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2015 New Mexico Medicare Part D Prescription Drug Plan Highlights

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2015 New Mexico Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 26
Print Version | New Mexico Medicare Advantage Plans

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The information below is for research purposes. Enrollment in the 2015 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in New Mexico
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Plan Name Plan ID			Monthly Prem.	Dedu- ctible	(Donut Hole) Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance 30-Day Supply		Total Formulary Drugs
SilverScript Choice (PDP) (S5601-052) Benefit Details			$12.60	$0	No additional gap coverage, only the Donut Hole Discount	Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33%		3,043 Browse Formulary

Lowest Premium $0 Deductible NM Prescription Drug Plan (PDP)
Click here to see all New Mexico $0 deductible PDP plans by premium lowest to highest
Plan Name Plan ID			Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance		Total Drugs
SilverScript Choice (PDP) (S5601-052) Benefit Details			$12.60	$0	No additional gap coverage, only the Donut Hole Discount	Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33%		3,043 Browse Formulary

Five (5) Most Popular Medicare Part D Plans (PDP) in New Mexico
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	State Members
SilverScript Choice (PDP) (S5601-052) Benefit Details	$12.60	$0	No additional gap coverage, only the Donut Hole Discount	Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33%	31,875 Browse Formulary

AARP MedicareRx Preferred (PDP) (S5820-025) Benefit Details	$42.80	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33%	20,268 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details	$20.20	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	11,659 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details	$20.70	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $40.00 Specialty Tier: 25%	10,560 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Blue Cross MedicareRx Basic (PDP) (S5715-013) Benefit Details	$18.30	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25%	5,622 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:

New Mexico Medicare Prescription Drug Plans (PDP) Under $30
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Plan Name Plan ID	Monthly Prem.	Dedu- ctible	Additional Gap Coverage	Preferred Pharmacy Copay/Coinsurance	Total Drugs
SilverScript Choice (PDP) (S5601-052) Benefit Details	$12.60	$0	No additional gap coverage, only the Donut Hole Discount	Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33%	3,043 Browse Formulary

Humana Walmart Rx Plan (PDP) (S5884-172) Benefit Details	$15.60	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,433 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP) (S5810-060) Benefit Details	$15.70	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 43% Specialty Tier: 25%	3,062 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Blue Cross MedicareRx Basic (PDP) (S5715-013) Benefit Details	$18.30	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25%	2,523 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP) (S5884-110) Benefit Details	$20.20	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,307 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus Silver (PDP) (S7694-026) Benefit Details	$20.50	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $2.00 Preferred Brand: 15% Non-Preferred Brand: 38% Specialty Tier: 25%	2,971 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP) (S5921-371) Benefit Details	$20.70	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $40.00 Specialty Tier: 25%	3,510 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP) (S0522-043) Benefit Details	$21.10	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 25%	3,529 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP) (S5967-163) Benefit Details	$23.80	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: $39.00 Non-Preferred Brand: $89.00 Specialty Tier: 25%	3,135 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure-Xtra (PDP) (S5617-271) Benefit Details	$28.10	$0	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 33%	3,379 Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Transamerica MedicareRx Classic (PDP) (S9579-025) Benefit Details	$29.10	$320	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: 50% Specialty Tier: 25%	2,949 Browse Formulary

A few notes to help with the understanding of the 2015 Medicare Part D Plan chart above.

Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)
Plan ID: This is the unique id for this particular plan.
Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
- No Gap Coverage: you must pay the $3720;
- Yes: This plan offers some level of gap coverage.
Number of Formulary Drugs: This is the total number of drugs on the plan's formulary (drug list).
Members in this Plan: The number of members currently enrolled in the plan.

(Chart Source: Centers for Medicare and Medicaid file 2015 PDP Landscape Source file)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.