Pharmacy

Search the Formulary (List of Covered Drugs)

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All other users- Begin your search by selecting the appropriate coverage option from the list below. If you're not sure which option to select, you can click on each for a description of the plan. 

For instructions on using the Formulary Search, please click here.

To view the Formulary Updates, please click here.

Geisinger Gold (Medicare Part D)

  • Geisinger Gold $0 Deductible Rx

    The Geisinger Gold $0 Deductible Rx Formulary (drug list) is used for the following Medicare Advantage Plans with Part D Prescription Drug Coverage:

    • Geisinger Gold Classic Complete Rx (HMO)
    • Geisinger Gold Classic Advantage Rx (HMO)
    • Geisinger Gold Secure Rx (HMO SNP)
    • Geisinger Gold Preferred Complete Rx (PPO)
    • Geisinger Gold Preferred Advantage Rx (PPO)
    • Geisinger Gold Preferred Select Rx (PPO)
    • Geisinger Gold Preferred Essentials Rx (PPO)
    • Meridian Geisinger Gold Classic Rx (HMO)
    • Meridian Geisinger Gold Preferred Rx (PPO)

    For information about specific prescription drug benefits or to find a network pharmacy, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

    Printable Formulary

  • Geisinger Gold Standard Rx

    The Geisinger Gold Standard Rx Formulary (drug list) is used for the following benefit packages:

    • Geisinger Gold Secure Rx (HMO SNP)
    • Geisinger Gold Formulary for Employer Groups

    For information about specific prescription drug benefits or to find a network pharmacy, please contact the Pharmacy Customer Service Team at 1-800-988-4861.


    Printable Formulary

  • Geisinger Gold Triple Tier for Employer Groups

    The Geisinger Gold Triple Tier Formulary for Employer Groups benefit assigns each prescription medication to one of three tiers.  Each Tier has a different copayment or coinsurance amount. In general, the higher the cost-sharing tier, the higher your cost for the drug.  Cost-sharing amounts are determined by your Employer. Please contact your employer with questions.

    For information about specific prescription drug benefits or to find a network pharmacy, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

    > Printable Formulary

All other plans

  • Geisinger Triple Choice Formulary

    The Triple Choice Formulary benefit assigns each prescription medication to one of three different tiers, each representing a set copayment amount. The copayment amount will depend on your prescription medication rider. Additional medications, other than those included in this formulary, may be covered under the Triple Choice benefit.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

    Printable Formularies:

    > Geisinger Health Plan / Geisinger Choice Formulary

    > Geisinger Health Options Formulary

  • Geisinger Traditional Formulary

    The Traditional Formulary benefit has either a flat copayment/coinsurance, one copayment for generic or one copayment for brand, or assigns each prescription medication to one of two different tiers, each representing a set copayment amount. The copayment amount will depend on your prescription medication rider. Additional medications, other than those included in this formulary, may be covered under the Traditional benefit.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

    Printable Formularies:

    > Geisinger Health Plan / Geisinger Choice Formulary

    > Geisinger Health Options Formulary

  • Geisinger Marketplace Plans

    With Geisinger Marketplace Plans, each prescription medication is assigned to one of six tiers, each with a set copayment or coinsurance amount. The copayment/coinsurance amount will depend on your prescription medication rider. Additional medications, other than those included in this formulary, may be covered by Geisinger Marketplace Plans.

    For information about specific prescription benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

    Printable Formulary

  • CHIP Formulary

    CHIP is Pennsylvania’s Children’s Health Insurance Program. It provides health insurance to all uninsured children and teens that are not eligible for Medical Assistance.  The CHIP pharmacy benefit assigns each prescription medication to one of two different tiers, each representing a set copayment amount. The copayment amount will depend on which plan you have. Additional medications, other than those included in this formulary, may be covered under the CHIP pharmacy benefit.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

     > Printable Formulary

  • EMHS Employee Plan

    Eastern Maine Healthcare Systems’ Employee Formulary assigns each prescription medication to one of three different levels. The tier and resulting copayment are dependent on what the level is and which pharmacy fills the prescription. The copayment amounts and tiers are defined in the plan benefit materials provided by your employer.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861. 

