Prescription Information
Cox HealthPlans is committed to providing our members with the best prescription coverage options available. We offer a tiered prescription plan to help accommodate the needs of our members with costs as well as selection of certain medications.
Generics Offer Savings and Choices
Generic medications work like the equivalent brand name drug in dosage, strength, performance and use. All generic medications are reviewed and approved by the Food and Drug Administration to perform in the same manner.
Mail Order Savings and Choices
If a member is taking maintenance medication such as blood pressure medicine, he/she may want to consider using our mail order service for additional savings.
- 90 day supply
- 2.5 times your copayment instead of 3
- Convenience of your medication being delivered to your home
Literature is available at no cost to members who would like assistance in lowering their out-of-pocket expenses including:
- Generic utilization & available alternatives
- Over the Counter (OTC) medication benefits
- Antibiotic Usage
- Sleep medication alternatives
Prescription Information
Pharmacy Benefit Limitation List - The limitations list indicates medications that may require additional information or assistance from your physician prior to your first fill.
Preferred Drug List - The preferred drug list provides information for medications most commonly used.
Prescription Formulary - The prescription formulary provides information for all medications.
Specialty Drug List - The specialty drug list provides information regarding medications that apply to the fourth tier pharmacy benefit (if applicable).
Prescription Forms
Prescription Claim - This form is used if a member needs to submit a prescription claim.
Prescription Mail Order - This is the form used to request mail order service for prescription medications.
Prescription Mail Order Health and Allergy Form - This form will be completed in conjunction with the Prescription Mail Order Form. This form is required and must be completed the first time you use Catalyst Mail and any time you have a change in health status or medication history. Be sure to indicate any non-prescription (over-the-counter) medications you may be taking.
Prescription Prior Authorization - This form is used by a physician to request authorization of a particular prescription medication.
Cox HealthPlans partners with CatalystRx for Pharmacy Benefit Managment. Additional information can be found by visiting the CatalystRx website.
Are you a registered Cox HealthPlan Provider?
Register »If you have any questions or concerns, or need additional assistance, please contact the Cox HealthPlans Provider Service Department at:
Phone 417.269.2900 or 800.205.7665 Fax 417.269.2949 E-mail providers@coxhealthplans.com
Mailing Address
Cox HealthPlans
PO Box 5750
Springfield, MO 65801-5750
Or visit us at
Cox HealthPlans
Kelly Plaza
3200 S. National, Building B
Springfield, MO 65807