Catalyst Health Solutions, Inc. (formerly HealthExtras, Inc.) is built on strong, innovative principles in the management of prescription drug benefits and provides an unbiased, client-centered philosophy resulting in a year-over-year client retention rate of more than 98%. The Company’s subsidiaries include Catalyst Rx, a full-service pharmacy benefit manager (PBM) serving nearly 20 million lives in the United States and Puerto Rico; HospiScript Services, LLC, one of the largest providers of pharmacy benefit management services to the hospice industry; and Immediate Pharmaceutical Services, Inc., a fully-integrated prescription mail service facility based out of Avon Lake, Ohio. The Company also offers Medicare Part D and Workers’ Compensation PBM services. Its clients include self-insured employers including state and local governments, managed care organizations, unions, hospices, third-party administrators and individuals.
Catalyst Rx is a full service Pharmacy Benefit Management subsidiary providing effective solutions to manage your pharmacy costs while advancing the highest standards of care. Founded in 1994 and developed around strong, innovative principles in the management of prescription drug programs, Catalyst Rx currently manages nearly 20 million members located in the United States and Puerto Rico. Our continued commitment to innovation, efficiency, transparency and superior service has helped our clients balance management of pharmacy costs with quality of care. Key services include:
- Expert Account Management & Clinical Teams
- Flexible Plan Design Management
- Interactive, Customized Web site
- Audit & Quality Control Programs
- Superior Customer Service
- Extensive Reporting Capabilities
- Nationwide Pharmacy Network
- Mail & Specialty Services
- Superior Education Programs
- Seamless Implementation Processes
- Formulary Management
- Data Analysis Services
HospiScript Services, LLC (HospiScript) is a Pharmacy Benefit Management subsidiary focusing exclusively on the needs of the hospice industry. Founded in 1995, HospiScript offers a complete support system tailored to help hospices better focus on the ultimate goal of improving end-of-life patient care. Its plan features and benefits include: reduced pharmaceutical and administrative expenses, custom dispensing parameters, access to hospice-trained pharmacist consultation, online reporting for pharmaceutical expenses and utilization patterns, and powerful educational resources for nurses, pharmacists and hospice administrators. Key services include:
- Reduced Pharmaceutical & Administrative Costs
- Clinical Consultations
- Online Reporting & Eligibility
- Comfort Care Kits
- Custom Dispensing Parameters & Formulary Management
- One Consolidated Invoice
- Powerful Education Resources
- Superior Customer Service & Support
Immediate Pharmaceutical Services, Inc. (IPS) is a nationally recognized, fully integrated state-of-the-art prescription mail service facility located in Avon Lake, Ohio, a western suburb of Cleveland. Since its establishment in 1989, IPS has grown steadily by providing a long term commitment to each of its clients. IPS is best characterized as an organization whose paramount concerns are to improve patient health and provide outstanding member service and account management.
- Superior client and customer service
- Auto Refill Reminders
- Shipment Notifications
- Industry and Member-Specific Alerts
- Expansive Web Tools
- Advance refill scheduling
- Order and delivery tracking
- Multiple address maintenance
- Flexible credit card management options
- Prescription transfer
Catalyst Rx Comp is the workers’ compensation pharmacy benefit management program of Catalyst Rx. Catalyst Rx Comp takes an innovative approach to managing pharmacy costs by concentrating on the primary drivers of excessive pharmacy utilization. Catalyst Rx Comp identifies and addresses adverse trends through data analysis with a focus on implementing unique clinical programs, prescriber education programs and customizable formulary management options. The program also provides detailed online reporting that is accompanied by interpretation and recommendations; not simply standard utilization and savings information. In addition, Catalyst Rx Comp offers the traditional components of a workers’ compensation pharmacy program, including a national pharmacy network, mail service program, first-fill program options, automatic brand to generic substitution and 24/7 customer service. Key services include:
- Expert Account Management & Clinical Teams
- Flexible Plan Design Management
- National Pharmacy Network
- Card and Cardless Programs
- Aggressive DUR Programs
- Comprehensive Online Reporting Tools
- First Fill Program
- Innovative Formulary Management
- Dynamic Enrollment
- Targeted Education Programs
Catalyst Rx Government Services, Inc., a subsidiary of Catalyst Rx, provides pharmacy benefit management services to federal and state health programs (such as Medicare, Medicaid and CHIP programs) and to clients who contract directly with such programs, including Medicare Part D plans.
As an independent PBM, Catalyst Rx provides clients with Medicare Part D
support that is unbiased and focused on client needs. Catalyst Rx is not a Part D provider and thus does not compete with our clients for membership in Medicare. Our client base includes Part D clients such as Medicare Advantage organizations and Special Needs Programs. Additionally, we provide comprehensive support services for employers that pursue options such as the Retiree Drug Subsidy and wrap-around drug coverage. All employer clients receive updated information regularly via e-mail alerts and electronic newsletters.
Part D plans face specific requirements to fulfill the stringent CMS regulations. The Catalyst Rx Medicare Team is dedicated to meeting our Part D client needs by providing a full complement of services including:
- Formulary management and P&T Committee that meet Part D requirements
- Prior authorization, quantity limitation, and drug utilization review programs
- Medication Therapy Management
- Clinical support services
- Grievances and appeals
- Call center support and reporting
- CMS-approved pharmacy network
- Claims processing and TrOOP tracking
- CMS-required electronic data including Prescription Drug Event (PDE) reporting, formulary file updates, and other necessary information


