Drug List - The Yale Health Drug List or Formulary
The Yale Health Drug List represents most covered items. If your drug is not listed, it may or may not be covered. To determine coverage of unlisted drugs or if you have questions about any of your prescriptions, please contact the pharmacy.
Co-pays are for 30-day supplies when purchased at the Yale Health Pharmacy.
The Yale Health Drug List is subject of change.
|C/T & S/M & Security||M&P/Faculty||YPBA||Students w/ Hospitalization/Specialty Care|
|Tier 1||Preferred, $5 co-pay||Preferred, $5 co-pay||Preferred, $5 co-pay||Preferred, $10 co-pay|
|Tier 2||Alternative, $25 co-pay||Alternative, $30 co-pay||Alternative, $20 co-pay||Alternative, $30 co-pay|
|Tier 3*||Non-preferred, $40 co-pay||Non-preferred, 40% coinsurance with a $50 minimum and $100 maximum||Non-preferred, $30 co-pay||Non-preferred, $45 co-pay|
|NC||Not covered||Not covered||Not covered||Not covered|
*If a generic drug is available and a brand name is dispensed there may be additional charges depending on your employment status at the University. Please see your applicable Schedule of Benefits.
Note: Your prescription may be free if it qualifies under ACA guidelines.