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.
Instructions to Assist MassHealth Providers to Submit Electronic Drug Prior Authorization Requests PDF | TXT
Link to the instructional guide for using the Online PA system to submit electronic drug Prior Authorization requests.
Link to the preferred drugs for the MassHealth Drug List. 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 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). 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
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, 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.