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This is a listing of all of the drugs covered by MassHealth. Please select a letter to see drugs listed by that letter, or enter the name of the drug you wish to search for.


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MassHealth Drug List table
Drug - Brand Name (Generic Name) Class
Byvalson (nebivolol / valsartan)drugId:5584 - PA CARDIOVASCULAR
Bystolic (nebivolol)drugId:1179 - PA CARDIOVASCULAR
Byetta (exenatide)drugId:451 BP DIABETIC AGENTS
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940 - PA DIABETIC AGENTS
Bydureon (exenatide extended-release pen, vial)drugId:2478 DIABETIC AGENTS
Butrans (buprenorphine transdermal)drugId:2160 BP - PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS
butorphanol nasal spraydrugId:414 - PA OPIOID ANALGESICS
butorphanol injection OPIOID ANALGESICS
butoconazole ANTIBIOTICS
Butisol (butabarbital)drugId:400 BARBITURATES
butenafinedrugId:412 - PA FUNGICIDES
butalbital 50 mg / acetaminophen 325 mgdrugId:2621 - PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg solutiondrugId:6293 - PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsule, tabletdrugId:2118 - PA < 18 years and PA > 20 units/month ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119 - PA < 18 years and PA > 20 units/month OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 300 mgdrugId:2981 - PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mgdrugId:2980 - PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mg / codeine 30 mgdrugId:2982 - PA ANALGESICS
butalbital 25 mg / acetaminophen 325 mg tabletdrugId:5583 - PA ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292 - PA < 18 years and PA > 20 units/month ANALGESICS
butalbital / aspirin / caffeine capsuledrugId:2797 - PA ANALGESICS
butalbital / aspirin / caffeine / codeinedrugId:411 - PA OPIOID ANALGESICS
butabarbitaldrugId:400 BARBITURATES
BusulfexdrugId:2537 # (busulfan injection)drugId:2537 CHEMOTHERAPY
busulfan tabletdrugId:2536 CHEMOTHERAPY
busulfan injectiondrugId:2537 CHEMOTHERAPY
buspirone powder - PA; See Table 69drugId:7020; See Table 71drugId:7021 ANTI-ANXIETY AGENT
buspirone - PA < 6 years; See Table 69drugId:399; See Table 71drugId:4355 ANTI-ANXIETY AGENT
burosumab-twzadrugId:6740 - PA BIOLOGICAL
bupropion hydrochloride sustained-release-ZybandrugId:4560 - PA < 6 years SMOKING CESSATION
bupropion hydrochloride sustained-release-Wellbutrin SR - PA < 6 years; See Table 17drugId:397; See Table 71drugId:3682 ANTIDEPRESSANTS
bupropion hydrochloride - PA < 6 years; See Table 17drugId:396; See Table 71drugId:3660 ANTIDEPRESSANTS
bupropion hydrochloride extended-release 450 mg tablet BP - PA; See Table 17drugId:2640; See Table 71drugId:3681 ANTIDEPRESSANTS
bupropion hydrochloride extended-release 150 mg, 300 mg tablets - PA < 6 years and PA > 30 units/month; See Table 17drugId:398; See Table 71drugId:3680 ANTIDEPRESSANTS
bupropion hydrobromide extended-release - PA; See Table 17drugId:395; See Table 71drugId:3640 ANTIDEPRESSANTS
buprenorphine transdermaldrugId:2160 BP - PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS
buprenorphine tabletdrugId:389 - PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine injectiondrugId:388 - PA OPIOID ANALGESICS
buprenorphine implantdrugId:5591 - PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine extended-release injectiondrugId:6524 - PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine buccal filmdrugId:5362 - PA OPIOID ANALGESICS
