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Medicare Plan Details

2022 Plan
Monthly Premium
(select county for price)


by UnitedHealthcare
Additional Coverage


Overall Government Star Rating
out of 5 stars

State: New Mexico

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Plan Type

Prescription Drug (Part D)



Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$15.00 copay

Generic drugs :
$3.95 copay or 5% (whichever costs more)

Brand-name drugs :
$9.85 copay or 5% (whichever costs more)

Generic$20.00 copay$20.00 copay
Preferred Brand$45.00 copay
Non-Preferred Drug45%
Specialty Tier27%
<sup>1</sup> * The above cost-sharing only applies to some drugs on this tier. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

Not covered
Not covered

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