OptumrxReviews 465

New Type II diabetes medication was denied by AARP/United Healthcare's (UHC) Optum RX subsidiary because "Mounjaro Inj 2.5/0.5 is not on the drug list (formulary)", Yet the Medicare website for my Part D drug plan shows what the cost is - both their payment and my co-payment. Not sure how it is one the Medicare AARP/UHC website, but not in the formulary.

Customer service was polite but not helpful. I will likely change both my Supplement plan and my Part D during open enrollment.

This is a blow to AARP's brand and their credibility. I would suspect they only care about the "sponsorship commission" they get paid by UHC. I would encourage anyone to carefully research their Part D provider before they enroll

Just as when people who looked the other way when the Nazi's were putting Jewish people on trains to send them to gas chambers, OptumRx is participating in the slow murder of those who are dependent on medications to stay alive. Every year OptumRx puts one's medications on 'trial' and make one's physician responsible for going through a challenging 'prior authorization' process. In the process monthly delivers cease and supplies dwindle. Suddenly OptumRx rejects a medication one has been on for years and the patient is left to spend countless hours going through appeals processes and endless calls in their bureaucratic nightmare.

These people are so disconnected from the needs of the patients they do not send your meds on time you have to pay double copay to get a 10 day supply from the local pharmacy. Plus pay you deduction to this company for your late medicine with no reimbursement and their representatives are rude and non caring.

Very difficult and confusing process for ordering/fulfilling prescriptions. Customer service advocates are inflexible and not interested in resolution of customer issues. Escalation process is non-existent or deliberately obfuscated.

I would rather be racked over burning hot coals multiple times a day then to have to use this specialty pharmacy. They are the most incompetent organization I have ever dealt with in my entire life. They never follow up with the doctor. My doctor has to send a prescription multiple times before they have the competence to process it. Im a slave to the process because my health insurance forces me to use this pharmacy. What happened to free choice we live in America.

Optum makes it nearly impossible to get any prescriptions. I can't get the meds my provider prescribed over a month ago. Optum is putting my health at increased risk. They don't provide any clear instructions and don't work with many local pharmacies.

Pay for my scripts by check because of data breaches that has forced me to put a freeze on my credit cards. After they receive my check, cash it and it clears my checking acct., they do not post the bill being payed for 4-5 weeks later. When they call me to remind me to reorder, they tell me I have a outstanding balance that needs to be paid. To me, they need to do a major overhaul of their accounting dept.

Optum is usless. Drug set for auto refill. Two months later no Rx said they sent request and then they just ignored it. Made manual request from them. They show no record. Totally usless company will be switching from United Health so I dont have to deal with this Rx Company

I was talked into trying them for an outstanding discount guarantying my meds would be received prior to running out. I received half my meds with the price triple what I was quoted, and I still do not have all the ones I need. I have called them multiple times for hours with no resolve even though the last person said it was their fault and she was sorry. Now I am cancelling the orders I did not get and trying to get my local pharmacy to fill them and struggling as it still shows OptumRX just filled them. I would stay completely clear of this company even if they do promise a cheaper price>

I never received my insulin, thyroid and blood pressure medication from optumrx. I had used local cvs pharmacy then after 3 fills. Cvs told me I had to use mail order optumrx. I placed order with optumrx and only recieved my BP meds not insulin. I told my doctor about issue. My doctor placed order with a different pharmacy after 3 fills optumrx told that pharmacy I have to do mail order. Again back in September 2022 I put in a 90 day prescriptions never received order. But a call saying issue with my prescription told my doctor to fix she said optumrx is the problem. Nothing but run around ever since.

It's been over a month I have yet to receive my medication. I chose optimum delivery because I thought it woudl be convenient and reliable. It was anything but. Climbing Mt. Everest would be an easier endeavor than trying to get something simple done by inept customer service agents. They say the call is recorded but I truly think it's not. Not only am I over a month late, I have spent countless hours regurgitating the same issue with multiple representatives saying they would get it resolved, but after each call, it's like they have amnesia, and we start the same converation over, repeat another hour of explaining the issue, and the outcome is the same. Nothing. I think they are waiting for another class action lawsuit untill they get their act together. Charging insurance companies for medications that was never sent, is not only unethical but illegal.

