Frequently Asked Questions for Participants
Magellan Rx Specialty Pharmacy Administration (formerly ICORE Specialty)
1. Why did Caterpillar decide to choose one pharmacy to manage its specialty pharmacy benefit?
With the greater need for specialty medications and many new drugs being available, managing these
types of medications has become much more difficult. Magellan Rx Specialty will provide participants who
are managing a complex health condition with greater access to additional pharmacy services.
2. What will Magellan Rx Specialty do for me as our specialty pharmacy?
Magellan Rx Specialty will help with authorizations and refill reminders; provide support and educational
materials; provide free delivery of the specialty medication to you; give you needed supplies at no
additional cost; and offer you pharmacists and nurses via toll-free call to answer questions.
3. What are the criteria for medications to be considered specialty?
Specialty medications are generally defined as high-cost prescription drugs that treat complex conditions
and require special handling and monitoring. They may be administered by injection, inhaled, applied
topically or taken orally. The medication may be self-administered or given in a doctor’s office. You can
find Caterpillar’s list of specialty drugs at cathealthbenefits.com under the Healthcare Benefits, Drug
Benefits tab.
4. How will I receive my medication if I don’t get it through a local pharmacy?
Magellan Rx Specialty ships medications via home delivery through FedEx. Medications are only shipped
once a date and location have been confirmed with you for safe and secure delivery of medication.
5. How will I be assured that my prescriptions will be delivered in a safe and secure manner…
particularly for drugs that must be kept at a certain temperature to maintain effectiveness?
Magellan Rx Specialty will work with you to determine the location and date of arrival of medication(s) so
you have control of when and where it will be delivered. Medications are shipped in packaging that has
been tested to make sure your medications will stay at the right temperature during shipping. Should you
get a package that appears to be at the wrong temperature, you can call Magellan Rx Specialty to make
sure your medication(s) are safe for you to take. Magellan Rx Specialty also keeps track of the weather,
and changes the packaging as well as scheduling of deliveries to make sure your medications get to you
with no problems.
6. How quickly will I get my prescription(s)?
Once Magellan Rx Specialty has worked with you to determine the location and date of arrival of your
medication(s), and there are no other issues that delay the shipment, the medication(s) are typically
delivered in two business days.
7. What happens if the package gets lost in shipment or delivered to the wrong address?
Magellan Rx Specialty tracks shipment delivery issues through FedEx. Undelivered, unopened packages
can be returned to Magellan Rx Specialty. However, if the package is delivered to the wrong address or is
unrecoverable, it will be immediately replaced by Magellan Rx Specialty at no additional charge.
8. I’m concerned about others knowing what I am getting in the mail. What does Magellan Rx
Specialty do to protect my privacy?
Magellan Rx Specialty takes steps to protect your privacy by using packaging that does not identify
contents.
9. Can Magellan Rx Specialty send my drugs to my local pharmacy or doctor’s office so I can be
sure they are delivered safely and securely?
Shipments may not be made to pharmacies for pick up. However, Magellan Rx Specialty will ship to your
doctor’s office if they agree to the delivery. You will need to let Magellan Rx Specialty know in advance if
you are having a shipment sent to your doctor’s office.
10. Will any refills be allowed through my current pharmacy after January 1, 2012?
You will be allowed up to two refills of your specialty medication(s) through your current pharmacy after
January 1, 2012. However, it’s important you complete the Patient Information form provided by Magellan
Rx Specialty so they may begin working with you and providing your medications as you need them.
11. Will this change affect the cost of my prescriptions?
The prescription co-pays will not change for 2012. Most people will not experience a change in
prescription cost. However, if you and your physician choose a cost-effective prescription drug, your copays may be lower.
12. Will I be required to change any of the drugs I take?
In most cases, you will be able to continue your current prescription medication with no changes.
Magellan Rx Specialty will work with your doctor to find the best treatment for your condition. As always,
you should consult with your physician concerning your health needs.
13. Will Magellan Rx Specialty be able to provide other drugs I need, or only specialty drugs?
Magellan Rx Specialty only provides specialty medications and does not supply other types of drugs.
14. Will I receive other supplies I might need to administer my medications with my shipments (i.e.
needles, syringes, alcohol swabs and disposal containers)?
All supplies required for you to use your medications appropriately are provided.
15. Will Caterpillar’s list of specialty products change often? Where can I find the current list of
specialty medications?
The list of specialty medications for Caterpillar’s group health plans in which Catamaran administers the
overall pharmacy benefit is posted on CatHealthBenefits.com under the Healthcare Benefits, Drug Benefit
tab. It will be updated on a quarterly basis.
16. Does my doctor know about this change?
Yes, your doctor has been notified that Magellan Rx Specialty will manage your specialty medications
provided through your prescription benefit. Physicians have also been given the information on how to
submit requests for specialty medications to prepare them for this change beginning January 1, 2012.
17. Who do I call at Magellan Rx Specialty for more information?
You may contact Magellan Rx Specialty Pharmacy Services at 866-554-2673, Monday – Friday, 8:00
a.m. – 10:00 p.m. EST with on-call pharmacists 24/7 for urgent requests.
In the event that the content of this document or any oral representations made by any person regarding Caterpillar’s
employee benefit plans and programs conflict with or are inconsistent with the provisions of the governing plan
documents, the provisions of the plan documents are controlling. To the fullest extent permitted by law, Caterpillar
has reserved the right to amend, modify, suspend, replace or terminate any of its plans, policies or programs, in
whole or in part, at any time and for any reason, by appropriate company action.