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When you enroll in the City’s medical plan, you automatically receive prescription drug coverage, which is administered by Capital Rx. Remember, there is a separate ID card for pharmacy. So make sure you use your BCBST ID card at the doctor’s office and the Capital Rx ID card only at the pharmacy.

You have three ways to purchase prescription drugs: 

• At a network retail pharmacy 

• OptumRx Home Delivery Pharmacy -- If you have a prescription for a maintenance medication (i.e., long-term conditions like arthritis, asthma, diabetes, high blood pressure or high cholesterol), mail order delivery may be a great solution for you. You will find mail order provides greater savings on most prescription benefit plans and saves time typically spent traveling and waiting at a retail pharmacy. 
The CapitalRx preferred vendor for home delivery is OptumRx. 

• At participating 90-day retail pharmacies (you may purchase up to a 90-day supply at these designated pharmacies if your prescription drug does not have quantity limits)

Prescription drug benefits... at a glance

  Preventative Prescriptions
You Pay
Non-Preventative Prescriptions
You Pay
Level 1 (preferred generics) $0 $5
Level 2 (non-preferred generics) $5 $10
Level 3 (preferred brand) $10 $20
Level 4 (non-preferred brand) $20 $40
Level 5 (specialty)* $40 $80
90 day at retail locations can be filled 3 times the copay
90 day at mail will continue to be filled at 3 times the copay

Please contact Employee Benefits at 865-215-2111 or [email protected] for more information.