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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
Cytra-K (potassium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-3 (potassium citrate / sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-2 (sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
CytovenedrugId:922 # (ganciclovir injection)drugId:922 ANTIVIRALS
Cytotec # (misoprostol) ANTACIDS
Cytomel # (liothyronine) THYROID PREPARATIONS
cytomegalovirus immune globulin IV, humandrugId:318 BIOLOGICAL
Cytogam (cytomegalovirus immune globulin IV, human)drugId:318 BIOLOGICAL
cytarabinedrugId:317 CHEMOTHERAPY
cysteamine ophthalmicdrugId:2818 - PA OPHTHALMIC PREPARATIONS
cysteamine immediate-release capsuledrugId:316 ENZYMES
cysteamine delayed-release capsuledrugId:2861 - PA ENZYMES
Cystaran (cysteamine ophthalmic)drugId:2818 - PA OPHTHALMIC PREPARATIONS
Cystagon (cysteamine immediate-release capsule)drugId:316 ENZYMES
Cystadane (betaine) ELECTROLYTES AND NUTRIENTS
Cyramza (ramucirumab)drugId:2955 - PA CHEMOTHERAPY
cyproheptadinedrugId:315 ANTIHISTAMINES
Cymbalta # (duloxetine 20 mg, 30 mg, 60 mg) - PA < 6 years; See Table 17drugId:585; See Table 71drugId:3960 ANTIDEPRESSANTS
cyclosporine ophthalmicdrugId:311 - PA OPHTHALMIC PREPARATIONS
cyclosporine modifieddrugId:314 IMMUNOMODULATOR
cyclosporinedrugId:2092 IMMUNOMODULATOR
Cycloset (bromocriptine 0.8 mg tablet)drugId:2984 - PA DIABETIC AGENTS
cycloserinedrugId:2498 TB PREPARATIONS
cyclophosphamidedrugId:310 CHEMOTHERAPY
cyclopentolate / phenylephrine OPHTHALMIC PREPARATIONS
cyclopentolate OPHTHALMIC PREPARATIONS
cyclobenzaprine extended-releasedrugId:304 - PA MUSCLE RELAXANT
cyclobenzaprine 7.5 mgdrugId:306 - PA MUSCLE RELAXANT
cyclobenzaprine 5 mg, 10 mgdrugId:305 - PA < 15 years MUSCLE RELAXANT
Cyclessa # (ethinyl estradiol / desogestrel-Cyclessa) CONTRACEPTIVES
Cyanokit (hydroxocobalamin) ANTIDOTES
cyanocobalamindrugId:302 o ELECTROLYTES AND NUTRIENTS
cyanocobalamin-NascobaldrugId:301 - PA ELECTROLYTES AND NUTRIENTS
cyanocobalamin / folic aciddrugId:303 - PA ELECTROLYTES AND NUTRIENTS
Cuvposa (glycopyrrolate oral solution)drugId:2163 - PA ANTISPASMODICS,ANTICHOLINERGIC
Cuvitru (immune globulin subcutaneous injection, human-Cuvitru)drugId:5720 - PA BIOLOGICAL
CutivatedrugId:5065 # (fluticasone cream)drugId:5065 GLUCOCORTICOIDS
Cutivate (fluticasone lotion)drugId:892 - PA GLUCOCORTICOIDS
Cutaquig (immune globulin subcutaneous injection, human-hipp)drugId:7131 - PA BIOLOGICAL
Cuprimine (penicillamine-Cuprimine) BP CHELATING AGENT
Culturelle (lactobacillus rhamnosus GG)drugId:6204 - PA ≥ 19 years GASTROINTESTINAL AGENT
Cubicin (daptomycin)drugId:326 - PA ANTIBIOTICS
Crysvita (burosumab-twza)drugId:6740 - PA BIOLOGICAL
crotamitondrugId:300 - PA ANTIPARASITICS
crossed-linked hyaluronatedrugId:4802 - PA; Non-Drug Product NON-DRUG PRODUCT
cromolyn oral BRONCHODILATORS
cromolyn ophthalmicdrugId:299 OPHTHALMIC PREPARATIONS
cromolyn inhalationdrugId:298 BRONCHODILATORS
crofelemerdrugId:5684 - PA ANTIDIARRHEALS
crizotinibdrugId:2376 - PA CHEMOTHERAPY
