As part of our medical plan, Wake Forest offeres a prescription drug plan. We partner with Catalyst Rx for all prescription drug needs. If you have elected medical coverage through Wake Forest, you are automatically enrolled in the prescription drug plan. You will receive a separate prescription drug ID card.

Catalyst Rx’s website has a wealth of information that can assist in researching a prescription drug or finding a pharmacy with the lowest co-pay. Additional services include:

• Diabetic Sense Program Information
• Catalyst Rx Price & Save Drug Pricing Center – drug cost calculator
• Covered Drug Lists
• Drug Dictionary & Drug Interaction Tool
• Pharmacy Locator
• Co-pay Information
• Mail Order Program Information

Id Cards

• You may request a new Catalyst RX prescription card by calling 888-869-4600

What are Specialty Medications?

Specialty medications are used to treat chronic (long-term), life-threatening or rare diseases. In addition, specialty medications may:

• Be given by infusion, injection or taken orally,
• Cost more than traditional medications and/or
• Have special storage and handling requirements.

Walgreens Specialty Pharmacy

Catalyst Rx has partnered with Walgreens Specialty Pharmacy based on the wide range of patient support services they offer members. A team of experienced pharmacists, nurses and care coordinators are available to help manage one’s prescribed therapy. This help includes medication management and confidential counseling.

Walgreens Specialty Pharmacy is a single resource for prescriptions and supplies, including hard-to-find and recently approved specialty medications. Prescriptions can be picked up at any Walgreens pharmacy (more than 1,500 pharmacies open 24 hours a day) or mailed to any location: home, workplace, or doctor’s office.

To participate in this program, please contact Walgreens Specialty Pharmacy at least 14 calendar days before the prescription is due to run out by calling 1.866.823.2712, Monday through Friday from 8am to 7pm EST.

Step Therapy Requirement

Step Therapy is a program designed to encourage the safe and cost-effective use of medication. Organized into a series of steps, Step Therapy requires the member try a “first-line medication” before a “second-line medication” will be covered through the pharmacy drug benefit. First-line medications are widely recognized as safe and effective in treating a specific medical condition. Second-line medications are either preferred or non-preferred brand-name drugs and are generally more costly. When possible, a provider should prescribe a first-line medication appropriate for a condition. If he or she determines that a first-line drug is not appropriate or is not effective in treating a condition, the prescription drug benefit will cover a second-line drug. Note: Lists are subject to change throughout the year.

Non-Preferred Brand Prescription Drugs and Generic Therapeutic Alternatives

Many non-preferred brand prescription drugs have generic therapeutic alternatives available in the generic tier. Below are some non-preferred prescription drugs that have generic therapeutic alternatives available. By switching to a generic therapeutic alternative, one can save money.

Prior Authorization Requirement

The following prescriptions drugs require prior authorization. This means that while a physician has written a prescription for any of the medications below, Catalyst Rx will require physicians to complete a prior authorization form including the intended use and length of use. The prescription drugs below may need to go through the prior authorization process multiple times a year depending on the physician’s recommendations.