Which medications are covered?

Brand name and generic drugs are included in our plan. By enrolling for coverage, you may even be able to save money on your medications.

Both the Geisinger Gold medical plans with prescription drug coverage and the Geisinger Gold Rx stand-alone prescription drug plan covers thousands of medications. Our formularies (the lists of drugs our plan covers) will show you which medications are included — such as those for high blood pressure, diabetes, anxiety, cholesterol, etc.

The drugs on our formulary were selected by Geisinger Gold in consultation with a team of healthcare providers. They represent the prescription therapies believed to be a necessary part of a quality treatment program.

Find out which drugs are covered:

For medical plans with prescription drug coverage

Take a look at the two formularies for plans with medical and optional prescription drug coverage

For the Gold Rx stand-alone prescription drug plan

Note: The Gold Rx stand-alone plan may only be used with Original Medicare, Medicare Supplement, Gold Reserve or Open 5 coverage. All other Geisinger Gold plans either include Rx coverage or it can be added. If you purchase a stand-alone Medicare drug plan while you're enrolled in a Medicare Advantage plan with prescription drug coverage (MAPD), you'll be automatically disenrolled from the MAPD plan.

You may request a copy of the formulary by calling us.

Call for answers and information

1-800-482-8163
1-800-447-2833 (TTY/TDD)
8 a.m. to 8 p.m., seven days a week

Fill out an online request form for information.

If we remove drugs from our formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a different tier, we must notify members who take the drug that it will be removed at least 60 days before the date that the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.

H3954 H3924 H5812 S4248 H8468 8297_10 (Pending CMS Approval)

You can receive coverage for brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.