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The following prescription drug benefit summaries are now available for District of Columbia (1-50 & 51-199). The information is presented in a printer-friendly, PDF format. 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.
| District of Columbia Rx: 1-50 & 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
$0 Ded., $0/25/45 |
CUT7052 |
| Option 2 |
$100 Ded., $0/25/45 |
CUT7053 |
| Option 3 |
$0 Ded; $5/10/25 |
CUT5697 |
| Option 4 |
$0 Ded; $8/15/30 |
CUT5699 |
| Option 5 |
$100 Ded; $8/15/30 |
CUT5715 |
| Option 6 |
$0 Ded; $10/20/35 4,000 ABM |
CUT5819 |
| Option 7 |
$0 Ded; $10/20/35 |
CUT5703 |
| Option 8 |
$50 Ded; $10/20/35 |
CUT5705 |
| Option 9 |
$100 Ded; $10/20/35 |
CUT5711 |
| Option 10 |
$0 Ded; $10/25/45 4,000 ABM |
CUT6370 |
| Option 11 |
$0 Ded; $10/25/45 8,000 ABM |
CUT6371 |
| Option 12 |
$0 Ded; $10/25/45 |
CUT6372 |
| Option 13 |
$100 Ded; $10/25/45 4,000 ABM |
CUT6376 |
| Option 14 |
$100 Ded; $10/25/45 8,000 ABM |
CUT6377 |
| Option 15 |
$100 Ded; $10/25/45 |
CUT6378 |
| Option 16 |
$200 Ded; $10/25/45 4,000 ABM |
CUT6379 |
| Option 17 |
$200 Ded; $10/25/45 8,000 ABM |
CUT6380 |
| Option 18 |
$200 Ded; $10/25/45 |
CUT6381 |
| Option 19 |
$0 Ded; $15/35/60 4,000 ABM |
CUT6358 |
| Option 20 |
$0 Ded; $15/35/60 8,000 ABM |
CUT6359 |
| Option 21 |
$0 Ded; $15/35/60
|
CUT6360 |
| Option 22 |
$100 Ded; $15/35/60 4,000 ABM |
CUT6364 |
| Option 23 |
$100 Ded; $15/35/60 8000 ABM |
CUT6365 |
| Option 24 |
$100 Ded; $15/35/60
|
CUT6366 |
| Option 25 |
$200 Ded; $15/35/60 4,000 ABM |
CUT6367 |
| Option 26 |
$200 Ded; $15/35/60 8,000 ABM |
CUT6368 |
| Option 27 |
$200 Ded; $15/35/60
|
CUT6369 |
| Option 28 |
$0 Ded; 30% 4,000 ABM
|
CUT6382 |
| Option 29 |
$0 Ded; 30%
|
CUT6383 |
| Option 30 |
$100 Ded; 30% ABM 4,000 |
CUT6384 |
| Option 31 |
$100 Ded; 30% |
CUT6385 |
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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 BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.
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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