There are 45 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
LUPRON DEPOT-PED 15MG KIT (NDC: 00300244001) 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 | |
Browse Plan Formulary | |||||||||
SilverScript Value |
$14.50 | $295 | No Gap Coverage | 4 | Specialty | 25% | n/a | None | |
Browse Plan Formulary | |||||||||
Prescriba Rx Bronze |
$18.00 | $295 | No Gap Coverage | 3 | Tier 3 | 25% | 25% | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica |
$18.70 | $295 | No Gap Coverage | 3 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Value |
$18.70 | $0 | No Gap Coverage | 4 | Specialty | 30% | 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 |
|
Community CCRx Basic |
$19.00 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 55% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Value |
$19.30 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier |
$20.80 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1 |
$21.80 | $295 | No Gap Coverage | 5 | Specialty | 25% | n/a | P | |
Browse Plan Formulary | |||||||||
MedicareRx Rewards Value |
$22.50 | $130 | No Gap Coverage | 5 | Tier 5. | 29% | n/a | P | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Silver |
$22.90 | $295 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $20.00 | $60.00 | 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 |
|
AARP MedicareRx Saver |
$24.80 | $295 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 25% | 25% | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan-Reg 26 |
$26.20 | $295 | No Gap Coverage | 2 | Tier 2 | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica |
$27.10 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Essentials |
$27.20 | $200 | No Gap Coverage | 5 | Tier 5 - Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
BravoRx |
$27.90 | $295 | No Gap Coverage | 2 | Tier 2 | 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 | |||||||||
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 |
$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:1 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value |
$30.40 | $295 | No Gap Coverage | 3 | Non-Preferred Brand | 53% | 53% | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred |
$31.10 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic |
$32.90 | $0 | No Gap Coverage | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier |
$33.60 | $0 | No Gap Coverage | 4 | Specialty-Generic and Brand | 33% | 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 |
|
Prescriba Rx Gold |
$33.70 | $0 | No Gap Coverage | 3 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
Humana PDP Enhanced S5884-024 |
$34.50 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:1 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan |
$35.30 | $150 | No Gap Coverage | 3 | Non-Preferred Brand | $80.00 | $200.00 | None | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov |
$36.90 | $0 | No Gap Coverage | 3 | Non-Preferred Brand | $64.00 | $128.00 | None | |
Browse Plan Formulary | |||||||||
Sterling Rx |
$37.80 | $295 | No Gap Coverage | 4 | Specialty | 25% | 25% | P | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Two |
$38.60 | $0 | No Gap Coverage | 5 | Tier 5 | 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 |
|
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 | 3 | Non-Preferred Brand | 75% | 75% | None | |
Browse Plan Formulary | |||||||||
EnvisionRxPlus Gold |
$43.80 | $0 | No Gap Coverage | 3 | Tier 3 Preferred Brand | $40.00 | $120.00 | None | |
Browse Plan Formulary | |||||||||
SilverScript Plus |
$44.60 | $50 | Many Generics | 6 | Specialty | 31% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Choice |
$48.30 | $0 | No Gap Coverage | 4 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus |
$49.20 | $0 | Many Generics | 4 | Specialty-Generic and Brand | 33% | 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 |
|
Aetna Medicare Rx - Costco Plus Plan |
$57.80 | $0 | Some Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary | |||||||||
SilverScript Complete |
$62.80 | $0 | Many Generics | 5 | Specialty | 33% | n/a | None | |
Browse Plan Formulary | |||||||||
Community CCRx Gold |
$63.10 | $0 | All Generics | 4 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
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 | 3 | Non-Preferred Brand | 75% | 75% | None | |
Browse Plan Formulary | |||||||||
Blue Medicare Rx - Plus |
$70.90 | $0 | All Generics | 4 | Specialty | 30% | 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 |
|
Prescriba Rx Platinum |
$71.70 | $0 | All Generics | 3 | Specialty | 33% | n/a | P Q:1 /28Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced |
$75.50 | $0 | Many Generics | 4 | Tier 4 - Specialty (Generic, Brand) | 33% | 30% | None | |
Browse Plan Formulary | |||||||||
Humana PDP Complete S5884-054 |
$95.10 | $0 | Many Generics | 4 | Specialty | 33% | n/a | P Q:1 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier |
$104.00 | $0 | Many Generics | 5 | Tier 5 - Specialty | 33% | 33% | P | |
Browse Plan Formulary |
|