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.
Link to all Prior Authorization forms for MassHealth Pharmacy Services.
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.
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.
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.
Link to a list of non-drug products that MassHealth pays for through the Pharmacy Online Processing System (POPS).
Link to the list of the professional services that MassHealth pays for through the Pharmacy Online Processing System (POPS).
Link to a list of drugs that Medicare Part D excludes from prescription coverage, but may be covered by MassHealth.
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.
Please note that this document does not represent the complete MassHealth Drug List.
Download the current MassHealth Drug List and the previous 5 updates to the MassHealth Drug List in PDF or TEXT format.