What's New for 2024

Explore the new prescription program for specialty medications in the GW Retiree HSP available in 2024!

NEW! PrudentRx via the GW HSP Pharmacy Benefit

PrudentRx for specialty medications is included in the Pharmacy Benefit. This program is designed to lower your out-of-pocket costs by assisting you with enrollment in drug manufacturers discount copay cards/assistance programs. When enrolled in PrudentRx, your out of pocket cost will be $0* for medications included on the PrudentRx exclusive specialty drug list, which is updated monthly and posted on the Benefits website.

HSP participants: If you opt out, you will be responsible for the 30% coinsurance. Payments made by you for a medication that does not qualify as an essential health benefit, will not count toward your out-of-pocket maximum. 

*HSP participants must meet their combined medical/prescription deductible before the out-of-pocket cost will be $0.

How to Enroll:

After enrolling in the HSP plan, you will be contacted via phone to enroll in PrudentRx at the time of your first specialty fill. You must complete any additional enrollment steps with PrudentRx to receive the $0 benefit when applicable. Note: HSP participants must meet their combined medical/prescription deductible before the out-of-pocket cost will be $0.

IMPORTANT: Members must enroll in the PrudentRx program to access $0 copay benefits. Formulary exclusions will supersede this list.

If a participant’s specialty medication is not on the PrudentRx list, then the brand formulary or brand non-formulary plan design will apply.

For additional information, visit https://hr.gwu.edu/prudent.