Carelon RX

Anthem Insurance has Carelon RX as its pharmacy, with very bad customer service. Today, I called because I was not receiving my medicines as they had been 'in process' for over two months.

I had to deal with two agents because it was unbelievable.

Constant mistakes make it a nightmare. I don't know how Anthem can put up with this.

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my rating

The worst company I have ever dealt with!

The company strong arms me to use this pharmacy, and then they fail me each and every time with my orders, how is this right? And it's not so much the people that take the calls (they do share some responsibility though) but it's the managers and the policies that they have in place.

They have failed me three times on the same order that I've been waiting for now over a month for diabetic supplies, and that's just one order for me.

Every call I hear a recording that I'm being recorded for quality and training purposes. I'm gonna start recording to show this business how bad they're messing up, not that would fix anything As a consumer, I hate that I'm stuck with this pharmacy

Quickly rising to be the worst company ever!

My complaint is about Carelon RX who happens to be the Pharmacy Management Company for Anthem of Ohio. I have been trying & trying to get a prior authorization on a medication processed.

My doctors office has faxed the information requested along with a letter from the doctor regarding the need for this particular medication. Lo & behold, no one can locate the faxes, find the request for the prior authorization OR the Appeal & Grievance filed due to this incompetent service. I have spent over 3 hours on the phone ( twice now!) been transferred 8 times of more and still no one can even acknowledge that I have called at all. This is the WORST Pharmacy Management company I have EVER had the great displeasure of having to do business with.

Would I trust them to fill a prescription? NOT ON YOUR LIFE would I!! They deserve that F rating at the BBB. They are based out of New Jersey, and by the attitudes you get, you can tell its pure east coast rudeness and lack of help.

Go the extra mile?

Not Carelon, they cant even do the mile to start with. Avoid these people if you can, Im stuck with them thanks to Anthem and Miami University!

I did not want to transfer my meds to Carelon Rx but apparently, it was cheaper and more convenient-at least according to the mail they sent me. So I transferred my meds to them.

It worked in the beginning. I'd get my prescription every 90 days after I signed up for auto refill. Then I don't know what happened this year. I did not get any notification so I checked my app.

I noticed my auto refill is gone but I still have 1 refill left. I went ahead and requested my refill. To my surprise, 3 days later, it hasn't been filled. So I chatted customer service and they told me my meds were no longer covered because they're not in the formulary anymore and I will need a new prior auth even if I still had 1 refill left from the old auth.

Well, that was new. No one informed me. No texts, email or mail. Otherwise, I would've gotten this taken care of a month ago.

I talked to my clinic and they submitted new prior auth. I didn't see any progress on the app and I chatted customer service again and they said the team hasn't seen the prior auth but now that they have, they'll mark it as urgent. Fast forward to today, they still haven't filled my meds and I was told to keep calling customer service. I've gone without meds for 1 month.

I have no choice but to keep calling customer service. I will find a way to ask for compensation about my inconvenience and let's see what they say.

They suck! Avoid Carelon Rx at all costs!