Crixivan (indinavir)drugId:791 ANTIVIRALS
crisaboroledrugId:6041 - PA DERMATOLOGICAL
Crinone (progesterone gel)drugId:2587 - PA HORMONE REPLACEMENT THERAPY
CrestordrugId:1459 # (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459 - PA > 45 units/month LIPID LOWERING AGENTS
CrestordrugId:5601 # (rosuvastatin 40 mg)drugId:5601 - PA > 30 units/month LIPID LOWERING AGENTS
Cresemba (isavuconazonium)drugId:4909 - PA FUNGICIDES
Creon DR (pancrelipase-Creon DR)drugId:1082 ENZYMES
CozaardrugId:1103 # (losartan)drugId:1103 CARDIOVASCULAR
CoumadindrugId:1812 # (warfarin)drugId:1812 ANTICOAGULANTS
Cotempla XR-ODT (methylphenidate extended-release orally disintegrating tablet) - PA; See Table 31drugId:6281; See Table 71drugId:6282 CEREBRAL STIMULANTS
Cotellic (cobimetinib)drugId:5243 - PA CHEMOTHERAPY
cosyntropin DIAGNOSTICS
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517 - PA OPHTHALMIC PREPARATIONS
CosoptdrugId:564 # (dorzolamide / timolol)drugId:564 OPHTHALMIC PREPARATIONS
CosmegendrugId:2674 # (dactinomycin)drugId:2674 CHEMOTHERAPY
Cosentyx (secukinumab)drugId:4908 - PA IMMUNOMODULATOR
CorzidedrugId:1418 # (nadolol / bendroflumethiazide)drugId:1418 CARDIOVASCULAR
Cortrosyn # (cosyntropin) DIAGNOSTICS
Cortisporin (neomycin / polymyxin B / hydrocortisone cream)drugId:1184 ANTIBIOTICS
Cortisporin (neomycin / bacitracin / polymyxin B / hydrocortisone topical ointment)drugId:5502 ANTIBIOTICS
cortisonedrugId:295 GLUCOCORTICOIDS
Cortifoam (hydrocortisone foam)drugId:731 GLUCOCORTICOIDS
corticotropindrugId:294 - PA HORMONE AGENTS
CortenemadrugId:2983 # (hydrocortisone enema)drugId:2983 GLUCOCORTICOIDS
CortefdrugId:736 # (hydrocortisone tablet)drugId:736 GLUCOCORTICOIDS
Corlanor (ivabradine)drugId:5124 - PA CARDIOVASCULAR
Corifact (factor XIII concentrate, human) ANTI-HEMOPHILIA AGENTS
Corgard (nadolol)drugId:1416 - PA CARDIOVASCULAR
Coreg CR (carvedilol extended-release)drugId:186 - PA CARDIOVASCULAR
CoregdrugId:185 # (carvedilol)drugId:185 CARDIOVASCULAR
Cordran (flurandrenolide tape)drugId:884 - PA GLUCOCORTICOIDS
Cordarone # (amiodarone) CARDIOVASCULAR
copper IUD CONTRACEPTIVES
Copiktra (duvelisib)drugId:7002 - PA CHEMOTHERAPY
CopegusdrugId:1651 # (ribavirin tablet)drugId:1651 ANTIVIRALS
Copaxone (glatiramer)drugId:930 BP MULTIPLE SCLEROSIS AGENTS
copanlisibdrugId:6500 - PA CHEMOTHERAPY
Conzip (tramadol extended-release capsule)drugId:2362 - PA ANALGESICS
Condylox SolutiondrugId:1545 # (podofilox solution)drugId:1545 DERMATOLOGICAL
Condylox Gel (podofilox gel)drugId:2261 - PA DERMATOLOGICAL
Concerta (methylphenidate extended-release-Concerta) BP - PA < 3 years and PA > 60 units/month; See Table 31drugId:2662; See Table 71drugId:3041 CEREBRAL STIMULANTS
Comtan (entacapone)drugId:602 - PA ANTIPARKINSON
Complera (emtricitabine / rilpivirine / tenofovir disoproxil fumarate)drugId:2361 ANTIVIRALS
Cometriq (cabozantinib capsule)drugId:2719 - PA CHEMOTHERAPY
CombivirdrugId:1012 # (lamivudine / zidovudine)drugId:1012 ANTIVIRALS
Combivent (albuterol / ipratropium inhalation spray)drugId:2557 BRONCHODILATORS