buprenorphine / naloxone tablet-ZubsolvdrugId:2854 - PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone tabletdrugId:2057 - PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone filmdrugId:2050 BP PD - PA > 90 days (> 24 mg/day and ≤ 32 mg/day) ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone filmdrugId:2049 BP PD - PA > 32 mg/day ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone film ≤ 24 mg/daydrugId:2085 BP PD ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone buccal filmdrugId:4622 - PA ALCOHOL AND DRUG CESSATION AGENT
Buprenex (buprenorphine injection)drugId:388 - PA OPIOID ANALGESICS
bupivacaine ANESTHETICS
Buphenyl # (sodium phenylbutyrate powder) ENZYMES
Buphenyl (sodium phenylbutyrate tablet) BP ENZYMES
Bunavail (buprenorphine / naloxone buccal film)drugId:4622 - PA ALCOHOL AND DRUG CESSATION AGENT
bumetanidedrugId:384 CARDIOVASCULAR
budesonide rectal foamdrugId:4817 - PA GLUCOCORTICOIDS
budesonide OTC nasal spraydrugId:6240 - PA > 1 inhaler/month NASAL PREPARATIONS
budesonide inhalation suspensiondrugId:381 BRONCHODILATORS
budesonide inhalation powderdrugId:380 BRONCHODILATORS
budesonide extended-release tabletdrugId:2991 BP - PA GLUCOCORTICOIDS
budesonide-EntocortdrugId:379 GLUCOCORTICOIDS
budesonide / formoteroldrugId:383 - PA BRONCHODILATORS
Bryhali (halobetasol lotion)drugId:7001 - PA GLUCOCORTICOIDS
Brovana (arformoterol)drugId:88 - PA BRONCHODILATORS
Bromsite (bromfenac 0.075%)drugId:5762 - PA OPHTHALMIC PREPARATIONS
bromocriptine 2.5 mg, 5 mgdrugId:377 ANTIPARKINSON
bromocriptine 0.8 mg tabletdrugId:2984 - PA DIABETIC AGENTS
bromfenac 0.09%drugId:2084 - PA OPHTHALMIC PREPARATIONS
bromfenac 0.075%drugId:5762 - PA OPHTHALMIC PREPARATIONS
bromfenac 0.07%drugId:2788 - PA OPHTHALMIC PREPARATIONS
brodalumabdrugId:6042 - PA IMMUNOMODULATOR
Briviact (brivaracetam solution, tablet) - PA; See Table 20drugId:5581; See Table 71drugId:5582 ANTICONVULSANTS
brivaracetam solution, tablet - PA; See Table 20drugId:5581; See Table 71drugId:5582 ANTICONVULSANTS
Brisdelle (paroxetine 7.5 mg capsule)drugId:2839 - PA UNCLASSIFIED DRUG PRODUCTS
brinzolamidedrugId:375 - PA OPHTHALMIC PREPARATIONS
brinzolamide / brimonidine tartrate ophthalmic suspensiondrugId:2849 - PA OPHTHALMIC PREPARATIONS
brimonidine topical gel, 0.33%drugId:2891 - PA DERMATOLOGICAL
brimonidine 0.2% eye dropsdrugId:2209 OPHTHALMIC PREPARATIONS
brimonidine 0.1%, 0.15% eye dropsdrugId:2505 BP OPHTHALMIC PREPARATIONS
brimonidine / timolol, ophthalmicdrugId:374 OPHTHALMIC PREPARATIONS
Brilinta (ticagrelor)drugId:2359 - PA ANTIPLATELET AGENT
brigatinibdrugId:6180 - PA CHEMOTHERAPY
brexpiprazole - PA; See Table 24drugId:5110; See Table 71drugId:5111 ANTIPSYCHOTIC
Brevicon # (ethinyl estradiol / norethindrone-Brevicon) CONTRACEPTIVES
BreviblocdrugId:631 # (esmolol)drugId:631 CARDIOVASCULAR
Breo (fluticasone / vilanterol)drugId:2860 - PA BRONCHODILATORS
brentuximabdrugId:2374 - PA CHEMOTHERAPY
Braftovi (encorafenib)drugId:6800 - PA CHEMOTHERAPY
Botox (onabotulinumtoxinA)drugId:1290 - PA BIOLOGICAL
bosutinibdrugId:2639 - PA CHEMOTHERAPY
Bosulif (bosutinib)drugId:2639 - PA CHEMOTHERAPY
bosentandrugId:372 BP - PA CARDIOVASCULAR
bortezomibdrugId:371 CHEMOTHERAPY
Boostrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:540 1 BIOLOGICAL
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680 - PA ANTIEMETICS
Boniva (ibandronate tablet)drugId:770 - PA ELECTROLYTES AND NUTRIENTS
Boniva (ibandronate IV)drugId:769 - PA ELECTROLYTES AND NUTRIENTS
Blincyto (blinatumomab)drugId:4763 - PA CHEMOTHERAPY
blinatumomabdrugId:4763 - PA CHEMOTHERAPY
Blephamide (sulfacetamide / prednisolone sodium acetate ophthalmic ointment, suspension)drugId:1877 - PA OPHTHALMIC PREPARATIONS
Bleph-10drugId:1901 # (sulfacetamide ophthalmic ointment, solution)drugId:1901 OPHTHALMIC PREPARATIONS
bleomycindrugId:370 CHEMOTHERAPY
Bivigam (immune globulin IV, human-Bivigam)drugId:2817 - PA BIOLOGICAL
