Introduction to MassHealth Drug List

Information about the MassHealth Drug List and updates to the list. Sign up to receive e-mail notification of when updates to the MassHealth drug list are posted on the Web.

Upcoming and Recent Updates

MassHealth Drug List A - Z

Therapeutic Class Tables

Prior Authorization Forms for Pharmacy Services

Link to all Prior Authorization forms for MassHealth Pharmacy Services.

MassHealth Supplemental Rebate/Preferred Drug List PDF PDF  |  TXT

Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug manufacturers. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class.

MassHealth Brand Name Preferred Over Generic Drug List PDF PDF  |  TXT

Link to the list of brand name drugs that MassHealth prefers over their generic equivalents because the net cost of the brand name drug adjusted for rebates is lower than the net cost of the generic equivalent. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent.

MassHealth Over-the-Counter Drug List PDF PDF  |  TXT

Link to a list of the drugs that are the only nonlegend drugs, with the exception of insulins, that are covered by MassHealth without prior authorization.

MassHealth Non-Drug Product List PDF PDF  |  TXT

Link to a list of non-drug products that MassHealth pays for through the Pharmacy Online Processing System (POPS).
Please click on the Prior Authorization Forms tab above or click on the link below to access the Prior Authorization (PA) form for the Hyaluronan injections.
Hyaluronan Injections PA form

MassHealth Pharmacy Covered Professional Services List PDF PDF  |  TXT

Link to the list of the professional services that MassHealth pays for through the Pharmacy Online Processing System (POPS).

Medicare Part D Exclusion Drug List

Link to a list of drugs that Medicare Part D excludes from prescription coverage, but may be covered by MassHealth.

MassHealth Pharmacy Initiatives and Clinical Information

Link to the Pediatric Behavioral Health, Opioid and Pain, Pediatric and Adolescent ADHD, Second-Generation (Atypical) Antipsychotic, and Osteoporosis Initiatives. Also includes Hepatitis C Virus Clinical Information.

Controlled Substances Management Program (CSMP): Criteria for Member Enrollment PDF PDF  |  TXT

Quick Reference Guide PDF PDF  |  TXT

Please note that this document does not represent the complete MassHealth Drug List.

10 Tips for a Good Night's Sleep PDF PDF  |  TXT

The MassHealth Drug List Downloads

Download the current MassHealth Drug List and the previous 5 updates to the MassHealth Drug List in PDF or TEXT format.