Geisinger Health Plan Coverage for Spravato
15 Plans
15 Plans
Medicare - MA-PD
$$$$$Not covered
Commercial - HMO
$$$$$Non-preferred
PA requirements
Commercial - POS
$$$$$Non-preferred
PA requirements
Commercial - PPO
$$$$$Non-preferred
PA requirements
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Non-preferred
PA requirements
Health Exchange - PPO-HIX
$$$$$Non-preferred
PA requirements
Commercial - Other Insurer
$$$$$Non-preferred
PA requirements
Medicare - MA-PD
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - PPO
$$$$$Specialty
PA requirements
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Specialty
PA requirements
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - Other Insurer
$$$$$Specialty
PA requirements
Quantity Limit
Alternative Drug Suggestions