Yale Health

Drug List

Alphabetical Drug List

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For exclusions and limitations refer to the Employee Member Coverage Booklet or Student Handbook.

H

Drug name Tier Restrictions Mail order
HALFLYTELY BOWL PREP 2 No
HALOBETASOL PROP. 1 Quantity limit No
HALOPERIDOL 1 No
HALOPERIDOL DECANOATE INJ $0 No
HELIDAC MIS NC Prior authorization, Step therapy No
HEMATOGEN 3 No
HEPARIN SODIUM INJ 5000U/ML 1 No
HEPSERA 2 Yes
HIBICLENS NC Quantity limit No
HIPREX 3 Yes
HORIZANT 3 Prior authorization No
HUMALOG MIX PEN 3 No
HUMALOG MIX VIAL 2 No
HUMALOG PEN 3 No
HUMALOG VIAL 2 No
HUMATROPE 3 No
HUMIRA 2 No
HUMULIN 70/30 VIAL 1 No
HUMULIN R U-500 1 No
HUMULIN-N U-100 INJ 1 No
HUMULIN-N U-100 PEN 3 No
HYALGAN $0 Quantity limit No
HYDRALAZINE HC 1 Yes
HYDRO 40 FOAM 3 Prior authorization, Quantity limit No
HYDROCHLOROTHIAZIDE 1 Yes
HYDROCODONE/ACETAMINOPHEN 1 No
HYDROCODONE/HOMATROPINE 1 No
HYDROCODONE/IBUPROFEN 1 No
HYDROCODONE/IODO CRM 1 Quantity limit No
HYDROCORTISONE 1 Quantity limit Yes
HYDROCORTISONE 1% CREAM NC Over-the-counter, Quantity limit No
HYDROCORTISONE BUTYRATE 1 Quantity limit Yes
HYDROCORTISONE VALERATE 1 Quantity limit Yes
HYDROMET SYP 5-1.5/5 1 No
HYDROMORPHONE HCL 1 No
HYDROQUINONE NC No
HYDROQUINONE/SUNSCREENS NC No
HYDROXYCHLOROQUINE 1 Yes
HYDROXYUREA 1 Quantity limit Yes
HYDROXYZINE HCL 1 Yes
HYDROXYZINE PAMOATE 1 Yes
HYOMAX-SR 3 Yes
HYOSCYAMINE SULFATE IR/HYOS 1 Yes
HYPER-SAL NEB UD 1 No
HYPERCARE 1 Quantity limit Yes
HYTRIN 3 Yes
HYZAAR 3 Prior authorization Yes