Stay well ahead with a different kind of PBM.

Pharmacies

Pharmacy Resources

 Hx260-10

Catamaran supports your mission to keep patients healthy. Our Pharmacist Resources are here to help support the best prescribing decisions while keeping cost and coverage mind.

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Key Contact Information

Claims questions: 1-800-880-1188
Contract questions: 1-877-633-4701
Catamaran Pharmacy Help Desk: 1-800-880-1188

Payer Sheets

  • Access payer sheets in the provider portal.

Participation Agreement

If you would like to request a Participation Agreement, please complete the Contract Request Form and submit to us in one of the following ways:

 

  1. Email to:  Provider.Contracting@CatamaranRx.com 
  2. Mail to:  Catamaran Attn: Provider Contracting 2441 Warrenville Road, Suite 610 Lisle, Illinois 60532 
If you have questions about your contract or your contract request, please call us at 1-877-633-4701. 

 

Financial Incentives

Catamaran Affirmative Statement Concerning Incentives with Utilization Management (UM) Decisions

Catamaran is committed to encouraging appropriate utilization of pharmacy benefit management (PBM) services and the avoidance of underutilization. Underutilization of care and services carries significant risks to the well-being of members such as possible inappropriate and/or delayed treatment, preventable contraction of disease, extended duration and/or exacerbation of symptoms, undetected progression of disease, misdiagnosis, lowered quality of life, permanent loss of function and preventable death. Practitioners, pharmacies, consultants, committee members and staff who make utilization-related decisions need to exercise special care when performing their responsibilities related to Utilization Management. Catamaran does not use any incentives to encourage barriers to PBM services by ensuring the following:

 

  • The Catamaran UM decision-making process is based only on the appropriateness of care and service and the existence of coverage.
  • Catamaran does not specifically reward practitioners or other individuals for issuing denials of coverage.
  • Financial incentives for Catamaran UM decision makers do not encourage decisions that result in underutilization.

 

Provider Portal

Catamaran is committed to providing pharmacies with the tools and resources they need to deliver the very best quality of care. Click on the button below to access our provider portal.

 

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