Your pharmacy benefits are provided under the County's self-insured pharmacy plan through Catamaran. Some of the plan features include: an open formulary with four tiers of coverage at affordable copays, a large network of participating pharmacies, and a 90-day mandatory maintenance medication program (excludes specialty).
Wellness Incentive - Pharmacy Waiver program
Human Resources is pleased to reintroduce the Pharmacy Waiver program with a significant enhancement: Spouses/Domestic partners will be eligible to participate. Employees and eligible spouses/domestic partners who are enrolled in the County's health insurance can benefit from the program which covers, at full cost, maintenance medications for certain disease states. More...
2015 Pharmacy Waiver Program Eligibility Form
Consumer-Driven Health (CDH) Plans - 2015 Copay Rates
||30 Day Supply*
||90 Day Supply|
||30 Day Supply ONLY |
High Deductible Health (HDHP) Plan
Preventive Prescription Drugs - 100% Coverage! No copayments or coinsurance
Non-preventive Prescription Drugs
Clinical Prior Authorization Program
- The discounted drug cost is applied to the integrated deductible
- After the annual health deductible is met, the plan pays 70% and you will pay 30% coinsurance of discounted drug cost
- 100% Coverage after the annual health out-of-pocket maximum is met; prescription drugs are paid in full by the plan.
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.
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.
Member Services: 855-427-4682