There are 32 stand-alone Medicare Part D plans in New Hampshire 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
TAZORAC 0.05% CREAM (60 GM TUBE) (NDC: 00023915560) 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 |
$12.80 | $175 | No Gap Coverage | 3 | Non-Preferred Generic/Non-Preferred Brand | $48.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$13.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $20.00 | $40.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$25.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $27.00 | n/a | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver |
$27.10 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $59.65 | $163.95 | None | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$27.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $98.00 | $269.50 | 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 |
|
Prescriba Rx Bronze |
$29.10 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic |
$30.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 45% | n/a | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $205 | No Gap Coverage | 3 | Tier 3 - Preferred Brand | $27.00 | $54.00 | S | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$34.40 | $295 | No Gap Coverage | 2 | Preferred Brand | $43.00 | $86.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$35.50 | $0 | No Gap Coverage | 2 | Tier 2 - Generic and Preferred Brand | $38.00 | $99.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$37.20 | $0 | No Gap Coverage | 2 | Preferred Brand | $28.00 | $56.00 | Q:30 /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 |
|
Sterling Rx |
$37.50 | $295 | No Gap Coverage | 2 | Preferred Brand | $25.00 | $50.00 | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold |
$38.60 | $0 | No Gap Coverage | 2 | Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-092 |
$39.20 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$40.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice |
$41.70 | $0 | No Gap Coverage | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$42.50 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $60.00 | n/a | 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 |
|
Humana PDP Enhanced S5884-095 |
$42.50 | $0 | No Gap Coverage | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$45.30 | $50 | Many Generics | 5 | Non-Preferred Brand | $95.00 | $261.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$45.80 | $0 | No Gap Coverage | 2 | Preferred Brand | $32.00 | $64.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2 |
$47.40 | $0 | No Gap Coverage | 2 | Preferred Brand | $39.00 | $78.00 | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$53.40 | $0 | Many Generics | 2 | Preferred Brand | $30.00 | $60.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$59.20 | $0 | All Generics | 3 | Non-Preferred Brand | $60.00 | n/a | 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 Plus |
$61.20 | $0 | Some Generics | 3 | Tier 3 - Preferred Brand | $36.00 | $72.00 | S | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$62.00 | $0 | Many Generics | 4 | Non-Preferred Brand | $98.00 | $270.00 | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$67.60 | $0 | Some Generics | 3 | Tier 3 | $60.00 | $150.00 | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum |
$72.50 | $0 | All Generics | 2 | Brand | $44.00 | $88.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access |
$78.90 | $0 | All Generics | 2 | Preferred Brand | $35.00 | $87.50 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$81.70 | $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 |
|
Blue MedicareRx Premier |
$81.80 | $0 | Many Generics | 3 | Tier 3 Non-Preferred Brand or Generic | $75.00 | $187.50 | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-098 |
$100.20 | $0 | Many Generics | 2 | Preferred Brand | $40.00 | $100.00 | None | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$101.70 | $0 | Many Generics | 3 | Tier 3 - Preferred Brand | $30.00 | $60.00 | S | |
Browse Plan Formulary |
|