I have a refill medication that can be filled every 31 days. It can ONLY be dispensed in a 1 month refill.
(as opposed to a 90 day supply) The insurance says 12 tablets every 63 days. (so 6 every 31 to 32 days) Every other month when I go to get the medication, the Pharmacy says OptumRX denies the refill and I have to wait another month to get the allotted 12 tablets. (THEY CAN NOT GIVE ME MORE THAN A 1 MONTH SUPPLY SO I GET ONLY 6...NOT 12) I end up calling Customer Service over and over again. EVERY CS rep tells me something different!!
Every time! I am covered for this medication but only get 1/2 of what I am entitled to with my insurance. One CS rep "got it" and did an over ride to get me the medication from the month before and told me it wouldn't happen again. Well, the next month it was the same thing and the new rep said the over ride meds were for the "NEXT" month and I could not get the medication for 2 months.
These people don't get it and are IMPOSSIBLE to reason with.
Product or Service Mentioned: Optumrx Prescription Refill.
Reason of review: Order processing issue.
Monetary Loss: $172.
Preferred solution: Refund the $171.69 that I had to pay out of pocket for COVERED medication and get the problem refilling the perscription PROPERLY straightened out. .