Geisinger Health Plan Coverage for Xeljanz
14 Plans
14 Plans
Medicare - MA-PD
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - PPO
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - Other Insurer
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - PPO
$$$$$Specialty
PA requirements
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Specialty
PA requirements
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Quantity Limit
Commercial - Other Insurer
$$$$$Specialty
PA requirements
Quantity Limit
Alternative Drug Suggestions