There are 37 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
ZALEPLON 10MG CAPSULE (100 BOT) (NDC: 65862021501) 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 | 1 | Preferred Generic | $4.00 | n/a | None | |
Browse Plan Formulary | |||||||||
AdvantraRx Value![]() ![]() |
$13.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $8.00 | $16.00 | None | |
Browse Plan Formulary | |||||||||
WellCare Classic![]() ![]() |
$21.20 | $250 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
First Health Part D-Premier![]() ![]() |
$25.40 | $0 | No Gap Coverage | 1 | Preferred Generic | $6.00 | n/a | None | |
Browse Plan Formulary | |||||||||
HealthSpring Prescription Drug Plan -Reg 1![]() ![]() |
$26.10 | $295 | No Gap Coverage | 1 | Tier 1 | 25% | 25% | 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 |
|
AARP MedicareRx Saver![]() ![]() |
$27.10 | $295 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $59.65 | $163.95 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
SilverScript Value![]() ![]() |
$27.10 | $295 | No Gap Coverage | 1 | Generic | $8.00 | $12.00 | Q:180 /365Days | |
Browse Plan Formulary | |||||||||
WellCare Signature![]() ![]() |
$28.80 | $0 | No Gap Coverage | 1 | Tier 1 | $0.00 | $0.00 | P | |
Browse Plan Formulary | |||||||||
Advantage Freedom Plan by RxAmerica![]() ![]() |
$29.90 | $0 | No Gap Coverage | 1 | Preferred Generic | $5.00 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Value![]() ![]() |
$30.40 | $295 | No Gap Coverage | 1 | Generic | 23% | 23% | None | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan One![]() ![]() |
$30.50 | $295 | No Gap Coverage | 2 | Tier 2 | $33.00 | $82.50 | 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 Essentials![]() ![]() |
$31.20 | $205 | No Gap Coverage | 2 | Tier 2 - Non-Preferred Generic | $12.00 | $24.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
Advantage Star Plan by RxAmerica![]() ![]() |
$32.00 | $295 | No Gap Coverage | 1 | Preferred Generic | $5.50 | $0.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Orange Option 1![]() ![]() |
$34.40 | $295 | No Gap Coverage | 1 | Preferred Generic | $2.00 | $4.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value![]() ![]() |
$35.00 | $130 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $10.00 | $15.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Preferred![]() ![]() |
$35.50 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier![]() ![]() |
$37.20 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $14.00 | 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 |
|
CIGNA Medicare Rx Plan Two![]() ![]() |
$37.20 | $0 | No Gap Coverage | 3 | Tier 3 | $38.00 | $95.00 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Sterling Rx![]() ![]() |
$37.50 | $295 | No Gap Coverage | 1 | Generic | $7.00 | $14.00 | Q:68 /34Days | |
Browse Plan Formulary | |||||||||
Humana PDP Standard S5884-092![]() ![]() |
$39.20 | $295 | No Gap Coverage | 1 | Preferred Generic | 15% | 15% | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Rx Covg - Silver Plan![]() ![]() |
$40.20 | $160 | No Gap Coverage | 1 | Generic | $4.00 | $10.00 | None | |
Browse Plan Formulary | |||||||||
UnitedHealth Rx Basic![]() ![]() |
$40.80 | $0 | No Gap Coverage | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $98.00 | $279.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Choice![]() ![]() |
$41.70 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $6.00 | 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 |
|
Humana PDP Enhanced S5884-095![]() ![]() |
$42.50 | $0 | No Gap Coverage | 1 | Preferred Generic | $7.00 | $0.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
SilverScript Plus![]() ![]() |
$45.30 | $50 | Many Generics | 2 | Generic | $9.00 | $23.00 | Q:180 /365Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Value Plus![]() ![]() |
$45.50 | $0 | No Gap Coverage | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
UA Medicare Part D Prescription Drug Cov![]() ![]() |
$45.80 | $0 | No Gap Coverage | 1 | Generic | $6.00 | $15.00 | None | |
Browse Plan Formulary | |||||||||
Health Net Value Orange Option 2![]() ![]() |
$47.40 | $0 | No Gap Coverage | 1 | Preferred Generic | $0.00 | $0.00 | S Q:1 /1Days | |
Browse Plan Formulary | |||||||||
AdvantraRx Premier Plus![]() ![]() |
$53.40 | $0 | Many Generics | 1 | Preferred Generic | $4.00 | $8.00 | 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 |
|
Aetna Medicare Rx Plus![]() ![]() |
$61.20 | $0 | Some Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:2 /1Days | |
Browse Plan Formulary | |||||||||
SilverScript Complete![]() ![]() |
$62.00 | $0 | Many Generics | 2 | Generic | $7.50 | $19.00 | Q:180 /365Days | |
Browse Plan Formulary | |||||||||
CIGNA Medicare Rx Plan Three![]() ![]() |
$67.60 | $0 | Some Generics | 2 | Tier 2 | $35.00 | $87.50 | Q:30 /30Days | |
Browse Plan Formulary | |||||||||
Medco Medicare Prescription Plan - Access![]() ![]() |
$78.90 | $0 | All Generics | 1 | Generic | $6.00 | $6.00 | None | |
Browse Plan Formulary | |||||||||
AARP MedicareRx Enhanced![]() ![]() |
$81.70 | $0 | Many Generics | 3 | Tier 3 - Other Non Preferred (Generic, Brand) | $95.00 | $270.00 | Q:62 /31Days | |
Browse Plan Formulary | |||||||||
Blue MedicareRx Premier![]() ![]() |
$81.80 | $0 | Many Generics | 1 | Tier 1 Preferred Generic | $9.00 | $13.50 | Q:60 /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 |
|
Humana PDP Complete S5884-098![]() ![]() |
$100.20 | $0 | Many Generics | 1 | Preferred Generic | $7.00 | $0.00 | Q:60 /30Days | |
Browse Plan Formulary | |||||||||
Aetna Medicare Rx Premier![]() ![]() |
$101.70 | $0 | Many Generics | 2 | Tier 2 - Non-Preferred Generic | $10.00 | $20.00 | Q:2 /1Days | |
Browse Plan Formulary |
|