There are 11 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
ZOFRAN 4MG/5ML ORAL TUBEX (50 ML BOTGL) (NDC: 00173048900) 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 |
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SilverScript Value![]() ![]() |
$14.50 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$21.80 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials![]() ![]() |
$27.20 | $200 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | P S Q:30 /1Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$31.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:100 /3Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$37.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | P Q:150 /5Days | |
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 | 2 | Preferred Brand | $30.00 | $60.00 | P | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$44.60 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$57.80 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | P S Q:30 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$62.80 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$75.50 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P Q:100 /3Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$104.00 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | P S Q:30 /1Days | |
Browse Plan Formulary |
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