What drugs under Catalyst Rx are subject to a Prior Authorization?
A Prior Authorization, or PA, is a clinical program that ensures appropriate use of prescription medications. Typically, these medications have potential for misuse or are sometimes prescribed for uses not recommended by expert guidelines. Medications subject to a PA require pre-approval from the Catalyst Rx Prior Authorization Team before they can qualify for coverage. If you are prescribed a medication which is subject to Prior Authorization, you, your pharmacist, or your provider can initiate a PA by contacting Catalyst Rx at 1-866-854-8851. Catalyst Rx will contact your provider and request the information necessary for medication coverage. The following drugs are subject to a Prior Authorization: • Acne products for members 26 and older (e.g. Retin A/Differen/Avita) • Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) agents (e.g. Ritalin) for members 18 or older • Anabolic steroids (e.g. Anadrol) • Anorexiant agents (e.g. Meridia) • Biologicalsimmune
