Internal Medicine 203 432 0038
Student Health 203 432 0312
Mental Health & Counseling for Students 203 432 0290
Pharmacy 203 432 0033
Drug List
Alphabetical Drug List
D
| Drug name | Tier | Restrictions | Mail order | |
|---|---|---|---|---|
| DALIRESP | 3 | Prior authorization | No | |
| DANAZOL | 2 | No | ||
| DAPSONE | 1 | Yes | ||
| DDAVP | 3 | No | ||
| DELESTROGEN INJ | $0 | No | ||
| DELZICOL | 2 | Yes | ||
| DEMECLOCYCLINE | 1 | No | ||
| DENAVIR | 2 | Quantity limit | No | |
| DENTA 5000 PLUS | 1 | Quantity limit | Yes | |
| DENTAGEL | 1 | Quantity limit | Yes | |
| DEPAKOTE | 3 | Yes | ||
| DEPAKOTE ER | 3 | Yes | ||
| DEPLIN | 2 | Yes | ||
| DEPO-MEDROL | $0 | No | ||
| DEPO-TESTOSTERONE INJ 200MG/ML | $0 | No | ||
| DERMA-SMOOTHE/FS | 3 | Prior authorization, Quantity limit, Step therapy | No | |
| DERMAZENE | 1 | Quantity limit | No | |
| DERMOTIC OIL | 2 | No | ||
| DESIPRAMINE HCL | 1 | No | ||
| DESLORATADINE | 1 | Yes | ||
| DESMOPRESSINE ACETATE | 1 | No | ||
| DESONIDE | 1 | Quantity limit | No | |
| DESOXIMETASONE | 1 | Quantity limit | No | |
| DETROL | 3 | Yes | ||
| DETROL LA | 2 | Yes | ||
| DEXAMETHASONE | 1 | No | ||
| DEXAMETHASONE SODIUM PHOSPH | 1 | No | ||
| DEXAMETHASONE SODIUM PHOSPH INJ 4MG/ML UD | $0 | No | ||
| DEXEDRINE | 3 | No | ||
| DEXMETHYLPHENIDATE HCL | 1 | No | ||
| DEXTROAMPHETAMINE CR | 1 | No | ||
| DEXTROAMPHETAMINE SULFATE | 1 | No | ||
| DEXTROSTAT | 1 | No | ||
| DIALYVITE | 1 | Yes | ||
| DIALYVITE 3000 | 2 | Yes | ||
| DIAMOX | 3 | Travel | Yes | |
| DIASTAT | 3 | Prior authorization | No | |
| DIATX ZN | 3 | No | ||
| DIAZEPAM | 1 | No | ||
| DICLOFENAC SODIUM | 1 | Yes | ||
| DICLOFENAC SODIUM ER | 1 | Yes | ||
| DICLOFENAC/MISOPROSTOL DR | 1 | Yes | ||
| DICLOXACILLIN | 1 | No | ||
| DICYCLOMINE HCL | 1 | Yes | ||
| DIDRONEL | 1 | Yes | ||
| DIETHYLPROPION HCL | 1 | No | ||
| DIETHYLPROPION HCL ER | 1 | No | ||
| DIFFERIN | 2 | Prior authorization, Quantity limit | No | |
| DIFICID | 3 | Prior authorization | No | |
| DIFLORASONE DIACETATE | 1 | Quantity limit | No | |
| DIFLUNISAL | 1 | Yes | ||
| DILANTIN | 1 | Yes | ||
| DILT-XR | 1 | Yes | ||
| DILTIAZEM | 1 | Yes | ||
| DILTIAZEM HCL | 1 | Yes | ||
| DILTZAC | 1 | Yes | ||
| DIOVAN | 2 | Yes | ||
| DIOVAN HCT | 3 | Prior authorization | No | |
| DIPENTUM | 2 | Yes | ||
| DIPHENOXY/ATROP | 1 | No | ||
| DIPIVEFRIN HCL | 1 | Yes | ||
| DIPROLENE | 3 | Quantity limit | No | |
| DIPYRIDAMOLE | 1 | Yes | ||
| DISOPYRAMIDE PHOSPHATE | 1 | Yes | ||
| DITROPAN | 3 | Yes | ||
| DITROPAN XL | 3 | Yes | ||
| DIURIL | 2 | Yes | ||
| DIVALPROEX SODIUM | 1 | Yes | ||
| DOMEBORO | 1 | No | ||
| DORYX | 3 | Prior authorization, Step therapy | No | |
| DORZOLAMIDE | 1 | Yes | ||
| DORZOLAMIDE HCL/TIMOLOL MAL | 1 | Yes | ||
| DOSTINEX | 2 | Prior authorization | No | |
| DOVONEX CREAM | 3 | Prior authorization, Quantity limit | No | |
| DOXAZOSIN MESYLATE | 1 | Yes | ||
| DOXYCYCLINE HYC | 1 | Travel | Yes | |
| DRITHO-SCALP | 3 | Prior authorization, Quantity limit | No | |
| DRONABINOL | 1 | No | ||
| DUAC CS KIT | 3 | Prior authorization, Quantity limit, Step therapy | No | |
| DUET | 3 | No | ||
| DUET DHA PAK | 3 | No | ||
| DUETACT | 2 | No | ||
| DUKE'S SOLUTION | 1 | No | ||
| DULERA | 2 | Yes | ||
| DURAGESIC DIS | 3 | Quantity limit | No | |
| DYAZIDE | 3 | Yes | ||
| DYNACIN | 3 | Yes | ||
| DYNACIRC | 3 | Yes | ||
| DYNACIRC-CR | 3 | Yes | ||
| DYRENIUM | 3 | No |