bisoprolol / hydrochlorothiazidedrugId:369 CARDIOVASCULAR
bisoprololdrugId:368 CARDIOVASCULAR
bismuth subsalicylatedrugId:366 * ANTIDIARRHEALS
bismuth subcitrate / metronidazole / tetracyclinedrugId:367 - PA H. PYLORI AGENTS
bisacodyldrugId:364 * CONSTIPATION AGENTS
Binosto (alendronate effervescent tablet)drugId:2638 - PA ELECTROLYTES AND NUTRIENTS
binimetinibdrugId:6802 - PA CHEMOTHERAPY
bimatoprost 0.03% ophthalmic solutiondrugId:4906 - PA OPHTHALMIC PREPARATIONS
bimatoprost 0.01% ophthalmic solutiondrugId:363 - PA OPHTHALMIC PREPARATIONS
Biltricide (praziquantel)drugId:2358 BP ANTIPARASITICS
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603 PD ANTIVIRALS
bifidobacterium infantisdrugId:6200 - PA ≥ 19 years GASTROINTESTINAL AGENT
Bidil (isosorbide dinitrate / hydralazine)drugId:982 - PA CARDIOVASCULAR
bictegravir / emtricitabine / tenofovir alafenamidedrugId:6603 PD ANTIVIRALS
BicnudrugId:183 # (carmustine)drugId:183 CHEMOTHERAPY
Bicillin LA (penicillin G 0.6 million, 1.2 million, 2.4 million units)drugId:2625 ANTIBIOTICS
Bicillin CR (penicillin G benzathine / penicillin G procaine)drugId:2624 ANTIBIOTICS
bicalutamidedrugId:362 CHEMOTHERAPY
BiaxindrugId:252 # (clarithromycin)drugId:252 ANTIBIOTICS
bezlotoxumabdrugId:5771 - PA BIOLOGICAL
Beyaz # (ethinyl estradiol / drospirenone / levomefolate-Beyaz) CONTRACEPTIVES
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905 1 BIOLOGICAL
bexarotenedrugId:361 CHEMOTHERAPY
Bevespi (glycopyrrolate / formoterol)drugId:5700 - PA BRONCHODILATORS
bevacizumabdrugId:360 - PA CHEMOTHERAPY
Betoptic S (betaxolol 0.25%)drugId:1981 OPHTHALMIC PREPARATIONS
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884 - PA ANTIBIOTICS
bethanechol PARASYMPATHETIC AGENTS
betaxolol tabletdrugId:358 CARDIOVASCULAR
betaxolol 0.5%drugId:2506 OPHTHALMIC PREPARATIONS
betaxolol 0.25%drugId:1981 OPHTHALMIC PREPARATIONS
Betaseron (interferon beta-1b-Betaseron)drugId:827 MULTIPLE SCLEROSIS AGENTS
BetapacedrugId:1891 # (sotalol tablet)drugId:1891 CARDIOVASCULAR
betamethasone valerate ointmentdrugId:5027 GLUCOCORTICOIDS
betamethasone valerate lotiondrugId:5026 GLUCOCORTICOIDS
betamethasone valerate foamdrugId:355 - PA GLUCOCORTICOIDS
betamethasone valerate creamdrugId:356 GLUCOCORTICOIDS
betamethasone injectiondrugId:357 GLUCOCORTICOIDS
betamethasone dipropionate spraydrugId:5396 - PA GLUCOCORTICOIDS
betamethasone dipropionate powderdrugId:7270 - PA GLUCOCORTICOIDS
betamethasone dipropionate lotion, ointmentdrugId:2992 GLUCOCORTICOIDS
betamethasone dipropionate creamdrugId:5023 GLUCOCORTICOIDS
betamethasone dipropionate, augmented ointmentdrugId:5022 GLUCOCORTICOIDS
betamethasone dipropionate, augmented lotiondrugId:353 GLUCOCORTICOIDS
betamethasone dipropionate, augmented creamdrugId:2204 GLUCOCORTICOIDS
betamethasone augmented geldrugId:5034 GLUCOCORTICOIDS
betamethasone / calcipotriene ointment, scalp suspensiondrugId:421 - PA GLUCOCORTICOIDS
betamethasone / calcipotriene foamdrugId:5248 - PA GLUCOCORTICOIDS
betaine ELECTROLYTES AND NUTRIENTS
BetagandrugId:1040 # (levobunolol)drugId:1040 OPHTHALMIC PREPARATIONS
Besponsa (inotuzumab ozogamicin)drugId:6341 - PA CHEMOTHERAPY
Besivance (besifloxacin ophthalmic suspension)drugId:351 - PA OPHTHALMIC PREPARATIONS
besifloxacin ophthalmic suspensiondrugId:351 - PA OPHTHALMIC PREPARATIONS
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938 - PA ENZYMES
Bepreve (bepotastine)drugId:350 - PA ANTIHISTAMINES
bepotastinedrugId:350 - PA ANTIHISTAMINES
benztropinedrugId:348 ANTIPARKINSON
benzoyl peroxide foaming clothdrugId:5860 - PA DERMATOLOGICAL
benzoyl peroxide 9.8% foamdrugId:2182 - PA DERMATOLOGICAL
benzoyl peroxide 7% microspheresdrugId:5840 - PA DERMATOLOGICAL
