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Members- Log in to our Member Service Center to view information specific to your plan. If you are a member and do not have an account, register now.

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.

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 Preferred Complete Rx (PPO)
    • Geisinger Gold Preferred Advantage 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 for 2017 (effective 8/1/17)

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  • 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 for 2017 (effective 8/1/17)

    Search for Pharmacies

  • 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 for 2017 (effective 1/1/17)

    Search for Pharmacies

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

    > ACA Preventive $0 Cost Share List

  • 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

    > ACA Preventive $0 Cost Share List

  • 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.

    Please click here to view the 2017 Geisinger Marketplace RX Formulary

    ACA Preventive $0 Cost Share List

  • 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

  • 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.

  • AON Active Health Exchange

    The AON Active Health Exchange 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.

    Attention Sears Holdings associates - Please note, a specific pharmacy network is available to you and is different than what will appear on this pharmacy search tool. Please call 1-800-388-4861 for additional information.

  • AtlantiCare Health System Employee Plan
    The AtlantiCare Health System Employee Plan 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.

  • St. Luke’s University Health Network Employee Plan
    The St. Luke’s University Health Network Employee Plan 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


 

 

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_16356_1 CMS Approved

Updated 8/1/17