There are 35 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
MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE (4X3 UNIT DOSE CASE) (NDC: 00006380112) 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 |
||||||
First Health Part D-Secure |
$10.30 | $175 | No Gap Coverage | 2 | Preferred Brand | $20.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$14.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $30.75 | $69.25 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$18.00 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value |
$18.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $45.00 | $112.50 | Q:24 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$19.00 | $295 | No Gap Coverage | 2 | Preferred Brand | 30% | n/a | Q:12 /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 |
|
AdvantraRx Value |
$19.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $24.00 | $48.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$20.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $29.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$22.50 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $44.50 | $111.25 | Q:12 /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:18 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.20 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard |
$29.60 | $295 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $80.00 | Q:24 /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 |
|
CIGNA Medicare Rx Plan One |
$29.70 | $295 | No Gap Coverage | 2 | Tier 2 | $28.00 | $70.00 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$30.40 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$31.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | Q:18 /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:18 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$33.60 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$33.70 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | Q:12 /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 |
|
UA Medicare Part D Rx Covg - Silver Plan |
$35.30 | $150 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$36.90 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:27 /28Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$38.60 | $0 | No Gap Coverage | 3 | Tier 3 | $33.00 | $82.50 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$41.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$42.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:36 /90Days | |
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 |
|
SilverScript Plus |
$44.60 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$48.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$49.20 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$57.80 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$62.80 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:12 /25Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$63.10 | $0 | All Generics | 2 | Preferred Brand | $30.00 | n/a | Q:12 /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 |
|
CIGNA Medicare Rx Plan Three |
$66.10 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:18 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:36 /90Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$70.90 | $0 | All Generics | 2 | Preferred Brand | $38.00 | $95.00 | Q:24 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$71.70 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | Q:18 /31Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$104.00 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:12 /30Days | |
Browse Plan Formulary |
|