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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
Carospir (spironolactone suspension)drugId:6280 - PA ALDOSTERONE ANTAGONISTS
capsaicin high dose patchdrugId:1946 ^ - PA ANALGESICS
clonidine injectiondrugId:2750 ANALGESICS
Conzip (tramadol extended-release capsule)drugId:2362 - PA ANALGESICS
Carbocaine (mepivacaine) ^ ANESTHETICS
chloroprocaine ^ ANESTHETICS
Carafate (sucralfate suspension) BP ANTACIDS
Carafate # (sucralfate tablet) ANTACIDS
Cytotec # (misoprostol) ANTACIDS
Cancidas # (caspofungin) ANTIBIOTICS
caspofungin ANTIBIOTICS
Cayston (aztreonam) ANTIBIOTICS
cefaclordrugId:189 ANTIBIOTICS
cefaclor extended-releasedrugId:190 - PA ANTIBIOTICS
cefadroxil capsule, suspensiondrugId:191 ANTIBIOTICS
cefadroxil tabletdrugId:1986 - PA ANTIBIOTICS
cefazolindrugId:192 ANTIBIOTICS
cefdinirdrugId:193 ANTIBIOTICS
cefepimedrugId:195 ANTIBIOTICS
cefiximedrugId:196 - PA ANTIBIOTICS
CefotandrugId:5200 # (cefotetan)drugId:5200 ANTIBIOTICS
cefotaximedrugId:197 ANTIBIOTICS
cefotetandrugId:5200 ANTIBIOTICS
cefoxitindrugId:198 ANTIBIOTICS
cefpodoximedrugId:199 ANTIBIOTICS
cefprozildrugId:200 ANTIBIOTICS
ceftarolinedrugId:2179 - PA ANTIBIOTICS
ceftazidimedrugId:202 ANTIBIOTICS
ceftazidime / avibactamdrugId:4902 - PA ANTIBIOTICS
ceftolozane / tazobactamdrugId:4842 - PA ANTIBIOTICS
ceftriaxonedrugId:204 ANTIBIOTICS
cefuroxime axetildrugId:205 ANTIBIOTICS
cefuroxime sodiumdrugId:206 ANTIBIOTICS
Centany (mupirocin ointment)drugId:2564 ANTIBIOTICS
cephalexin 250 mg, 500 mg capsule, suspensiondrugId:208 ANTIBIOTICS
cephalexin 333 mg capsuledrugId:6484 - PA ANTIBIOTICS
cephalexin 750 mg capsuledrugId:209 - PA ANTIBIOTICS
chloramphenicoldrugId:217 ANTIBIOTICS
Cipro # (ciprofloxacin); See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
ciprofloxacin; See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
ciprofloxacin extended-releasedrugId:238 - PA ANTIBIOTICS
Cipro XR (ciprofloxacin extended-release)drugId:238 - PA ANTIBIOTICS
ClaforandrugId:197 # (cefotaxime)drugId:197 ANTIBIOTICS
clarithromycindrugId:252 ANTIBIOTICS
clarithromycin extended-releasedrugId:253 - PA ANTIBIOTICS
Cleocin # (clindamycin capsule, injection, oral solution); See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
CleocindrugId:5000 # (clindamycin vaginal cream-Cleocin)drugId:5000 ANTIBIOTICS
Cleocin T (clindamycin pledgets)drugId:256 - PA ANTIBIOTICS
Cleocin TdrugId:257 # (clindamycin gel, lotion, solution)drugId:257 - PA ≥ 22 years ANTIBIOTICS
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915 - PA ANTIBIOTICS
Clindagel (clindamycin gel-Clindagel)drugId:258 - PA ANTIBIOTICS
clindamycin capsule, injection, oral solution; See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
clindamycin foamdrugId:261 - PA ANTIBIOTICS
clindamycin gel, lotion, solutiondrugId:257 - PA ≥ 22 years ANTIBIOTICS
clindamycin gel-ClindageldrugId:258 - PA ANTIBIOTICS
clindamycin pledgetsdrugId:256 - PA ANTIBIOTICS
clindamycin vaginal cream-CleocindrugId:5000 ANTIBIOTICS
clindamycin vaginal cream-ClindessedrugId:260 - PA ANTIBIOTICS
clindamycin vaginal suppositorydrugId:4915 - PA ANTIBIOTICS
Clindesse (clindamycin vaginal cream-Clindesse)drugId:260 - PA ANTIBIOTICS
colistimethate sodium injectiondrugId:291 ANTIBIOTICS
Coly-Mycin MdrugId:291 # (colistimethate sodium injection)drugId:291 ANTIBIOTICS
Cortisporin (neomycin / bacitracin / polymyxin B / hydrocortisone topical ointment)drugId:5502 ANTIBIOTICS
Cortisporin (neomycin / polymyxin B / hydrocortisone cream)drugId:1184 ANTIBIOTICS
Cubicin (daptomycin)drugId:326 - PA ANTIBIOTICS
CoumadindrugId:1812 # (warfarin)drugId:1812 ANTICOAGULANTS
cannabidiol - PA; See Table 20drugId:6901; See Table 71drugId:6902 ANTICONVULSANTS
carbamazepine extended-release-Carbatrol - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
carbamazepine extended-release-Equetro - PA; See Table 20drugId:171; See Table 71drugId:3260 ANTICONVULSANTS
