    Their site almost never works and if you think you have ordered a prescription online, you will discover after you are out of medication that there was a glitch in the system and your order was never processed. Most recently, I called and spoke to a representative who seemed to actually know what she was doing (I was hopeful) only to receive exactly what I told her I did not want and could not use. I now have a 90 day supply of a drug I can't use and have to dispose of. I was shocked to see so many other who share my opinion of this company. It poses the question...why are they still the 'go to' mail order company for insurance companies?

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    CoveragePriceStaff

    Reviewed Jan. 12, 2019

    My husband needed a new drug ASAP; his doctor's office sent a prescription to our local Walmart for a 30 day supply and a prescription to OptumRx for the remaining 60 days. OptumRx instead filled a prescription for the full 90 days so that when I got to Walmart, insurance would not pay for the 30 days supply since OptumRx beat them out by ordering a 90 day supply. The pharmacist at our doctor's office tried to help us out by requesting OptumRx overnight the pills, which they agreed to do; this was on a Wednesday. On Thursday afternoon I get an email saying the shipment was held up because they needed a credit card number. I immediately called to give them that information and reminded them that we needed this shipment over-nighted. That was Thursday, early afternoon.

    In the meantime, the hospital where my husband was gave us a 3 day supply to cover Thursday afternoon, Friday, and Saturday morning. At 11:06 pm on Friday night we get an email that the prescription was shipped and we would have it on Monday before 8 pm. That meant that we were short a minimum of 4 pills, which I did obtain from Walmart at a cost of $36.00. I called OptumRx and they blamed FedEx for the problem. According to them, I guess, FedEx was supposed to come to them on Thursday to beg them to send out the promised prescription. OptumRx absolutely did not care if we had the pills we needed or not. All they wanted was to be able to fill the full 90 days of this very expensive drug. That benefited them, to hell with us.

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    Customer ServiceStaff

    Reviewed Jan. 12, 2019

    This company makes it so difficult to submit legitimate medical expenses. When you call, the representatives put you at ease and explain what is required to get a claim processed successfully. The reality is they continue to close submissions with lame reasons for not paying. Often, claims will just disappear with no explanation whatsoever. There is nothing flexible about these spending accounts. Optum is a company whose sole function is to obstruct your ability to use the funds in your savings account.

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    Customer ServiceContract & TermsStaff

    Reviewed Jan. 11, 2019

    My United Healthcare plan uses OptumRx, so I didn't have any other option. My doctor called in two prescriptions, but failed to sign one. When I had not received either one, I called them and was told I should have been notified by email concerning this issue. Then after the doctor had signed both, there was another delay because they second guessed my doctor's opinion and wanted to make sure that she wanted me on both prescriptions.

    Since my current job is a contract position I am not currently residing at my permanent address. I gave them my current shipping address at an apartment complex, but they sent it to my permanent address anyway. They sent the prescription out a second time, but this time they sent it to the wrong address in the apartment complex and the person living at that address said they never received it. When they sent it out a third time they told me I would have it in a couple of days. I told them I was heading out of town for a week, so I needed it before then. It did not arrive in a few days, so then a representative, Kanisha, said it would be sent it out again to where I was headed. The representative lied and never sent out another shipment. I am still without my medication.

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    Customer ServicePriceStaffProcess

    Reviewed Jan. 11, 2019

    The employees of Optum Rx are trying to do their best to help clients. But their company has made this virtually impossible. The process for getting approval to reimbursement for drugs is so complex and incomprehensible, even to those tasked to explain it, that they simply spend their long days apologizing to customers for not being able to help.

    I am now on my 8th call to try to get cluster headache medication approved for my son, Zach. Cluster headaches are nicknamed 'suicide headaches' because they are so unbearably painful. When my son is in a cluster (they happen seasonally), the base medication usually works for a few weeks. When it stops, he needs to take shots of ** for each headache and this often exceeds the number of shots reimbursed by Optum RX, thus requiring a prior authorization by his doctor.

    I have now spent over 10 hours on the phone trying to get clarity on how the approvals and reimbursements work. Each membership services to explain their process, reasons for refusal. I have gotten multiple and conflicting answers - blaming doctors, pharmacists rather than acknowledging that their own prescriptions desk was doing the refusing (apparently service agents are not properly trained to see this). When after 4 hours and 5 conference calls getting dr and pharmacist on the phone to address contractions, I managed to elevate within Optum RX to someone who could confirm they were refusing the claim.

    - I have had my son on the phone with me twice to authorize me speaking for him and have been told that has been entered into the system. Yet only today was told that process is no longer accepted and that forms must be filled in. - I have been told that the higher dosage of generic ** is 1/3 the price of the lower dosage despite the fact that my son's neurologist, head of St Luke's headache clinic, warns that too many high dosage shots will lead to overdose. No explanation as to why he can't take LESS medicine more cheaply.

    I have been proposed mail order service of a generic form of the drug my son needs and been advised that this option is 50% cheaper than in pharmacy, only to be discover, after waiting anxiously for 2 weeks for delivery, that Optum RX is out of stock of the drug we need and never bothered to reach out to communicate that information. I was then informed that it would cost me $2365 to buy 12 boxes of shots (my son needs up to 3 a day when his headaches are at their worst) at the local pharmacy without any ability to explain why this figure is twice my son's deductible. Every effort is made by Optum RX to make their processes opaque and to discourage all but the most persistent. A disgraceful lack of training, systems management, transparency and efficacy. To be avoided at all cost.

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    Customer ServiceOnline & AppStaff

    Reviewed Jan. 9, 2019

    If it were possible to give this company any MINUS rating I would do so. A -20 to the 10th power! Their level of incompetence is staggering. So, let's start: Trying to type in the member ID is useless as their system doesn't recognize what you type in. Speaking the numbers rarely is helpful. So you get transferred to an agent which is all you wanted in the first place. This company is outsourced to another country. It's been my experience, almost without fail, that a company who has reps 6000 miles from where YOU are located really isn't invested in truly being helpful. These people in customer service for OptumRX have an amazing capacity to either not listen or not understand what you're telling them. Perhaps both. Either way, it will frustrate you to insanity to try to get them to listen and actually HELP.

    They either do not have agents in the United States or they just refuse to transfer to an agent in the US. Nothing personal per se...I just feel there are any number of agents in this country who could use those jobs and/or would be trained to achieve a higher level of competence. If you don't need many medications I would STRONGLY urge you to avoid this company!!! Go to your local pharmacy or Walmart and get your prescriptions there or find another 90 day "by mail" supplier. I'll be doing just that. They will make you crazy trying to sort your medication out or make any update to your profile. THEY DO NOT LISTEN!!! AVOID them or use them at your own peril!

    Their website isn't overly user friendly either and does not allow you to make certain changes yourself in the hopes of making your life easier. As an example, changing the name or any info about your Primary Care doctor is impossible. You HAVE to call and since they don't listen, you'd do just as well to not bother to call and just bang your heads against a wall for 30 minutes. DO NOT USE THIS MAIL ORDER PHARMACY!!! SAVE YOURSELVES!!!

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    Price

    Reviewed Jan. 9, 2019

    Being a AARP prescription drug customer, I was told to use OptumRX as a provider. I have had nothing but terrible service from them. Their website is concisely down, when ordering the initial price is full price, you have to call them to have the AARP plan assigned to get the correct price. Last time I had to waiting 30+ minutes to get this resolved. My account site includes some of my medications, no auto alter to refill. Overall, my experience has been way below par, and, I no longer use them. They should look and try to model after ExpressScripts, who has it right. Stay away, not a great company, terrible service.

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    Customer ServiceOnline & App

    Reviewed Jan. 9, 2019

    I have a prescription on automatic refill with these folks. Every 90 days I run out of medication because they cannot get their stuff together. Either the order was dropped off from the automatic refill God-know-why, or the associate who was supposed to set this up did not do it, etc. I have tried everything--the website is worse than not having a site at all, it gives you the idea that the problem was solved when it was not. Or hope that anyone actually reads it regularly. Customer service by phone is awful--they blame you for whatever they did wrong this time. Rude and uncooperative. They just leave you without your prescriptions and could not care less. 100% irresponsible. No management.

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    Customer ServiceStaff

    Reviewed Jan. 8, 2019

    No communications between what the OptumRX customer service department says they are going to do to resolve an issue and the people at OptumRX that are supposed to follow through on promises, ex: refunds, prescription errors, billing credit card when you've asked numerous times not to have your credit card on file. This is one of the poorest managed companies I've ever seen and dealt with. In particular, Vicky, an Escalation Manager, was one of the worst. She totally lied to me and would not remove an unauthorized charge from my credit card (someone else's medication billed to my card). She should be fired. If you have choice of OptumRX or not, DO NOT PICK OPTUMRX, you'll be sorry.

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    CoverageStaff

    Reviewed Jan. 7, 2019

    Pay your premiums for years, and one time needing help they refuse to cover a prescription. They rather you take a medication that has 1058 side effects instead of the new prescription that only has 550 interactions. I work at a large repeatable company, pay high premiums for PPO and they told what you can take or can't take based on their reasoning. They are ridiculous, they rather you die or take a medication that can kill you faster than the one you need. Thanks for Not caring about the patient. Can wait to do the questionnaire to remove you from our insurance group.

