Geisinger Gold Preferred Complete Rx (PPO)
$0.00 /month
Monthly Premium
Among the lowest-premium plans in 2026
$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 | Clozapine | Brand | Tier 4 | $0.00 | Details |
| 2 | ISENTRESS RALTEGRAVIR | Brand | Tier 3 | $0.00 | Details |
| 3 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 4 | Daurismo glasdegib | Brand | Tier 5 | $0.00 | Details |
| 5 | Fetzima LEVOMILNACIPRAN HYDROCHLORIDE | Brand | Tier 4 | $0.00 | Details |
| 6 | M-M-R II measles, mumps, and rubella virus vaccine live | Brand | Tier 6 | $0.00 | Details |
| 7 | RETEVMO selpercatinib | Brand | Tier 5 | $0.00 | Details |
| 8 | Kaletra Lopinavir and Ritonavir | Brand | Tier 4 | $0.00 | Details |
| 9 | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | Brand | Tier 2 | $0.00 | Details |
| 10 | Buspirone Hydrochloride | Brand | Tier 2 | $0.00 | Details |
| 11 | ENTRESTO Sacubitril and Valsartan | Brand | Tier 3 | $0.00 | Details |
| 12 | bexarotene | Brand | Tier 3 | $0.00 | Details |
| 13 | VARIVAX Varicella Virus Vaccine Live | Brand | Tier 6 | $0.00 | Details |
| 14 | Gentamicin Sulfate | Brand | Tier 2 | $0.00 | Details |
| 15 | Fluphenazine Hydrochloride | Brand | Tier 4 | $0.00 | Details |
| 16 | Trifluoperazine Hydrochloride trifluoperazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 17 | Paxlovid nirmatrelvir and ritonavir | Brand | Tier 3 | $0.00 | Details |
| 18 | Thioridazine Hydrochloride thioridazine hydrochloride | Brand | Tier 3 | $0.00 | Details |
| 19 | Lorbrena lorlatinib | Brand | Tier 5 | $0.00 | Details |
| 20 | DELSTRIGO doravirine, lamivudine, and tenofovir disoproxil fumarate | Brand | Tier 5 | $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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