Combipatch (estradiol / norethindrone-Combipatch) HORMONE REPLACEMENT THERAPY
Combigan (brimonidine / timolol, ophthalmic)drugId:374 OPHTHALMIC PREPARATIONS
ColytedrugId:2539 # (polyethylene glycol-electrolyte solution-Colyte)drugId:2539 LAXATIVES
Coly-Mycin S (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108 BP OTIC PREPARATIONS
Coly-Mycin MdrugId:291 # (colistimethate sodium injection)drugId:291 ANTIBIOTICS
colloidal oatmeal * DERMATOLOGICAL
collagenase clostridium histolyticumdrugId:1951 - PA ENZYMES
collagenase ENZYMES
colistin / neomycin / thonzonium / hydrocortisonedrugId:2108 BP OTIC PREPARATIONS
colistimethate sodium injectiondrugId:291 ANTIBIOTICS
colestipoldrugId:290 LIPID LOWERING AGENTS
ColestiddrugId:290 # (colestipol)drugId:290 LIPID LOWERING AGENTS
colesevelam BP; See Table 13drugId:288; See Table 26drugId:289 LIPID LOWERING AGENTS
Colcrys (colchicine tablet)drugId:2162 - PA GOUT AGENTS
colchicine tabletdrugId:2162 - PA GOUT AGENTS
colchicine capsuledrugId:4765 - PA GOUT AGENTS
ColazaldrugId:126 # (balsalazide)drugId:126 GI ANTI-INFLAMMATORY
coenzyme Q10drugId:6202 - PA ≥ 19 years ELECTROLYTES AND NUTRIENTS
cod liver oil * ELECTROLYTES AND NUTRIENTS
codeine powderdrugId:286 - PA OPIOID ANALGESICS
codeinedrugId:285 - PA < 12 years and PA > 360 mg/day OPIOID ANALGESICS
cobimetinibdrugId:5243 - PA CHEMOTHERAPY
cobicistatdrugId:4816 ANTIVIRALS
Coartem (artemether / lumefantrine)drugId:95 - PA > 24 units/365 days ANTIMALARIALS
coagulation factor X, human ANTI-HEMOPHILIA AGENTS
coagulation factor VIIa, recombinant ANTI-HEMOPHILIA AGENTS
coagulation factor IX recombinant, glycopegylated-Rebinyn ANTI-HEMOPHILIA AGENTS
coagulation factor IX, recombinant ANTI-HEMOPHILIA AGENTS
Coagadex (coagulation factor X, human) ANTI-HEMOPHILIA AGENTS
Clozaril # (clozapine tablet) - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
clozapine tablet - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
clozapine suspension - PA; See Table 24drugId:2930; See Table 71drugId:4263 ANTIPSYCHOTIC
clozapine orally disintegrating tablet - PA; See Table 24drugId:282; See Table 71drugId:4262 ANTIPSYCHOTIC
clotrimazole trochedrugId:1995 FUNGICIDES
clotrimazoledrugId:279 * FUNGICIDES
clotrimazole / betamethasone lotiondrugId:2856 - PA FUNGICIDES
clotrimazole / betamethasone creamdrugId:280 FUNGICIDES
clorazepate - PA < 6 years; See Table 69drugId:278; See Table 71drugId:4380 BENZODIAZEPINES
clopidogreldrugId:277 ANTIPLATELET AGENT
clonidine tablet - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
clonidine powder - PA; See Table 18drugId:6370; See Table 71drugId:6371 CARDIOVASCULAR
clonidine patch BP - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
clonidine injectiondrugId:2750 ANALGESICS
clonidine extended-release tablet - PA; See Table 31drugId:2170; See Table 71drugId:3081 NONSTIMULANT ADHD AGENTS
clonidine / chlorthalidonedrugId:276 CARDIOVASCULAR
clonazepam tablet - PA < 6 years; See Table 69drugId:274; See Table 71drugId:4363 BENZODIAZEPINES
