Enhanced Formulary Prescription Drug List 2020 7 Drug Name Drug TierNotes Antigout Agents allopurinol oral 1 colchicine tablet 06 mg oral 1 COLCHICINE TABLET 06 MG ORAL 3 COLCRYS 3 Antimigraine Agents.

Catamaran rx formulary. Our contact information along with the date we last updated the You must. The health plan generally creates this list by forming a pharmacy and therapeutics committee consisting of pharmacists and physicians from various medical specialties. 005947 Rx Group number.

If you do not call to opt out of the Maintenance Choice program the generic cost would be 100. In this formulary brand-name medications are shown in UPPERCASE for example CLOBEX Generic medications are shown in lowercase for example clobetasol. The Catamaran Prior Prescription Authorization Form allows beneficiaries of Catamaran health insurance to receive coverage for a prescription drug which is not on the formulary or not customarily prescribed as the primary treatment option.

No Ratings Yet Loading. Call 1-855-427-4682 and ask how you. In this formulary brand-name medications are shown in UPPERCASE for example CLOBEX.

866-511-2202 Page 2 of 2 Attention Healthcare Provider. 1000 for Medicare Part D and Non Medicare enrolled members. For an updated formulary please contact us.

Catamaran Prior Authorization Department Phone. Catamaran Prior Prescription Rx Authorization Form. Catamaran an OptumRx company at 8776293118 for a pre-authorization form.

This committee evaluates and selects new and existing medications for what is called. Optum Rx formerly Catamaran Rx is the pharmacy benefit manager for MPSERS retirees. Generic medications are shown in lowercase for example clobetasol.