There are 18 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
AFINITOR TABLETS (28 CRTN) (NDC: 00078056751) 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 | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$13.50 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Classic |
$21.20 | $250 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$25.40 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
WellCare Signature |
$28.80 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
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 |
|
CIGNA Medicare Rx Plan One |
$30.50 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$31.20 | $205 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$34.20 | $295 | No Gap Coverage | 5 | Tier 5 Specialty Drugs | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$37.20 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$37.20 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | 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 Standard S5884-092 |
$39.20 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 45% | 45% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-095 |
$42.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$53.40 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Plus |
$61.20 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three |
$67.60 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-098 |
$100.20 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P 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 |
|
Aetna Medicare Rx Premier |
$101.70 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P Q:2 /1Days | |
Browse Plan Formulary |
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