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    Reviewed Jan. 7, 2019

    Never had problems with my Rx benefits with Medco. At start of year Prudential tied to OptumRx. Can’t get approval for ** but they say I could get it on Jan 18 when it’s no longer beneficial to me. This is only the start. I never used my pharmacy benefits that much but I can feel it will be a looonnng year with OptumRx.

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    Staff

    Reviewed Jan. 2, 2019

    My insurance dictated that I use this service. Webpage is counter-intuitive and the service reps are worse if that's possible. Every time I go to the site it has changed my medication requests from auto-fill and auto-renew or whatever it's now called, so that I have to miss several days of meds, and even on a good day, it takes almost two weeks to get something from them. I've transferred most all of my prescriptions to a local pharmacy and glad I did. If you haven't used this service, I'd advise against it.

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    Customer ServiceStaffReliability

    Reviewed Dec. 28, 2018

    My wife signed us up for a provider that uses a third party, OptumRx, to handle mail order/web prescriptions. First off, I could not create an account because the person entering my data in the system used my wife's birth date and not mine. It took 5 calls for them to figure this out. Once this was corrected, I still could not log in, the system kept asking me to register a new account -- BUT, after entering all the correct information, got booted out due to the account being 'already registered'. After several hours on the phone with customer dis-service and IT, and after several 'It will be fixed in 24 hours' blow offs with no resolution... I finally gave up. These people are totally incompetent, I don't think any of them graduated from high school let alone grade school. A total disaster. I give them an F-.

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    Customer ServiceCoveragePrice

    Reviewed Dec. 25, 2018

    I recently retired and chose an insurance that requires you to use OptumRx as their mail order pharmacy. My first issue was getting my prescriptions transferred from my prior mail order prescription company to OptumRx (OptumRx issues). Finally got that squared away. I was very surprised that it took three different mailings over a period of 4 or 5 days to get 4 of my prescriptions. The 5th prescription did not come after several more days so I gave them a call. I was told that they did not know that I wanted that prescription filled. I questioned them regarding the fact that I had given them a credit card number to cover this prescription during my order as this prescription is for allergies and not covered under any insurance plan that I am aware of. The person I spoke to apologized and said that since this was their error they would get it sent to me quickly and I should get it Wednesday (12/26/18) or Thursday (12/27/18).

    Today on Xmas Eve I received a phone call telling me that my prescription is not covered under my insurance. I explained that I had already left a credit card number for this because I had been given the amount to pay since it isn't covered. I was then told that since it is a controlled substance they can not send it since I'm paying cash. This is an allergy medication that I have a legitimate prescription for and is, in other states, over the counter, but requires a prescription in my state.

    I have never had this problem in the past and was totally floored. When I questioned why I had not been given this information in my numerous conversations prior to this, but I was given the cost and left a credit card number, I was told "this is their policy". I will be contacting my insurance as well as AARP (since they are partnered somehow with the insurance co) and voicing my concerns. I'm not quite sure who should be looking into this pharmacy, but somebody should be. I feel there are enough complaints to warrant some type of review. There is no way I can justify giving this company even one star but had to in order to complete this.

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    Reviewed Dec. 23, 2018

    OPTUMRX almost killed my husband in 2018 and now they're trying to do it again. My husband is on controlled substances and has been for years for his condition. EVERY damn month OptumRx has an excuse why his medication is being held up. Usually it's the old "we need dosage confirmation", "we need an authorization from your doctor", "we faxed your Dr. three days ago we received nothing back"... and on and on and on... All BS excuses... The latest one is, "we need his toxicology report from his doctor..." When I asked, "Why do YOU need my husband's MEDICAL RECORD from HIS doctor to fill a prescription he's been on for years?" I was told it was CDC guidelines. That's flat out BS.

    In 2017 they pulled this crap and the end result was my husband was without his medication for TWO WEEKS. He went into severe withdrawal which caused him to contract pneumonia which landed him in ICU on a breathing ventilator and now here we are in 2018 and they are pulling the SAME BS TWO days before Christmas. I am so mad I could spit nails! We are forced to use them because of our Insurance but I want to sue them for everything they are putting my husband through and myself. Has anyone sued them? Is anyone currently suing them? SOMETHING needs to be done with this company. Would anyone like to join me? I will be contacting lawyers beginning on Monday.

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    Customer ServiceCoveragePrice

    Reviewed Dec. 20, 2018

    In the State of Michigan. Legislation needs to review that practices and Legality of this company. They try to force you to take the service. They without my consent tried to tell me I OPTED in when the truth of the matter is I CLEARLY stated that I NEVER accepted to OPT in for any of their services. Nor will I ever make such a decision. I called and confirmed that I OPT OUT of this program. I was told that my account would be noted. Requested they update my file to confirm I choose NOT to participate in such so called mandated services. I never agreed to any of it. They tell Pharmacist they have to refer scripts to their Mail order and refuse to cover medications. In addition they tell you. If you choose not accept the service that the consumer has to pay 100% of the cost of the medication.

    All of my other scripts are covered and I pick them up. 1 Medication that was covered for the past 3-4 refills suddenly is being forced to use the Mail Order. You find that out on the day you go to refill??? What kind of service would pull that on patients. I get a call from my Pharmacy that OptumRX told them they would not cover it. What would happen if it was a life threatening situation? I found that their hours are limited for customer Service and they are not available on weekends?? My Pharmacy is on the way home from work and I simply pick all my scripts up. I have control as I should have that legal right to do so over all of my medications. This Forced Service essentially would run smaller Pharmacies out of business. Is that what they are trying to do?

    Over 1 Million Complaints logged to date regarding Poor Service, Late Delivery, Substandard poor quality Generic Medication, Charging credit Cards without authorization, outrageous prices, Customer Service Hangs up when you call to get help especially when you request Opting out. This very poor service should be outlawed and or fined for such practices of forcing consumers to take this service with no choice as they try to tell you. Some states are banning Forced Services such as this. Michigan Legislation needs to review and make it illegal to force Mail Order in all States. We do and should have the right to make that choice. This is your health. You should have the choice to make these medical decisions. HIPAA needs to be involved. Please band together and talk to your State Legislation to get this type of business practice Banned.

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    Customer ServiceOnline & App

    Reviewed Dec. 20, 2018

    The worst experience!! I have been on a medicine for over 15 years... Now they want another prior authorization again. They are telling me it will take at least 15 days to complete a prior authorization. If I stop taking this medication I will suffer life threatening complications. I cannot pay for it our of pocket at 32.$$ a pill. Do you think they care? No, they are only worried about their bottom dollar. When you call them expect to spend at least four hours on hold...being deliberately disconnected. After being on hold for 45 minutes. When asked to speak with a supervisor I was told there is no one available. They lie to you. I am so appalled at their actions! I have been told complete lies by their customer service. Can't call them service because they are not servicing you. They are greedy corporate liars!

    Please listen to all these reviews and avoid them at all costs! P.S. Now their website us down, probably on purpose because of all the end of year complaints!

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    Customer ServicePriceStaffProcess

    Reviewed Dec. 19, 2018

    My experience was far from OPTIMUM. I got excuse after excuse of why my order did not ship as promised and for the price I was quoted. My order was canceled, I was not informed and when I called to check status not even a LEAD team member felt it was their duty to rectify their errors. I will NEVER order another prescription from them. BEWARE!!! I would give a negative star if the program would allow me to. Ugh. I am so disgusted.

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    Customer ServiceStaff

    Reviewed Dec. 18, 2018

    After over 2 horrible years of using this company I GIVE UP. I have multiple medical issues and have gotten nothing but GRIEF using this company. Latest fiasco: while waiting for a medication for my oxygen that was sent to them December 4th. Today is Dec 18th and I just found out 2 days ago that it has to be billed thru a DME durable medical equipment company... In 24 hours I've spoke with Elisa. Oddly disconnected after 25 MINUTES on hold, then spoke with Airiel who told me I could NOT speak with a supervisor to straighten this out (not true, one is ALWAYS available). Then spoke with Trudy, Bobby, Barry, Tequila and finally Emily a senior solution specialist... I do not understand why it's such a big deal to speak with upper management to get problems resolved.

    This company has just had screw up after screw up...they even told my DME that they didn't have me as a customer after she spent half the day trying to get this taken care of..Almost ALL my 9 doctors office staff even dreads having to deal with this company and apparently it's not just me having issues. Had I seen these reviews I could of saved myself the grief. Over 2 HUNDRED reviews and they get a ONE STAR review. What's that tell you!!! BEWARE. DON'T USE THIS COMPANY. SAVE YOURSELF THE GRIEF!!! You do NOT HAVE to use them. Go thru another company that APPRECIATES your business as this company acts like their doing YOU the favor. I'm all done and taking my business elsewhere!!! But I WILL let the CEO be aware of WHY!!!

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    Customer ServiceStaff

    Reviewed Dec. 14, 2018

    I was sent my prescription on which was sent to the wrong address and was sent back to them. I never got a notification, call, email, nothing to let me know that they attempted to send the prescription without success. Thank god it's just birth control, I can't imagine if it was something that was extremely important. I had to call 3 times yesterday to get this sorted out due to being disconnected and never receiving a call back both times. The last lady I talked to assured me that she put the order in for it and it is still not showing up anywhere on my account. This is a complete joke that this is what I have to go through to receive a prescription. Sad that this is what some people are stuck with for fulfilling prescriptions.

