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

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 11/18/19