OptumReviews of optumrx.com

Sorry I can't leave a zero. Heart med Entresto went from 60 to 700 dollars with no explanation. They said they needed another preauthorization (I've been on it two years) then let me run out while they failed to talk to the dr and canceled the preauth. Now they say I have to preauth with fleet rx who is closed, then they'll fill the scrip by mail. I'm out completely and stopping suddenly can kill me. They don't care.

Terrible terrible company. They charged me $140 for a tube of skin cream without first telling how much it would cost. When it arrived I said no way I’m paying that. And they said no refunds No returns. Beyond that, OptumRx has over the years sent me far more medicine than I have actually been prescribed. I take my medicine accurately every day — and one might suspect OptumRx has evidently figured a Federal loophole so that they can steadily oversupply my requirements — and rip off Medicare in the process. Hate them.

Up until 2026, I have had nothing but good experiences with OptumRx. However, it has been a nightmare attempting to get my medications this year. There is a serious problem with insurance information being updated in your patient portal/chart. I spent the entire month of January trying to get them to update my insurance as I knew my medication requires a prior authorization and I needed to get that process going so I wouldn't experience a gap in my treatment. My insurance was not updated until February with my infusion being scheduled for the second week of February. On the day my medication delivery was scheduled for, it never showed up and I received no communication that it would be delayed or not coming. I called the next business day and found out they had not even started the prior authorization process. It makes zero sense that they would have scheduled a delivery for my medication (almost a month prior) without having it approved by insurance. Now it is the week of my infusion (my migraine symptoms start to worsen the two weeks before my infusion is due) and I had to cancel my infusion appointment because I have no medications. My delivery is now over a week late and it is not the fault of insurance. We put a rush on the prior authorization with my insurance and it was approved the same day that all the documentation was submitted by Optum. Two days later, Optum is still claiming to not have received any information on the approval when I have confirmed with insurance on multiple occasions it was sent to Optum and my provider. Somehow my provider has received this approval, but Optum hasn't? When I called to let Optum know of the approval, they were rude and told me that it doesn't mean anything because they have their own processes to approve medications and they still have no record of it. I've also been told my representatives that this is occurring with many patients this year because they are way behind in updating insurance information. You can call Optum and talk to representatives, but getting a hold of someone who actually can do anything is impossible. I was told on multiple occasions I would be getting a call back or that it is being escalated to the supervisor. It took me calling over and over again to get a call from my patient navigator. While he is very nice and seems to care, with this being a problem with so many Optum patients, there is really only so much he can do. This is a problem with the system itself and it is costing so many people their health and quality of life. Not only do I go to college full time, but I also work. Before this medication, I had to drop out of school because my migraines were so bad. I am terrified this may happen again with how symptomatic I have become, which has only been worsened by the stress of trying to get my medications. I never leave reviews, but this experience has truly been terrible. I feel very invalidated when I explain to representatives that I need someone to call me back to communicate something because I need this medication. Many don't realize or try to minimize the impact migraines can have on someone's life. I don't recommend using OptumRx until they get the major issues in their system figured out. I am very discouraged, in pain, and dealing with other migraine symptoms that are only getting worse. This whole thing is a joke and entirely unacceptable for a pharmacy and healthcare company.

Literally the worst customer service I have experienced in my life. Had to contact them TWICE to get a return label MAILED (??? It's 2026... email it!!!) and in the meantime I had to pay for my meds out of pocket at my local pharmacy because the lack of return label meant my insurance had not been refunded or their bottom of the barrel generics. I've wasted hours of my life on one mistake, which was working my rear end off trying to transfer my rx to them only to then spend even MORE time trying to return and cancel my rx with them. Avoid ths place like the plague.

My company just switched to OptumRx as our PBM Jan 1st, and it has been an absolute disaster in my experience. They require a Prior Authorization for a generic medication I have been stable on for 18 years. Then they deny the PA because of a Step Therapy requirement. The 3 alternatives they require in the step therapy are all significantly more expensive than the generic. You can't talk to the people making the decision, only the robots that are reading from the computer. Warning to all company benefits departments considering this PBM -- run away as fast as you can, unless of course your goal is to piss off your employees.

AWFUL. They continually deny coverage for people who need certain medications; the service agents remain unknowledgeable, relying on outdated guidelines. The C-suite only cares about money in their pocket. I think they should be sued for fraud and unethical behavior. I can't describe how much I hate this company.

I have had to deal with OptumRX for several years and I am amazed how it is even possible to screw up orders so many times. Autorefill not refilled. Autorefill comes 1 month late. Meds NOT on autorefill are sent... My doctor says its a big challenge to get the prescription through to them too. I am now going to the local pharmacy even so I have to drive there, wait and pay more. It is reliable. It is very important medication...

I made a big mistake with switching to optum RX. I have already had express Rx. Thought I would try optum RX.... no one speaks English... haven't gotten my mail order yet. YIKES 😳😬!!!!! Have I made a big mistake??????