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    Customer ServiceStaff

    Reviewed Dec. 12, 2018

    I have called my doctor to renew prescriptions with OptumRx. Twice in a row Optum claims they never got the fax. Really? My doctor actually talked to them on the phone and then sent the fax. So did they walk away and forget about it? Then I called them and they assured me that it was there and I would be able to order the next day. Instead I got a text telling me to contact my doctor to renew the prescription. So unprofessional. I am embarrassed and ashamed to let my doctor know I deal with Optum. So I deleted my account with OptumRx.

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    Customer ServiceOnline & App

    Reviewed Dec. 10, 2018

    As a first time user I was excited to begin the service based upon other users. On Nov 30 2018 my Doctors places the prescription electronically. On Dec 1 I went online to set up my account and place the order. I need this refill so I have enough for a travel plan. After 3 attempts I gave up because I had no acknowledgment of order but noticed the cart was reset to zero and no order history showed the order. Next day I called to question what I was doing wrong. I was told that first time users needed to place the transaction via personal phone conversation. Note there was no direction of this on the website. So I placed the order.

    Next Day Dec 2nd I received 3 emails indicating action was needed to complete the order. I called again and found out my payment did not go through. This took 2 1/2 hrs. because whenever I was put on hold the hold lasted so long that the call was disconnected and had to call again, wait for a person and explain the details again. After 4 recalls I place the payment again and was assured it went through and told item will ship on Dec. 5th.

    On Dec 9th I received 4 separate pieces of mail from OptumRX. 1. "We have received your prescription from your Doctor's Office, which was sent electronically on Nov. 30th." There was no date on this letter. 2,3,4. All received today Dec. 10th. Indicating that the order will be filled within the next 30 days as I was ordering it too soon. As of the Dec 8th I use the last of my supply. Today is Dec. 10th. So one more phone call and assured it will be here on Dec. 13th. Why did it take 10 days for these notices to come by snail mail when they have phone and email info that can get things and info delivered or resolved much quicker.

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    Staff

    Reviewed Dec. 8, 2018

    When refilling my last order before requiring refill requests from my doctor, I specifically stated I did not need my order to be overnighted. Yet, that’s exactly what happened (after the service agent said she would remove the request from my profile). The order never made it because OptumRX did not follow my instructions/request. FedEx tried to deliver and did not leave a note. I did not receive my meds, the current prescription has run out, and I’m out. I will not EVER use this service again, especially since it took me three tries to actually get to a supervisor and not be left on her md for 5 minutes or longer with no contact.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 8, 2018

    I paid for a shingles shot that is covered under my OptumRX policy through my employer’s policy. I submitted all the receipts and reports and received a reimbursement check on a Tear-off sheet that explained the amount being reimbursed. I deposited the check and five days later it bounced! The amount was removed from my bank account and my bank charged me a $20 returned check fee. The Optum RX customer service person had no answers about why the company’s check bounced. They opened a case and I haven’t heard back from them yet. My bank called their bank to question the return and we’re told it was refused to be covered. What’s going on, is OptumRX bankrupt?

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    Price

    Reviewed Dec. 8, 2018

    My company recently provided an enhancement to our benefits package and added OptumRx as the prescription benefits manager (haha). I have had 2 interactions with this company and each time they quote me one price (which was no savings) and then when bill was received, was 25% higher. This 2nd event caused me to Google them. Lo and behold, complaints dating back years, same M.O. and a well established track record of over-billing customers. After I complete this, I'm informing my company who I hope realizes they are aligned with a crooked partner.

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    Customer ServicePriceStaff

    Reviewed Dec. 5, 2018

    Very poor customer service and medications are constantly delayed under bogus excuses. They overcharge for generic medications that are cheaper at the local pharmacies. With all the complaints, one would think that Medicare would not use them as a Part D mail order pharmacy for its patients. Do NOT use OPTUMRX unless you want long delays in your medications and undue stress in dealing with their inept representatives.

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    Customer ServiceStaff

    Reviewed Dec. 3, 2018

    Optum is structured in such a way to make resolution of concerns a complete maze that no user can navigate. To try to prevent others from experiencing the same nightmare I went through, I have tried to file serious complaints with them and share my experience so they can improve their customer service (both the phone line and website, as well as the grievance counselors). I have tried filing a complaint with them via website, fax, mail, and phone. They refuse to provide email correspondence and none of the phone numbers I have been provided for counselors are able to schedule a time to call me so I constantly get a voicemail box for them. It's 2018 and they need to be available to patients in multiple ways, not simply via fax or a phone line with a different time zone that renders them unavailable to the majority of people who work regular hours.

    I was provided misinformation on multiple phone calls, including one Optum employee who encouraged me to go to the Emergency Room and request the doctors give me a restricted drug. This occurred because Optum did not process my doctor as being within network and created a whole nightmare that left me without medication for 3 weeks. I had another employee demean my finances and tell me to simply pay out of pocket so I could get the medication I need.

    I've contacted multiple complaint counselors (including Susan and Nickolada) which went nowhere. They clearly do not respect patient feedback so their system continues to be a dead end to patients trying to seek help or improve the system. Do not be discouraged if half of the web links or listed phone numbers you try are unsuccessful--it is all part of their game. The structure of this is disgusting. This is about patient care and health is not a game for the individual on the receiving end of their apathy.

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    Reviewed Nov. 26, 2018

    My husband is a severe diabetic. I went to fill an order of test strips so he can check his glucose levels. Was told that we need a prior authorization to obtain them. Who does that? But we can fill his needles, insulin, etc. without an issue. Very poor policies. Very poor treatment of customers with medical needs. Now my husband is out of test strips, we cannot fill his prescription until they hear from the doctor's office and we are going through a blizzard. They need review their policies for diabetics.

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    Reviewed Nov. 26, 2018

    I've had several issues with OptumRX but the most troubling is the poor shipment of insulin and shipments of drugs without approval. The insulin is improperly packaged and twice in a row arrived warmer than specified and the last shipment the ice packs were completely melted. I've had numerous occasions where they ship meds even though I've requested that this not occur. It is hard to understand how they keep getting this wrong.

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    Reviewed Nov. 17, 2018

    Dealing with this company has been the worst experience I have ever had. I compared this company to others providing the same service. By far OptumRx is the worse! Beware. They will treat you bad. Try to find other options. If you're forced to you then, good luck. You will have problems. Lie on statements we sent to get prior authorization. They altered what we sent them. Tried to get me to go away. Then said I would get my medications 3 times and never received them. All parts of their operations is wrong. Nothing they say or do is the truth. Again beware of this company.

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    Customer ServiceSales & MarketingPriceStaff

    Reviewed Nov. 17, 2018

    I have been using OPTUMRX for 5 months now. I have issues that all Prescriptions must be home delivered. I find that unacceptable. They ship the prescriptions in a pill container and just in an oversized plastic sealed bag which makes it obvious that it's medication. I live with family and family is nosey. When calling OPTUMRX with concerns about my medication the representatives are not Pharmacists just random people and I feel uncomfortable talking about my medications with them. I was actually told by a rep to have them shipped to a different address.

    They also take authority over my prescribed meds and sent me a generic version. I was not happy with that so I had to call them and asked to speak to a Pharmacist and ask why. I was not given an answer. I guess generic is supposed to be much cheaper but the name brand was $212 and they charged me $201 for the generic equivalent. I also got a letter from them stating that I should ask my doctor if there's a different med because one of my Meds will be reformulated and will cost me more starting 2019. I would not recommend OptumRX. They are purely a profit seeking business and not stress free to deal with. I believe they are a big scam.

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    Price

    Reviewed Nov. 16, 2018

    Months ago I received a notice that I had to use Optum mail order for my maintenance diabetic medications. The problem was that my scripts were currently being filled locally, with free delivery, all meds put into daily packages that are on a roll that I just pull off every morning, for free, and my medications were each nine to fifty dollars cheaper per script. So I asked Optum if they would price match, of course they said NO. I asked to opt out of mandatory mail order refill, after 30 minutes of hold time I was finally allowed to continue my fills locally.

    Months go by then suddenly one script is unable to fill. I’m told I must use Optum for all maintenance meds, I respond that all meds have been approved each month for months and months, this one med is not going thru. I’m told there is no opt out, even though a supervisor told me I was opted out, and that I would have to go thru only Optum or pay a penalty each month. The medication in question cost me zero dollars each month. ZERO, as my local pharmacy applies all manufacture's coupons, Optum will not, so if I’d like to get my script with my local pharmacy I’ll have to pay $400 as a penalty or use them and pay $30... For a script that cost me ZERO dollars. Yeah ** this company. I hope they burn to the ground.

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    Customer ServiceOnline & AppStaff

    Reviewed Nov. 14, 2018

    Once again I have spent part of my afternoon on the phone with an OptumRX customer service rep. About a two weeks ago I noticed that I was running low on one of the medications I take on a regular basis. I've been taking this medication for several years now and have been getting it from OptumRx for the last year or so. I needed a renewal so I tried ordering it thru the website. No go. I gave up after a half dozen tries. The website kept giving me various error messages saying that my order was unsuccessful. I called my doctors office and they called in a new prescription for me. I received a confirmation email from OptumRX later that day, complete with a prescription number. It gave the date of when I would receive my medication and that there was NO FURTHER ACTION required from me.

