Prescription Drugs
Quick Reference
Website Call CapitalRx customer service: 833-692-2779 Find a providerCoverage Highlights
- CapitalRx administers the Fund’s prescription drug plan
- You must use an CapitalRx network retail pharmacy or the CapitalRx mail order program to receive prescription drug benefits
- Prescription drugs purchased from non-network retail pharmacies or outside of the mail order program are not covered
| Drug Tier | Retail (up to a 30-day supply) | Mail Order (up to a 90-day supply) |
|---|---|---|
| Generic | $10 copayment | $20 copayment |
| Preferred Brand Name | $30 copayment | $60 copayment |
| Non-Preferred Brand Name | $50 copayment | $100 copayment |
| Annual Out-of-Pocket Maximum (separate from the Medical Plan) | $1,000 individual $2,000 family | $1,000 individual $2,000 family |