Q1Medicare.com 2015 Medicare Part D Plan Finder - PDP-Finder http://PDP-Finder.com/2015

**There are 31 New Mexico 2015 stand-alone Medicare Part D plans meeting your criteria.**

**Caution:** The **2015** Medicare Part D plan information below is for research purposes.
**Click here to see 2024 Medicare Part D plans**
2015 Medicare Part D Plan Information Click here to jump to the Chart Legend & Search Tips
Plan Name			Monthly Prem.	Deduct- ible	(Donut Hole) Additional Gap Coverage	$0 Prem. with Full LIS?	Preferred Pharmacy Copay/ Coinsurance 30-Day Supply	Total Formulary Drugs
Cust. Service Rating	Member Plan Exper.	RxCost Info Rating	Monthly Prem.	Deduct- ible	(Donut Hole) Additional Gap Coverage	$0 Prem. with Full LIS?	Preferred Pharmacy Copay/ Coinsurance 30-Day Supply	Total Formulary Drugs
SilverScript Choice (PDP) - S5601-052 Benefit Details			$12.60	$0	No additional gap coverage, only the Donut Hole Discount	Yes	Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: 44% Specialty Tier: 33%	3,043 Browse Formulary

Humana Walmart Rx Plan (PDP) - S5884-172 Benefit Details			$15.60	$320 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,433 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Aetna Medicare Rx Saver (PDP) - S5810-060 Benefit Details			$15.70	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 43% Specialty Tier: 25%	3,062 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Blue Cross MedicareRx Basic (PDP) - S5715-013 Benefit Details			$18.30	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $0.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25%	2,523 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Humana Preferred Rx Plan (PDP) - S5884-110 Benefit Details			$20.20	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%	3,307 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
EnvisionRxPlus Silver (PDP) - S7694-026 Benefit Details			$20.50	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $2.00 Preferred Brand: 15% Non-Preferred Brand: 38% Specialty Tier: 25%	2,971 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
AARP MedicareRx Saver Plus (PDP) - S5921-371 Benefit Details			$20.70	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $40.00 Specialty Tier: 25%	3,510 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Symphonix Value Rx (PDP) - S0522-043 Benefit Details			$21.10	$320	No additional gap coverage, only the Donut Hole Discount	Yes	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 25%	3,529 Browse Formulary
--	--	--	Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
WellCare Classic (PDP) - S5967-163 Benefit Details			$23.80	$320 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $11.00 Preferred Brand: $39.00 Non-Preferred Brand: $89.00 Specialty Tier: 25%	3,135 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
United American - Essential (PDP) - S5755-130 Sanctioned Plan			$23.90	$230 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: 40% Specialty Tier: 27%	3,074 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Cigna-HealthSpring Rx Secure-Xtra (PDP) - S5617-271 Benefit Details			$28.10	$0	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $1.00 Non-Preferred Generic: $4.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 33%	3,379 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Transamerica MedicareRx Classic (PDP) - S9579-025 Benefit Details			$29.10	$320	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: 50% Specialty Tier: 25%	2,949 Browse Formulary

First Health Part D Value Plus (PDP) - S5768-149 Benefit Details			$30.80	$250 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25%	3,309 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
SmartD Rx Saver (PDP) - S0064-026 Benefit Details			$33.70	$320	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: 23% Non-Preferred Brand: 43% Specialty Tier: 25%	3,395 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Cigna-HealthSpring Rx Secure (PDP) - S5617-128 Benefit Details			$35.70	$320	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: 20% Non-Preferred Brand: 40% Specialty Tier: 25%	3,335 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Transamerica MedicareRx Choice (PDP) - S9579-058 Benefit Details			$37.90	$0	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $18.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 33%	2,973 Browse Formulary

