Hero image

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 TypeCo-Pay Amount
Generic$6.75
Brand$9.50

Save with 90-Day Supply

Retail or Mail Order provides up to a 90 day supply for one (1) co-pay

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

Use the mail order form in your packet to request maintenance medications by mail.

Prescription Coverage FAQs

Questions about prescription benefits and medication coverage

Questions About Prescription Coverage?

We're here to help

PFT Health & Welfare Fund Office
1816 Chestnut Street, Philadelphia, PA
(215) 561-2722
Contact Page

Our staff is available during business hours to answer questions about prescription coverage, participating pharmacies, and your member ID card.