Capital Rx Benefits
Prescription Coverage
Learn about your prescription drug coverage including co-pays, participating pharmacies, and mail order options.
Prescription Co-Pays
Capital Rx – effective November 1, 2018
Co-Pay Amounts
| Prescription Type | Co-Pay Amount |
|---|---|
| Generic | $6.75 |
| Brand | $9.50 |
Save with 90-Day Supply
How to Use the Benefit
Getting your prescriptions
Getting Started
As soon as you are eligible and have submitted a completed enrollment card, you will be mailed a prescription card.
Participating Pharmacies
Pharmacies that have agreed to provide members of our prescription plan medications at a discounted price are considered in-network providers.
At a participating pharmacy: You present your ID card, pay the copayment and receive your prescription.
Non-Participating Pharmacies
If you fill a prescription at a pharmacy that does not participate in the plan's network, it may cost you more than the co-pay.
At a non-participating pharmacy: You pay for prescriptions when you receive them and get reimbursement for allowable expenses.
Finding a Participating Pharmacy
How will I know if a pharmacy participates in my plan?
- •Ask the pharmacist directly
- •Call the Health and Welfare Fund office for assistance
Mail Order Option
You can get a 90-day supply of most maintenance medications – ones you take regularly – delivered to your home, for one (1) co-pay.
How to Order
Prescription Coverage FAQs
Questions about prescription benefits and medication coverage
Questions About Prescription Coverage?
Our member services team is here to help with eligibility, benefits, claims, and everything in between. Reach out — we'll point you to the right person.