Pharmacy benefits are provided under the County’s self-insured plan through Catamaran. Catalyst Rx was purchased by CSX in mid-2012 and the two companies became Catamaran. The pharmacy plan includes:
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An open formulary with three tiers of coverage (generic, brand preferred, and non-preferred) at affordable co-pays
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90 day mandatory maintenance medication program through mail order
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Large network of participating pharmacies (Walgreens, Target, CVS, Publix super markets, etc.)
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Restricted generic policy (generics will be dispensed if available unless the doctor indicates “Dispense As Written” on the prescription
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30 day Specialty pharmacy home delivery
| Tiers |
30 Day Supply* |
90 Day Supply
(Maintenance Medication) |
| Generic |
$5 |
$10 |
| Brand Preferred |
$25 |
$50 |
| Non-Preferred |
$40 |
$80 |
| Specialty Pharmacy |
$25 or $40 (based on tier) |
30 Day Supply ONLY |
Clinical Prior Authorization Program
Certain prescriptions require “clinical prior authorization,” or approval from your plan, before they will be covered. The categories/medications that require clinical prior authorization may include, but are not limited to: Acne (topical-after age 24), ADHD/Narcolepsy (after age 19), Botulinum Toxins, Lamisil/Sporanox, Obesity and Peniac. Upon receipt of a prescription falling into a covered category, Catamaran will contact your doctor’s office and request the documentation needed for Prior Authorization. To verify in advance, members may contact Catamaran.
Specialty Pharmacy
Briova Rx is Catamaran’s specialty pharmacy provider. They will assist members with their specialty medications to ensure safe and effective administration. Briova Rx provides free home delivery to your home/work address.
Please contact Briova Rx for more information regarding specialty pharmacy.