     > Printable Formulary

  • West Virginia University Hospitals Employee Formulary

    The West Virginia University Hospitals Employee Formulary assigns each prescription medication to one of three different levels. The tier and resulting copayment are dependent on what the level is and which pharmacy fills the prescription. The copayment amounts and tiers are defined in the plan benefit materials provided by your employer.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

  • University Health Associates Employees

    The University Health Associates Employees Formulary assigns each prescription medication to one of three different levels. The tier and resulting copayment are dependent on what the level is and which pharmacy fills the prescription. The copayment amounts and tiers are defined in the plan benefit materials provided by your employer.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

  • Christiana Care Health System Employees

    The Christiana Care Health System Employees Formulary assigns each prescription medication to one of three different levels. The tier and resulting copayment are dependent on what the level is and which pharmacy fills the prescription. The copayment amounts and tiers are defined in the plan benefit materials provided by your employer.

    For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

  • Beebe Healthcare Employees
    The Beebe Healthcare Employees Formulary assigns each prescription medication to one of three different levels. The tier and resulting copayment are dependent on what the level is and which pharmacy fills the prescription. The copayment amounts and tiers are defined in the plan benefit materials provided by your employer. For information about specific prescription medication benefits, please contact the Pharmacy Customer Service Team at 1-800-988-4861.

GHP Family

  • Medical Assistance

    GHP Family is Geisinger Health Plan’s Medical Assistance managed care plan. GHP Family members are assigned to different groups based on their eligibility. Depending on which group you are in, your pharmacy benefit may or may not have a co-payment assigned to your medication. If you do have a co-payment, the amount you will need to pay is based on the tier of the medication. Additional medications, other than those included in this formulary, may be covered under the GHP Family benefit. For information about specific prescription medication benefits, please contact Pharmacy Member Services at 1-855-552-6028.

    Members include:

    • Children(Ages 0-17)
    • Pregnant Women
    • Adults(18-20)
    • Adults(Over 21)

     

    > Printable Formulary

  • Medical Benefit Only- Limited Pharmacy Benefits

    GHP Family is Geisinger Health Plan’s Medical Assistance managed care plan. GHP Family members are assigned to different groups based on their eligibility. Depending on which group you are in, your pharmacy benefit may or may not have a co-payment assigned to your medication. If you do have a co-payment, the amount you will need to pay is based on the tier of the medication. Additional medications, other than those included in this formulary, may be covered under the GHP Family benefit. For information about specific prescription medication benefits, please contact Pharmacy Member Services at 1-855-552-6028.

    Members in this benefit have medical benefits only. They have a pharmacy benefit limited to contraceptives and vaccines ONLY.

    > Printable Formulary

  • General Assistance

    GHP Family is Geisinger Health Plan’s Medical Assistance managed care plan. GHP Family members are assigned to different groups based on their eligibility. Depending on which group you are in, your pharmacy benefit may or may not have a co-payment assigned to your medication. If you do have a co-payment, the amount you will need to pay is based on the tier of the medication. Additional medications, other than those included in this formulary, may be covered under the GHP Family benefit. For information about specific prescription medication benefits, please contact Pharmacy Member Services at 1-855-552-6028.

    Members include:

    • Adults(Ages 21-65)

     

    > Printable Formulary

  • Healthy Connect

    GHP Healthy Connect is Geisinger Health Plan’s Private Coverage Option available through Healthy PennsylvaniaMedicaid reform. Depending on your level of eligibility, your pharmacy benefit may or may not have co-payments assigned to your medication. If you have a co-payment, the amount you will need to pay is based on the tier of the medication. Additional medications, other than those included in this formulary, may be covered under the GHP Healthy Connect benefit. For information about specific prescription medication benefits, please contact Pharmacy Member Services at 1-844-866-8533.

    Members include:

    • Adults(Ages 21-65)

     

    > Printable Formulary


 

 

For information about your specific prescription drug benefits, please contact our Pharmacy Customer Service Team at (800) 988-4861 or (570) 271-5673 TDD/TTY users should call 711, Monday through Friday 8:00 a.m. to 5:00 p.m 

Y0032_H8468_14274_1 CMS Approved 11/12/14

Y0032_H2792_14274_2 CMS Approved 11/12/14

Updated 4/1/2015