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Re: Optum RX - STAY AWAY - HORRIBLE VERY BAD

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Message 51 of 129

How did you ever get them to do that for you? 

 

I almost never reach someone who can understand me or that I can understand. If I ask for a US call center - something that works immediately when I reach an English as a 2nd or 3rd or 4th language call center when calling UHC - I always get the same slurred jumble of whatever they are trying to say.

 

They constantly repeat the same lines over and over 'we're so happy you chose Optumrx' etc and lately have taken to start asking me when my next doctors appointments are and other none of their business questions.  They butcher my name which they also repeat endlessly.  

 

I would pay extra to reach a US call center where people could understand what I am calling about.  

 

The US should mandate that all medicare call centers and medicare prescription service call centers are based in the US.

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Re: Optum RX - STAY AWAY - HORRIBLE VERY BAD

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Message 52 of 129

Optum (or UnitedHealthcare, which owns Optum) actually called me and assigned a personal rep for me to contact anytime I had a problem. She figured out what was causing the problem (there was an erroneous indication on my record with them that I would not accept the generic equivalent) and fixed it! While she didn't OK my posting her direct line she did say I could give you the corporate 

number 800-343-4227 so a case can be assigned to her (Patricia Esparza) or other corporate agent. She is very helpful, competent and empathetic but it appears the core issue still exists, poor training of the frontline call center staff.

 

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Re: Optum RX - STAY AWAY - HORRIBLE VERY BAD

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Message 53 of 129

Your Dr should be able to send your prescription anywhere where you are covered whether it's CVS or Optum. Does your Dr send yours electronically? Most do and it's easier for them. Just tell the office or Dr where you want it to go. As far as complaining, I'd call customer service if you can reach them. Please don't wait until you're out 😞 

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Re: Optum RX - STAY AWAY - HORRIBLE VERY BAD

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Message 54 of 129

Whom do I complain to about the BAD customer service at OPTUMRx? I have been trying since January 3, 2020 to get my Rx moved from CVS to OPTUMRx. Here I am leaving for Wave 1 and I still don't have my medication and I am out. OPTUMRx does not have:
Decent voice recognition system on automated system…..keep having to repeat information
Information given in automated system does not transfer over to customer service representative. I have to tell them all information again, this make 3-5 time of repeating myself.
Mail order is a mess, I can only get 30 day supply and not 90.
Can we switch to CVS again?

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Re: Optum RX - STAY AWAY

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Message 55 of 129

Hi Sylvia

I don't know much about the time line where you can switch insurances but I haven't had any trouble (yet) with Express Scripts. I don't take many medications and a couple of them that I don't take everyday I pay for of pocket at Costco but geez... Nitro is dirt cheap! Can you switch back to Caremark? If you have a high deductible you can call Costco (if there's one nearby) and ask them how much your Nitro is. I have an inexpensive coverage with Express Scripts that I pay about $23 dollars a month for. They are extremely helpfuI and I don't go through AARP at all. Good luck with everything, Sylvia. My old boss used to say "don't get old!" 

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Re: Optum RX - STAY AWAY

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Message 56 of 129

I am having the same issues!!!!!!!!!!!!!!!!!!!!!!!!!!!  It has been a nightmare!!!!  I started with them Jan1 with our new coverage and I have been on the phone several times and my doctors trying to get my medications transferred.  They are useless!!!!

Caremark was awesome, NEVER had these issues, none!

I had a heart attack 2 years and I had to fight to get NITRO!!!!  Unreal!!!!

Why did United Health Care go to these idiots!!!!!!!!!!!!!!!!!!!!!!!!!!!

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Re: Optum RX - Stay away

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Message 57 of 129

I have fibromyalgia as well, and have tried a lot of prescription medications to no avail. I ended up going to a physician who is focused on holistic medicine, and she has helped me A LOT. She recommends using an herbal medicine called 'Tranquility' which you can get on Amazon. I take 2 capsules 4x/day and it really helps. There is another herbal medicine called 'GABA' which works well and is also available on Amazon. Same dosage.  You can even take them together if you are really suffering,  but I find I rarely have to do that. 

 

I would also recommend that you check into getting a blood test called 'MRT'. It tests to see if you have food sensitivities that could be making you suffer. Food sensitivities are not food allergies. I did it as did 2 of my friends with other horrible problems (they were not diagnosed with fibromyalgia,  BTW) and we all had problems with different foods.  If I stay away from those foods I feel much better! 

