Geisinger Gold Preferred Advantage Rx (PPO)
$112.00 /month
Monthly Premium
$0.00
Annual Deductible
1,027
Drugs Covered
1
States Served
Top Covered Drugs
Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.
| # | Drug Name | Type | Tier | 30-Day Copay | |
|---|---|---|---|---|---|
| 1 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 2 | Methylphenidate Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 3 | PredniSONE | Brand | Tier 2 | $0.00 | Details |
| 4 | TicoVac Tick-Borne Encephalitis Vaccine | Brand | Tier 6 | $0.00 | Details |
| 5 | Tafinlar dabrafenib | Brand | Tier 5 | $0.00 | Details |
| 6 | Nicotrol nicotine | Brand | Tier 4 | $0.00 | Details |
| 7 | Risperidone | Brand | Tier 4 | $0.00 | Details |
| 8 | PIQRAY alpelisib | Brand | Tier 5 | $0.00 | Details |
| 9 | ZEJULA niraparib | Brand | Tier 5 | $0.00 | Details |
| 10 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 11 | LACTULOSE Lactulose | Brand | Tier 2 | $0.00 | Details |
| 12 | Gilotrif afatinib | Brand | Tier 5 | $0.00 | Details |
| 13 | Isoniazid | Brand | Tier 2 | $0.00 | Details |
| 14 | Cobenfy xanomeline and trospium chloride | Brand | Tier 5 | $0.00 | Details |
| 15 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 16 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 17 | Ofev nintedanib | Brand | Tier 5 | $0.00 | Details |
| 18 | Buspirone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 19 | Talzenna talazoparib | Brand | Tier 5 | $0.00 | Details |
| 20 | VAQTA hepatitis A vaccine, inactivated | Brand | Tier 6 | $0.00 | Details |
Showing 20 of 1,027 covered drugs.
States Served (1)
This plan is available to Medicare beneficiaries in the following states.
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