catamaran mail order pharmacy

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RxResource Home > Pharmacy Resources > Pharmacy Benefit Management

2441 Warrenville Road, Suite 610 Lisle, IL 60532-3642

Susan Fleming, Vice President, Marketing

Phone: (630) 577-4880

http://www.catamaranrx.com/

Catamaran offers a true alternative to the status quo in pharmacy benefit management. You don't have to choose between the scale and purchasing power of the largest providers and the flexibility and agility of smaller ones. We offer the best of both.

At Catamaran, we put your individual needs - and those of your members - at the center of our services. We connect pharmacists, doctors and caregivers with prescription data to improve health outcomes, offering the clinical intelligence, technology and scale to lower payer costs while improving member health.

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Prescriptions

2 ways to save, by catamaran rx.

Members can save from 10% to 85% on name brand and generic prescriptions at over 65,000 select pharmacies nationwide or while using the mail order service.

In Pharmacy

– prescription card.

The discount benefit is simple to use. The member simply shows the membership card and prescription at a participating pharmacy to receive the discounted rate. There are no additional forms required.

• 10% to 85% on name brand and generic prescriptions
• Over 65,000 select pharmacies nationwide
• While our provider lists are continually updated, provider status can change. We recommend that you confirm the provider you selected participates in the program before dropping off your prescription.

To Find a Participating Pharmacy Near You Go To: www.findbestbenefits.com

 Mail Order 

Prescription Pricing and Mail Order services are included.

* Pharmacy discounts are Not Insurance, and are Not Intended as a Substitute for Insurance.  The discount is only available at participating pharmacies.

Prices will always vary on prescription drugs and therefore it is impossible to estimate specific dollar savings through any non-insured drug program. Your membership offers two avenues for drug purchases: The Catamaran Prescription Benefit offers 10% to 85% on name brand and generic prescriptions.

Not necessarily. Drug stores, like hardware and grocery stores determine their own pricing structures. Due to large discounts from manufacturers, some drugs may already be priced at or below the discount price.

No. A co-pay card is an insured product where the customer pays a preset amount and the insurance company pays the remainder. This membership is a discount card offering reduced prices. You are responsible to pay the pharmacy 100% of the discounted price.

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UnitedHealth to buy pharmacy benefit firm Catamaran for $12.8 billion

By Sneha Banerjee (Reuters) - Health insurer UnitedHealth Group Inc agreed to buy Catamaran Corp in a deal worth about $12.8 billion to boost its pharmacy benefit business as it competes with bigger rivals such as Express Scripts Holdings Co . Pharmacy benefit managers (PBM) administer drug benefits for employers and health plans and run large mail order pharmacies, helping them get better prices from drugmakers. As employers look to cut prescription costs on expensive drugs, the deal with Catamaran will give UnitedHealth's pharmacy benefits unit, OptumRx, the scale to negotiate favorable prices from pharmacy companies. U.S. drug prices rose 12 percent in 2014 due to a new treatment for hepatitis C that cost more than $80,000 but cured almost all recipients with few side effects. Another new class of drugs, to treat high cholesterol, is expected to hit the market in 2015 and has insurers worried about drug costs this year as well. The purchase of Catamaran will increase UnitedHealth's market share to 15 percent to 20 percent of the people who receive their drug benefits through pharmacy benefit managers, BMO Capital Markets analyst Jennifer Lynch said in a research note. With a combined 1 billion scripts annually, UnitedHealth will be about the same size as current industry number two, CVS Health Corp , she added. Catamaran was formed after SXC Health Solutions and PBM Catalyst Health Solutions merged in 2012. UnitedHealth's offer of $61.50 per share represents a premium of 27 percent to Catamaran's Friday close on the Nasdaq. Catamaran's stock was trading at $60.01 premarket on Monday, while UnitedHealth was up nearly 4 percent. The deal "makes sense to us, but admittedly came much earlier than we expected," Jefferies analyst Brian Tanquilut said in a research note. "We had always viewed Catamaran as a compelling asset for companies looking for scale in the PBM sector such as Optum or Walgreens but expected Catamaran to grow the business much further before pursuing a sale." He added that the offer seemed adequate and he did not expect competing bids at this point. The deal value is based on Illinois-based Catamaran's total diluted shares outstanding as of Dec. 31. The transaction is expected to close in the fourth quarter of 2015 and add about 30 cents per share to UnitedHealth's profit in 2016, the companies said. Catamaran Chief Executive Officer Mark Thierer will be CEO of OptumRx and OptumRx CEO Timothy Wicks will become president. (Additional reporting by Caroline Humer in New York; Editing by Savio D'Souza, Saumyadeb Chakrabarty and Meredith Mazzilli)

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Yahoo Finance

Unitedhealth to buy pharmacy benefit firm catamaran for $12.8 billion.

