From time to time, our health insurance plan’s formulary — the list of drugs selected by a health insurance company that represents medications believed to be a necessary part of a quality treatment program — is updated to add or remove medications. We’ve provided a list of past and present changes to help you determine if changes have been made that affect your prescriptions.

Commercial, Marketplace and GHP Kids policies

You can view or print a copy of the Commercial, Marketplace and GHP Kids pharmacy benefit prior authorization policies
 

GHP Family policies

You can print a copy of the GHP Family Formulary (updated 6/30/2021 | effective 7/1/2021) or you can request a printed copy over the phone.

Geisinger Health Plan, like other Medicaid Managed Care Organizations, follows the Statewide Preferred Drug List (PDL). The Statewide PDL is a list of preferred drugs developed by the Department of Human Services’ (DHS) Pharmacy and Therapeutics Committee. Medications not on the PDL follow the GHP Family Formulary. Click to view the Statewide Preferred Drug List (PDL).

Prescription drug recalls

Geisinger Health Plan promptly identifies and notifies members and their prescribing physicians when the FDA  notifies us of a Class I or Class II drug recall. We send notifications to members who received the recalled medication using their pharmacy benefits.

Class I recall
This type of recall is in cases where there is a reasonable probability that use of, or exposure to, the medication will cause serious adverse health effects or death.

Class II recall
With this class of recall, a medication has been found to cause temporary or medically reversible adverse health consequences or in remote cases, serious adverse health effects.

The FDA website provides news about recent drug recalls, updates on market withdrawals of medications and safety alerts.