There are 24 stand-alone Medicare Part D plans in New York 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
OMNARIS 50MCG SPRAY NON-AEROSOL (120 METERED ACTUATIONS BOTPU) (NDC: 63402070101) 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 |
||||||
GHI Medicare Prescription Drug Plan |
$19.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
HIP Part D New York |
$21.00 | $295 | No Gap Coverage | 3 | Tier 3 | 40% | 40% | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$26.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | Q:13 /25Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Secure |
$26.40 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $47.00 | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$29.30 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $52.00 | 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 |
|
AdvantraRx Value |
$30.60 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $55.00 | $165.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$32.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | S Q:25 /34Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$32.70 | $205 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$33.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $55.80 | $152.40 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$34.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $80.75 | $227.25 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
HIP Enhanced Part D New York |
$39.00 | $0 | Many Generics | 3 | Tier 3 | 50% | 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 |
|
Community CCRx Basic |
$41.80 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 40% | n/a | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$45.20 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$45.40 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | Q:13 /25Days | |
Browse Plan Formulary | |||||||||
Simply Prescriptions Rx 3 |
$48.10 | $100 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $187.50 | S Q:13 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$48.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $72.00 | $216.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$48.30 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | 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 |
|
Health Net Orange Option 2 |
$48.40 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$65.90 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | Q:12 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$68.10 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | Q:13 /25Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$69.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:12 /31Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$84.50 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | 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 |
|
Aetna Medicare Rx Premier |
$136.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | None | |
Browse Plan Formulary |
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