clonazepam powder - PA; See Table 69drugId:7022; See Table 71drugId:7023 BENZODIAZEPINES
clonazepam 2 mg orally disintegrating tablet - PA; See Table 69drugId:2909; See Table 71drugId:4364 BENZODIAZEPINES
clonazepam 0.125 mg, 0.25 mg, 0.5 mg, 1 mg orally disintegrating tablet - PA < 6 years and PA > 90 units/month; See Table 69drugId:273; See Table 71drugId:4362 BENZODIAZEPINES
clomipramine - PA; See Table 17drugId:272; See Table 71drugId:4002 ANTIDEPRESSANTS
ClolardrugId:271 # (clofarabine)drugId:271 CHEMOTHERAPY
clofarabinedrugId:271 CHEMOTHERAPY
Cloderm (clocortolone cream)drugId:270 - PA GLUCOCORTICOIDS
clocortolone creamdrugId:270 - PA GLUCOCORTICOIDS
Clobex (clobetasol propionate lotion, shampoo, spray)drugId:266 - PA GLUCOCORTICOIDS
clobetasol propionate solutiondrugId:5080 GLUCOCORTICOIDS
clobetasol propionate powderdrugId:7160 - PA GLUCOCORTICOIDS
clobetasol propionate lotion, shampoo, spraydrugId:266 - PA GLUCOCORTICOIDS
clobetasol propionate gel, shampoo kitdrugId:5033 - PA GLUCOCORTICOIDS
clobetasol propionate foamdrugId:268 - PA GLUCOCORTICOIDS
clobetasol propionate foam / emollientdrugId:2532 - PA GLUCOCORTICOIDS
clobetasol propionate cream, ointmentdrugId:269 GLUCOCORTICOIDS
clobetasol propionate / emollientdrugId:5035 GLUCOCORTICOIDS
clobazam suspension, tablet - PA; See Table 20drugId:2419; See Table 71drugId:3300 ANTICONVULSANTS
clobazam film - PA; See Table 20drugId:7106; See Table 71drugId:7107 ANTICONVULSANTS
Clindesse (clindamycin vaginal cream-Clindesse)drugId:260 - PA ANTIBIOTICS
clindamycin vaginal suppositorydrugId:4915 - PA ANTIBIOTICS
clindamycin vaginal cream-ClindessedrugId:260 - PA ANTIBIOTICS
clindamycin vaginal cream-CleocindrugId:5000 ANTIBIOTICS
clindamycin pledgetsdrugId:256 - PA ANTIBIOTICS
clindamycin gel-ClindageldrugId:258 - PA ANTIBIOTICS
clindamycin gel, lotion, solutiondrugId:257 - PA ≥ 22 years ANTIBIOTICS
clindamycin foamdrugId:261 - PA ANTIBIOTICS
clindamycin capsule, injection, oral solution; See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
clindamycin / tretinoin-ZianadrugId:265 - PA DERMATOLOGICAL
clindamycin / tretinoin-VeltindrugId:1970 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-OnextondrugId:4788 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-DuacdrugId:264 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-BenzaclindrugId:263 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-AcanyadrugId:262 - PA DERMATOLOGICAL
Clindagel (clindamycin gel-Clindagel)drugId:258 - PA ANTIBIOTICS
Climara # (estradiol-Climara) HORMONE REPLACEMENT THERAPY
Cleviprex (clevidipine)drugId:2896 CARDIOVASCULAR
clevidipinedrugId:2896 CARDIOVASCULAR
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915 - PA ANTIBIOTICS
Cleocin TdrugId:257 # (clindamycin gel, lotion, solution)drugId:257 - PA ≥ 22 years ANTIBIOTICS
Cleocin T (clindamycin pledgets)drugId:256 - PA ANTIBIOTICS
CleocindrugId:5000 # (clindamycin vaginal cream-Cleocin)drugId:5000 ANTIBIOTICS
Cleocin # (clindamycin capsule, injection, oral solution); See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380 - PA LAXATIVES
