My company just switched to OptumRx as our PBM Jan 1st, and it has been an absolute disaster in my experience. They require a Prior Authorization for a generic medication I have been stable on for 18 years. Then they deny the PA because of a Step Therapy requirement. The 3 alternatives they require in the step therapy are all significantly more expensive than the generic. You can't talk to the people making the decision, only the robots that are reading from the computer.
Warning to all company benefits departments considering this PBM -- run away as fast as you can, unless of course your goal is to piss off your employees.
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Optum, a part of UnitedHealth Group, is a pharmacy benefit manager and care services group operating across 150 countries in North America, South America, Europe, Asia Pacific and the Middle East.