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Geisinger Gold Medicare Advantage and D-SNP formularies

Doctor going over prescription with patient

Your plan's formulary provides access to safe, effective and affordable medications, improving patient care. It helps doctors choose the best medications, balancing safety, effectiveness and cost.

Check the formulary to see if a drug is covered

For the fastest access, sign into your member portal account. Your plan will be preselected, making your search even easier.

Disabled senior with adult child(ren) checking medications against formulary viewed on device

Geisinger Gold Medicare Advantage plan with Part D formularies

View by plan type

Geisinger Gold $0 Deductible Rx Plans
  • Geisinger Gold Classic Complete Rx (HMO)
  • Geisinger Gold Classic Advantage Rx (HMO)
  • Geisinger Gold Classic Essential Rx (HMO)
  • Geisinger Gold Classic 360 Rx (HMO)
  • Geisinger Gold Value Rx (HMO)
  • Geisinger Gold Preferred Complete Rx (PPO)
  • Geisinger Gold Preferred Advantage Rx (PPO)
  • Geisinger Gold Preferred Enhanced Rx (PPO)
  • Geisinger Gold Formulary for Employer Groups

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Vaccines

Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.

Insulin

You won’t pay more than $35 for a 1-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.

Geisinger Gold Standard Rx Plans

The Geisinger Gold Standard Rx Formulary is used for the following benefit package(s):

  • Geisinger Gold Secure Rx (HMO D-SNP)

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Vaccines

Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.

Insulin

You won't pay more than $0 for a 1-month supply of each insulin product covered by our plan, even if you haven't paid your deductible.

Geisinger Gold Triple Tier for Employer Groups Plans

The Geisinger Gold Triple Tier Formulary assigns prescriptions to 3 tiers, each with different copay or coinsurance amounts. Generally, higher tiers mean higher costs. Cost-sharing decisions are made by your employer. Contact them for details.

Search

Vaccines

Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.

Insulin

You won’t pay more than $35 for a 1-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.

Geisinger Gold plan formularies updates

Health insurance plan formularies are regularly updated, like when new drugs are added, or a drug is recalled. These changes are listed in our GHP member newsletters, or you can use the links at the top of this page to check whenever you’d like.

2025 pharmacy prior authorization policies

Updated 03/25/2025 - effective 04/01/2025

2025 step therapy

Updated 03/25/2025 - effective 04/01/2025

Changes to the Geisinger Gold Formulary

Updated 03/25/2025 - effective 04/01/2025

Part B step therapy

Updated January 27, 2025, effective Feb. 1, 2025

Searching for covered drugs and pharmacies

Pharmacy services for all members, call 800-988-4861 (TTY:711) | Monday – Friday, 8 a.m. – 5 p.m.
Sign in for faster results

When you sign in to your member portal account, your plan is preselected.

Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company/Geisinger Quality Options, Inc., health plans with a Medicare contract. Continued enrollment in Geisinger Gold depends on contract renewal. Geisinger Health Plan, Geisinger Indemnity Insurance Company, and Geisinger Quality Options, Inc. are part of Geisinger, an integrated health care delivery and coverage organization. Risant Health is the parent organization of Geisinger.

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