Complaint 351683 Details

  • Date Occurred: 07/01/2016
  • Reported Damages: $140.00

The complaint is against an online dating profile

The complaint is a listing fraud posted on public forums or sites against an anonymous entity

The complaint is mobile text spam or smishing related against an anonymous entity

The company or person contact no longer exists

International boundaries

Refusing to cover a medically necessary medication, saying that the med is not covered while covering a different dose.

Company stated that it was too late for a prior authorization, that I needed a benefit appeal. The benefit appeal was then denied due to lack of prior authorization. This process took 6 weeks at which point, the process began again. This time the prior authorization was denied based on "medication not covered." Meanwhile, they covered that med at a different dose.

I have previously had the med covered as I have been on 25 mcg, then 38 mcg (25+13), then 50 mcg and now need 63 mcg which would be a 50 mcg caplet plus a 13 mcg. The 50 mcg is ready but, OtpumRx is refusing to cover the 13 mcg now.

Dozens of phone calls by the doctor and myself have still not resolved the issue. I have had to take 2 pills of the 50's every 3rd day to compensate which is dangerous.

A dose of 63 mcg of a hypo-thyroid medication is still a relatively small dose. For me to have to fight with this company for the medically necessary medication, while having to take a dangerous dose to compensate for their neglect is ridiculous.

As of today, August 22nd - the issue is not resolved.

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Business Profile Summary

  • OptumRx logo

Company Statistics

  • Complaint Against OptumRx
  • Complaints Filed: 3
  • Reported Damages: $890.00
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