3/4 of our prescriptions have been delayed long enough to go without medicine. Each time it is a different reason, but customer service reps never have the correct answer, which leads to speaking to one after another for hours.
Forced mail order to Briova is resulting in late delivery of critical meds. Quantity limits are inadequate and even Drs explanations do not matter. Prior authorizations are constant and often have to be appealed numerous times. EVERY drug that shows any interaction is being denied, until the pharmacist takes the responsibility to key in an override OR calls the Dr, regardless of how many years you have been taking the 2 drugs prescribed by your Dr.
This will occur every month. Drs will not continue to authorize your Rx monthly. Pharmacists often refuse to make that decision, so you are denied, until the Dr calls them back monthly. The State has retained a "Cost Containment" company, rather than purchase Prescription Drug Insurance.
The cost is being "contained" by delaying and refusing needed medication. Reps admit they have little training and are unable or unwilling to assist. Even requests for assistance to the State have brought no response. I have chosen to pay cash for most of my medications, since I must spend so much time making calls to plead for the ones that are impossible to afford.
I urge anyone with these issues to begin contacting Office of Retirement services and our new Benefit Coordinator. Someone is going to die or become seriously ill over these practices.
Product or Service Mentioned: Optumrx Prescription Refill.
Reason of review: Problem with delivery.
Preferred solution: State of Michigan revise contract and choose another company to administer Drug coverage.
I liked: Response from corporate office after email.
I didn't like: Dangerously incompetent, Being passed about and told something different each time, Inability to provide meds in a timely manner, People and the processes, Forced to use briova mail order with unreliable delivery.