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Prescription Drug Plan

As part of our medical plan, Wake Forest offers a prescription drug plan.  We partner with OptumRx for all prescription drug needs. If you have elected medical coverage through Wake Forest, you are automatically enrolled in the prescription drug plan. The mail order program is through OptumRx Home Delivery, and the Specialty Pharmacy provider is through BriovaRx. You will receive a separate prescription drug ID card. You may request a new ID card by calling OptumRx at 888.869.4600.

Preferred Network Program

The Preferred Pharmacy Network program ensures member access to retail pharmacies and offers copay savings. Prescription drug copayments will be lower when utilizing a preferred retail pharmacy. Preferred retail pharmacies include, but are not limited to:

  • Walgreens
  • Rite Aid
  • Walmart
  • Sam’s
  • Publix
  • Kroger

Non-preferred pharmacies will apply a $5 additional copayment. Non-preferred pharmacies include, but are not limited to:

  • CVS
  • Harris Teeter
  • Target
  • Novant Health

Contact OptumRx with any questions regarding the network status of your pharmacy.


Plan Details

FeatureLow Plan High Plan
In-NetworkOut-of-NetworkIn-NetworkOut-of-Network
Generic Brand Prescription
Co-payment
$15$20$15 $20
Preferred Brand Prescription
Co-payment
$30 $35$30 $35
Non-Preferred Brand Prescription Co-payment$60 $65$60 $65
Specialty Drug Prescription
Co-payment
10%, minimum of $50, maximum of $100NA10%, minimum of $50, maximum of $100NA


Online Resources

The OptumRx website has a wealth of information that can assist in researching prescription drugs and pharmacies. Services and programs include:

  • Diabetic Sense Program Information
  • Price and Save Drug Pricing Center (Drug Cost Calculator)
  • Covered Drug Lists
  • Drug Dictionary and Drug Interaction Tool
  • Pharmacy Locator
  • Copayment Information
  • OptumRx Home Delivery Mail Order Program Information
  • Medical Adherence Program
  • Diabetes Management Program