benzoyl peroxidedrugId:2106 * - PA ≥ 22 years DERMATOLOGICAL
benzoyl peroxide / erythromycindrugId:627 - PA ANTIBIOTICS
benznidazoledrugId:6502 ANTIPARASITICS
benzhydrocodone / acetaminophendrugId:7234 - PA OPIOID ANALGESICS
Benzepro (benzoyl peroxide foaming cloth)drugId:5860 - PA DERMATOLOGICAL
Benzepro (benzoyl peroxide 7% microspheres)drugId:5840 - PA DERMATOLOGICAL
Benzamycin (benzoyl peroxide / erythromycin)drugId:627 - PA ANTIBIOTICS
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263 - PA DERMATOLOGICAL
BentyldrugId:516 # (dicyclomine)drugId:516 ANTISPASMODICS,ANTICHOLINERGIC
benralizumabdrugId:6520 - PA BIOLOGICAL
Benlysta (belimumab)drugId:2238 - PA BIOLOGICAL
Benicar HCT (olmesartan / hydrochlorothiazide)drugId:1282 - PA CARDIOVASCULAR
Benicar (olmesartan)drugId:1281 - PA CARDIOVASCULAR
Benefix (factor IX human recombinant-Benefix) ANTI-HEMOPHILIA AGENTS
Bendeka (bendamustine)drugId:5380 CHEMOTHERAPY
bendamustinedrugId:7130 CHEMOTHERAPY
benazepril / hydrochlorothiazidedrugId:133 CARDIOVASCULAR
benazeprildrugId:132 CARDIOVASCULAR
Benadryl  drugId:541 # (diphenhydramine)drugId:541 * ANTIHISTAMINES
Belsomra (suvorexant) - PA; See Table 15drugId:4903; See Table 71drugId:4904 SEDATIVE, NON-BARBITURATE
Belrapzo (bendamustine)drugId:7130 CHEMOTHERAPY
belinostatdrugId:4621 - PA CHEMOTHERAPY
belimumabdrugId:2238 - PA BIOLOGICAL
Beleodaq (belinostat)drugId:4621 - PA CHEMOTHERAPY
Belbuca (buprenorphine buccal film)drugId:5362 - PA OPIOID ANALGESICS
belataceptdrugId:2286 - PA IMMUNOMODULATOR
bedaquilinedrugId:2851 - PA TB PREPARATIONS
Beconase AQ (beclomethasone nasal spray)drugId:131 - PA NASAL PREPARATIONS
beclomethasone nasal spraydrugId:131 - PA NASAL PREPARATIONS
beclomethasone nasal aerosoldrugId:2522 - PA NASAL PREPARATIONS
beclomethasone MDI, non-breath actuateddrugId:130 BRONCHODILATORS
beclomethasone MDI, breath-actuateddrugId:6580 - PA BRONCHODILATORS
becaplermindrugId:129 - PA DERMATOLOGICAL
Bebulin VH Immuno (factor ix complex human-Bebulin) ANTI-HEMOPHILIA AGENTS
BCG Vaccine (BCG live vaccine)drugId:5180 BIOLOGICAL
BCG live vaccinedrugId:5180 BIOLOGICAL
BCG live, intravesicaldrugId:127 CHEMOTHERAPY
Baxdela (delafloxacin tablet)drugId:6481 - PA ANTIBIOTICS
Baxdela (delafloxacin injection)drugId:6480 - PA ANTIBIOTICS
Bavencio (avelumab)drugId:6100 - PA CHEMOTHERAPY
basiliximabdrugId:2382 BIOLOGICAL
Basaglar (insulin glargine-Basaglar)drugId:5761 - PA DIABETIC AGENTS
baricitinibdrugId:6803 - PA IMMUNOMODULATOR
BaracludedrugId:603 # (entecavir tablet)drugId:603 - PA > 30 units/month ANTIVIRALS
Baraclude (entecavir solution)drugId:604 - PA > 600 mL/month  ANTIVIRALS
Banzel (rufinamide) - PA; See Table 20drugId:1826; See Table 71drugId:4462 ANTICONVULSANTS
Balversa (erdafitinib)drugId:7129 - PA CHEMOTHERAPY
balsalazide 1.1 gram tabletdrugId:2723 - PA GI ANTI-INFLAMMATORY
balsalazidedrugId:126 GI ANTI-INFLAMMATORY
baloxavirdrugId:6989 - PA ANTIVIRALS
BAL in Oil (dimercaprol) ^ ANTIDOTES
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate) CONTRACEPTIVES
Bactroban (mupirocin nasal ointment)drugId:1405 - PA ANTIBIOTICS
Bactroban (mupirocin cream)drugId:1406 - PA ANTIBIOTICS
BactrimdrugId:1907 # (sulfamethoxazole / trimethoprim tablet)drugId:1907 ANTIBIOTICS
baclofen tabletdrugId:124 MUSCLE RELAXANT
baclofen powderdrugId:6688 - PA MUSCLE RELAXANT
baclofen intrathecal injectiondrugId:125 MUSCLE RELAXANT
baclofen injectiondrugId:2166 MUSCLE RELAXANT
bacitracin ophthalmic ointmentdrugId:122 OPHTHALMIC PREPARATIONS
bacitracindrugId:1989 * ANTIBIOTICS
bacitracin / polymyxin B topical ointmentdrugId:6260 * ANTIBIOTICS
bacitracin / polymyxin B ophthalmic ointmentdrugId:123 OPHTHALMIC PREPARATIONS

