Prescription Drug

Wright State University strives to create a robust health benefits package that attracts and retains highly qualified and productive employees.

Wright State works to maximize the benefits provided to our employees while minimizing the cost.

Employees covered by the Anthem Blue Access PPO, Blue Preferred Primary HMO, and Traditional Health plans have prescription coverage through Express Scripts, Inc. High Deductible Health Plan participants have prescription coverage through Anthem.

HMO/PPO Medical Plan Elections

Employees covered under the Anthem HMO or PPO Plans receive network prescription drug benefits through Express Scripts, Inc. (ESI, Inc.).

Prescription Benefits Co-Pay Structure

Drug – Max of 30 Days’ Supply Copayment at Time of Payment
Generic drug on ESI Formulary $8
Brand-name drug on ESI Formulary $25
Drug not on ESI Formulary $40

 

Drug – Greater Than 31 Day Supply (must use mail order) Copayment at Time of Payment
Generic $12
Brand-name drug with no generic equivalent 10% of cost (minimum of $22)
Brand-name drug purchased when there is a suitable generic equivalent.
Also known as a “multi-source brand dispensed as written”
10% of cost (minimum of $60)

High Deductible Health Plan Election

Employees who elect the High Deductible Health Plan (HDHP) pay Anthem’s discounted drug cost until the plan’s Network Deductible and Out‐of‐Pocket Annual Maximums have been satisfied. Then, the plan pays 100% benefits for all covered network expenses, including prescription drug costs, for the rest of the calendar year. Up to a 90-day supply of maintenance drugs are available through Anthem’s mail service pharmacy, Express Scripts. HDHP members still use their Anthem card at their local retail pharmacy.


Download: Prescription Drug Benefits Summary (PDF)

 

Disclaimer: The benefits information contained in this site provides a summary for employees of WSU. This information does not list all the provisions and does not supersede the individual provisions of our group insurance contracts, benefit plans and university policies that it describes. Similarly, the information presented does not guarantee that the university, the state of Ohio, and/or others responsible for these contracts, plans, programs, and policies will not make future changes in the provisions applicable to each.