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The following BlueFund CDH prescription drug plans are now available
for small groups (1-50 & 51-199). These prescription drug plans are
only available as an Integrated Medical & Prescription Deducitible
CDH plan. They may not be sold separately.
The information is presented in a printer-friendly, PDF** format. Please
check the site frequently for summary updates. Visit our Pharmacy
home page for more information and updates.
| Please select from the following: |
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| MSGR HSA Integrated Deductible Rx Plan |
| Features |
Brochure Number |
| $0/25/45 |
CUT7048 |
| $15/25/50 |
CUT6792 |
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| Non-MSGR 1-50 HSA & HRA Integrated Deductible Rx Plan |
| Features |
Brochure Number |
| $0/25/45 |
CUT7051 |
| $10/25/45* |
CUT6794 |
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| Non-MSGR 51-199 HSA & HRA Integrated Deductible Rx Plans |
| Features |
Brochure Number |
| $0/25/45 |
CUT7051 |
| $8/15/35 |
CUT6793 |
| $10/25/45* |
CUT6794 |
| 30%$10-$30; 30% $25-$75; 30%$45-$135 |
CUT6795 |
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| District of Columbia 1-50 HSA & HRA Integrated Deductible Rx Plan |
| Features |
Brochure Number |
| $0/25/45 |
CUT7054 |
| $10/25/45* |
CUT6982 |
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| District of Columbia 51-199 HSA & HRA Integrated Deductible Rx Plans |
| Features |
Brochure Number |
| $0/25/45 |
CUT7054 |
| $8/15/35 |
CUT6796 |
| $10/25/45* |
CUT6982 |
| 30%$10-$30; 30% $25-$75; 30%$45-$135 |
CUT6798 |
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| Virginia 1-50 HSA & HRA Integrated Deductible Rx Plan |
| Features |
Brochure Number |
| $0/25/45 |
BRC6577 |
| $10/25/45* |
BRC6508 |
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| Virginia 51-199 HSA & HRA Integrated Deductible Rx Plans |
| Features |
Brochure Number |
| $0/25/45 |
BRC6577 |
| $8/15/35 |
BRC6507 |
| $10/25/45* |
BRC6508 |
| 30%$10-$30; 30% $25-$75; 30%$45-$135 |
BRC6509 |
* Note: The $10/25/45 Rx plans have a 50% coinsurance with a per fill cap of 75%
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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.
® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc. |
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