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2018 New Mexico Medicare Part D Prescription Drug Plan Highlights

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2018 New Mexico Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 26
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The information below is for research purposes. Enrollment in the 2018 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in New Mexico
Click here to see all NM PDPs
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 (Donut Hole)
Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance
30-Day Supply		Total Formulary Drugs
Symphonix Value Rx (PDP)
(S0522-043)
Benefit Details

        		 $17.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $33.00
Non-Preferred Drug: 25%
Specialty Tier: 25%
3,277

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



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

        		 $18.50 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $12.00
Preferred Brand: $42.00
Non-Preferred Drug: 45%
Specialty Tier: 33%
2,995

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Five (5) Most Popular Medicare Part D Plans (PDP) in New Mexico
Click here to see all New Mexico PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-052)
Benefit Details

        		 $18.50 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $12.00
Preferred Brand: $42.00
Non-Preferred Drug: 45%
Specialty Tier: 33%
36,237

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Preferred (PDP)
(S5820-025)
Benefit Details

        		 $72.80 $0 Yes, some additional gap coverage.Preferred Generic: $7.00
Generic: $12.00
Preferred Brand: $37.00
Non-Preferred Drug: 40%
Specialty Tier: 33%
15,354

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-110)
Benefit Details

        		 $21.50 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: 20%
Non-Preferred Drug: 35%
Specialty Tier: 25%
11,238

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-060)
Benefit Details

        		 $21.40 $350 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $30.00
Non-Preferred Drug: 37%
Specialty Tier: 26%
9,774

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP)
(S0522-043)
Benefit Details

        		 $17.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $33.00
Non-Preferred Drug: 25%
Specialty Tier: 25%
8,994

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



New Mexico Medicare Prescription Drug Plans (PDP) Under $30
Click here for all NM Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Symphonix Value Rx (PDP)
(S0522-043)
Benefit Details

        		 $17.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: $33.00
Non-Preferred Drug: 25%
Specialty Tier: 25%
3,277

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-052)
Benefit Details

        		 $18.50 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $12.00
Preferred Brand: $42.00
Non-Preferred Drug: 45%
Specialty Tier: 33%
2,995

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Blue Cross MedicareRx Basic (PDP)
(S5715-013)
Benefit Details

        		 $18.90 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 14%
Non-Preferred Drug: 25%
Specialty Tier: 25%
3,056

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-172)
Benefit Details

        		 $20.40 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 25%
Non-Preferred Drug: 35%
Specialty Tier: 25%
3,055

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
EnvisionRxPlus (PDP)
(S7694-026)
Benefit Details

        		 $21.20 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $3.00
Preferred Brand: 15%
Non-Preferred Drug: 33%
Specialty Tier: 25%
2,987

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-060)
Benefit Details

        		 $21.40 $350 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $30.00
Non-Preferred Drug: 37%
Specialty Tier: 26%
3,283

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-110)
Benefit Details

        		 $21.50 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: 20%
Non-Preferred Drug: 35%
Specialty Tier: 25%
2,968

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Saver (PDP)
(S5660-242)
Benefit Details

        		 $22.60 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 18%
Non-Preferred Drug: 44%
Specialty Tier: 25%
2,806

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Classic (PDP)
(S4802-090)
Benefit Details

        		 $22.70 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $1.00
Preferred Brand: $35.00
Non-Preferred Drug: 42%
Specialty Tier: 25%
2,989

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Walgreens (PDP)
(S5921-407)
Benefit Details

        		 $26.80 $405 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $6.00
Preferred Brand: $31.00
Non-Preferred Drug: 32%
Specialty Tier: 25%
2,884

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:


A few notes to help with the understanding of the 2018 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 $405 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 $3758.75 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2018, ALL formulary generics will have at least a 56% discount and ALL brand drugs will have at least a 65% 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 $3758.75;
    • 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 2018 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.




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  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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