    Several days passed before I received another email saying that my order had been delayed but would arrive within the next seven business days. After waiting for several more days I logged onto their website to check on the status of my order only to find that now there was no trace of my order at all. I called customer service only to be told that they would not fill my prescription until my doctor had called the pharmacist. They didn't know why my order was delayed or why the doctor needed to call or what information my doctor needed to supply! This is not the first time that I've had trouble with these people. This is truly the worst pharmacy on the planet.

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    Customer ServicePricePunctuality & SpeedProcess

    Reviewed Nov. 12, 2018

    OptumRx is absolutely terrible. You fail to send my medicine on time. Then you couldn't provide pre-authorization to pick up emergency medicine from local pharmacy (they tried to charge me full price). After 2 hours phone call and conversation with three representatives it was taking care of. And then similar situation accrued another four times. Every time I need to get my medicine it can not be processed correctly. And I need to spent hours on a phone trying to get arrangements for emergency pre-authorization and rush shipping. OptumRx provides the worst customer service ever. I am going to leave bad reviews in social media and go to local newspaper and a lawyer. I am extremely upset with your company.

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    Customer ServiceStaff

    Reviewed Nov. 12, 2018

    Called 5 times over one week to get my son's ADHD meds delivered before he ran out but was lied to each time. Excuses after excuses, one person blaming the other, never getting the real story, just made up tales to get me off the phone. Bottom line is my son is now off meds for two days and I am currently on hold with the next moron trying to somehow convince them that I need his meds now! If I had an option I would never deal with this company again. If possible avoid these idiots at all costs!

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    Customer ServiceStaff

    Reviewed Nov. 6, 2018

    Inefficient customer service. They keep sending you texts or leave auto voicemail messages to call them. Then when you try to call them back, good luck in the holding time and finding a customer service person who isn’t programmed worse than a machine. Waste your time, then they don’t know what you are talking about. Even though it is very simple. I have and I am paying the insurance premiums, doctor prescribed the RX for cholesterol, stroke, blood pressure medicine. (Critical medications). Then you will never receive them because of OptumRx inefficiency and disorganized system of communication.

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    Customer Service

    Reviewed Nov. 6, 2018

    I overnight mailed to OptumRx 2 controlled narcotic prescriptions because I can’t seem to get consistent medication locally. OptumRx received these last Tuesday, I’ve called 3 times, latest being last night and I get I really don’t care attitude. I wouldn’t be concerned if it typically took this long to open and at least enter overnight mail prescriptions. Last night was told that I need to give them 7 to 10 business days. You would think that since they are controlled narcotic prescriptions they would have a little concern and attempt to locate these prescriptions. And just forget trying to talk to a supervisor, won’t happen.

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    Customer ServiceStaff

    Reviewed Nov. 5, 2018

    This is the WORST pharmacy and company I've ever dealt with. I was notified that my pharmacy could no longer fill my prescriptions last Thursday, and have called no less than 4 times since then trying to get my 2 transplant drugs switched over. They told me that in 2 days (Thurs. and Fri.) they tried calling my doctor and pharmacy twice (TWICE!), then again on Saturday and all day today (Mon.) and couldn't get them through. I've been out of life-saving medicine (anti-rejection meds) since Friday, and no action - just constant run-around. If you have options other than this ridiculous excuse for a pharmacy, USE THEM!!!

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    CoverageSales & Marketing

    Reviewed Oct. 31, 2018

    I use a local pharmacy and OptumRX. OptumRX said my new medication wasn't covered. They sent a letter both to me and my physician that said we were to use 3 other medications 1st. My physician chose one and they filled it. They charged my credit card 390.00 for the prescription! I have the prescription that wasn't covered according to OptumRX at my local pharmacy and it was 20.99. A good company would have called with the cost of the medication BEFORE filling it! It's been one problem after another with them. I'm moving my prescriptions to a local pharmacy. I chose OptumRX because my tier 1 & 2 medications were to be free. That only happened on my 1st order. Bait and Switch seems to be how they operate. I'm done and disappointed I even tried them the first time. Warning to all, stay away from OptumRX in my opinion.

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    Staff

    Reviewed Oct. 29, 2018

    I have been trying to have my husband's prescription refilled. It is a refill of an existing prescription from the same doctor that has been in place for years. The doctor has sent a fax THREE times in ten days, and OptumRx can't seem to process it. It is a blood pressure medication, and I can't imagine there is any value to withholding a generic BP medication. I have spoken to a representative and sent two message on their system and still no action. What is wrong with this company?

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 26, 2018

    I've had OptumRx through my employer for two years now and it has been nothing but a stressful experience! Every time I get a prescription to pick up for some reason my insurance doesn't want to cover it! I've heard, "prenatal vitamins are not covered", "The medication your Dr. requested doesn't seem medically necessary based on your symptoms" and mind you it was medicine to treat IBS because I was having issues using the restroom.

    All the money I pay into this and for what? For them to get richer! Worse customer experience over and over again. Countless claims, countless prior authorizations... all to go nowhere! The recent customer service experience was with a manager named Vick **. in Oklahoma City. Her associates gave me the "I don't know why either" excuse and when I told them I wanted to speak to a manager Vicky had zero inclination as well. How are customer service representatives paid to help assist customers when they aren't trained properly or have the necessary resources required??! 57 minutes of wasted time! I'd rather pay a million dollars more to be on my husbands plan than deal with this BS Thank goodness open enrollment is coming up so I can opt out.

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    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 23, 2018

    Very poor customer service. They never respond to email inquiries, or they do by telling you to call the number on your card. The young lady I spoke with today didn’t speak proper English and kept laughing on the phone. I know I was frustrated but if you pick up a prescription and are told it’s going to cost you $1200 I bet you would be too! I pay a pretty penny for insurance and to be laughed at by the so-called “customer advocate” is simply unacceptable. I hope she never finds herself in a situation where you are given a medical diagnosis and are told you need a specific medication and it’s out of your price range. OptumRx I strongly suggest you train and monitor your “customer advocates” as well as revisit your policies. The worst prescription company I have ever come across.

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    Customer ServiceStaff

    Reviewed Oct. 20, 2018

    I have to use mail order by OptumRx. They called it maintenance program. I have two health conditions. One of my medications they charged me $500.00 for on two separate occasions on my husband's credit card. My husband called them and they said I hadn't met my deductible. I want out of this mail order. These people are con artists. I can get this medicine cheaper without using my insurance. I will avoid these crooks even if I pay out of pocket. They should be looked into and prosecuted for ripping people off.

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    Staff

    Reviewed Oct. 19, 2018

    Ask for a senior rep as the regular reps aren't experienced enough (I spoke with at least 7-8 over a couple months of problems with OptumRX). Even the Senior Reps aren't that good; they seem to understand and are able to get to the root of their problems, but resolution still hasn't happened. If you want to spend your life trying to fight for your diabetes medicine, then OptumRX is the way to go. Otherwise try someone else.

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    Customer ServiceStaff

    Reviewed Oct. 16, 2018

    If you are able to successfully navigate through Optum's website, you have experienced a major accomplishment. If you have done it without wanting to scream, you've accomplished an even greater task! When calling to straighten out a problem, you never get the same person or the same answer twice. All orders come from different pharmacies and the right hand never knows what the left is doing. After apologies and promises to ship overnight at their expense, my prescription doesn't arrive! Now I'm out of my medication! My physician calls Optum and they keep her on the phone for 30 minutes trying to solve the problem! My medication still does not ship. After speaking to a rep at Optum, she transfers me to a pharmacist that says my medication is no longer manufactured. It only took one more call to my physician, a short trip to CVS, and I have a 90 day supply in my hand!! Finally... After many years as a customer, I am done with OptumRx!

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    CoveragePriceStaff

    Reviewed Oct. 13, 2018

    I ordered my prescription through them because my health insurance would only cover mail order through this company. So I placed a order. Not only was I being charged more now than going to pick up my prescription but way more complicated. I thought this was a easier way and less expensive. How wrong I was! I never got confirmation or a tracking number when the package was sent, plus paid extra for second day shipping which never got. Then trying to talk with a representative there is like getting my teeth pulled. Needless to say I never got my prescription and they wouldn’t give me a refund or replace what they said they shipped. So now I’m off my blood thinners and hope I get a blood clot and die! What a crappy world we live in...

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    Customer Service

    Reviewed Oct. 11, 2018

    The last three times I saw my doctor and he electronically filled my Rx with Optum. They said they did not get. It took several phone calls to resolve. My last visit, I watched my Doc put the meds in the system, send them off, he got a "received" response and guess what... When I called they claimed they didn't get.

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    Customer Service

    Reviewed Oct. 11, 2018

    We are not customers of theirs. They somehow got our phone number and they call us every day, sometimes twice a day with a recorded message about our "account". Which we don't have. We've never done business with them. I've spent hours on the phone with them trying to get them to stop calling us and they say they will but the calls continue.

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    Reviewed Oct. 10, 2018

    My doctor sent prescriptions for 4 medicines to OptumRx which I received an email confirmation saying that they would arrive on Oct 6, 2018. It is now Oct. 10th and they have not been filled yet. I have sent them to a new pharmacy since I was to start the medicines immediately. While they stall and say they are "reviewing" and not telling me where the drugs are, I am getting sicker. What is wrong with this company? I am writing to AARP MedicareRX Plans, UnitedHealthCare, to let them know that OptumRx has a problem.

