OptumRx
Reviews and Complaints

OptumRx has faxed three of my doctors, insisting on justification for prescribing pain medication. They are basically threatening my doctors with harassment if they prescribe pain meds for me. These letters have gone to my dentist, oral surgeon, and eye doctor. The dentist told me he had been notified by "the DEA" and told he could no longer prescribe short-term pain meds for me. This is absolutely ridiculous, infuriating, and embarrassing. Also, OptumRx didn't bother to notify ME that they were contacting my doctors! The letters to the doctors order them to justify their prescriptions with the reasons for giving them to me, then immediately fax them back to OptumRx. Since when does this "prescription manager" get to decide what my doctor can prescribe for me? In the last year I have had three dental implants ( and, believe me, you do NOT want to go through that without pain meds!), two root canals, and two extractions. This is due to the fact that I have Crohn's Disease, which causes an extremely dry mouth and has ruined my teeth. Yet this company has decided that I must be abusing pain medicine! What right does OptumRx have to decide what is best for me? I trust my doctors to give me appropriate medicine so I can carry on with my life and my job as a teacher and not be in excruciating pain while I do it. The medication is short term and I am in no danger of becoming addicted to it. My doctors all say they have never had any communications like this. I am furious that my doctors have to waste their time responding to this nonsense. My eye doctor even got a letter saying that if he wanted to continue prescribing Restasis Eye Drops for me, that he would have to write a letter to OptumRx explaining why I need it. Well, DUH! I have very dry eyes! What does OptumRx think I'm going to do with eyedrops to "abuse" them? Swallow them? This is beyond annoying. OptumRx needs to stop ordering my doctors to justify prescriptions. My doctors went to medical school to learn how to treat conditions like mine. I trust them, NOT OptumRx!

OptumRX will typically fill your prescription for tier 1 and tier 2 drugs (some requiring "prior authorization") without too much hassle but once you hit the tier 3 drugs they will reject a doctor's prior authorization the first time around requiring you to contact the doctor to submit an "appeal". This of course adds a few more days to what you've already had to wait on and there is no guarantee that this "appeal" will be approved any more than the original authorization. I fail to understand how a mail-order pharmacy can understand the medical needs of a customer better than a physician who has known the patient for years. A licensed physician should need nothing more than to submit the originally requested "prior authorization" and the pharmacy should accept it.

They lied about contacting me for a refill, fraudulently documented on my account that they had contacted me, fraudulently charged my credit card, and then had the nerve to be rude when I told them to remove my credit card information from their system. Their customer service reps are incompetent and unwilling to resolve issues. This is a terribly untrustworthy company.

Can you help me Our prescriptions are called into OptumRX mail Service but there is all these delays in sending the drugs. Every time you call to check on the progress you get different answers as to why. Often they are back ordered but no update is ever sent. My doctor said he has trouble with them fulfilling other patients orders also. Is there any reason you could threat to discontinue their services till they return to a respectable company that deserves us seniors to buy Insurance that pays them. Some of the meds are life saving and can not go without them

I sent my prescription to optumrx pharmacy. They contacted my doctor and told him that I needed completely different medicine. And also they refused to deliver me the prescribed medicine. However, they charged me for $100, and now they ignore all my emails and messages. I want to return money. Please, if you have good ideas how to help me, post them. Thanks.