Yale Health 3-Tier Formulary (C&T, S&M, Security, YPBA, Student)

Welcome

We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

What is a Formulary?

A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

How to Search For Drugs

Use the alphabetical list to search by the first letter of your medication.

Search by typing part of the generic (chemical) and brand (trade) names.

Search by selecting the therapeutic class of the medication you are looking for.

	M&P, Faculty, & Associates	S/M, C/T, & Security	YPBA	Students w/ Hospitalization/Specialty Care
Tier 1 Preferred	$10 co-pay	$10 co-pay	$10 co-pay	$10 co-pay
Tier 2 Alternative	$45 co-pay	$35 co-pay	$30 co-pay	$30 co-pay
Tier 3 Non-Preferred	40% coinsurance with a ($60 minimum and $120 maximum)	$55 co-pay	$50 co-pay	$45 co-pay
Tier 4 Specialty	40% coinsurance with a ($120 maximum)	$55 co-pay	$50 co-pay	$45 co-pay
NC	Not covered	Not covered	Not covered	Not covered

The copays listed above are based on a 30-day supply.

The Yale Health Drug List is subject to change.

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.

https://www.primetherapeutics.com/nondiscrimination