Effective Plan Dates: Jan 1, 2024 - Dec 31, 2024

Prescription Drugs

You automatically receive prescription drug benefits through Capital Rx, this is a change from OptumRx, if you are enrolled in a WellSpan medical plan. Maintenance medications are filled through the WellSpan Pharmacy either through mail order or Pharmacy pick up.  In addition to filling prescriptions at WellSpan Pharmacy locations, non-maintenance medications can be filled at other select pharmacies as well as at pharmacies within the Capital Rx network.

Welcom To Your Captial Rx Benefits
WellSpan Outpatient Pharmacy Locations
Liberty Capital Formulary 2024
Maintenance Medication List
Maintenance Medication Mail Order Form
Specialty Medication Mail Order Form