clemastinedrugId:254 ANTIHISTAMINES
clarithromycin extended-releasedrugId:253 - PA ANTIBIOTICS
clarithromycindrugId:252 ANTIBIOTICS
Clarinex-D (desloratadine / pseudoephedrine)drugId:474 - PA ANTIHISTAMINES
ClarinexdrugId:339 # (desloratadine syrup, tablet)drugId:339 ANTIHISTAMINES
ClaforandrugId:197 # (cefotaxime)drugId:197 ANTIBIOTICS
cladribine tabletdrugId:7224 - PA MULTIPLE SCLEROSIS AGENTS
cladribine injectiondrugId:2673 CHEMOTHERAPY
citric acid / sodium citrate / potassium citrate ELECTROLYTES AND NUTRIENTS
citric acid / potassium citrate ELECTROLYTES AND NUTRIENTS
citalopram - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
cisplatindrugId:247 CHEMOTHERAPY
Cipro XR (ciprofloxacin extended-release)drugId:238 - PA ANTIBIOTICS
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246 OTIC PREPARATIONS
ciprofloxacin otic suspensiondrugId:5390 ^ OTIC PREPARATIONS
ciprofloxacin ophthalmic solutiondrugId:244 OPHTHALMIC PREPARATIONS
ciprofloxacin ophthalmic ointmentdrugId:243 - PA OPHTHALMIC PREPARATIONS
ciprofloxacin extended-releasedrugId:238 - PA ANTIBIOTICS
ciprofloxacin 0.2% otic solutiondrugId:2895 - PA OTIC PREPARATIONS
ciprofloxacin / hydrocortisonedrugId:246 OTIC PREPARATIONS
ciprofloxacin / fluocinolonedrugId:5683 - PA OTIC PREPARATIONS
ciprofloxacin / dexamethasonedrugId:245 OTIC PREPARATIONS
ciprofloxacin; See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
Ciprodex (ciprofloxacin / dexamethasone)drugId:245 OTIC PREPARATIONS
Cipro # (ciprofloxacin); See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
Cinvanti (aprepitant injectable emulsion)drugId:6604 ANTIEMETICS
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416 - PA ENZYMES
Cinqair (reslizumab)drugId:5586 - PA BIOLOGICAL
cinacalcet BP CALCIMIMETIC
Cimzia (certolizumab)drugId:210 - PA IMMUNOMODULATOR
cimetidinedrugId:236 * H2 ANTAGONISTS
Cimduo (lamivudine / tenofovir disoproxil fumarate)drugId:6780 - PA ANTIVIRALS
CiloxandrugId:244 # (ciprofloxacin ophthalmic solution)drugId:244 OPHTHALMIC PREPARATIONS
Ciloxan (ciprofloxacin ophthalmic ointment)drugId:243 - PA OPHTHALMIC PREPARATIONS
cilostazoldrugId:235 ANTIPLATELET AGENT
cidofovir ANTIVIRALS
ciclopirox 8% nail lacquerdrugId:233 FUNGICIDES
ciclopirox 1% shampoodrugId:5128 - PA FUNGICIDES
ciclopirox 0.77% geldrugId:232 - PA FUNGICIDES
ciclopirox 0.77% cream, suspensiondrugId:5625 FUNGICIDES
ciclesonide nasal spray, 50 mcgdrugId:231 - PA NASAL PREPARATIONS
ciclesonide nasal aerosol, 37 mcgdrugId:2561 - PA NASAL PREPARATIONS
ciclesonidedrugId:230 BRONCHODILATORS
Cialis (tadalafil-Cialis)drugId:2373 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
cholic aciddrugId:4907 - PA BILE THERAPY
cholestyramine resin powderdrugId:7110 - PA LIPID LOWERING AGENTS
cholestyramine / sucrosedrugId:229 LIPID LOWERING AGENTS
cholestyramine / aspartame-Questran LightdrugId:2431 LIPID LOWERING AGENTS
cholestyramine / aspartame-PrevalitedrugId:228 LIPID LOWERING AGENTS
cholera vaccine, live, oraldrugId:5594 1 BIOLOGICAL
Cholbam (cholic acid)drugId:4907 - PA BILE THERAPY
