MemberRx is a pharmacy created to provide the highest quality pharmacy experience to Ontario's education community.

All eligible claimants who have their specialty drug prescription approved through the FACET Prior Authorization program, will have their prescription directed to MemberRx for fulfillment consideration.

Certain existing specialty drug prescriptions will also need to be transferred to MemberRx.

To learn more about MemberRx, visit www.memberrx.ca.

MemberRx has met, and continues to meet, the comprehensive requirements for full accreditation by the Ontario College of Pharmacists for operating a pharmacy in the province of Ontario. For more information on these requirements, please visit the Ontario College of Pharmacists website.

OTIP has established MemberRx with industry-leading pharmacy experts, including those with close ties to CUBIC Health and experts that have worked with OTIP to support detailed pharmacy analytics and the implementation of the FACET program.

OTIP is providing the expertise to meet the unique needs of Ontario's education community and will be communicating with you on important MemberRx-related information.

Your group benefits plan may have made the decision to establish MemberRx as the exclusive distributor of certain specialty medications. This decision was made to address the high cost of providing specialty drugs without compromising access or health outcomes.

When faced with managing the high costs of drug plans, some plan sponsors have chosen to limit the coverage available to its plan members. Your benefits plan is taking an innovative approach that provides you with the same high level of coverage while also keeping the sustainability of the benefits plan in mind.

Through the MemberRx pharmacy model, expensive pharmacy costs will be minimized. This will allow your benefits plan to continue to provide the best coverage, at the best value, for the medications you and your eligible dependants need.

If your benefits plan requires you to transfer your existing prescription to MemberRx, you will receive a communication from OTIP with more information and details on how to transfer your existing specialty drug prescription(s) from your current pharmacy to MemberRx.

All eligible claimants who have their specialty drug prescription approved through the FACET Prior Authorization program, will have their prescription directed to MemberRx for fulfillment consideration.

If your group benefits plan has made the decision to establish MemberRx as the exclusive distributor for certain specialty medications, you and/or your eligible dependants who require certain specialty drugs, will be directed to MemberRx for prescription fulfillment. The requirement to use MemberRx also applies to plan members with existing (and eligible) specialty drug prescriptions.

Exception requests will be considered and will be assessed based on the unique needs of the plan member. For example, exception requests may be granted for clinical or geographical reasons.

If you choose not to transfer your specialty drugs from your current pharmacy to MemberRx, your specialty drug will no longer be eligible for reimbursement through your benefits plan unless an exception has been granted through the appeal process.

Specialty drugs are generally high-cost prescription medications (i.e. cost more than $10,000 a year) and require prior authorization. They are typically used to treat plan members with complex health management needs.

No, only certain specialty drugs will be exclusively distributed through MemberRx.

MemberRx is focused on providing certain specialty drugs. If your drug is not on this list, you can continue to receive your specialty drug from your current pharmacy.

Your existing specialty drug prescription(s) will need to be transferred to MemberRx from your current pharmacy. The transfer to MemberRx will not change your drug, strength, dosage or cost to you. It will only be a change in the pharmacy dispensing the specialty drug.

OTIP will contact you to provide details of how you can provide your authorization to transfer your prescription(s).

Once you have provided your authorization, please contact MemberRx to complete the prescription transfer process.

You will continue to receive your specialty drug(s) from your current pharmacy until you have spoken with MemberRx and the transfer of your prescription is complete (provided you complete the steps by the deadline communicated to you).

MemberRx will discuss your personalized health needs with you, including the option to dispense other specialty drugs.

All prescriptions filled by MemberRx will be delivered to you free of charge to the address you provide.

If it is more convenient for you to pick up your prescription, you may do so. MemberRx is located at 5520 Explorer Dr in Mississauga. The pharmacy is open Monday to Friday, 9 a.m. to 5 p.m.

It may be possible to transfer your existing prescription earlier than planned.

Please contact OTIP Benefit Services with your contact information and your request will be shared with MemberRx. MemberRx will contact you directly to determine how quickly they can make this change happen for you.

No, this change will not impact your coordination of benefits.

• If OTIP is your primary payor, and you have transferred your specialty drug prescription to MemberRx, you will continue to receive reimbursement for your eligible drug claims per the terms of your benefits plan. Any outstanding balance is then considered by your secondary payor.
• If OTIP is not the primary payor, you will not be required to transfer your existing specialty drug prescriptions to MemberRx and your drug claim will continue to be processed with OTIP as the secondary payor.

Yes, you can complete and submit the Prescription Transfer form on behalf of your eligible dependant(s) with a specialty drug prescription impacted by this change.

MemberRx is committed to ensuring the confidentiality and protection of personal information and personal health information.

To learn more, visit MemberRx Privacy Policy.

No, the transfer to MemberRx will not change your specialty drug cost to you. It will only be a change in the pharmacy dispensing the specialty drug.

All prescriptions filled by MemberRx will be delivered to you free of charge to the address you provide.

If your contact information is correct, no further action is required. Prior to the transfer, a member from the MemberRx pharmacy team will reach out to you to verify your information and collect additional information.

If your contact information was provided incorrectly, please complete a new form.

OTIP Benefits Services is available to discuss your unique situation with you. Please contact OTIP Benefits Services at 1-866-783-6847 to speak to a service representative. NOTE: If you wish to request an exception, you will be asked to provide additional information (e.g. medical reasoning).