MassHealth Drug List Footnotes
PA Prior authorization is required. The prescriber must obtain prior authorization for the drug in order for the pharmacy to receive payment. Note: Prior authorization applies to both the brand-name and the FDA "A"-rated generic equivalent of listed product.
 
# This designates a brand-name drug with FDA “A”-rated generic equivalents. Prior authorization is required for the brand, unless a particular form of that drug (for example, tablet, capsule, or liquid) does not have an FDA “A”-rated generic equivalent.
 
BP Brand Preferred over generic equivalents. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent.
 
CO Carve-Out. This agent is listed on the Acute Hospital Carve-Out Drugs List and is subject to additional monitoring and billing requirements.
 
PD Preferred Drug. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class.
 
* The generic OTC and, if any, generic prescription versions of the drug are payable under MassHealth without prior authorization.
 
o Prior-authorization status depends on the drug's formulation.
 
^ This drug is available through the health care professional who administers the drug. MassHealth does not pay for this drug to be dispensed through a retail pharmacy.
 
1 Product may be available through the Massachusetts Department of Public Health (DPH). Please check with DPH for availability. MassHealth does not pay for immunizing biologicals (i.e., vaccines) and tubercular (TB) drugs that are available free of charge through local boards of public health or through the Massachusetts Department of Public Health without prior authorization (130 CMR 406.413(C)). In cases where free vaccines are available to providers for specific populations (e.g. children, high risk, etc.), MassHealth will reimburse the provider only for individuals not eligible for the free vaccines. Notwithstanding the above, MassHealth will pay pharmacies for seasonal flu vaccine serum without prior authorization, if the vaccine is administered in the pharmacy.
 
2 Prior authorization status is gender specific.
 

Note: Any drug that does not appear on the List requires prior authorization.


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Last updated 11/25/19