OptumrxReviews 465

Because I work in a Long Term Care Pharmacy, I, unfortunately have to deal with them a lot and they are no help whatsoever. The technicians are rude and have no clue on how to answer my questions or you get a different answer every time you call. We are supposed to fill out a form and submit to Provider Relations. The form is a waste of time! It shouldnt take months and months to get answers regarding invalid copay reimbursement for Low Income Subsidy residents in Long Term Care.

I do prior authorizations for a physicians office. I have spent over six hours on the phone with them after receiving an approval over fax but still would not go though at the pharmacy. I spoke with three different representatives at optum, who each gave me a different answer as to why it would not go through. I was told that the pharmacy needed to put in a different code when entering the claim. I asked them to call the pharmacy to give them this specific code and they said they weree

My health care was switched to their parent company who shoved me into OPTUMRX for my mail order prescriptions.

I am an insulin dependent diabetic and my doctor sent in a prescription for a normal 90-day supply of insulin. OPTUMRX cancelled the order - THREE TIMES, demanding that I get in the middle between them and my physician, which I ultimately had to do.

OPTUMRX still mucked up the process. I had to contact their parent company to raise hell before anything progressed. Finally, when I was down to a one week supply of insulin, OPTUMRX notified me that they shipped my medications.

If I could, I would switch back to EXPRESS SCRIPTS in a heartbeat.

I have had extensive association with optumrx and an ethical and/ legal team needs to investigate their practices. They are bad!

The pharmacy techs are ignorant of the drugs they are discussing, billing fails to post payment, supervisors don't really care one way or the other that customers are satisfied, and waits are way too long. Drugs that should be delivered to my physicians office, are delivered to my home address. Thankfully, I am an RN, and know how to store (refrigerated!) the medication, until my appointment. As it was a $2000 drug, this sort of mix-up is not a minor thing. I could go on, but this paints the big picture. I would give NO STARS, but it isn't an option.

Just like United Healthcare, the parent company, OptumRx is NOT about customer service or your healthcare. It's all about taking your money, and causing delays in getting your medication. Watch for higher prices, especially through their "specialty Rx" program if you are forced to use that rather than have services provided through your physician's office. They are a poor excuse for a company, (as is UHC in general) completely disorganized and should be dropped from any and all employer-sponsored health plan. But, hey, for your employer, I guess they offer the cheapest way to appear that employees are getting "health benefits". If I could rate them as a "0" I would.

First 'offshore' customer service does not work and defies American sense! OptumRx will remove drugs from your list Why?... and you will DIE! Doctors front office screws up and your drugs don't get refilled, then gone from your list. Genius.

Pls. Cancel my account! Optum has a very bad habit of trying to renew my prescriptions automatically. I DO NOT LIKE MY DOCTOR TO KEEP BEING CONTACTED AND BOTHERED FOR RENEWALS. No way to opt out neither. Keeps doing it over snd over. This only pisses off my doctors office more and more... the wording that is used is too similar for older folks. Thinkibg a Renewal is a refill ( very slick on Optums part)

I have never dealt with so many problems just to get one refill in my life. I placed a refill request for my medicine on February 23,2022. Today is March 1,2022 and I am still without my medicine. I have a medical condition that requires me to take an injection of Humira weekly. I keep calling daily asking why I have not received my medicine and I am told the same thing every day. A third party carrier will be at my home the next day between 8 a.m. and 10 a.m. This third party carrier has not shown up to my home with my prescription yet. I asked to speak with a pharmacist today because I have never missed a dose and I had questions about how a miss dose come affect me. I was told by Alana the pharmacist that "It is recommended that I don't miss any dosage, and I will receive my medicine tomorrow"! This pissed me off because I know it's not recommended but when I asked the so called pharmacist what could be the outcome, she had no clue. I honestly don't believe I was speaking with a pharmacist. I honestly think I was speaking to someone at an India call center because she her English was horrible and she could not ask any of my questions.

I ordered my heart medicine on February 13th, today is February 27th. I have called and texted repeatedly and they said on Feb 24th they were sending an expedited replacement to arrive in 24 hours! I am literally out of my twice-daily medication for days now. I am switching to my neighborhood in-person CVS. Life-threateningy poor customer service.

Si tu medico trata de ordenarte algo de esta farmacia no lo aceptes, no lo entregan a tiempo y son un desastre. Dicelo a tu medico

If I could give 0 stars I would I have been waiting for a shipment from Optum for over 1 month Every week is a new excuse THIS IS INSANE I live in the middle of Manhattan and was told my zip code is closed due to the weather I have received many many shipments none of which is from Optum, they lie Be very careful of them
Use Sinai, they are also a mail order specialty pharmacy that actually delivers on time

