There are 36 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
RAZADYNE 12MG TABLET (TABLETS BOT) (NDC: 50458039860) 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 | 3 | Non-Preferred Generic/Non-Preferred Brand | $47.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$14.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$15.20 | $295 | No Gap Coverage | 3 | Tier 3 | $88.00 | $264.00 | None | |
Browse Plan Formulary | |||||||||
SierraRx UnitedHealth Rx Value |
$18.10 | $0 | No Gap Coverage | 2 | Brand | $45.00 | $135.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value |
$18.70 | $0 | No Gap Coverage | 3 | Brand | $79.00 | $197.50 | None | |
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 | 3 | Non-Preferred Generic/Non-Preferred Brand | $60.00 | $180.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$20.80 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $59.00 | n/a | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$22.50 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $44.50 | $111.25 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$22.90 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $20.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$24.80 | $295 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $22.00 | $51.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$26.80 | $0 | No Gap Coverage | 3 | Tier 3 | $79.00 | $237.00 | None | |
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 |
|
Aetna Medicare Rx Essentials |
$27.20 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
BravoRx |
$27.90 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard |
$29.60 | $295 | No Gap Coverage | 3 | Brand | $62.00 | $155.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$29.70 | $295 | No Gap Coverage | 3 | Tier 3 | $60.00 | $150.00 | S Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$30.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$31.10 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
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 |
|
UnitedHealth Rx Basic |
$32.90 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $35.00 | $90.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$33.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $73.00 | $219.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$35.30 | $150 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | Q:180 /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:180 /90Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$38.60 | $0 | No Gap Coverage | 4 | Tier 4 | $80.00 | $200.00 | S Q:60 /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 |
|
Health Net Orange Option 2 |
$41.20 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$42.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $38.00 | $95.00 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$44.60 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$49.20 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$57.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | None | |
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 Complete |
$62.80 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$66.10 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | S Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.00 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | Q:180 /90Days | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$70.90 | $0 | All Generics | 3 | Brand | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
SierraRx Basic |
$74.60 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 2 | Tier 2 - Generic and Preferred Brand | $39.00 | $102.00 | None | |
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 |
|
Aetna Medicare Rx Premier |
$104.00 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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