Prescription Benefit Summaries

Prescription Benefit Summaries: Freestanding — Groups 51+IBC Forms Online

The Prescription Benefit Summaries: Freestanding section provides a comprehensive list of Independence Blue Cross prescription benefit summaries for you to access. Select the desired plan to view the available benefits summaries.

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Option Last Updated
$250/$20/$40/$60 2010-08
$250/$5/$40/$60 2010-08
$500/$15/$50/$75 2010-08
$5/$40/$60 2010-08
$0/$25/$50 2010-08
$10/$20/$35 2010-08
$10/$20/$50 2010-08
$10/$30/$50 2010-08
$15/$35/$50 2010-08
$20/$40/$60 2010-08
$5/$10/$25 2010-08
$5/$10/$35 2010-08
$5/$10/$50 2010-08
$5/$10/50% 2010-08
$5/$15/$25 2010-08
$5/$15/$35 2010-08
$5/$15/$50 2010-08
$5/$15/50% 2010-08
$5/$20/$35 2010-08
$5/$20/$50 2010-08
$5/$20/50% 2010-08
$5/$30/$50 2010-08
Select Drug Formulary Guide 2011-07