There are 20 stand-alone Medicare Part D plans in New Mexico meeting your criteria.
Caution: The 2009 Medicare Part D plan information below is for research purposes.
Click here to see 2024 Medicare Part D plans
AMBIEN CR 6.25MG TABLET (100'S BOT) (NDC: 00024550131) 2009 Medicare Prescription Drug Plan (PDP) Information Click here for the Chart Legend | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Does Plan Offer Gap Coverage |
Drug Tier Information | Cost-Sharing | Drug Usage Mgmt |
|||
---|---|---|---|---|---|---|---|---|---|
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Order |
||||||
SilverScript Value |
$14.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | S Q:30 /60Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$21.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$22.50 | $130 | No Gap Coverage | 3 | Tier 3 Non-Preferred Brand or Generic | $85.00 | $212.50 | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.80 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.20 | $200 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
BravoRx |
$27.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$31.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$32.90 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$36.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | S Q:34 /34Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$41.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Medco Medicare Prescription Plan - Choice |
$42.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | S | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$44.60 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:30 /60Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$57.80 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$62.80 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:30 /60Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:31 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$104.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | S Q:1 /1Days | |
Browse Plan Formulary |
|