OptumRx
reviews and complaints

On December 4, 3024 I reviewed a letter from the new drug company Optum RX that will be my Prescription drug coverage through my Medical Insurance Company for Florida Employees and retirees, Department of management services, division of state group insurance.

The letter stated that they will deny my prescription as written by my Doctor, calling it “ quality limit” . My prescription is written for two capsules twice a day . They say they will only pay for one capsule a day is FDA recommendation.

This it’s not narcotic it’s a stomach pill!

I ordered dilalzem you received my order I didn’t get it I called dec 28 2023 approximately 10 am only to be told they didn’t have any no one let me know I was told to call my pharmacy after a half hour they answered said they had it then called OptumRx back I was told I didn’t need to call my pharmacy then I needed to tal talk Emil or Emel I had to wait on hold 25 minutes finally he said things over and over on how much work he had to do this went on for 30 minutes where is my pills

Hello,

I have a formal complaint against OptumRX/UHC. I have a prescription I take that requires a prior authorization to be covered. The prior authorizations are taking longer than 72 hours business days. Whenever a prior authorization is needed for this particular medication, they drag their feet and at times fail it due to going by the wrong information insurance wise. I always end up running out of this medication (in 2023) when a new prior authorization is needed leaving me unable to work and in pain suffering due to them delaying the process and complicating it. When I call OptumRX they leave me on hold and hang up each time ignoring my calls.

This keeps happening over and over after promises that it is taken care of! I don't have a cell phone so I have no text messages! Not everyone in this world has a cell phone! I cant get on to either my husbands or my account. Again I don't have a cell! The site no longer give the option to receive a phone call or text to get the code to get into our account! I need to physically see our scripts as they change. I don't want them read to me.

OptumRX has habitually charged my savings account as opposed to my checking account resulting in a NSF fee of $90.00. I’ve tried unsuccessfully to get resolution, but all I’ve gotten is misinformation to the extent I feel they’re being dishonest. They advised this was corrected in April, but they debited my account 9/5 and again on 9/6 without explanation.

I have been trying to fix an issue with OptumRX not filling one of my prescriptions for months with no progress. All my other prescriptions are fine.

Customer service is all overseas, English as a second language, which I don't care about if they were effective, but alas, they have been powerless and will not escalate the issue.

It is a simple matter. My doctor has written a prescription for a vitamin b-12 injection, once a month. OptumRX has not been able to fulfill this with months of trying. I've had the doctor fax them the RX. I've had them call the doctor. The order keeps getting canceled with no actual explanation to me.

OptumRX claims they will fill a 90-day supply for no charge to me, but they can't seem to get the order out and they do NOT respond to messages sent through their portal/app when I inquire as to why.

Yesterday I was unable to log into Health Safe. I asked for help and I spoke to a lady who gave me directions to log in to the site. I followed her directions and she kept telling me that I was doing it incorrectly. I listened to her over and over but I wasn’t able to log in to the site. It was very frustrating and this person was getting very aggravated and angry. She started screaming at me to follow her directions. It was very upsetting. She didn’t explain what I was doing wrong. She was totally impatient and out of control. Finally, I couldn’t handle the anger on her part anymore and I hung up.

I am 83 years old and I was extremely upset. I had difficulty sleeping due to this incident. Unfortunately, I didn’t remember her name. I have many chronic illnesses and cannot deal with such an angry person. She should not be in a helping job. It took all morning to get over this incident from the previous day. My daughter helped me to log into Health Safe. I would never call these so-called helpers again. It was a terrible experience!

I’ve been taking a medication that has been keeping my A1C in check and balancing hormones that have caused me weight gain even though I do not eat very much. I’ve taken it for over a year and there’s been no issue. Now all of the sudden they stop my medication abruptly! No warning! What kind of people do that?!? It’s disgusting how many people I see mistreated by this “pharmacy”. I think it’s time for a class-action if you ask me… this day and age we can’t let them get away with this.

I incurred a balance for amount under $50 and my other prescriptions were held hostage waiting for balance to be paid.

Their policy states medications will be held once the bill is 60 days past due.

I messaged them on their site and explained the bill was only 2 weeks old! They wrote back they were sorry. But they did not release the three prescriptions I had now run out of.

I called them, wrote again. Same result. They are still holding meds hostage now it’s 30 days past due.

DO NOT USE THIS PHARMACY if you need your prescriptions.

Ramegowda Rajagopal, 1864 Rockdale Ct. Bloomfield Hills, MI 48302

AARP/ Medicare Rx. Member ID: [protected].

I have called Optum Rx number of times in regard this medication, always informed , ‘out of stock: not filled in almost a year, very disappointing after paying more than $1000.00 per year for Rx coverage.

Recently again called Optumrx. I was told the medication is out of stock although it is available at local pharmacies including Walgreens.

I was advised to fill it at Walgreens, with no copay, however I was charged $36.00 copay.

Optumrx is aware of my refill schedule, still no consideration of reserving the needed Rx. For regularly refilling.

When this medication is available in all the pharmacies why it is not available at Optum Rx. For which I have been paying. I request the resolution of this issue.

R.Rajagopal MD.

As far as the service goes, I am reasonably satisfied, the problem is that Optum RX texts me every single day, even when my prescriptions aren't due for refill. They say to stop all I need to do is respond with STOP. I do, I get a confirmation message and the next day, another text! I go to the website, change my settings, they confirm I don't want text messages, and the next day, another text. I go back to the website and the settings have changed back! I've even CALLED and asked them to stop texting me and they said I've been unsubscribed and yet they still keep coming! I am at my wits end, at this point, I'm seriously considering going to Federal Trade Commission and opening up a formal complaint.

Dropping me because I finally got more insurance elsewhere. I am a diabetic with long-term COVID and Optum just send me a lousy notice three hours after I got a note that my meds are on the way. this is absolutely unconscionable. These people just thought they could get more money from me some other way.

Someone in Social Security should have the power to hold their feet tto the fire and ask for some type of period of time for a transition.

I was denied a TDAP vaccine that I was given at the dr's office on 01/18/]2023 by Medicare B. So I went through my Medicare D plan OptumRx (AARP Medicare Rx Plans) for reimbursement. After several attempts, I received the following denial: "The paperwork to process your claim was missing the following required info: proof of payment receipts from the pharmacy." Since I didn't get my TDAP vaccine through a pharmacy, what am I supposed to do? Can you please advise. Thank you. Sandra Gretta

My name is Elizabeth Schell. My husband, Andrew M Schell was a member of OPTUM RX. Andrew passed away on October 8,2022. I have called 4 times about no longer needing his medications. I have advised that he pass and that meds were no longer required. You company has caused me undue pain with in way you handle you busness. Not only did I still get his meds again and again but I then receive a BILL- he never paid for his meds in the past so why now? The gaul of you company! I have called and been made to repeat myself and cry and relive the trauma again and again by your agents. Yes they say how sorry they are and that it will not happen again and the account has been note and update. BUT it obviously it is not. I was told to just toss the meds that came after his passing- what a waste of money. Thankfully I have not gotten more meds. But once again I open my mail and have a bill from you in the amount of $74.78! The account number on this bill is [protected]. Please, please stop all contact and actually UPDATE you systems. STOP sending bills.