By Sneha Banerjee

(Reuters) - Health insurer UnitedHealth Group Inc (UNH.N) agreed to buy Catamaran Corp (CTRX.O)(CCT.TO) in a deal worth about $12.8 billion to boost its pharmacy benefit business as it competes with bigger rivals such as Express Scripts Holdings Co (ESRX.O).

Pharmacy benefit managers (PBM) administer drug benefits for employers and health plans and run large mail order pharmacies, helping them get better prices from drugmakers.

As employers look to cut prescription costs on expensive drugs, the deal with Catamaran will give UnitedHealth's pharmacy benefits unit, OptumRx, the scale to negotiate favorable prices from pharmacy companies.

U.S. drug prices rose 12 percent in 2014 due to a new treatment for hepatitis C that cost more than $80,000 but cured almost all recipients with few side effects. Another new class of drugs, to treat high cholesterol, is expected to hit the market in 2015 and has insurers worried about drug costs this year as well.

The purchase of Catamaran will increase UnitedHealth's market share to 15 percent to 20 percent of the people who receive their drug benefits through pharmacy benefit managers, BMO Capital Markets analyst Jennifer Lynch said in a research note.

With a combined 1 billion scripts annually, UnitedHealth will be about the same size as current industry number two, CVS Health Corp (CVS.N), she added.

Catamaran was formed after SXC Health Solutions and PBM Catalyst Health Solutions merged in 2012.

UnitedHealth's offer of $61.50 per share represents a premium of 27 percent to Catamaran's Friday close on the Nasdaq.

Catamaran's stock was trading at $60.01 premarket on Monday, while UnitedHealth was up nearly 4 percent.

The deal "makes sense to us, but admittedly came much earlier than we expected," Jefferies analyst Brian Tanquilut said in a research note.

"We had always viewed Catamaran as a compelling asset for companies looking for scale in the PBM sector such as Optum or Walgreens but expected Catamaran to grow the business much further before pursuing a sale."

He added that the offer seemed adequate and he did not expect competing bids at this point.

The deal value is based on Illinois-based Catamaran's total diluted shares outstanding as of Dec. 31.

The transaction is expected to close in the fourth quarter of 2015 and add about 30 cents per share to UnitedHealth's profit in 2016, the companies said.

Catamaran Chief Executive Officer Mark Thierer will be CEO of OptumRx and OptumRx CEO Timothy Wicks will become president.

(Additional reporting by Caroline Humer in New York; Editing by Savio D'Souza, Saumyadeb Chakrabarty and Meredith Mazzilli)

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Tuesday, March 31, 2015

Optumrx sails away with catamaran: deal analysis and industry implications.

• Brand-name manufacturers , which negotiate rebate and discount contracts. See my comments below about formulary exclusion.
• Providers (hospitals, physicians, and pharmacies) , which negotiate network agreements. Will the deal trigger further pharmacy consolidation as retailers seek countervailing scale? Will OptumRx be able to address hospitals’ specialty drug price gouging ? 
• Wholesalers , which supply brand-name drugs to PBM mail pharmacies. McKesson currently services OptumRx, while Cardinal services Catamaran. Look for a unified deal that may include both brands and generics.
• Generic manufacturers , which sell drugs to PBM mail pharmacies. Will OptumRx align with one of the large generic purchasing groups?

8 comments:

You have outdone yourself today! LOVED the Styx music video. Made my whole day. I enjoy your column!

This is the funniest sentence I've read this year so far: Sadly, Catamaran’s exit will leave the industry high and dry on nautical metaphors…but not before today’s post docks.

Thank you for making me laugh and the valuable insights!!

adam, maybe catamaran is a sinking ship since we have a multitude of lawsuits against them for business practices..just recently a health plan client filed a suit stating they are owed 300 thousand in rebates.. they lost 2 major health plans and pharmacy groups are also suing... reading some writers have indicated optum got a pretty good deal based on catamarans book value?? could settlements be priced into the deal?

quick question - which large purchasing group(s) are you referring to for mail? The newer wholesaler groups like Red Oak? Thanks Adam. I always look forward to seeing your emails in my inbox!