chlorzoxazone 500 mgdrugId:226 - PA < 18 years MUSCLE RELAXANT
chlorzoxazone 250 mg, 375 mg, 750 mgdrugId:2360 - PA MUSCLE RELAXANT
chlorthalidonedrugId:225 CARDIOVASCULAR
chlorpropamidedrugId:224 DIABETIC AGENTS
chlorpromazine - PA < 6 years; See Table 24drugId:6321; See Table 71drugId:223 ANTIPSYCHOTIC
chlorpheniraminedrugId:222 * ANTIHISTAMINES
chlorothiazidedrugId:221 CARDIOVASCULAR
chloroquine phosphate tablet ANTIMALARIALS
chloroprocaine ^ ANESTHETICS
chlorhexidine gluconatedrugId:1990 * ANTISEPTICS
chlordiazepoxide - PA < 6 years; See Table 69drugId:218; See Table 71drugId:4361 BENZODIAZEPINES
chlordiazepoxide / clidiniumdrugId:6843 - PA ANTISPASMODICS,ANTICHOLINERGIC
chloramphenicoldrugId:217 ANTIBIOTICS
chlorambucildrugId:216 CHEMOTHERAPY
cherry syrup * COMPOUNDING AGENT
chenodioldrugId:1956 - PA BILE THERAPY
Chemet (succimer) CHELATING AGENT
Chantix (varenicline) SMOKING CESSATION
cevimeline PARASYMPATHETIC AGENTS
cetuximabdrugId:212 CHEMOTHERAPY
cetirizine syrup, tabletdrugId:211 * ANTIHISTAMINES
cetirizine / pseudoephedrinedrugId:2265 * ANTIHISTAMINES
Cesamet (nabilone)drugId:1414 - PA ANTIEMETICS
certolizumabdrugId:210 - PA IMMUNOMODULATOR
ceritinibdrugId:2951 - PA CHEMOTHERAPY
Cerezyme (imiglucerase)drugId:780 - PA ENZYMES
CerebyxdrugId:2681 # (fosphenytoin)drugId:2681 ANTICONVULSANTS
Cerdelga (eliglustat)drugId:4764 - PA ENZYMES
Ceprotin (protein C concentrate)drugId:1605 - PA HEMATINIC AGENT
cephalexin 750 mg capsuledrugId:209 - PA ANTIBIOTICS
cephalexin 333 mg capsuledrugId:6484 - PA ANTIBIOTICS
cephalexin 250 mg, 500 mg capsule, suspensiondrugId:208 ANTIBIOTICS
centruroides immune F(ab’)2, equine ^ ANTIDOTES
Centany (mupirocin ointment)drugId:2564 ANTIBIOTICS
cenegermin-bkbjdrugId:7103 - PA OPHTHALMIC PREPARATIONS
cemiplimab-rwlcdrugId:7005 - PA CHEMOTHERAPY
Celontin (methsuximide); See Table 20drugId:948; See Table 71drugId:4441 ANTICONVULSANTS
CellceptdrugId:1410 # (mycophenolate mofetil)drugId:1410 IMMUNOMODULATOR
Celexa # (citalopram) - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
CelestonedrugId:357 # (betamethasone injection)drugId:357 GLUCOCORTICOIDS
celecoxibdrugId:207 NONSTEROIDAL ANTI-INFLAMMATORY
CelebrexdrugId:207 # (celecoxib)drugId:207 NONSTEROIDAL ANTI-INFLAMMATORY
cefuroxime sodiumdrugId:206 ANTIBIOTICS
cefuroxime axetildrugId:205 ANTIBIOTICS
ceftriaxonedrugId:204 ANTIBIOTICS
ceftolozane / tazobactamdrugId:4842 - PA ANTIBIOTICS
ceftazidime / avibactamdrugId:4902 - PA ANTIBIOTICS
ceftazidimedrugId:202 ANTIBIOTICS
ceftarolinedrugId:2179 - PA ANTIBIOTICS
cefprozildrugId:200 ANTIBIOTICS
cefpodoximedrugId:199 ANTIBIOTICS
cefoxitindrugId:198 ANTIBIOTICS
cefotetandrugId:5200 ANTIBIOTICS
cefotaximedrugId:197 ANTIBIOTICS
CefotandrugId:5200 # (cefotetan)drugId:5200 ANTIBIOTICS
cefiximedrugId:196 - PA ANTIBIOTICS
cefepimedrugId:195 ANTIBIOTICS
cefdinirdrugId:193 ANTIBIOTICS
cefazolindrugId:192 ANTIBIOTICS
cefadroxil tabletdrugId:1986 - PA ANTIBIOTICS
cefadroxil capsule, suspensiondrugId:191 ANTIBIOTICS
cefaclor extended-releasedrugId:190 - PA ANTIBIOTICS
