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Re: Optum RX - STAY AWAY - HORRIBLE VERY BAD

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Message 51 of 126

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 52 of 126

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 53 of 126

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 54 of 126

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 55 of 126

@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.

 


* * * * It's Always Something . . . Roseanne Roseannadanna
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Re: Optum RX - Stay away

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Message 56 of 126

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 57 of 126

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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Re: Optum RX - STAY AWAY

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Message 58 of 126

I can attest as to the fact these people are frustrating and ridiculous to deal with. Some of this may be due to another fact that a lot of calls getr routed overseas. 

 

I had ordered a medication...thinking it was about $25.00. When I got it...it was $125.00!!! I called and after about 3 weeks and several "other phone contacts" with these idiots...was told to send back the mediaction and they would get my account in order my... as they had "locked" my account. This was back in early September. Medication was sent back (received by them on 9/30/19). 

 

They had  charged my credit card the $125 in early August...then reversed the charge same time...and then later tried to bill my credit card again ($125) in early September! The September charge was not placed! After another series of calls...by the end of September I was confident the issue had been resolved. Not to be! 

 

Late November...thinking my account was OK...I reordered 2 medications and was told it was fine. Just needed to contact my doctopr for authorization. A few days later I get an email from OptumRX notifying me of an issue (Dr. authorization). I call AGAIN and "supposedly" get it fixed. Asking them again about getting my meds and the time frame. They tell me about 12/13/19 I'd get them.

 

TODAY I get a letter in the mail...saying my meds have not been filled and for me to contact my doctor or call them. I call them and am told there's a "Lock on MY Account" due to the past due $125.00!!! WTF??? Now I'm really pissed!!! Had rep get me in toiuch w/a "Supervisor" (Stupervisor) and she tells me they will get account "unlocked" (she's waiting now for an authorization via email to do so) and she will ca;ll me back tonight to verify such. Offered to overnight meds once cleared up. We'll see if any of this actually happens. 

 

"A THOUGHT ON THIS": If they can't get this dine correctly...can I even count on the fact that they will fill my prescription w/the correct mediaction in the correct amounts of dosage??? 

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Re: Optum RX - STAY AWAY

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Message 59 of 126

Peggy, that's terrible! I think they all suck, pardon the language. I worked in medical offices most of my adult life and it's getting worse and worse. I don't know if this pertains to you but sometimes the Dr's office (usually a provider) inputs I prescriptions wrong... I saw it happen all the time. Everyone is so rushed and crazy these days because nobody wants to pay to have enough staff regardless, of where it is. I do remember Caremark being pretty good, but the problem is, with all of them, they change their formularies all the time and want you to take what they cover and all the insurance companies have their own. It's horrible. I saw patients decide not to take their drugs because it wasn't covered! We're talking blood pressure and diabetes meds! I used to fight with the insurance companies all the time but it gets harder and harder. It brought me to tears, the injustice of it all. They have stupid people answering the phone that go through a cookie cutter form that has nothing to do with the patient's situation. It's a nightmare to get to a pharmacist on the line.  I'm glad I just retired but let me tell you, Medicare D was so scary for me to choose, even with all my 30 years of knowledge. I still don't know if I made the right choice! Good luck with everything, Peggy, you'd think now that we've retired, we'd have less stress. I miss my job paying for my insurance:( 

Nina

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Re: Optum RX - STAY AWAY

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Message 60 of 126

@PeggyW881599 

You can also file a complaint with Medicare.

Medicare.gov - Filing complaints about your health or drug plan 

 

Time to switch - open enrollment is now going on until December 7, 2019


* * * * It's Always Something . . . Roseanne Roseannadanna
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