 

There is also a book called 'Prescription for Nutritional Healing' which has been my bible for almost 30 years. It's a wonderful resource for lots of ailments, and is updated regularly.  It combines traditional medicine with herbs, supplements and diet and has helped me with my many health issues.  

 

Lastly, opioids are not a good solution for fibromyalgia.  Get help weaning yourself off of this drug and try changing your diet and using the herbal medicines that I  have mentioned.  And if you don't want to spend money on the MRT test then look up 'Anti-inflammatory Diet' online and follow that as closely as possible.  I went to a pain management doctor 20+ years ago after a spinal fusion,  and all the meds did was make me a zombie.  Diet and herbal medicine is more effective and not addictive. 

 

Good luck! 🤗

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Re: Optum RX - Stay away

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Message 58 of 129

@PMDL57 wrote:

I don't know what to do. Can someone help me.

I've been on tramadol for over 20 years for my fibromyalgia and arthritis.  I hurt all the time but it makes my life bearable. As I work full time in retail all my life. I have three adult children, two wonderful grandsons and great friends that keep me busy in my life.

Optum RX now once to limit my pain medicine and send me to pain management. They lied on my phone and told me my doctor sent a referral to send me there. Which she didn't they asked her for one 

My problem is I have friends in pain management and the stuff they're dealing with still don't help their pain. I have come up with many techniques to help my pain not be so bad all the time. Plus I don't have to pay a $2,000 a year copay to do it. Because they won't be paying my co-pay or deductible I will be. What gives them the right to tell me to go to pain management and to limit my medicine. 

I'm just called my doctor to find out how I can get my medicine without being limited to getting one week at a time and go visit her one week at a time. Cuz I can't afford that.

What are my rights.? I don't want to call Optum RX after hearing all the problems you all have. What should I do now? Thank you for listening prayers to all. Pam

 


This isn't the fault of the pharmacy - New Guidelines have been issued by the CDC on the prescribing of opioids and related pain meds for those with Chronic pain - This differs from those who have cancer-related pain or are at the end of their life from cancer or other painful conditions.

CDC GUIDELINE FOR PRESCRIBING OPIOIDS FOR CHRONIC PAIN - Factsheet 

 

Tramadol is similar to an opioid (narcotic) analgesics.  It is a controlled substance and thus is regulated.  There is a risk for abuse and addiction, which can lead to overdose and death. This is why your pharmacy wants you to be re-evaluated by your doctor.  The doc will evaluate you to see if something else will work that is not so addictive - pharmaceutical, medical or physiological - or a combination.

 

I don't know about Tramadol per se but sometimes there is an addiction offset to other addictive meds that the doc can also prescribe.

 

Yes, your doc may ask you to work with a pain management specialist  He may want you to try other methods of pain control in addition to weening you off the Tramadol slowly.  If you are kept on this medication, most likely you will have to see your doctor more often for refills. 

 

Nothing against you or your pain, health care providers did it wrong previously and now they are having to reevaluate their patients.

 

You are like millions of others - prescribed a pain medication as an easy fix to whatever - many of these people are now addicts or they may be no longer with us.

 

20 years on this medication - time for a review - there maybe something better for you depending on your chronic problem.

 

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Re: Optum RX - Stay away

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Message 59 of 129

I don't know what to do. Can someone help me.

I've been on tramadol for over 20 years for my fibromyalgia and arthritis.  I hurt all the time but it makes my life bearable. As I work full time in retail all my life. I have three adult children, two wonderful grandsons and great friends that keep me busy in my life.

Optum RX now once to limit my pain medicine and send me to pain management. They lied on my phone and told me my doctor sent a referral to send me there. Which she didn't they asked her for one 

My problem is I have friends in pain management and the stuff they're dealing with still don't help their pain. I have come up with many techniques to help my pain not be so bad all the time. Plus I don't have to pay a $2,000 a year copay to do it. Because they won't be paying my co-pay or deductible I will be. What gives them the right to tell me to go to pain management and to limit my medicine. 

I'm just called my doctor to find out how I can get my medicine without being limited to getting one week at a time and go visit her one week at a time. Cuz I can't afford that.

What are my rights.? I don't want to call Optum RX after hearing all the problems you all have. What should I do now? Thank you for listening prayers to all. Pam

 

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Re: Optum RX - STAY AWAY

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Message 60 of 129

I agree Optum is the worst. We had express scripts and they had great service. The non native English speaker customer support staff just read from a script. I am going to get hard copies of all my prescriptions and physically take them to Walgreens. I didn't do my homework on this decision. 

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