Prescription Drug Benefits

 

Your Caterpillar prescription drug benefit offers you the convenience of using retail pharmacies, mail order pharmacy services through Walgreens Mail Service, and specialty pharmacy services through Prime Therapeutics Pharmacy.

 

Save Money by Using In-Network Pharmacies

View in-network pharmacies

Prescription Drug Formulary

Our prescription drug plan includes a formulary, a list of covered medications. The formulary is updated quarterly with changes, additions, or removals.

Click the quarterly update link below for the latest formulary updates.

Note: If your medication isn’t listed on the formulary, you may want to ask your doctor for alternative medications that are covered under the plan.

Pharmacies

Retail pharmacies
Network pharmacies provide the best value. Caterpillar has negotiated aggressive pricing agreements to lower prescription medication costs and provide transparency. Use In-Network pharmacies listed below to maximize your benefits and avoid higher costs at out-of-network pharmacies.

  • Walmart* (and affiliates Sam’s Club and Neighborhood Market)
  • Kroger* (and affiliates Bakers Pharmacy, City Market Pharmacy, Dillon Pharmacy, Fred Meyer Pharmacy, Frys Food and Drug, Gerbes Pharmacy, Harris Teeter, Jay C Food Stores, King Soopers Pharmacy, Mariano's, Pay Less Pharmacy, Pick N Save, Metro Market, QFC Pharmacy, Ralphs Pharmacy, and Smiths Pharmacy)
  • Walgreens (and affiliates including Duane Reade)
  • Community Pharmacy Prescription Network (CPRxN)

*If you're prescribed a Tier 1 medication, you'll benefit by filling your prescription at Walmart or Kroger (or their affiliates) to receive the medication at a lower copay amount.

To locate In-Network pharmacies near you, visit or contact:

Mail order (home delivery)
Walgreens Mail Service is Caterpillar's home delivery service, Walgreens Mail Service brochure. Home delivery service may be right for you or a covered family member if your physician prescribed a maintenance medication and anticipates long-term use, you are stabilized on a given dosage, you travel often or have difficulty getting to a retail pharmacy. Maintenance medications treat conditions such as high blood pressure, arthritis, heart ailments or diabetes.  Order up to a 90-day supply online, by phone, or by mail

  • Online: Visit WalgreensMailService.com
  • By phone: Call 1-866-840-1222 (TTY: 1-800-925-0178)
  • By mail: Complete a Home Delivery Registration & Prescription Order Form and mail it along with the prescription and copay to the address at the bottom of the form. If payment or credit card information is not included, the prescription may be returned unfilled. Call Walgreens Mail Service to determine copayment. Allow 10 business days from the day you mail it to when you’ll receive the medication (Your doctor can also fax in the prescription by using the Prescriber Fax Form).

Mail order refills can be requested 24/7 online or by phone. Be sure to have the prescription number, store number, and credit card information ready. This information can be found on the prescription bottle label.

Specialty pharmacy
Certain high-cost prescription medications treat complex conditions and require special handling.  Medications on the Specialty Product List must be purchased through Prime Therapeutics Pharmacy. For more information, contact Prime Therapeutics Pharmacy at 1-866-554-2673.

Prior Authorization

Certain medications require prior authorization. A set of criteria must be met, and a drug-specific form must be completed for coverage consideration. Once a coverage determination has been made, the member and physician will be notified.

Click here to view the list of Prior Authorization Forms.