I owed LESS THAN $4.00 TO THIS PLACE! I tried to pay through their website. So I called a rep on Jan 22nd. The rep agreed to take care of the matter. She also took care of ordering my refill prescription too. I was satisfied, she took care of 2 things for me at the same time. A few days later while reviewing my checking account, I discovered the processing error and tried to stop immediately. But it was too late. My home owners insurance payment was returned for insufficient funds. So my bank charges a nsf and my insurance company also charged me a fee. I was able to get the bank to reverse their fee. Optum agreed to pay fee from insurance company. I requested money back in my checking account immediately. Rep said she would put a rush request for me. I waited a few days, no money replaced in my bank account. So I called again. I was then told, since payment was a check by phone, they could not do electronic refund, and I would have a check in 7 business days. I would also be reimbursed for nsf by insurance company. I was annoyed at misinformation and further delay. I called again because at this point, I didn't trust them sending me a refund at all! I was told check is on the way. 15th arrives, but since it was a holiday, I decided to give them a couple more days. I waited til 17th and told rep what was going on and demanded an immediate refund. He apologized and said he would have someone call me back shortly. Of course NO ONE CALLED. I waited couple more days. No call. So finally I called Saturday the 20th, and demanded immediately to have problem resolved. I was told an electronic transfer was made into my bank account on February 4th, I told them NOTHING was ever done and I wanted my money with the fee. They promised update by midnight. Today I checked, NOTHING TRANSFERRED! Mail carrier finally delivered a check for $96.? Dated 2/10/21! Right hand doesn't know what the left hand is doing!

I went 3 weeks without my diabetes meds because they couldn't get info correct, I got 5 different answers from 5 different people that could hardly speak English. They kept telling me I have to "let my health insurance pay" and my health insurance said "we don't do anything with prescriptions because your company opted out and uses OptumRx". I have contacted my HR and nothing can be done to let me get my meds from my local pharmacy... which by the way only charges 25 dollars per month for one of my meds, OptumRx is 150.00 for 3 months. The other was 5 dollars a month and OptumRx 175.00 for 3 months. They force you to get 3 months at a time. Ohhhh then there's the "We didn't get the approval from your Doctor" act! It is a shame my local pharmacy tried to save me money by doing a little work to look into cheaper cost for me and OptumRx makes huge profit. Gotta wonder if my main company I work for owns them and is making profit off my health?!

My surgeon prescribed me specialty medications over a month ago. I have been calling Optum for weeks, and still have no medications. My doctor has submitted prescriptions and prior authorizations multiple times, Optum has denied me critical medication for surgery (and once again denied the generic version of the same medication Optum themselves recommended). They have sent me automated messages that are cut off and make no sense, lost my billing information, and forgot to ship my critical medications—even after multiple calls asking where my medications are and requesting them to be sent immediately. I have been promised multiple upcoming delivery dates, and when the delivery date comes and goes, I learn they never shipped the medication. I'm still waiting.

Even if your insurance uses Optum and doesn't give you a choice, ask your doctor or nurse which local specialty pharmacy they prefer—and go with them instead. Best decision I've made. It's extremely sad when patients have to beg for their medications. My spouse and I each took a full day off of work just to get the runaround and call them, and STILL we wait for our medications.

Call Optumrx *******802) today to locate late shipment. I am a diabetic using the Insulet Corp. Ominpod insulin system pumps. All I wanted was shipping Information!
FIRST REPRESENTATIVE: After going through identification formalities, when I asked about late shipment, she indicated that I had no current prescription and no shipment. As that point the conversation rapidly went down hill. I ask to speak with a supervisor, No supervisor. I asked to speak with to a rep with the MV 400 committer. I was told I could not and she refused my request (I was called by the head of that committer after my last Optumrx incident Feb. 9. She told me if I ever had any trouble with another service rep to ask for MV-400 committee). I gave the service rep my order number, now
She found another account with my name on it. I had two accounts! And yes she found the missing shipping information. After a heated conversation, she indicated she had eradicated the glost account.
At that point we parted committee with words of my total dissatisfaction. And NO I could not leaver a satisfaction survey even thought I was asked at the beginning if I want to, which I did.
SECOND REPRESENTATIVE: A called again to get the shipping information. The conversation was much more civil and I got what a wanted.
At not time had I receive any shipping information from Optumrx before todays calls when I ask for it.
Larry Schmidt
127 N. Dylanshire Cir.
Conroe, TX
*******302 (Home)

Completely inept and has now caused a lapse of 5 days in receiving correct prescription for organ transplant patient.

MESSAGE CENTER IS UNUSABLE. CLAIMS LIST IS POORLY CONSTRUCTED.
HOW IS THIS POSSIBLE FOR A CORPORATION SO LARGE?

Optum Rx makes everything as difficult as possible. They treat my need to order diabetic test strips like I am asking for opioids. Took the doctors three phone calls to get information to them. Then two more phone calls from me to get a pharmacist to take a couple of weeks to send them out to me. Unbelievable. On top of that, you can tell they are working from home, because the kids are screaming in the background, making communication even harder.

Since when is it up to a pharmacy to decide whether or not you need the medecine your physician prescribes? It's bad enought that you need prior authorizations for medical treatments now you can't get lawfully prescribed medication without a fight? Its absolutely shameful almost EVERY medication my doctor prescribes gets denied without a freaking prior authorization. The State of NJ seriously needs to find another plan, this is BS all in the name of saving a buck