The University of  Toledo Outpatient Pharmacies

Prescription Benefit Information for Faculty and Staff

Complete information containing the most current Main Campus and Health Science Campus benefit plan descriptions can be found on Human Resources and Talent Development's Benefits website. This site includes:

Other useful links:

Information Common for Both Prescription Benefit Packages

The University of Toledo’s medical plans include prescription drug benefits through Catamaran (formerly SXC and Informed Rx).

Using This Benefit

Catamaran offers prescription drug benefits through your University of Toledo Pharmacies offering a 90-day supply and retail pharmacies offering a 30-day supply. There are four categories of prescription medications:

1. Tier 1 (Generic Drugs)
Generic drugs are FDA-approved drugs containing the same active ingredients as their brand-name counterparts. Generic drugs often provide you with a cost savings over their brand-name equivalents. Discuss with your health care professional  any medical or financial advantages of using generic prescription drugs.

2. Tier 2
Tier 2 is preferred drugs that include select brand-name medications chosen for their clinical effectiveness, safety profiles and lower costs. The University of Toledo Prescription Drug Formulary is evaluated as new therapies are introduced or when drug patents expire and new generics become available. A listing of the UT employee Prescription Benefit Formulary can be accessed at the Benefits website.

Learn about formularies online, compare prescription costs and view potential drug alternatives for any medication at https://utr.rxportal.sxc.com. This tool helps you determine the most cost-effective way to purchase your medication. Catamaran has fully trained representatives to assist you with all your benefit and claim processing questions.  Representatives are available seven days a week, 24 hours a day. Please call the toll free telephone number at 1.800.325.1810 or visit the Catmaran website at https://utr.rxportal.sxc.com.

3. Tier 3
Brand-name drugs are not approved on the UT formulary list due to efficacy or cost concerns.

4. Specialty Medications
Usually high-cost pharmaceutical products, those are generally, but not exclusively, biotechnological in nature. These medications are commonly used to treat chronic conditions. They are typically injectable, may require refrigeration, special handling/delivery, and/or distinct safety protocols. A complete listing of specialty medications can be found here. Prior authorization may be required for specialty medications. Once approved, the authorization is valid for up to one year. If a prescription drug requiring prior authorization is not approved for coverage under the plan, you will be responsible for paying the full cost of the medication. Your University of Toledo pharmacist will discuss and assist you with any prior authorization needs.

How to fill specialty drugs at The University of Toledo Outpatient Pharmacies

  • Prior authorization may be required for some specialty drugs. The pharmacist will contact your physician directly to begin the process.
  • Please keep in mind that this process may take up to two weeks to be finalized.
  • Bring your prescription for your specialty drug to the pharmacy and we will take care of the rest.
  • Keep in mind that you have the opportunity to obtain better co-payment options by filling your specialty prescription at one of The University of Toledo Outpatient Pharmacies.
  • If a drug is only available through a limited distribution pharmacy that is not part of the specialty pharmacy network, then contact the UT pharmacy staff who will direct you to the appropriate care. 
  • Due to high side effect potential, we encourage you to fill a one-month supply of your specialty medication, especially if it is your first time filling this particular medication.

Ways to reduce your prescription drug costs

  • Choose generic versions of medications which were previously brand-name prescription drugs (i.e. Paxil, Claritin, Zyrtec, etc.). Generic medications (such as simvastatin) provide the least expensive co-pay opportunity for you. From quality and performance to manufacturing and labeling, generic medications meet FDA's standards for quality of care.
  • By using one The University of Toledo Outpatient Pharmacies, you can receive a 90-day supply with a value added co-payment.
  • Half Tablet Therapy is a voluntary pill-splitting program that is offered by your University of Toledo Outpatient Prescription Drug Plan since September 1, 2008. This voluntary pill-splitting program gives patients the opportunity to save money. Members who participate in this program will receive a reduction in their co-pay. In addition, the University will provide one pill-splitting device per year. Experts have discovered trends in pricing structure of these cholesterol-lowering agents. Here is how you can save money: Have your provider write a prescription for double your strength of Lipitor or Crestor and you can take half of the tablet (of this higher strength medication) to match your current dose. For more information regarding these saving opportunities, please contact one of The University of Toledo Outpatient Pharmacy locations:

    Main Campus: 419.530.3471 
    Health Science Campus: 419.383.3750 
Last Updated: 4/14/17