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    Reviewed Oct. 10, 2018

    15 minutes ago details. I can never win with you guys... I don't need that much of strips but you still send me 60 days supply when I just got 30 day supply from Walgreens... I'm giving birth next month. I only use this strips 'cause of gestational diabetes... what will I do to those strips? I have to pay 60 USD per week for doctor's appointment then pay insulin. We still have bills to pay to live and I have to pay 87 USD to strips that I won't even use. Your representative just suggest I can donate them then... so I will pay for the strips just to donate them?!! When I can use that 87 USD for diapers and formulas... you never made it easy for me. You are stressing me over and over again...

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    Customer Service

    Reviewed Sept. 29, 2018

    I have been trying to get this Rx filled for my husband all this week and now he is finally without this medication. He first had an Rx for this medication for 15 mg but he's taking two per night, so I called the Dr. ** office (his primary dr.) and they confirmed that they had sent an Rx to Optum for this medication and the increased strength of 30 mg. I have to this date not received any medication and I did talk to someone in the Rx department and they had said they were rushing this medication to us and that was about 3 or 4 days ago. Something needs to be done with how medications are filled. I get several calls for myself and I also have OptumRx and they keep wanting to know if I'm taking my medication. If there is so much concern then why is there so much of a delay in getting this medication sent to my husband.

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    Customer ServicePrice

    Reviewed Sept. 29, 2018

    Began with OptumRX at the recommendation of insurance company to reduce cost to me. Initial cost of medications listed looked great, when processed cost was ten times that initial listed cost. Called, or had them call me back since that is the only way to contact them, and requested all relationship with OptumRX be ended. Was assured that had happened, then a month later another order processed at twenty times what I pay at CVS; “called” again, was assured all ties were broken, all orders removed, all prescriptions canceled. No confirmation provided, no way of knowing if I am finally done with OptumRX; time will tell. At this time I have not yet received a prescription nor have I paid them anything, I cannot recommend this company to anyone.

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    Customer ServiceStaff

    Reviewed Sept. 29, 2018

    Like most Briova patients, I am seriously ill and my insurance company dictates this pharmacy. Customer service people barely speak English. Obviously, we are all being forced to use this pharmacy. It is dangerous to not be able to communicate with the people that are handling the medications that our lives depends on. Not to mention, the frustration and stress that we go through. There needs to be action against the insurance company that makes us use them and the indifference and lack of patient service we receive from Briova.

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    Customer ServiceProcess

    Reviewed Sept. 28, 2018

    This company always overpromises and underdelivers. It takes multiple days for them to process and send critical meds such as insulin. When you speak with customer service they will tell you a different story with each phone call. They don't follow up with phone calls when your meds are going to be delayed, when they have issues with your medications, can't reach your doctor, etc. My insurance requires that we use this company and all of my co-workers have experienced or are experiencing the same issues. We have complained to our insurance company and to OptumRx directly to no avail.

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    Reviewed Sept. 27, 2018

    After repeatedly paying for expedited shipping and receiving meds a week later, I finally gave up on them. Additionally, even though I had meds coming to my address, often they would ship them to my mom (who has severe Alzheimers), and I would find out about them sometimes a month later. Terrible company and service!

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    Reviewed Sept. 25, 2018

    Their systems are terrible and their personnel are not much better. They can only stay in business because they have a captive customer base. If they were operating in a free market environment they would be out of business in 6 months. IF YOU CAN POSSIBLY USE A DIFFERENT VENDOR, DO SO.

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    Reviewed Sept. 24, 2018

    Refused to process my $571.00 request for reimbursement. I was w/o Insurance for 5 weeks due to my employer’s inept associate’s failing to make my COBRA payment. I needed meds so paid out-of-pocket & submit reimbursement later. Request denied as using toward my deductible. Now I have no recourse and Optum knows that. Why did they lead me to believe my claim would be processed in the first place. Never had an issue taking my payments.

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    Customer ServicePriceOnline & App

    Reviewed Sept. 22, 2018

    I am extremely disappointed with this mail-order service for several reasons. First of all, their website and phone system are constantly breaking down and requiring me to delay calling in a prescription. Secondly, this last experience was a final nail in the coffin. I ordered my pills that I take for asthma, but was told that they were in a 30-day supply instead of a 90-day supply, as the doctor requested it. I ordered the tablets, but I changed my mind and called them back to cancel the order. A couple of hours later, I received an e-mail saying the order had been processed! I called them and told them that I cancelled the order, but they said it had already shipped. Now I have to eat the extra $3 for a 30-day supply, instead of paying nothing for a 90-day supply. They deliberately went against my wishes to cancel the order, and now I have to eat the cost.

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    Customer ServicePunctuality & SpeedStaffProcess

    Reviewed Sept. 19, 2018

    I am a Crohn’s Disease patient. In order to live life similar to those who are healthy, I have a team of doctors, medications and pharmacies I depend on. I write this complaint about the pharmacy, BriovaRx. Briova is one of many pharmacies I use, generally I go to Walgreens and Duane Reade. I am forced to use Briova as the medication I take for Crohn’s is considered a specialty drug by my insurance company Oxford (United Healthcare). Briova has major issues with their system. They do not notify a patient of issues with a prescription or refill until it is time to schedule a refill. This is counterintuitive as it notifies the patient too late for the next refill. I was notified last Friday that Briova required action from me and my doctor’s office, my prescription was expired.

    I informed Briova that I am due for my next dose the following Wednesday. I was assured this was not a big problem and that they would turn the new prescription around as soon as it is received. I was not informed about their 72-hour turnaround time. This was brought to my attention today, Wednesday, September 19th, 2018.

    I called Briova on Tuesday, September 18th, 2018 to inform them that my doctor sent in a new prescription and to check whether there were any issues that I can help resolve by coordinating with my doctor. I was told there were no issues with the prescription but that it could not be passed onto the pharmacist until the next day. No proper reason was provided for this even after I explained my situation. I was told my prescription would be flagged urgent and I can expect it to be processed the following day with a delivery date of Thursday, September 20th.

    Without a choice for anything else I hung up the phone with the knowledge that my dose would be a day late. I am currently going through a Crohn’s flare which is worsened by stress and can have me hospitalized for weeks. I called Briova today (Wednesday, September 19, 2018) to check on my prescription. I was informed that nothing was done with my prescription and it was never sent to their pharmacist. I was given the same script about flagging my prescription urgent and how this is not their fault as the pharmacy required 72 hours to turn around a prescription.

    The issue here is clear. Briova should have notified me weeks ago when my last prescription was filled. It is standard for a pharmacy to notify a patient that the medication they are receiving does not have any more refills. This allows a patient to contact their doctor to receive a new prescription while giving the pharmacy enough time to process it without causing stress or missed doses for the patient. Why does Briova not follow the same guidelines? Why was I notified 3 business days before my next dose if the pharmacy has a policy of 3 business days to process new prescriptions? Additionally, why is no one at Briova taking responsibility for not processing my prescription after I was told it would be processed? If I did not call to check on the prescription today, Briova would not have known they did not process a life-saving prescription.

    I called Oxford United Healthcare to notify them that the specialty pharmacy they do sole business with is doing this to their patients. I doubt United Healthcare will take any action. It’s unfortunate because I have read multiple accounts of this occurring to other patients of United Healthcare and Briova. Multiple things need to happen to help all the sick people who depend on these drugs to keep them alive and healthy.

    United Healthcare needs to take responsibility for the business relationships they have, especially if they will only use one company to fill their specialty drugs. Briova needs to update their system to one similar to every other pharmacy. Walgreens for example will text, call or email a patient within minutes if there is an issue with a prescription. It is unreal that a pharmacy can notify a patients days before their required dose that action is required from the patient or doctor, knowing that an earlier notification is possible during the previous refill processing.

    I have spoken to both Briova and United Healthcare, but neither seem to care about this recurring issue or the patients they are forcing into this stressful and life-threatening issue. Even if United Healthcare chooses to overlook what is being done to their members, they should care about their bottom line. I can’t imagine it is better to force people into hospitalizations and ER visits due to this negligence. The costs alone should get the health insurance’s attention. I’m hoping this complaint will get to the decision makers of these businesses and initiate change.

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    Customer ServiceStaff

    Reviewed Sept. 16, 2018

    I talked to a customer service rep three different times. Everyone seemed helpful on the phone but they have some serious issues following through. No one could give me a clear answer on why my prescription wasn't going through and I never received a call back like the rep said. They finally said my insurance no longer allowed my medication to be shipped through the mail because it's a controlled substance. This left me with questions because a month prior the same medication was shipped with Express Scripts. Recently while talking to a rep she said she would send over my prescription to a local pharmacy. It's now five days after the fact and the pharmacy said they never received a request. This all took 3 weeks. It's a terrible business model especially when they're messing with people's health.

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    Customer ServicePriceStaff

    Reviewed Sept. 15, 2018

    When I call my prescription company I expect knowledgeable people to be handling my call. I certainly wouldn’t think this was too much to ask. I called to reorder a prescription for **, 20mg. today. Because my medications are unbelievably expensive I had already reached the limit where I am now in the donut hole for medications. My cost for this med was to be $432.00, which I could not afford to pay. I asked a simple question, “Is there a generic brand for **?” I waited while the representative checked with the pharmacy. He came back and told me the medication was **. I told him I would call back and order this after checking with my doctor.

