005947 Rx Group number.

Catamaran rx formulary. This committee evaluates and selects new and existing medications for what is called. Generic medications are shown in lowercase for example clobetasol. Your doctor must fill it out and send to Catamaran.

The formulary gives you choices so you and your doctor can decide your best course of treatment. A drug formulary is a list of generic and brand-name prescription drugs covered by a health plan. In this formulary brand-name medications are shown in UPPERCASE for example CLOBEX.

If you would like to discuss. In this formulary brand-name medications are shown in UPPERCASE for example CLOBEX. Catamaran Prior Authorization Department Phone.

With Basic Health your generic prescription costs a UVA contracted rate of 56 for a 30-day supply when you opt out of the Maintenance Choice program. No Ratings Yet Loading. QL Quantity Limits Covered only for a limited number of doses over a certain amount of time.

Optum Rx formerly Catamaran Rx is the pharmacy benefit manager for MPSERS retirees. Catamaran Rx Bin number. Please note not all specialty medications are listed in the formulary.

WELLRX Social Security number Patients date of birth After receiving your Wellmark ID card please destroy this letter and. 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. Call 1-855-427-4682 and ask how you.