There are 9 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
APLENZIN TABLETS EXTENDED RELEASE 522 MG (30 BOT) (NDC: 00024581230) 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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GHI Medicare Prescription Drug Plan |
$19.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
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HIP Part D New York |
$21.00 | $295 | No Gap Coverage | 3 | Tier 3 | 40% | 40% | None | |
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Sterling Rx |
$32.10 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | $58.00 | $116.00 | S Q:34 /34Days | |
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Aetna Medicare Rx Essentials |
$32.70 | $205 | No Gap Coverage | 4 | Tier 4 - Non-Preferred Brand | $67.00 | $134.00 | S Q:1 /1Days | |
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HIP Enhanced Part D New York |
$39.00 | $0 | Many Generics | 3 | Tier 3 | 50% | 50% | None | |
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Plan Name | Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Order |
Drug Usage Mgmt |
|
Simply Prescriptions Rx 3 |
$48.10 | $100 | No Gap Coverage | 3 | Non-Preferred Brand | $75.00 | $187.50 | S Q:30 /30Days | |
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Health Net Orange Option 2 |
$48.40 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $90.00 | $225.00 | Q:1 /1Days | |
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Aetna Medicare Rx - Costco Plus Plan |
$69.50 | $0 | Some Generics | 4 | Tier 4 - Non-Preferred Brand | $90.00 | $180.00 | S Q:1 /1Days | |
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Aetna Medicare Rx Premier |
$136.80 | $0 | Many Generics | 4 | Tier 4 - Non-Preferred Brand | $65.00 | $130.00 | S Q:1 /1Days | |
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