    A few minutes later I thought I would call back to see if there was a 10mg. tablet of **? The representative said there was and the cost for 90 days would be $67.00. I was very surprised at the difference in price between the 20mg. ($432) and the 10mg.($67). I asked him to tell me why the price was so different and he said he didn’t know but would transfer me to the pharmacy department. Once connected to the pharmacy, I asked the same question again and she said the cost for the 10mg. was $413. I asked how he could make such a mistake and she said it was a miscommunication. I then asked her about the generic that I was told of, **, and she said, “That’s a blood pressure medicines not a blood thinner.” At that point I was very upset that not only was I suggested an incorrect medication for my illness, I was given wrong pricing for the cost of the drug.

    Again, she said this was a miscommunication and apologized. This was a potentially very serious communication error on OptumRx part! I asked to speak to a supervisor to relay what had happened. After being held on hold for a short period, a person named, tom, (he refused to give me his last name), told me that I asked for an alternative drug for ** and the representative did nothing wrong! HE DIDN’T HAVE ANY ANSWER FOR THE PRICING ERRORS. I’m taking this time to write this note as a warning to any person ordering drugs from OptumRx, the representatives answering the phones either are not well trained or the information available to them is very lacking. Since this company is owned by United Healthcare I would have expected better service.

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    Reviewed Sept. 14, 2018

    It seems like most people in my office are experiencing their prescriptions being denied. Thank goodness we're not a prescription needing family. Two of my prescriptions were denied by this horrible company. It's now going on 1 month and my doctor said my levels are dropping, but gave me samples to hold me over. Only to find out that the samples are good but what if I need them for a period of time. She can't give me samples until the levels get to where they need to be. I never had this problem under my old plan but my company went with this crappy prescription company.

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    Customer ServicePriceStaff

    Reviewed Sept. 12, 2018

    For the employees that work at OptumRx who dislike getting yelled at, I have a fun story to tell. You changed my meds to be a controlled substance without an email, phone call, or letter in the mail. Not knowing about this change I had to then rush order my meds (which means I had to pay an extra fee on already expensive meds). Nobody could explain to me why the meds changed. It took me TWO years to finally have a rep to tell me why I was no longer able to get my meds at my local pharmacy. Talk about stress. Stress causes seizures and those meds are suppose to control them. No meds means more seizures. Thanks Optum for "caring" about my health. The fun part of this story is that the post office lost it (and do so about every time) and when I called for help, nobody could do anything. I do get an email after they are delivered. Well, sort of. Meds got delivered on a Monday, Tuesday at 3am I get an email saying they were delivered.

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    Staff

    Reviewed Sept. 10, 2018

    Checking my record OptumRx has a doctor listed that I have no idea who she is and she is NOT my doctor either. WHY! My prescription is denied each time because OptumRx system does not recognize my doctor's name because OptumRx has the wrong doctor listed on my record. It took OptumRx over 6 months to have the online system work for me. OptumRx claims that my record was transferred over from the other company but this is false. Why do I am charged more now for the same medication and all the problems I have to face for refills???

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    Customer Service

    Reviewed Sept. 8, 2018

    Every time, literally, every time my husband is expecting an 'automatic refill' there is a problem. Since I have had no problems, I initially blamed him, but after repeated episodes of trying to fix the problem (with me on the call), I have come to realize it is OptumRx. The newest REPEATED problem is that they are showing his insurance is not active. Our ins is thru UHC which they, on the phone, confirm THAT THEY OWN!! He checks his auto refill online-It's stuck-We place the order manually-. It's rejected-We call-they tell us the ins is not active-They force the ins to be active in the system, reset the order & the next time, the same thing happens ALL OVER AGAIN. They apologize repeatedly, say they will submit the issue to IT & explain they can't guarantee it will be fixed. RIDICULOUS! The RX is for high blood pressure which is being made worse by this INSANITY!

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    Customer Service

    Reviewed Sept. 7, 2018

    Problems accessing website, account not recognized after 2 years with company. No resolution on access for 3 weeks, no response email or calls about resolution. Renewals of ongoing prescription not being filled out, told filled already. No one to speak to other than customer service. Do not use them.

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    Customer ServiceCoverage

    Reviewed Sept. 5, 2018

    Prescription for **, a rescue inhaler for asthmatics, took 6 weeks to get to the correct address, even after verifying the correct mailing address with every phone call. It took a pharmacist, someone with a Pharm D. to get my address right. I was told one part of the computer system doesn't talk to the other which is why there was a mix-up. Took another 6 weeks for a different med. They initially weren't calling my primary number and when they started doing so after a few weeks, the automated system began speaking before my cell phone recorded, cutting off their company name and only leaving a phone number. Thinking it was a solicitor, I didn't call back right away.

    Unfortunately, I was forced by my insurance company to used Optum under the threat of forfeiting medication payment coverage if I continued using my preferred pharmacy. With my final transaction, I ordered a medication where there is a quote on the Optum website for $70 for a 90 day supply. Optum charged me $70 for a 30 day supply. Since my local pharmacy only charged me $35 for a 30 day supply, I called Optum for an explanation. I was told that this is how my insurance company, Claim Central, set up this benefit and that I should ask them about this charge. Optum customer service transferred me to Claim Central but the automated system did not recognize my selections and I remained in an automated loop.

    Feeling disgusted, I decided this wasn't worth the fight. I made multiple attempts to pay the $70 online. There was a problem with the Optum website so I called in and had a live person handle the transaction. Paying Optum money was the only easy interaction I experienced. There is more but I'm done. Hope someone reads the notes on my Optum account.

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    Customer Service

    Reviewed Sept. 5, 2018

    I had their automatic mail program shoved down my throat. I am on blood sugar, blood pressure and cholesterol medication. I get what I need on the last two but have 9 months excess on blood sugar. I called them to stop the blood sugar and they stopped everything. No choice - all or nothing so now I get nothing. There should be a law to allow us to use our local pharmacist and not have our medication sit for hours or days in 100 degree or more mailboxes.

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    CoverageStaff

    Reviewed Sept. 4, 2018

    I have been waiting three weeks for authorization for a medication. They did not contact my doctor because my doctor should "just know" it needs auth. There are hundreds of plans. There is no way they would "just know" it needs auth. I work in healthcare and we get notifications from insurance companies if a medication needs prior authorization. I have never not been notified. They kept blaming it on their policy. They either have a bad and dangerous policy in place or someone dropped the ball at the plan putting my health in jeopardy.

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    Customer ServicePunctuality & Speed

    Reviewed Sept. 4, 2018

    They completely ignored my request to not have my Rx filled, I NEEDED to get it from a pharmacy. Now they are refusing to cancel it and no one can confirm where it's being sent. 90 days of a controlled substance, so a HUGE deal if it's lost in the mail. Why would I worry that would happen? Because that's EXACTLY what they did last time. They sent it to the wrong address despite 3 calls from me trying to get them to PLEASE not send a controlled substance to an apartment I no longer live in. This company needs to be shut down. The services they claim to provide are too vital.

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    Staff

    Reviewed Aug. 29, 2018

    I was mad, three experiences, three mistakes and felt I could either be a part of the problem or part of the solution. So, I called back to Optimum RX, asked to speak to a Supervisor. Supervisor Ramona ** in Salem Oregon, came on the line and took charge (and ownership) of the mistakes. She was nice, real and efficient. Optimum RX, treat her well... She is a credit to your company!

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    Customer ServiceStaff

    Reviewed Aug. 27, 2018

    Every time I try to place an online order it is horrible (won't take sign on, page not working, error, etc). And when I call half the time the people can hear me so I have to call back till til they can.

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    Customer ServiceCoverage

    Reviewed Aug. 27, 2018

    Prescription coverage is a frustrating experience with this mercenary corporation whose goal is to deny that very prescription coverage retirees thought they were entitled to. Twice this year upon discharge from hospitals the prescriptions written by surgeons were denied dispensing by OptumRx. Their response is the MD has to fill out forms justifying the dispensing of a particular drug. Oh yeah, the Surgeon performing multiple operations daily is going to stop and jump to their tune? We have had this response shoved in our faces for every new prescription from our family doctors. They just say no prescription company knows that Doctors are not anxious to jump thru their hoops so the patient winds up paying out of pocket. Scumbags.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 20, 2018

    For over 1.5 years I have been unable to use their website to manage my prescriptions. First it was down for several months entirely. Then it came back online and now I can see my husband and daughter scripts (they have none) and can't access mine. Hours of time on the phone with their rep has done nothing to fix the issue and I gave up trying. I take 5 medications and it is hard to remember to call and order them.

    Now, I'm dealing with an issue relating to a maintenance drug I can't stop taking. I am having trouble filling at their new retail partner. I made 3 phone calls and got 3 different answers (first two incorrect, still waiting on a call back for the 3rd) and I still don't have the medication I am now out of. Either way, this is not professional and an appropriate way to treat patients. It shouldn't take 3 days to place an order for a refill!

