There are 49 stand-alone Medicare Part D plans in New Mexico 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
REVLIMID 10MG CAPSULE (100 CT) (100 BOT) (NDC: 59572041000) 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![]() ![]() |
$10.30 | $175 | No Gap Coverage | 4 | Specialty-Generic and Brand | 28% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$14.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$15.20 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze![]() ![]() |
$18.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx UnitedHealth Rx Value![]() ![]() |
$18.10 | $0 | No Gap Coverage | 3 | Specialty | 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 |
|
Advantage Star Plan by RxAmerica![]() ![]() |
$18.70 | $295 | No Gap Coverage | 2 | Preferred Brand | 25% | 30% | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value![]() ![]() |
$18.70 | $0 | No Gap Coverage | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Basic![]() ![]() |
$19.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$19.30 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$20.80 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$21.80 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | 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 |
|
MedicareRx Rewards Value![]() ![]() |
$22.50 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver![]() ![]() |
$22.90 | $295 | No Gap Coverage | 5 | Tier 5 Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Saver![]() ![]() |
$24.80 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 26![]() ![]() |
$26.20 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$26.80 | $0 | No Gap Coverage | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$27.10 | $0 | No Gap Coverage | 2 | Preferred Brand | 35% | 40% | 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 |
|
Aetna Medicare Rx Essentials![]() ![]() |
$27.20 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
BravoRx![]() ![]() |
$27.90 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Standard![]() ![]() |
$29.60 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$29.70 | $295 | No Gap Coverage | 4 | Tier 4 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-084![]() ![]() |
$30.40 | $295 | No Gap Coverage | 3 | Other - Non-Preferred (Gen/Brand) | 50% | 50% | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$30.40 | $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 |
|
AARP MedicareRx Preferred![]() ![]() |
$31.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$32.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | P | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$33.60 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Prescriba Rx Gold![]() ![]() |
$33.70 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-024![]() ![]() |
$34.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$35.30 | $150 | 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 |
|
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$36.90 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$37.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two![]() ![]() |
$38.60 | $0 | No Gap Coverage | 5 | Tier 5 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 2![]() ![]() |
$41.20 | $0 | No Gap Coverage | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$42.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold![]() ![]() |
$43.80 | $0 | No Gap Coverage | 5 | Tier 5 Specialty | 33% | 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 |
|
SilverScript Plus![]() ![]() |
$44.60 | $50 | Many Generics | 6 | Specialty | 31% | n/a | P | |
Browse Plan Formulary | |||||||||
Community CCRx Choice![]() ![]() |
$48.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$49.20 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx - Costco Plus Plan![]() ![]() |
$57.80 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$62.80 | $0 | Many Generics | 5 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Community CCRx Gold![]() ![]() |
$63.10 | $0 | All 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 |
|
CIGNA Medicare Rx Plan Three![]() ![]() |
$66.10 | $0 | Some Generics | 4 | Tier 4 | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$69.00 | $0 | All Generics | 4 | Specialty | 33% | 33% | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus![]() ![]() |
$70.90 | $0 | All Generics | 4 | Specialty | 30% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Platinum![]() ![]() |
$71.70 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
SierraRx Basic![]() ![]() |
$74.60 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$75.50 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | 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 |
|
Humana PDP Complete S5884-054![]() ![]() |
$95.10 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$104.00 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | None | |
Browse Plan Formulary |
|