| Human Resources

CatamaranRx (formerly CatalystRx) administers the pharmacy benefit for all of the medical plans.  The pharmacy benefit is separate from the Florida Blue medical plan but included in the medical premiums.  A separate identification card is issued for pharmacy benefits. Please click here for a printable version.

Members are not limited to only utilizing Walgreens pharmacies and may choose from thousands of retail in-network pharmacies nationwide.   There are three ways to fill a prescription (each with a different copay):  30 days supply at the retail pharmacy; 90 days supply at the retail pharmacy; or 90 days supply through mail order.

ICUBA PRESCRIPTION DRUG PROGRAM

The 2012 program offers three (3) ways to get your prescriptions filled:

• Retail-30 day
• Mail Service-90 day
• Advantage 90 (Retail 90 day)

 

YOUR COST
When your covered prescriptions are filled under this program, you share a portion of the cost; the plan pays for the rest. In-network Rx copays will be applied toward an individual maximum out of pocket of $2,000 and $4,000 for family. Once you reach your out of pocket maximum, your prescriptions will be paid at 100% by the plan and no cost to you. ($0 copay)

The 2012 program offers three (3) ways to get your prescriptions filled, with three (3) tiered options:

Option 1: Retail (Up to a 30-day supply)

• Generic - $5.00
• Preferred Brand - $27.00
• Non-Preferred Brand - $60.00

 Option 2: Mail Service (Up to a 90-day supply) - Through the Prescription Drug Program, you can take advantage of convenient delivery of your covered maintenance medications to your home or other given address. Before you begin using your mail service pharmacy benefit, you must register by visiting www.walgreenshealth.com.

• Generic  - $10
• Preferred Brand - $50
• Non-Preferred Brand - $120

Option 3: Advantage90 (Up to a 90-day supply) -  Through the Prescription Drug Program, members can receive their 90-day prescriptions at participating retail pharmacies as well as mail service. (Your doctor must authorize a 90-day supply of medication. Most pharmacies in the plan participate in this benefit.

• Generic - $10.00
• Preferred Brand - $60.00
• Non-Preferred Brand - $145.00

 

*Member will be required to pay the difference in cost between a brand and generic drug if he or she requests a brand when a generic equivalent is available. Otherwise, brand name drugs will billed at the applicable brand name copayment level.
**A formulary is a list of medications that can help you maximize your benefit by minimizing your prescription costs. The WHI Formulary Guide may be accessed by visiting our website at: www.walgreenshealth.com.

Catamaran MEMBER SERVICES
If you have a question about your pharmacy benefits (for example, copayment, eligibility, or location of a nearby participating pharmacy), call Member Services toll-free at 1-800-207-2568, 24 hours a day, 7 days a week. TTY: 1-888-411-0767.

FREE OVER THE COUNTER (OTC) PREVENTIVE GENERICS

The generic preventive OTC medications listed below are covered as part of your pharmacy benefit with ZERO Dollar copay! Simply bring your physician's prescription for the medication along with the generic medication being prescribed to the pharmacy counter. The pharmacy can process the medication through your WHI pharmacy benefit. Below is a description of the preventive OTC medications that will be covered.
Only generic versions of these medications will be covered, and a prescription is required:

• Iron supplementation for babies
• Prenatal vitamins or folic acid for all women planning or capable of pregnancy
• Oral fluoride supplementation for children
• Aspirin for adults

For more information on this benefit, please visit the ICUBA Benefits site and visit the Benefits Library or ICUBA News and Information section.