You can search the formulary to see if your prescriptions are covered.

2020 Geisinger Gold Classic 360 Rx (HMO) Formulary.

Below is the Formulary, or drug list, for Geisinger Gold Classic Essential Rx (HMO) from Geisinger Health Plan. September 2015. For example, you may need a prior authorization from us before you can fill your prescription. You can print a copy of the GHP Family Formulary (updated 9/1/2020) or … Geisinger Health Plan Kids (Children’s Health Insurance Program) and Geisinger Health Plan Family (Medical …

H0192_001_FOR_630140 Approved_10032019_FINAL5 Formulary ID: 20544 Version 12 . A formulary is a list of prescription medications that are covered under Geisinger Health Plan's 2020 Medicare Advantage Plan in Pennsylvania. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances. In this case, you should speak with your doctor to decide if you should switch to an appropriate formulary drug or request a formulary exception. NON-FORMULARY MEDICATION : PRIOR AUTHORIZATION. the drug during the 2020 coverage year except as described above. The Initial Coverage Limit (ICL) for this plan is $4020. Members having difficulty managing multiple prescriptions can receive help from a GHP Family pharmacist. Continued enrollment in Geisinger Gold depends on annual contract renewal.

While you talk to your doctor to determine your best option, we will cover your current drugs during the first 60 days of your membership.If you need prior authorization of your drug, you have two options:GHP Family doesn't limit the number of prescriptions a member can receive each month. at the same cost -sharing and with no new restrictions for those members taking them for the remainder of the . Below is the Formulary, or drug list, for Geisinger Gold Preferred Complete Rx (PPO) from Geisinger Indemnity Insurance Company.

Below is the Formulary, or drug list, for Geisinger Gold Classic 360 Rx (HMO) from Geisinger Health Plan.


The exception is the $0 Deductible Plans.Please check the formulary for different brand and generic names. our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of . Talk to your doctor first about changing your prescription to a drug on your plans formulary. The exception is the $0 Deductible Plans.Please check the formulary for different brand and generic names. GHP Family has what is known as a formulary, which is a list of drugs covered under your plan.

This means that you may need permission to obtain a drug that is not listed on the formulary. July 2015.

If you still cannot locate your drugs, your plan may not offer coverage. … Certain medications require the use of a contracted specialty pharmacy vendor for purchase. SPECIALTY VENDOR MEDICATION PROGRAM. STEP THERAPY. GHP Family will grant one early refill if you are traveling outside of Pennsylvania and will run out of medication before you return home. If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances.

Most plans have 4 levels of coverage. November 2014. Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare contract. Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare contract. There is a separate link on this site with more information and a list of the medications included. A formulary is a list of prescription medications that are covered under Geisinger Health Plan's Talk to your doctor first about changing your prescription to a drug on your plans formulary. March 2014. Please contact the pharmacy customer service team at 800-988-4861 Monday through Friday, 8 a.m. to 5 p.m., with any questions.

You can If you are taking a specialty medicine or if you have a question about finding a specialty pharmacy, call GHP Family Pharmacy Services at As a new member, you may be taking drugs that aren’t on our formulary.

March 2015. July 2015. May 2014. If you still cannot locate your drugs, your plan may not offer coverage.