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    Coverage

    Reviewed Aug. 18, 2018

    For the 3rd time, we have sent hard-copy prescriptions in with a note on the cover sheet they provide which has a specific line that says "Put these Rxs on hold on my profile. I do not need medication sent at this time". We always highlight this line and write a second note also stating that we don't want them to send any medication at this time. We will order it when we need it. Of course, they never pay any attention to these notes, and all they can say when you talk to a pharmacist who can see the scanned image of this cover sheet is "Sorry, I guess the data entry technician just missed the note". Does this mean they also don't enter any of the other information on the cover sheet, such as allergies, medical conditions, etc?

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    Reviewed Aug. 17, 2018

    I am already out thousands of dollars out of pocket for my wife's prescriptions, which are not applied to my insurance deductible and maximum out of pocket, because OptumRx arbitrarily requires a pre-auth, arbitrarily denies the prescription, and then stalls and lies about the appeal process. This is with long-standing prescriptions (a matter of years), and the same medicines that were approved a prior month. Every month, something is denied. Even when the prescription has already gone through the pre-authorization process, been approved and the previous prescription filled.

    You can go for weeks and months following their demands - the doctor has to contact them in writing, the doctor needs to write these specific words, and do it again and again when OptumRx claims that it didn't happen... And it's all smoke because at the end of that process, they'll tell you that it's out of their hands, the wrong process to begin with, and you need to contact United Health. Who will strenuously deny all knowledge or responsibility. If you ever do get it straightened out, heaven help you if the doctor prescribes 29 days instead of 30, or changes the date, because you'll be slapped with another "pre-auth" denial. As far as I'm concerned it's pure unadulterated fraud.

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    Reviewed Aug. 16, 2018

    OptumRx holds your health hostage. They require you to buy 3 months of pills at a time, when many can barely afford 1. They requested a "reason" for birth control from my doctor, and would not fill until the doctor gave them a reason. You are unable to opt out of the mail order pharmacy. They leave your drugs outside on your porch through their mail service, a drug which you need a prescription for, is not open to thieves to grab by just taking it from your porch! Unbelievable. When I asked to opt out, they said that I could not opt out, and that I am required to purchase through them.

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    Customer Service

    Reviewed Aug. 16, 2018

    I called a number of times since January when OptumRx took over for Express Scripts (Very Bad Move). OptumRx can't manage to do what they are being Paid to do... So what is the point!!! Horizon Blue Cross and Blue Shield is paying OptumRX to make their customers very UNHAPPY... And helping them to be unhealthy. OptumRX STINKS at what they do!!!

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    Customer Service

    Reviewed Aug. 15, 2018

    OptumRx is having poor website and having lots of problem. I cannot even make online payment. Your order will suddenly disappear from order status. Customer service does not have any knowledge. They will just keep you rotating from one department to other. If you ask any question why I am not able to do this they simply say they do not know. If your medication is on hold they will not even inform you. I am really disappoint with their service.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 11, 2018

    Called to find out why I only received half of the number of tablets I ordered. Was told the order was filled for the amount prescribed by the doctor. However, the customer service representative did not have the correct formulary information. When I pointed out that my plan had a Bonus List she found the correct info. I asked why I did not get informed before the order was filled. I understand the order has to be filled as prescribed for the number of pills. However, I did not get an opportunity to cancel the order so I paid the full amount for half of what their website listed. The CS rep switched me to a supervisor who was very condescending when I tried to explain my situation. He told me "that is your problem". I will not use them in the future. Their website is misleading in my opinion.

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    Reviewed Aug. 11, 2018

    I've just had my third prescription filled where OPTUMRX is my Medicare Prescription Drug Plan provider. This time my prescription costs are three (3) times what they were approximately 270 days ago! This is a plan that I was "placed into" by my teachers' group. My prescriptions are maintenance drugs, nothing esoteric. I've already started to do my research so that as soon as I can, I can get out of this plan. I get my prescriptions refilled at a CVS for the people who "mail in their prescriptions" are having horrible problems (some issues are life and death) for they have been mailed the WRONG medications!

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    Customer ServicePriceStaff

    Reviewed Aug. 9, 2018

    Ridiculously high pricing which varies from day to day and service rep to service rep. Much wasted time trying to get the medication needed. Note to employers that provide this service as a benefit to their employees. Based on the service and pricing, employees will have a negative impression of the employer. Details below.

    For 2 medications, Walmart charges $10 for 3 months, OptumRx charges $120 per month. Another medication that was prescribed "every 4 hours as needed" and, according to my doctor, if needed more than twice a week, the type of medication should be changed, i.e. under normal circumstances, it should not be taken more than twice per week.

    When talking to the customer rep, I asked for one dispenser. I received 6 dispensers. According to the OptumRX rep, a pharmacist calculated that the medication would be taken every 4 hours (day or night) and sent enough medication (6 dispensers) to meet that calculated need for 90 days. The medication expires in Jan 2020, so the medication in 5 of the dispensers would expire before it could be used. During the first phone call to place the order, the cost of one dispenser was quoted at $46, the cost of the 6 dispensers was billed at $96. During the second phone call regarding the receipt of 6 dispensers when one was ordered, the service rep offered to sell 2 dispensers to me for $37 and I declined. The service rep agreed to send the paperwork necessary to return all 6 dispensers.

    5 days later, I received a voicemail from someone claiming to be a pharmacist at OptumRX asking me to call and ask for a pharmacist. On the return call, the service rep asked me if I wanted to keep one of the dispensers at a cost of >$70. A total of 3 phone calls which took about 2 hours, 3 different prices, and the medication still needs to be returned and a credit made to my account. In addition, I'll need to source my medication somewhere else.

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    Customer Service

    Reviewed Aug. 4, 2018

    I have tried twice to get my prescription over to them and my doctor tried numerous times. Still they never somehow got them and sent me an email for fax. I faxed to them and only to be told that because I am not a doctor, my fax will be discarded anyway. This is one of the WORST companies I have experienced if not the worst. How can one company manage to be worst than a cable company? Mind boggling.

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    Customer ServiceReliability

    Reviewed Aug. 2, 2018

    I feel better knowing I’m not alone. Horrible experience. Been trying to get my prescriptions to mail order and my doctor wasn’t responding because there weren’t any prescription listed in the request. I travel for work and trying to sort this out has been a nightmare between time zones and office hours and such. Evidently OptumRx is incapable of troubleshooting. Low hanging fruit if OptumRx has any desire at all to improve with more than marginal results. But likely there is no incentive to improve given how insurance works. Apparently, I’m not paying enough to include customer service as a benefit.

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    Punctuality & SpeedStaff

    Reviewed Aug. 1, 2018

    Have used OptumRx for years for med. prescriptions. A little rough in past but much better now. They are helpful, pleasant to work with, and caring. An occasional bump in the road, but rectified quickly. When receiving a prescription I receive numerous paper instructions. Ok, I get it but you should use both sides of paper. I don't read most of it. It's become redundant. I'm aware I can get that info online but frankly I don't want all that stuff sitting in my PC.

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    Reviewed July 28, 2018

    Most negative reviews are justified! I agree with - Scot of Rockwall, TX. OptumRx dispensed a recalled medication to me. My doctor submitted a new prescription. OptumRx is unable to fill the prescription. I checked with a local pharmacy. They would be able to refill the prescription. We asked OptumRx to transfer the prescription to the local pharmacy. OptumRx refused, hiding behind Nevada Regulations. “A prescription can not be transferred unless it has been filled, at least once, by OptumRx!” Result: I have a choice of taking contaminated medication, or do without. Conclusion: OptumRx does not care about the well-being of its customers! Think, several times, before using OptumRx.

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    Customer ServiceOnline & AppStaff

    Reviewed July 28, 2018

    OptumRx's website is nonfunctional. A rep admitted on the phone that it is not working properly. This has been going on for several months. I suggested that they add a message when the website is accessed that you may experience problems and may need to forego attempting to refill prescriptions online. No doubt that suggestion will not be passed upline or if it is it will be ignored. There is no excuse for a company of this size to allow its website to be unusable for months on end.

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    Customer ServiceStaff

    Reviewed July 26, 2018

    It’s been 7 months and the worst 7 months of dealing with a pharmacy company. Express Scripts rated an A+. Optum can’t be rated as there is no rating that exists below 1+. No communication and even the communication specialist can’t tell the truth. Read all the reviews and they all represent a poorly managed company. They agree supposed to deal with pharmaceuticals sent to patients. Hopefully they send out correct pills but not sure.

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    Customer Service

    Reviewed July 25, 2018

    I am very disappointed with the way OptumRx handled my prescription for a maintenance medication that I need to take every day. I placed the order online and supplied all required information including my credit card number. They also had my email and phone number. More than 2 weeks later I received a snail mail saying they have been trying to reach me. However there were no voice mails and emails. After calling them i found out they needed to know my preference for generic vs branded. This information should have been asked upfront in the ordering process! How much more back and forth should I expect. Secondly their systems don't let me chose a shipping method so I am stuck with the standard delivery of 7 days. I really miss Express Scripts they were fantastic and also delivered in 2 days.

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    CoveragePrice

    Reviewed July 24, 2018

    I am submitting this review in hopes that the Michigan Public School Employee Retirement System (my plan Administrator) will rethink their choice of using OptumRx as our pharmacy benefits manager. Each and every experience I have had with this company, over the last three years, has been stressful and frustrating. I was diagnosed (20 yrs. ago) with a chronic immune disorder, Rheumatoid Arthritis (RA). Due to this, I have been prescribed multiple medications to address the different manifestations of MY Rheumatoid disease. Like other immune disorders, RA affects each person differently and uniquely. I receive medical care from a multitude of physicians, which includes a Rheumatologist, Dermatologist, Orthopedic Surgeon, Hand Surgeon, Gastroenterologist, Primary Care Physician, etc.