cefaclordrugId:189 ANTIBIOTICS
Cayston (aztreonam) ANTIBIOTICS
Catapres-TTS (clonidine patch) BP - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
Catapres # (clonidine tablet) - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
caspofungin ANTIBIOTICS
CasodexdrugId:362 # (bicalutamide)drugId:362 CHEMOTHERAPY
carvedilol extended-releasedrugId:186 - PA CARDIOVASCULAR
carvediloldrugId:185 CARDIOVASCULAR
carteololdrugId:184 OPHTHALMIC PREPARATIONS
Carospir (spironolactone suspension)drugId:6280 - PA ALDOSTERONE ANTAGONISTS
Carnitor # (levocarnitine) ELECTROLYTES AND NUTRIENTS
carmustinedrugId:183 CHEMOTHERAPY
carisoprodoldrugId:180 - PA MUSCLE RELAXANT
carisoprodol / aspirindrugId:181 - PA MUSCLE RELAXANT
carisoprodol / aspirin / codeinedrugId:182 - PA OPIOID ANALGESICS/MUSCLE RELAXANTS
cariprazine - PA; See Table 24drugId:5405; See Table 71drugId:5406 ANTIPSYCHOTIC
Carimune NF (immune globulin IV, human-Carimune NF)drugId:785 - PA BIOLOGICAL
carglumic aciddrugId:2161 - PA ENZYMES
carfilzomibdrugId:2581 - PA CHEMOTHERAPY
Cardura XL (doxazosin extended-release)drugId:566 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
Cardura # (doxazosin immediate-release); See Table 18drugId:565; See Table 19drugId:5163 CARDIOVASCULAR
Cardizem LAdrugId:529 # (diltiazem extended-release tablet)drugId:529 CARDIOVASCULAR
Cardizem CDdrugId:531 # (diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CD)drugId:531 CARDIOVASCULAR
Cardizem CD (diltiazem 360 mg-Cardizem CD)drugId:2299 - PA CARDIOVASCULAR
CardizemdrugId:528 # (diltiazem-Cardizem)drugId:528 CARDIOVASCULAR
carboplatindrugId:179 CHEMOTHERAPY
Carbocaine (mepivacaine) ^ ANESTHETICS
carbinoxamine extended-releasedrugId:2962 - PA ANTIHISTAMINES
carbinoxamine 6 mg tabletdrugId:7229 - PA ANTIHISTAMINES
carbinoxamine 4 mg/5 mL solution, 4 mg tabletdrugId:2267 ANTIHISTAMINES
carbidopa / levodopa tabletdrugId:175 ANTIPARKINSON
carbidopa / levodopa orally disintegrating tabletdrugId:174 - PA ANTIPARKINSON
carbidopa / levodopa extended-release tabletdrugId:1997 ANTIPARKINSON
carbidopa / levodopa extended-release capsuledrugId:4950 - PA ANTIPARKINSON
carbidopa / levodopa enteral suspensiondrugId:5104 - PA ANTIPARKINSON
carbidopa / levodopa / entacaponedrugId:176 - PA ANTIPARKINSON
carbidopadrugId:173 ANTIPARKINSON
Carbatrol # (carbamazepine extended-release-Carbatrol) - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
carbamide peroxide * OTIC PREPARATIONS
carbamazepine-Tegretol - PA < 6 years; See Table 20drugId:170; See Table 71drugId:3280 ANTICONVULSANTS
carbamazepine extended-release-Tegretol XR - PA < 6 years; See Table 20drugId:2192; See Table 71drugId:3220 ANTICONVULSANTS
carbamazepine extended-release-Equetro - PA; See Table 20drugId:171; See Table 71drugId:3260 ANTICONVULSANTS
carbamazepine extended-release-Carbatrol - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
Carbaglu (carglumic acid)drugId:2161 - PA ENZYMES
carbachol 0.01%drugId:1984 OPHTHALMIC PREPARATIONS
Carafate # (sucralfate tablet) ANTACIDS
Carafate (sucralfate suspension) BP ANTACIDS
