Prescription Benefit Summaries

Prescription Benefit Summaries: Personal Choice — Groups 51+IBC Forms Online

The Prescription Benefit Summaries: Personal Choice 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.

PDF icon Forms are in pdf format.

Option Last Updated
$100/20%/$2000 2009-06
$150/20%/$2000 2009-06
$150/30%/$3000 2009-06
$200/20%/$2000 2009-06
$200/30%/$3000 2009-06
$250/20%/$2000 2009-06