I see you remembered my advice from two years ago ;-) http://www.drugchannels.net/2013/06/catamaran-sails-away-with-cignas-pbm.html

1. WBA + ABC 2. MCK/Celesio + RAD/OCR 3. Red Oak (CVS + CAH) If you have the 2014–15 Economic Report on Retail, Mail, and Specialty Pharmacies , see section 8.3.2 (page 142)

Yes, Blake, you are correct! I reused the title so I could do it properly this time...

307 S Main Street, Moscow, ID 83843  |  Phone: (208) 882-5536  |  Fax: (208) 882-4741

Serving the communities of moscow and the palouse since 1890..

A full service independent pharmacy with a wide variety of toys and novelty items. Stop by today to experience all that we have to offer!

Refill Online Now

Your pharmacy should do more than just fill prescriptions

We are dedicated to providing a wide range of high quality services that meet all of your health care needs. Call, click, or stop by today and find out how we can help you!

Learn about the variety of services we have to offer.

Simplify your life and refill your prescriptions online.

We are located at 307 South Main Street, Moscow ID, 83843

We're Mobile!

Download our app from the App Store or Google Play today.

Our expert pharmacists work side by side with our providers and have specialized knowledge in HIV/AIDS, diabetes, pain, addiction treatment and management. The collaborative approach provides wrap-around care for our patients. We are your health care home!

Pharmacists Working With Providers

All of CHAS Health medical clinics have their own pharmacies on site, offering the convenience of picking up prescriptions in the same location right after you see your provider! CHAS Health pharmacists and providers work hand in hand to offer efficient, quality medication services to you and your family. Your medical provider can consult with your pharmacist to provide the best medication options. Whether the concern is cost, effectiveness, or potential side effects or drug interactions, together they can personalize pharmacy care to meet your healthcare goals. CHAS Health dental and behavioral health providers and dietitians may also work with your pharmacist if medication concerns arise during non-medical healthcare appointments.

Easy Prescription Pickup

Our in-clinic pharmacies simplify the process for patients and provide personalized care. CHAS Health pharmacists can approve medication substitutions directly with your CHAS Health provider for more efficient service, and our clinical pharmacists are available to assist patients with medication optimization to maximize health and wellness.

Affordable Prescriptions

CHAS Health is committed to quality care for our patients, regardless of their ability to pay. If you have trouble affording your prescriptions, talk to your pharmacist. We may be able to provide prescription assistance to those who qualify.

If you are a CHAS Health patient but get your medications elsewhere, please contact your clinic pharmacy staff to learn more about how we can make getting your prescriptions more efficient and affordable!

• Parkside Clinic

• Valley Clinic

Spokane Urgent Care – Valley

Spokane Urgent Care – North

• Southgate Clinic

• Perry Street Clinic

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CHAS Behavioral Health Center – North

• Cheney Health Center
• CHAS Behavioral Health Center – North
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• Spokane Urgent Care – North
• Spokane Urgent Care – Valley

* The Maple Street Clinic, Valley Clinic, Market Street Clinic, and Denny Murphy Clinic are closed for 30 minutes between the hours of 12:00 pm and 1:00 pm for lunch   on Saturdays

** The Spokane Urgent Care – North and Spokane Urgent Care – Valley locations are closed for 30 minutes between the hours of 12:00 pm and 1:00 pm for lunch on Saturdays and Sundays

About Our Pharmacists

CHAS Health pharmacists can approve medication substitutions directly with your CHAS Health provider for more efficient service. Our clinical pharmacists are available to assist patients with medication optimization to maximize health and wellness. Clinical pharmacists have special training allowing them, in some cases, to provide direct patient care. They offer specialized prescription expertise for:

• Anticoagulation
• Asthma/COPD
• Behavioral Health
• Emergency Medicine
• Hepatitis C
• Hypertension
• Rheumatology

Partnerships & Training

Additionally, we partner with other great organizations where we facilitate teaching for pharmacy students. We currently partner with:

Washington State University

In addition to fast, friendly, and helpful service, our pharmacies also offer:

• Prescription refills
• Free prescription home delivery*
• Anticoagulation services
• Diabetes learning sessions
• Curbside Medication Pick-up

*Check with your pharmacy for eligibility.

Additional Resources

CHAS Health FAQs

Answer to your most asked questions . . .

Washington Apple Health

CHAS can help get you enrolled – or you can do it online…

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