United American - Select (PDP) - S5755-097 Sanctioned Plan			$38.50	$320	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: 16% Non-Preferred Brand: 26% Specialty Tier: 25%	3,021 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
EnvisionRx Plus Clear Choice (PDP) - S7694-113 Benefit Details			$42.00	$0	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $3.00 Non-Preferred Generic: $8.00 Preferred Brand: $35.00 Non-Preferred Brand: $85.00 Specialty Tier: 33%	3,212 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
AARP MedicareRx Preferred (PDP) - S5820-025 Benefit Details			$42.80	$0	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 33%	3,883 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Express Scripts Medicare - Value (PDP) - S5660-128 Benefit Details			$45.70	$320	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: 23% Non-Preferred Brand: 48% Specialty Tier: 25%	3,395 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Blue Cross MedicareRx Value (PDP) - S5715-003 Benefit Details			$46.60	$275 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $85.00 Specialty Tier: 25%	3,199 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Humana Enhanced (PDP) - S5884-024 Benefit Details			$47.80	$0	Yes, some additional gap coverage.	No	Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: 44% Specialty Tier: 33%	3,883 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
WellCare Extra (PDP) - S5967-197 Benefit Details			$49.70	$0	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $0.00 Non-Preferred Generic: $9.00 Preferred Brand: $39.00 Non-Preferred Brand: $89.00 Specialty Tier: 33%	3,135 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
United American - Enhanced (PDP) - S5755-029 Sanctioned Plan			$66.40	$60 Some Tiers exempt	Yes, some additional gap coverage.	No	Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Brand: 40% Specialty Tier: 30%	5,294 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
SilverScript Plus (PDP) - S5601-053 Benefit Details			$67.20	$0	Yes, some additional gap coverage.	No	Generic: $0.00 Preferred Brand: $24.00 Non-Preferred Brand: 40% Specialty Tier: 33%	3,043 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Express Scripts Medicare - Choice (PDP) - S5660-196 Benefit Details			$68.00	$50 Some Tiers exempt	No additional gap coverage, only the Donut Hole Discount	No	Preferred Generic: $1.00 Non-Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Brand: 48% Specialty Tier: 31%	3,612 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Symphonix Premier Rx (PDP) - S0522-073 Benefit Details			$76.90	$0	Yes, some additional gap coverage.	No	Preferred Generic: $2.00 Non-Preferred Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 33%	4,018 Browse Formulary
--	--	--	Higher cost-sharing at standard network pharmacies Details:
First Health Part D Premier Plus (PDP) - S5768-191 Benefit Details			$96.40	$0	Yes, some additional gap coverage.	No	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 50% Specialty Tier: 33%	3,453 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Blue Cross MedicareRx Plus (PDP) - S5715-004 Benefit Details			$110.90	$0	Yes, some additional gap coverage.	No	Preferred Generic: $0.00 Non-Preferred Generic: $2.00 Preferred Brand: $33.00 Non-Preferred Brand: $80.00 Specialty Tier: 33%	3,199 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Plan Name			Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Service	Exper.	Cost Info	Monthly Prem.	Deduct- ible	Additional Gap Coverage	$0 Prem LIS?	Preferred Pharmacy Copay/ Coinsurance	Total Drugs
Aetna Medicare Rx Premier (PDP) - S5810-241 Benefit Details			$112.80	$0	Yes, some additional gap coverage.	No	Preferred Generic: $0.00 Non-Preferred Generic: $3.00 Preferred Brand: $45.00 Non-Preferred Brand: 50% Specialty Tier: 33%	3,453 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:
Cigna-HealthSpring Rx Secure-Max (PDP) - S5617-238 Benefit Details			$127.10	$0	Yes, some additional gap coverage.	No	Preferred Generic: $1.00 Non-Preferred Generic: $2.00 Preferred Brand: $30.00 Non-Preferred Brand: $85.00 Specialty Tier: 33%	3,344 Browse Formulary
			Higher cost-sharing at standard network pharmacies Details:

Chart Legend:

Below are a few notes to help with the understanding of the 2015 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.

Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)
CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

This category includes measures of how drug plans rate on the following areas:
- Time on Hold When Customer and Pharmacist Calls Drug Plan.
- Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
- Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
- Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.
Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

This category includes measures of how drug plans rate on the following areas:
- Drug Plan Provides Information or Help When Members Need It.
- Members’ Overall Rating of Drug Plan.
- Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.
RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

This category includes measures of how drug plans rate on the following areas:
- Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
- Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
- Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
- Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
- Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.
Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)
Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)
Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3,720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
- No Gap Coverage: you must pay the $3,720;
- Yes: This plan offers some level of gap coverage.
$0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)
Plan ID: This is the unique id for this particular plan.
Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)

Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.
Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
Members in This State (updated: September 2015 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.
Members Nation Wide (updated: September 2015 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.
Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2015 is $2,960 and increases each year.
National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.

(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.