Carac (fluorouracil 0.5% cream)drugId:876 - PA CHEMOTHERAPY
captoprildrugId:437 - PA CARDIOVASCULAR
captopril / hydrochlorothiazidedrugId:438 - PA CARDIOVASCULAR
capsaicin high dose patchdrugId:1946 ^ - PA ANALGESICS
capsaicin * DERMATOLOGICAL
capreomycindrugId:2490 TB PREPARATIONS
Caprelsa (vandetanib)drugId:2281 - PA CHEMOTHERAPY
caplacizumab-yhdpdrugId:7180 - PA BIOLOGICAL
Capex (fluocinolone shampoo)drugId:868 - PA GLUCOCORTICOIDS
capecitabinedrugId:435 CHEMOTHERAPY
Capastat (capreomycin)drugId:2490 TB PREPARATIONS
Cantil (mepenzolate) ANTISPASMODICS,ANTICHOLINERGIC
cannabidiol - PA; See Table 20drugId:6901; See Table 71drugId:6902 ANTICONVULSANTS
candesartandrugId:433 - PA CARDIOVASCULAR
candesartan / hydrochlorothiazidedrugId:434 - PA CARDIOVASCULAR
Cancidas # (caspofungin) ANTIBIOTICS
CanasadrugId:2095 # (mesalamine suppository)drugId:2095 GI ANTI-INFLAMMATORY
canakinumabdrugId:432 - PA IMMUNOMODULATOR
canagliflozin / metformin extended-releasedrugId:5723 - PA DIABETIC AGENTS
canagliflozin / metformindrugId:4775 DIABETIC AGENTS
canagliflozindrugId:2780 DIABETIC AGENTS
CamptosardrugId:970 # (irinotecan)drugId:970 CHEMOTHERAPY
Campath (alemtuzumab 30 mg)drugId:6110 CHEMOTHERAPY
Cambia (diclofenac powder for solution)drugId:1953 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Calquence (acalabrutinib)drugId:6483 - PA CHEMOTHERAPY
calcium replacementdrugId:428 * ELECTROLYTES AND NUTRIENTS
calcium acetate ELECTROLYTES AND NUTRIENTS
calcitriol ointmentdrugId:424 - PA DERMATOLOGICAL
calcitriol injectiondrugId:425 ELECTROLYTES AND NUTRIENTS
calcitrioldrugId:426 ELECTROLYTES AND NUTRIENTS
calcitonin salmon nasal spray-MiacalcindrugId:423 HORMONE AGENTS
calcitonin salmon nasal spray-ForticaldrugId:422 HORMONE AGENTS
calcitonin salmon injectiondrugId:4960 - PA HORMONE AGENTS
calcipotriene scalp solutiondrugId:2562 DERMATOLOGICAL
calcipotriene ointmentdrugId:2563 - PA > 60 grams/month DERMATOLOGICAL
calcipotriene foamdrugId:2560 - PA DERMATOLOGICAL
calcipotriene creamdrugId:420 - PA > 60 grams/month DERMATOLOGICAL
calcifedioldrugId:5765 - PA ELECTROLYTES AND NUTRIENTS
Calan SRdrugId:2742 # (verapamil sustained-release)drugId:2742 CARDIOVASCULAR
CalandrugId:1800 # (verapamil tablet)drugId:1800 CARDIOVASCULAR
calamine lotion * DERMATOLOGICAL
caffeine BRONCHODILATORS
Cafcit # (caffeine) BRONCHODILATORS
Caduet (amlodipine / atorvastatin) - PA; See Table 13drugId:42; See Table 18drugId:43 CARDIOVASCULAR/STATIN
cabozantinib tabletdrugId:5585 - PA CHEMOTHERAPY
cabozantinib capsuledrugId:2719 - PA CHEMOTHERAPY
Cabometyx (cabozantinib tablet)drugId:5585 - PA CHEMOTHERAPY
Cablivi (caplacizumab-yhdp)drugId:7180 - PA BIOLOGICAL
cabergoline HORMONE AGENTS
cabazitaxeldrugId:1961 - PA CHEMOTHERAPY
c1 esterase inhibitor, recombinant-RuconestdrugId:4794 - PA ENZYMES
c1 esterase inhibitor, human-HaegardadrugId:6283 - PA ENZYMES
c1 esterase inhibitor, human-CinryzedrugId:416 - PA ENZYMES
c1 esterase inhibitor, human-BerinertdrugId:1938 - PA ENZYMES

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 10/09/19