Optumrx

My husband sees a VA dr as well as one outside of VA. Because he is a diabetic we use VA for his insulin. He takes several other scrips also. Two weeks ago VA changed aome of his meds. We took the handwritten scrips to the outside dr and they faxed it to Optum for us. We get the email that it is being processed and gives a date to expect it to arrive. Few days later another email saying same thing with different dates. I called them to find out what the delay was and they said that one of them was out of stock and one was too much medication. Since when does a mail order pharmacy decide what a person they have never seen or examined determine how much medicine they should have? They keep saying they need the dr to call them. If you know anything about the VA you know they are far too busy to $#*! around with these idiots. So they have basically denied 2 if his new meds. We will be having VA fill all his meds from now on. I cant believe with all the bad reviews that this company has all over the internet that they are still being used by any insurer.

I take an HIV drug which is very expensive, I have a Copay grant to cover the copay.
IN dealing with Optum RX, I have been lied to and misdirected multiple times. I have spent over 10 hours on phone calls with no results.
First issue was why was I receiving a 30 day supply instead of a 90 day supply.
I was told that it was because it changed some level and it would revert next month ( 1.5 hour call with two hang ups). Next shipment was still only 30 days. Numerous calls - numerous lies - numerous hang ups. Finally they told me Medicare was restricting the supply to 30 days. & calls total of 4.5 hours). I called Medicare and they said it was not true. I researched and discovered that my insurance was limiting to 30 days.

Second issue - I am being build for the copay which is covered by my copay grant. I have called 4 times, each call running app 1 hour and several hang ups. Each time I am told "OH Yes we see the copay -we will resolve the matter and i will call you back when it is resolved" For 4 months not resolved and no phone calls.

This is a management problem - there must be some pressure on these people to resolve issues even thru lying.

Called for a price quote -- was told $37 for 90 days of an old generic drug. Placed the order -- two seconds later, my cc was charged for $115. No explanation. I called immediately and told them to cancel. They said they would. They did not. I called them FIVE times to reiterate that I wanted to cancel because I kept getting texts about the progress of the order. Needless to say, they DID not cancel it and now it has to be returned at great trouble (I live many miles from town) and I will have to spend weeks ensuring
I get my refund. Then, I had my dr call in a script to Walmart, cash only, since they are far far cheaper than Optum RX, and suddenly, Optum told my pharmacist that the drug was only $15 for 30 days -- so still way less than the cash price. I am still own the phone with United Healthcare to find put what Optum quoted the correct price ($37) but charged me a totally different price. From what I am hearing, they are a big gigantic scam. They quote you the cheapest generic and then send you the priciest one. They assume you are not going to bother fighting it. They assume wrong. Instead, I assure you I will never use their Mail Order pharmacy ever again.

I'm formally writing a complaint about your pharmacist overstepping and discontinuing medication before consulting me or the doctor secondly the continuous lies that I have been told to my face are mine bottling therefore I have canceled all future services with Optum and will never ever go back to them again I would advise anyone else that is looking to switch to them not to switch you will be without your medicine and you will be lied to and you will waste a bunch of your time.
In addition to my time being wasted I will be sending an invoice to Optum and I will expect it to be paid if it is not paid I will proceed with small claims court thank you

Each time I call it gets more challenging to get anything done. I just changed address, but I'll bet I have to call back a second time to get them to record the change correctly.

I called 3 x to approve. They said my credit card is fine and each time said they would ship out 3 weeks ago. Then 2weeks ago then 1 week ago. Never shipped. Today I ended up in the ER tonight.

I've been a client with them for years, many of my medicines come without a problem. Consistently for one of my meds has issues. So I have gotten to the point to call them to make sure the correct script is needed from the doctor so not to waste time. Well that is unavoidable with OPTUMRX, asked a rep to check the script, tell me to change to another one covered by plan. I call doctor and tell them, they state the request states something else. So we send it in last week, so I call to check in. Wrong script not covered by insurance... So I contact to see what was needed, to fill it? Just needed a refill... so one week later OPTUMRX is calling me to fill the incorrect one seeing if I want to pay out of pocket! Asked for a supervisor she keeps asking to make a payment for wrong script. Speaking to CS out of country!
Called today and got all straighten out. Scripts coming today or tomorrow, as I'm out of script in 2 days now. Get a text states scripts NEXT week! Called back, oh something wrong with script from doctor now. Geeze! Pulling scripts going elsewhere. Mail order, easy they said! Avoid them. Then called Insurance company to report issues. On hold for 25 mins. Just moving on.