OptumrxReviews 465

It has come to my attention that as consumers we need to know that Good Rx will discount drugs that are denied by Optum Rx because they need prior authorization you have no idea that the Pharmacy will run it through your insurance get a denial and then it is automatically run through good rx So today I asked why it was denied run it through again thru my plan and tell me what they say about why they have deied the claim sir you need prior authorazation you need this auth to have it payed for so I sujest your provider needs a seack of formd to add

I have had so many issues with this company, and I can't even count the hours spent trying to figure it out on my own. It's resulted in countless occurrences of being denied refills and meds that I am dependent upon with them never even contacting me to inform me of it until after the fact. If you can avoid them, do.

I don't write reviews, but I felt I had to in order to help other people. I decided to try them for the first time, BIG mistake! Customer Service has no clue. Was quoted 7 different prices on a medication. They has my prescription for 3 weeks. The day the medication was supposed to be processed and mail out, was told the medication was long term out if stock and the price to wait for it was 100% more than what I was told. I am running out if medication in 6 days, and hoping the retail pharmacy will be able to order it in time. It has been a nightmare dealing with this company.

Optum has the worse customer service of any health network. They refused to give me the names of pediatricians until my daughter was in their network. They have long hold times and refuse to hire more agents. They don't care about patients that's why they have horrible customer service. The CEO need to be fired. This healthcare provider isn't being properly managed.

After 7 calls about 1 medication to this incompetent company, I have given up. Health insurance companies should stop partnering with OptumRx. They cannot get it right for nothing and it's really despicable. Rather buy meds from the street. Wish there was a half star or no stars at all!

I called and enrollded 7/12/21 and placed an order and was told to expect delivery 7/26. I was happy and looked forwrd to the discount prices. Well, meds didn't show and I called back 8/2. They apologized and said they were shipped and to expect them on 8/4... NO SHOW AGAIN. Called back and they said they was an issue and didn't send. NEVER called or emailed me. Called CVS and immediately got meds... sad job. Don't recommend Optimrx

From day one it has been a headache. They spelled my name wrong, won't allow me to correct it, made it a hassle to correct my address, won't allow me to make changes unless it's through my employer-provided health insurance. They wouldn't provide authorization for antibiotics I needed until two weeks after I needed them (after I had already been hospitalized on IV antibiotics and had surgery for an internal infection instead). Oh, and after I called and asked pricing on Botox (for migraine treatment) and was told $240, I ordered it, and then they charged me over $1,100. I understand insurance is involved, but I called and asked the price for a reason! So then I asked them to please NOT refill the Botox as I would NOT be able to pay for it again. And they refilled it and sent it to my doctor and are harassing me for payment, even after I said not to send it. I don't have another thousand dollars and I told them that after I got ripped off the first time. I even contacted Botox directly and got an insurance code from them to cover the cost so that I can get this resolved, but Optum refused to take Botox's payment and is demanding that I pay them personally with money that I don't have. I have asked several people and get a different explanation every time (I am keeping a record of each conversation so I do have proof of this). If I had any legal recourse to get them to stop harassing me, I would take it (their billing department called me 3 times today) but the resolutions department has yet to contact me, even though I've been asking to speak to them for months. Nobody will give me contact information for the resolutions team and just keeps promising to pass my information along to them. I can't imagine a worse series of experiences with a pharmacy.

Such a horrible experience! NO one speaks English! They say you don't have prescription there when you do!
Then. They say oh I see them! And give you prices that are outrageous! It's cheaper and less frustrating to go to your local pharmacy where they know what they are doing and speak English!
Horrible horrible place. 5 times on phone yesterday and nothing resolved. We had to change from express scripts (which was great) to these people who don't have a clue. Lost my business for sure!

2 and a half years I had to get my medication for thyroid replacement from them due to my insurance from my work at a hospital. They continuously failed to get the meds to me. Always had to call and they would give bull $#*! excuses about why I haven't got it. After arguing with their escalation agent because they are just throwing lies out now they call me and try and claim its too early to refile my medication... I literally went to costco to refile because I was going to run out in two days. COMPLETELY TRASH COMPANY.

Constantly keeping ordered on "hold". The reason fir the hold differed with every customer service rep.
Customer service reps completely not helpful, repeating what you say over and over, hard to understand due to strong Indian accents, takes so long to get truth to a call due to constant repeating of information. I can no longer get stand dealing with this company. The worst pharmacy on the planet.

I have Optum RX service via my United Healthcare. Optum RX customer service is the worst! When you call, you get someone whose English is not always the best. When will companies learn that just because you can outsource customer service, you shouldn't? I had to request a statement to provide proof of payment for my FSA. I had to contact them 3 times before I actually got it. Which they can't send via e-mail for 'security purposes'. Which I really think just means that they don't know how. I had to request a statement a 2nd time, because they took the funds from my personal account instead of my FSA acco$#*!. Again, it's taken 3 times and I'm not even sure I'll ever get the documentation. I'll never sign up with them again to get my medications via the mail.

I have been having a problem signing in on several occasions. It tells me my password doesn't match what they have in their records. I know I am putting in the correct password but I have to constantly change it to get in. I called tech support and all they said is I'm putting it in wrong. They refuse to entertain that it could be a problem on their end. So I will no longer use the website to order refills. I will have to waste my time and theirs calling in every refill. Very disappointed in their computer technical department. I may try the website again in a few months when they hopefully work out the problems. I am not disappointed in the other aspects of OptumRx, just their computer tech support department.

Absolutely horrible customer service experience which was unfortunate because the first team was stellar. The 2nd woman hung up on both me AND the pharmacist. The second call was required because the codes the first team provided were in effective. Pass this along to your HR or Purchasing dept. Trust me, it really does matter!

This company only cares about the insurance company's bottom line and probably receive bonuses every time they deny you a medication recommended by your doctor. This has happened to me 3 times! The last time, Optumrx recommended an immuno suppressant medication in the middle of a pandemic! Fortunately this time, my doctor was successful in appealing their decision. Then they robo call me at 6:00 pm and have me wait of the phone for over an hour! I need to speak with a "patient care coordinator " before they will ship my medication to my doctor so I am screwed until one of their "coordinators" can figure out how to do your job. Whom ever came up with this company is a greedy, lazy douche bag with no intention of helping anyone but their shareholders and insurance companies

Optumrx is great and hassle-free when they do not have any question about the prescription. If they think there is an issue, you can forget receiving your refill on time. Their customer service staff are unreliable because they do not get out of their way to follow up with the doctor or the patient. They are either not trained well or they are not allowed to think outside the box. Thus, the patient suffers. Following up with them over the phone is painful. Be ready to stay on hold for a minimum of half hour.