Let me start by saying this is my first-ever consumer review. I understand that healthcare institutions make decisions in an attempt to control costs. I say this from a viewpoint of a healthcare leader, I have been a nurse for 28 years and in leadership for 18 years. I am 55 years old and have been hypertensive since I was 23 years old. During this time I have experienced different ups and downs in the management of my blood pressure. My regimen includes Norvasc, Hydralazine, Coreg, Cozzar, Furosemide, and Clonidine. For some reason, Needless to say, I am not easily controlled. OptumRX has decided that they would longer cover the Clonidine that I have been on for the past 15 years. If you are a good clinician, you would know that you do not abruptly stop Clonidine as it will cause a significant rebound event. My provider submitted an appeal and they have denied it. I am currently waiting on a 2nd appeal; however, what if I were not on top of my health? What if I had no knowledge of medications? This is a very sad time in the history of healthcare and OptumRx is not doing anything to help this situation. To be continued...

After a 2 weeks and 30+ phone calls to the Philippines I was transferred to someone in the US that basically was just as not helpful as the others … save yourself the headache and google the drug name and coupon and see if there's an actual real pharmacy nearby you can get it thru. Avoid this cluster of a company as much as possible!

Never ever deal with these assholds as you'll never get the right prescription you order it will take up to 14 business days to get your order even when you say you'll pay for overnight delt
Optima RX must hire the most incompetent people and morons on the face of the earth working for them very rude and doesn't understand what customer service
Do youself a favor de with a local pharmacy but never use this company to get your medication
If ratings were an option I'd give them a MINUS 10 on a scale

Jeff Pordes
Scottsdale, AZ

My wife and I decided to take a long winter vacation and try out snowbirding like tens of thousands of Americans! So we needed way to get our prescriptions delivered to us where ever we are. Unfortunately our main insurance company is tied to OptumRx we have no choice unless we drive or fly thousands of miles back to our regular pharmacy in our home state Each month. OptumRx presents us with challenges that make taking a vacation impossible to enjoy. They change how they bill, how they approve and just about anything else that will slow down getting medication we need. If they are not intentionally delaying some they are over prescribing others. Then they try to renew these over prescribed meds when we have a Years supply already from 1-2 months ago. This month they are asking $100 for a script thats only supposed to cost a few $!? Now I'm stuck between a rock and a hard place again having to spend hour's on the phone with the off shore call center, contact with the company in the USA is impossible! No way to file a complaint that does anything against them! My wife's one medication keeps her alive it's for her permanent disability, they messed that up this month causing another delay that could send her to the hospital she could die without it. If you need life sustaining medicine this is the worst company to have your insurance company force on you! We only want to see the USA in our older years something all Americans should have the right to without a company like OptumRx putting your life at risk! With inflation today we don't have the money to throw away at this company just to get what we are supposed to with the insurance we are paying for. OptumRx operates like a monopoly they have completed control over your life if you depend on them. Because of the US laws we can't just use local pharmacies they know this. And our home pharmacy is not allowed to mail out medicine. Basically your playing Russian Roulette with your life if you want to travel while needing medicine. Make you wonder if we just have to give up and go to a retirement home and wait? While we still have some life left to travel.

These guys are the equivalent of pharmaceutical keystone cops. Better off dying than dealing with these dopes

I have been trying to refill my prescription since the new year. I have been told many times that they (Optum) are having a hard time submitting the claim. At first they stated that my insurance had changed. I have had the same insurance for the past 18 yrs. Nothing has changed. Then they (Optum) stated that my group number changed. I have viewed, reviewed, and viewed again on my card and via the insurance website and nothing has changed. I have five days left on my Rx and now they are yelling PA (prior auth). When you call, the message is that there is a longer than usual hold time due to recent events...SUCH AS? I am completely frustrated and hate to keep bothering my provider about this less than speedy pharmacy. I just don't understand why my place of business do not offer this prescription, which also owns a chunk of Optum Rx, its a hospital that have many pharmacies.
I guess the worst part is OptumRx not following up with me when they stated that they would. BLAH!

I would give them a zero rating if possible. They cannot not give you the price of a common drug after being on the phone for (not exaggerating) 45 minutes. I ordered a drug and after waiting 3 weeks, it didn't arrive. Why I questioned them they told me that although they had my name, address, account number, Social Security number, email address, phone number, and birth date, they couldn't fill my prescription because my prescription card did not have a middle initial but the script written by the doctor did. In essence, my prescription was held up indefinitely because of one letter. If I hadn't called Optumrx I would have never gotten it. No one from the company even realized that this was going on. I will never give this company another nickel.