Geisinger Gold Preferred Advantage Rx (PPO)
$91.00 /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 | Dicloxacillin Sodium | Brand | Tier 2 | $0.00 | Details |
| 2 | Morphine Sulfate | Brand | Tier 2 | $0.00 | Details |
| 3 | Amoxicillin | Brand | Tier 2 | $0.00 | Details |
| 4 | Haloperidol | Brand | Tier 2 | $0.00 | Details |
| 5 | Lupron Depot leuprolide acetate | Brand | Tier 5 | $0.00 | Details |
| 6 | Teflaro ceftaroline fosamil | Brand | Tier 5 | $0.00 | Details |
| 7 | Tacrolimus | Brand | Tier 3 | $0.00 | Details |
| 8 | ELIQUIS 30-Day Starter Pack 30-Day Starter Pack apixaban | Brand | Tier 3 | $0.00 | Details |
| 9 | Chlorpromazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 10 | Atomoxetine | Brand | Tier 4 | $0.00 | Details |
| 11 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | $0.00 | Details |
| 12 | Vigabatrin | Brand | Tier 5 | $0.00 | Details |
| 13 | Warfarin Sodium | Brand | Tier 1 | $0.00 | Details |
| 14 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 15 | Danazol | Brand | Tier 4 | $0.00 | Details |
| 16 | Carbidopa and levodopa | Brand | Tier 2 | $0.00 | Details |
| 17 | Acamprosate Calcium acamprosate calcium enteric-coated | Brand | Tier 2 | $0.00 | Details |
| 18 | Lenalidomide | Brand | Tier 5 | $0.00 | Details |
| 19 | Ipratropium Bromide | Brand | Tier 2 | $0.00 | Details |
| 20 | Potassium Chloride | Brand | Tier 2 | $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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