There are 33 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
OXYCONTIN 10MG TABLET SA (100 BOT) (NDC: 59011010010) 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 | |||||||||
Medco Medicare Prescription Plan - Value |
$25.90 | $295 | No Gap Coverage | 2 | Preferred Brand | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$26.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $33.75 | $76.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One |
$27.30 | $295 | No Gap Coverage | 2 | Tier 2 | $25.00 | $62.50 | 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 |
|
BravoRx |
$27.50 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$28.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | None | |
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 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$32.00 | $295 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$32.10 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$32.70 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $26.00 | $52.00 | Q:4 /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 |
|
AARP MedicareRx Saver |
$33.80 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $55.80 | $152.40 | Q:120 /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:120 /31Days | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$37.60 | $130 | No Gap Coverage | 2 | Tier 2 Preferred Brand | $45.00 | $112.50 | Q:90 /30Days | |
Browse Plan Formulary | |||||||||
First UA Medicare Part D Rx Covg - Silver |
$38.80 | $150 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
HIP Enhanced Part D New York |
$39.00 | $0 | Many Generics | 3 | Tier 3 | 50% | 50% | None | |
Browse Plan Formulary | |||||||||
SmartHealth RX |
$40.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $45.00 | $112.50 | 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 |
|
First UA Medicare Part D Prescription Drug |
$40.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $70.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$41.30 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$45.00 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:60 /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:120 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$45.40 | $50 | Many Generics | 4 | Preferred Brand | $35.00 | $82.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Simply Prescriptions Rx 3 |
$48.10 | $100 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $187.50 | S Q:90 /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 Premier |
$48.20 | $0 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $72.00 | $216.00 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2 |
$48.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $30.00 | $60.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$65.90 | $0 | Many Generics | 3 | Non-Preferred Generic/Non-Preferred Brand | $75.00 | $225.00 | P Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$68.10 | $0 | Many Generics | 3 | Preferred Brand | $39.00 | $92.00 | Q:120 /25Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$69.20 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan |
$69.50 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $35.00 | $80.00 | Q:4 /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 |
|
EnvisionRxPlus Gold |
$70.60 | $0 | No Gap Coverage | 4 | Tier 4 NonPreferred Brand | $75.00 | $225.00 | 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:120 /31Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$78.70 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$136.80 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | Q:4 /1Days | |
Browse Plan Formulary |
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