Prescription drug benefits, available to all employees enrolled in a state health plan, are provided through Catalyst Rx, the state's prescription drug benefit manager.
Click the links below to access the information you need quickly.
Prescription Drug Copays
Comparing the Costs of Prescription Medications
Pocket Formulary/Preferred Drug List
Coverage
Filling a Prescription
Prescription Mail Order through IPS
Login Instructions for the Catalyst Web site
Important Prescription Drug Updates
Prescription Copays
An easy way to save money is to utilize generic medications rather than brand-name medications. See the chart below to compare the copays for the various levels of drugs, and visit the Catalyst Rx Web site to determine which level a specific medication falls under. While comparing costs of medications, you also can learn more about each specific medication.
Click here to view the Prescription Drug Benefits chart.
* Please note that the amount charged to the individual for Generic, Preferred Brand and Non-Preferred Brand medications will not be greater than the actual cost of the medication. Therefore, the amount charged for Generic, Preferred Brand and Non-Preferred Brand may be less than the flat-dollar copay.
**A multi-source brand-name drug is a brand-name medication that is produced and available through multiple manufacturers and also has a therapeutically equivalent generic alternative available. Under certain circumstances, requiring medical documentation, these penalties may be waived.
Prescription drug copays do not apply toward Your annual out-of-pocket maximum.
Pocket Formulary/Preferred Drug List
The Pocket Formulary is a condensed version of the Catalyst Rx Incentive Formulary. Please be aware that this is not an all-inclusive list. Changes may occur throughout the year and plan exclusions may override this list. Benefit designs may vary with respect to drug coverage, quantity limits, step therapy, days supply and prior authorization.
Coverage
Employees receive a Catalyst Rx identification card, which must be presented at the prescription drug when filling prescriptions. You must use your Catalyst Rx card to receive prescriptions - you will not be able to purchase medications with your health plan ID card.
For a full list of what's covered under your prescription drug benefit, click here to go to the Catalyst Rx Website.
Comparing The Costs of Medications
Want to save some money? Catalyst Rx offers a variety of Web-based features intended to put you in touch with valuable health and prescription drug benefit information. Through www.catalystrx.com, you can review your plan’s benefits, locate a participating pharmacy, view and print your prescription history, and more.
In addition, Catalyst Rx’s online drug pricing tool, Catalyst Price & Save, can save you money by comparing the price of your prescriptions at local retail pharmacies and through mail service. This allows you to shop for the most competitively priced pharmacy to obtain your prescription and helps save you money. Unlike other drug pricing tools, Catalyst Price & Save identifies the lowest priced pharmacies without bias, enabling you to become a fully informed consumer.
Login Instructions
- Type your Member ID (from your Catalyst Rx ID card)
- Type your date of birth
To access the online drug pricing tool, click on “Catalyst Price & Save”, located on the side of the screen and enter your prescription information.
Filling a Prescription
Employees have two options for filling their prescriptions
- Employees can take their prescription to a pharmacy within the Catalyst Rx network, or
- Employees can receive prescriptions by mail through the Immediate Pharmaceutical Services (IPS) Mail Order Service.
Immediate Pharmaceutical Services (IPS) Mail Order
Catalyst Rx mail order services are provided through IPS. Through this program, you can obtain a 90-day supply of covered maintenance medications used to treat chronic or long term health conditions. Any questions about prescription drug benefits, including mail order prescriptions, should be directed to Catalyst Rx at 1-866-854-8850, as they are the state's prescription drug benefit manager.
Contact Catalyst Rx at 1.866.854.8850 or visit the www.catalystrx.com for questions about prescription drug benefits or mail order prescriptions.
Important Prescription Drug Updates
- Important Information about Lipitor
- New Drug Approval Requirements Effective January 2012
- Smoking Cessation Product Information
- Drugs requiring approval/step therapy
- Specialty Drug Management Program
- 2012 Formulary Changes
- Step Therapy Requirements for Anti-Viral Medications
- 2012 Preferred Drug List
- Actos Alternatives Member Letter