Make the switch to Geisinger Mail-Order Pharmacy — online right now, or on the phone!

Sign up online:

• Fill out this form to get started with your free prescription delivery 
• Our pharmacy team will call you back at the number you provided to complete your enrollment, and can set up 90-day automatic refills, text reminders and more!
  
  

Sign up by phone: 

• You can enroll in one step by calling us at 844-878-5562 between 6:30 a.m. - 7 p.m., Monday through Friday

GHP Family pharmacy benefits

GHP Family covers pharmacy benefits that include prescription medicines and over-the-counter medicines and vitamins with a doctor’s prescription.

Prescriptions

When a provider prescribes a medication for you, you can fill your prescription at any pharmacy that is in GHP Family’s network. You will need to have your GHP Family prescription ID card with you, and you may have a co-payment if you are over the age of 21. GHP Family will pay for any medicine listed on the Statewide PDL and GHP Family’s supplemental formulary and may pay for other medicines if they are prior authorized. 

Either your prescription or the label on your medicine will tell you if your doctor ordered refills of the prescription and how many refills you may get. If your doctor ordered refills, you may only get one refill at a time. If you have questions about whether a prescription medicine is covered, need help finding a pharmacy in GHP Family’s network, or have any other questions, please call Customer Care at 1-855-552-6028, PA Relay 711.

You may be able to receive a 90-day supply of medications that you take on an ongoing basis. You can obtain these medications at a participating retail pharmacy or participating mail order pharmacy. If you have questions about which medications are considered maintenance medications you can check online or call GHP Family Pharmacy services at 1-855-552-6028, PA Relay 711. Your copay will be the same as a one-month supply for a 90-day supply.

Statewide Preferred Drug List (PDL) and GHP Family supplemental formulary

GHP Family covers medicines listed on the Statewide Preferred Drug List (PDL) and the GHP Family supplemental formulary. This is what your PCP or other doctor should use when deciding what medicines you should take. Both the Statewide PDL and GHP Family supplemental formulary cover both brand name and generic drugs. Generic drugs contain the same active ingredients as brand name drugs. Any medicine prescribed by your doctor that is not on the Statewide PDL and GHP Family’s supplemental formulary needs prior authorization. The Statewide PDL and GHP Family’s supplemental formulary can change from time to time, so you should make sure that your provider has the latest information when prescribing a medicine for you.

If you have any questions or to get a copy of the Statewide PDL and GHP Family’s supplemental formulary, call Customer Care at 1-855-552-6028, PA Relay 711 or visit GHP Family’s website. A copy of the Statewide PDL can be found online. 

Reimbursement for medication

Members can be reimbursed directly if they had to pay out of pocket for formulary or PDL medications because of an emergency, the prescription could not be filled at a participating pharmacy, or the prescription is written by a non-participating physician. Members can call the GHP Family Pharmacy Help Desk at 1-855-552-6028, PA Relay 711 for help with finding a participating provider or questions about getting reimbursed for prescriptions.

Pharmacy copays

Some drugs require a copayment, which is the amount that you pay to the pharmacy when you receive your prescription or over-the-counter drugs.

You cannot be denied a prescription drug if you cannot pay the copayment. Tell your pharmacist if you cannot afford to pay. Your pharmacist can still try to collect the copayment.

Copayments are as follows:

• For adults:
  • brand-name prescription drugs and brand-name over-the-counter drugs cost $3 for each new prescription or refill.
  • Generic prescription drugs and generic over-the counter drugs cost $1 for each new prescription or refill.
• For children:
  • Brand-name prescription drugs and brand-name over-the-counter drugs cost $0 for each new prescription or refill.
  • Generic prescription drugs and generic over-the-counter drugs cost $0 for each new prescription or refill.

Specialty medicines

The Statewide PDL and GHP Family’s supplemental formulary includes medicines that are called specialty medicines. A prescription for these medicines may need to be prior authorized and you may have a co-payment for your medicine. To see the Statewide Preferred Drug List, the GHP Family’s supplemental formulary, a complete list of specialty medicines, and whether your medicine is considered a specialty medicine call Customer Care at 1-855-552-6028, PA Relay 711 or visit GHP Family’s website. A copy of the Statewide PDL can be found online.

You will need to get these medicines from a specialty pharmacy. A specialty pharmacy can mail your medicines directly to you and will not charge you for the mailing of your medicines. The specialty pharmacy will contact you before sending your medicine. The pharmacy can also answer any questions you have about the process. You can pick any specialty pharmacy that is in GHP Family’s network. For the list of network specialty pharmacies, please call Customer Care at 1-855-552-6028, PA Relay 711 or see the provider directory on GHP Family’s website. For any other questions or more information please call Customer Care at 1-855-552-6028, PA Relay 711.

Over-the-counter medicines

GHP Family covers over-the-counter medicines when you have a prescription from your provider. You will need to have your GHP Family ID card with you and you may have a co-payment. 

The following are some examples of over-the-counter medicines that may be covered:

• Sinus and allergy medicine
• Tylenol or aspirin
• Vitamins
• Cough medicine
• Heartburn medicine such as antacids and famotidine

You can find more information about covered over-the-counter medicines by visiting GHP Family’s website or by calling Customer Care at 1-855-552-6028, PA Relay 711.