Prescription Drug Plans - Benefit Summaries

The following prescription drug benefit summaries are now available for small groups (1-50 & 51-199). The information is presented in a printer-friendly, PDF format. Download Acrobat Reader Please check the site frequently for summary updates. Visit our Pharmacy home page for more information and updates.

Please select from the following:

MSGR Rx

BlueFund CDH Prescription Drug Plans:

District of Columbia Rx: 1-50 & 51-199   BlueChoice HMO (Open Access) 
Non-MSGR Rx: 1-50 & 51-199   BlueChoice Opt-Out Plus (Open Access)
Virginia Rx: 1-50 & 51-199   BluePreferred

MSGR Rx
Features Brochure Number
$0 Ded., $0/25/45 CUT7046
$100 Ded., $0/25/45 CUT7047
$0 Ded., $8/15/30 CUT5707
$0 Ded., $10/20/30 CUT5708
$50 Ded., $10/20/30 CUT5709
$150 Ded, $15/20/30 CUT5706
$250 Ded, $15/20/30 CUT5716
$100 Ded, $15/25/50 CUT6571
$0 Ded, $15/25/50 CUT6573
$250 Ded, $15/25/50 CUT6569
$2500 Ded, 75% coinsurance CORE CUT6945

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Non-MSGR Rx: 1-50 & 51-199
Features Brochure Number
$0 Ded., $0/25/45 CUT7049
$100 Ded., $0/25/45 CUT7050
$Int Ded., $0/25/45 CUT7051
$0 Ded; $10/20/35 CUT5693
$50 Ded; $10/20/35 CUT5695
$100 Ded; $10/20/35 CUT5713
$0 Ded; $15/35/60
CUT6427
$100 Ded; $15/35/60 CUT6433
$200 Ded; $15/35/60
CUT6436
$0 Ded; $10/25/45
CUT6439
$100 Ded; $10/25/45
CUT6445
$200 Ded; $10/25/45
CUT6448
$0 Ded; 30%
CUT6450
$100 Ded; 30% CUT6452

Complete listing of Rx options for Non-MSGR

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District of Columbia Rx: 1-50 & 51-199
Features Brochure Number
$0 Ded., $0/25/45 CUT7052
$100 Ded., $0/25/45 CUT7053
$0 Ded; $8/15/30 CUT5699
$0 Ded; $10/20/35 CUT5703
$50 Ded; $10/20/35 CUT5705
$100 Ded; $10/20/35 CUT5711
$0 Ded; $15/35/60
CUT6360
$100 Ded; $15/35/60
CUT6366
$200 Ded; $15/35/60
CUT6369
$0 Ded; $10/25/45
CUT6372
$100 Ded; $10/25/45
CUT6378
$200 Ded; $10/25/45
CUT6381
$0 Ded; 30%
CUT6383
$100 Ded; 30% CUT6385

Complete listing of Rx options for the District of Columbia

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Virginia Rx: 1-50 & 51-199
Features Brochure Number
$0 Ded., $0/25/45 BRC6575
$100 Ded., $0/25/45 BRC6576
$0 Ded; $8/15/30 BRC5916
$0 Ded; $10/20/35 BRC5914
$50 Ded; $10/20/35 BRC5903
$100 Ded; $10/20/35 BRC5898
$0 Ded; $15/35/60
BRC6357
$100 Ded; $15/35/60 BRC6363
$200 Ded; $15/35/60
BRC6366
$0 Ded; $10/25/45
BRC6369
$100 Ded; $10/25/45
BRC6375
$200 Ded; $10/25/45 BRC6378
$0 Ded; 30%
BRC6380
$100 Ded; 30% BRC6382

Complete listing of Rx options for Virginia

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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.

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