    For some crazy reason, I recently decided to again try using OptumRx to fill all my maintenance medications. Purchasing a 3 month supply is cheaper and only available to me through OptumRx mail-order. I should have known it would be a huge mistake. Immediately, I was denied coverage on a medication (I’ll refer to it as DO) that I have taken for 25+ years. I was informed that drug was specifically “excluded” from coverage in my OptumRx benefit plan. I asked for a copy of my benefit plan and was told “they didn’t have it” and I would have to obtain it from MPSERS. That led to MPSERS directing me to get a copy of the plan from OptumRx. Suffice it to say, I still don’t have a copy of my benefit plan. After the denial, I called OptumRx and asked for more information as to why DO was not covered and how to file an appeal. I also posted appeals for help on OptumRx’s social media sites.

    For future reference, my advice is: don’t do that. Since creating “noise” regarding the denial of that drug (DO) on July 12th, 2018, I have had 1) One prescribed medication delayed because OptumRx “didn’t like the administration directions that my doctor had put on the prescription”. 2) A preauthorization for specialty drug to treat my RA denied until after two other similar drugs are tried (my rheumatologist considered these but initially rejected them due to possible side effects, and her clinical experience with efficacy). 3) A letter regarding my prescription for a narcotic pain medication that is taken nightly to allow me to have uninterrupted sleep, threatening me with “your benefit plan may limit the amount of ** medication that can be dispensed within a given time period.” Obtaining the same amount of medication will require prior authorization from my physician.

    It appears to me that I am being targeted and that OptumRx is now scrutinizing every prescription I am filling at any provider. If this harassment continues, I will explore any and all options available to make them cease this discrimination. In conclusion, I absolutely do not recommend using OptumRx in any capacity. For those that must, I sincerely wish you much luck.

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    Staff

    Reviewed July 20, 2018

    I'm leaving a 1 star because I can't leave a negative star review. Everything from the website to the paperwork is designed to stop members from collecting on the benefits they paid for. Website currently will not correctly display last 9 months of claims for medications. Fails to display correctly for last years claims. Only displayed correctly upon custom year tab. Doesn't display any actual prescription information. Claims prescriptions that have full year of refills are expired after 5-7 months. No way to pull up images of actual prescriptions even though MD's office says RX is for 12 months.

    Prior Authorization for ADHD, (Attention-deficit/hyperactivity disorder), made difficult for adults diagnosed, due to ridiculous question about being diagnosed earlier than 12yrs of age. Since I'm nearly 50 there was no ADHD diagnosis when I was 12. There has been nothing but difficulty and problems dealing with this company. No wonder our hospital system dropped them for Caremark. But OptumRX couldn't even handle the transfer of user prescription history correctly. They failed at that basic database transfer task. I'd love to be part of a class action suit against this company. They are worse than useless, they are actively working to defraud their customers.

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    Customer ServiceStaff

    Reviewed July 19, 2018

    They don't care about their customers. Found out wife is taking a generic med that has been recalled. Called Optum and confirmed they had sent her tainted meds. Asked why they did not reach out to the people they knew they had sent bad meds to, no answer. Asked if they were going to replace the tainted meds. Was told had 3 options, 1 destroy them, 2 continue taking them, 3 return them. Chose to return. Asked if they were going to send replacements or at least a small amount to tide until the return was processed. Was told they had a limited supply and could send me a small amount to tide over till I could get the full script amount, but could not overnight any nor could they say when they would ship.

    Was told to go to Dr and get a new script for name brand and go to a local pharmacy. Did so, the name brand is out of stock in Little Rock, AR and the Dallas Fort Worth area. Called Optum back to see about getting a few days worth until could try and locate somewhere else. Now they say they can do nothing. Their suggestion is to continue taking tainted meds, unacceptable. I have contacted attorney to investigate both the mngr and Optum's total lack of professional ethics and actions. Won't use again as prefer my wife NOT take their tainted meds.

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    Reviewed July 18, 2018

    Don't use this company if you want to live! Issues I've had: 1. Lost prescriptions (six times -- different prescriptions -- various family members). 2. Lies about them sending out medications. 3. Sent wrong prescriptions -- three times! 4. Extremely defensive instead of solving problems. 5. Refused to dispense heart medication -- required getting a lawyer. 6. Every single month a different problem. That company needs a management audit. Their practices are one of the worst I have ever encountered. Ever.

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    Customer ServiceCoverage

    Reviewed July 17, 2018

    We have had nothing but issues with this company. From unauthorized refills, to overcharges to not refilling Rx's as stated. Most recently we had to call 7 times to get our Rx refilled. The Dr's office sent the Rx 3 times. They claimed they didn't receive it. Each time my husband called he got a different story. Today he spoke with a supervisor. She stated, "Oh yes your Rx is here. We received it some time ago." At one point they sent a triple order totaling over $500. Do not give them auto Rx refills as they overcharged our account. Also, every time I get my Rx the pills are different shape, never really know if they are what was prescribed. Do not trust them. This is a horrible company, but had no choice d/t insurance. Wanted to give them a zero but couldn't. DO NOT USE OPTUMRX.

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    Customer ServiceStaff

    Reviewed July 13, 2018

    I switched my prescriptions (supposedly) about two weeks before I was going to need my order, having been told by the customer service rep. that it usually takes four days. When I had not received my prescription after seven business days I called to find out what was going on. It took the rep. some time to find me and when he did he said nothing was scheduled for delivery. I told him I was due to run out in a few days on one of the prescriptions and he said no problem, he would overnight them. After waiting another three days I called back... I was told by "Shelly" that they had not heard back from the Dr. having sent a request on the 11th. So what I should do is go ahead and order these meds from my previous provider. At this point she disconnected me so I could not take the survey. I'm just very disappointed.

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    Price

    Reviewed July 12, 2018

    AVOID THIS COMPANY IF YOU WANT TO LIVE! They lied about a prior authorization for my transplanted kidney medication and REFUSED my medication because they said it was too expensive. One of their reps. asked me if I could take a vitamin instead! What nerve! I was forced to use this ** show of a company by the State of NJ and will probably die because of their cheap and reckless decision. Screw NJ and screw OPTUMRX!

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    Customer ServiceCoverageOnline & App

    Reviewed July 11, 2018

    This has got to be the worst plan I've ever chosen. It's confusing: the worst part of the confusion comes with how to find a prescription. The plan uses two names: Walgreens and Optum Rx. Nowhere on the insurance card does it mention that the longer-term, mail in prescriptions have to be filed through Optum Rx. It took me a long time to find this out. Optum's website is almost completely unusable, when it's even working. My wife was just diagnosed with asthma, and come to find out that NONE of the medications that she could be prescribed are covered by Optum/Walgreens.

    What kind of insurance company is that? Charges for medications are somewhat arbitrary. Phone "help" is really useless, in some cases, possibly harmful. Example: when I was researching asthma inhalers, the person I was talking with told me that one inhaler was covered, she thought. I looked it up, and it turns out that the medication she mentioned was specifically for Chron's Disease. AARGH!!!! Another time, my doctor wanted me to take a certain medication with a 150mg dose twice a day. They denied that prescription, but did allow me a 300mg tablet with the instructions of taking it once a day. (I simply cut that one in half). The website is terrible, when it works. I can't wait to drop this plan.

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    Customer Service

    Reviewed July 9, 2018

    I have been using OptumRx since 2013. I live in MI. I don't know if problems are regional or not. I have had very positive experiences with them, be it by phone, text or computer! They have called me if a fax for prescription refills sent to my dr office had not been responded to, and asked for my help. I have not been advised by the drs office that they had responded, just saying that they would put the prescription through. I have not had problems with orders being messed up in any way! In fact, I had to leave home for personal reasons several times. Each time when I asked for refills, using my tablet or laptop, I put a new address into the mailing address. I did receive my medications without problems at my temporary address. OptumRx has called me to see how things were going, and inform me of other benefits on their site that I might be interested in! I am really shocked all the complaints, I really don't understand it!

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    Customer Service

    Reviewed July 9, 2018

    Most recent- I ordered a prescription refill online at OptumRx, they contacted my doctor for renewal, consent received 6/26/18, was billed and told order would arrive by 7/6. Contacted OptumRx by phone 7/6 when order did not arrive. Told order was never filled, they were sorry, they would expedite the medication to be delivered by 7/9. On 7/8 received e-mail order would arrive 7/12. Due to OptumRx incompetence, I am left without my medication for over a week. 3/12/18- I placed a prescription order with OptumRx, my copay was $40. My credit card was double billed $40 on 3/12. It took 6 weeks, more than 5 phone calls to OptumRx and United Healthcare, then letters to OptumRx, United, and Medicare Fraud Hotline to finally get the $40 charge off my OptumRx account. During this time, OptumRx placed a "restriction" on my account and would not fill ANY of my prescriptions until they figured out their error.

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    OptumRx (formerly Prescription Solutions) Company Information

    Company Name:
    OptumRx
    Website:
    www.optumrx.com