carbamazepine extended-release-Tegretol XR - PA < 6 years; See Table 20drugId:2192; See Table 71drugId:3220 ANTICONVULSANTS
carbamazepine-Tegretol - PA < 6 years; See Table 20drugId:170; See Table 71drugId:3280 ANTICONVULSANTS
Carbatrol # (carbamazepine extended-release-Carbatrol) - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
Celontin (methsuximide); See Table 20drugId:948; See Table 71drugId:4441 ANTICONVULSANTS
CerebyxdrugId:2681 # (fosphenytoin)drugId:2681 ANTICONVULSANTS
clobazam film - PA; See Table 20drugId:7106; See Table 71drugId:7107 ANTICONVULSANTS
clobazam suspension, tablet - PA; See Table 20drugId:2419; See Table 71drugId:3300 ANTICONVULSANTS
Celexa # (citalopram) - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
citalopram - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
clomipramine - PA; See Table 17drugId:272; See Table 71drugId:4002 ANTIDEPRESSANTS
Cymbalta # (duloxetine 20 mg, 30 mg, 60 mg) - PA < 6 years; See Table 17drugId:585; See Table 71drugId:3960 ANTIDEPRESSANTS
crofelemerdrugId:5684 - PA ANTIDIARRHEALS
centruroides immune F(ab’)2, equine ^ ANTIDOTES
Cyanokit (hydroxocobalamin) ANTIDOTES
Cesamet (nabilone)drugId:1414 - PA ANTIEMETICS
Cinvanti (aprepitant injectable emulsion)drugId:6604 ANTIEMETICS
Coagadex (coagulation factor X, human) ANTI-HEMOPHILIA AGENTS
coagulation factor IX, recombinant ANTI-HEMOPHILIA AGENTS
coagulation factor IX recombinant, glycopegylated-Rebinyn ANTI-HEMOPHILIA AGENTS
coagulation factor VIIa, recombinant ANTI-HEMOPHILIA AGENTS
coagulation factor X, human ANTI-HEMOPHILIA AGENTS
Corifact (factor XIII concentrate, human) ANTI-HEMOPHILIA AGENTS
carbinoxamine 4 mg/5 mL solution, 4 mg tabletdrugId:2267 ANTIHISTAMINES
carbinoxamine 6 mg tabletdrugId:7229 - PA ANTIHISTAMINES
carbinoxamine extended-releasedrugId:2962 - PA ANTIHISTAMINES
cetirizine / pseudoephedrinedrugId:2265 * ANTIHISTAMINES
cetirizine syrup, tabletdrugId:211 * ANTIHISTAMINES
chlorpheniraminedrugId:222 * ANTIHISTAMINES
ClarinexdrugId:339 # (desloratadine syrup, tablet)drugId:339 ANTIHISTAMINES
Clarinex-D (desloratadine / pseudoephedrine)drugId:474 - PA ANTIHISTAMINES
clemastinedrugId:254 ANTIHISTAMINES
cyproheptadinedrugId:315 ANTIHISTAMINES
chloroquine phosphate tablet ANTIMALARIALS
Coartem (artemether / lumefantrine)drugId:95 - PA > 24 units/365 days ANTIMALARIALS
crotamitondrugId:300 - PA ANTIPARASITICS
carbidopadrugId:173 ANTIPARKINSON
carbidopa / levodopa / entacaponedrugId:176 - PA ANTIPARKINSON
carbidopa / levodopa enteral suspensiondrugId:5104 - PA ANTIPARKINSON
carbidopa / levodopa extended-release capsuledrugId:4950 - PA ANTIPARKINSON
carbidopa / levodopa extended-release tabletdrugId:1997 ANTIPARKINSON
carbidopa / levodopa orally disintegrating tabletdrugId:174 - PA ANTIPARKINSON
carbidopa / levodopa tabletdrugId:175 ANTIPARKINSON
Comtan (entacapone)drugId:602 - PA ANTIPARKINSON
cilostazoldrugId:235 ANTIPLATELET AGENT
clopidogreldrugId:277 ANTIPLATELET AGENT
cariprazine - PA; See Table 24drugId:5405; See Table 71drugId:5406 ANTIPSYCHOTIC
chlorpromazine - PA < 6 years; See Table 24drugId:6321; See Table 71drugId:223 ANTIPSYCHOTIC
clozapine orally disintegrating tablet - PA; See Table 24drugId:282; See Table 71drugId:4262 ANTIPSYCHOTIC
clozapine suspension - PA; See Table 24drugId:2930; See Table 71drugId:4263 ANTIPSYCHOTIC
clozapine tablet - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
Clozaril # (clozapine tablet) - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
chlorhexidine gluconatedrugId:1990 * ANTISEPTICS
Cantil (mepenzolate) ANTISPASMODICS,ANTICHOLINERGIC
chlordiazepoxide / clidiniumdrugId:6843 - PA ANTISPASMODICS,ANTICHOLINERGIC
Cuvposa (glycopyrrolate oral solution)drugId:2163 - PA ANTISPASMODICS,ANTICHOLINERGIC
cidofovir ANTIVIRALS
Cimduo (lamivudine / tenofovir disoproxil fumarate)drugId:6780 - PA ANTIVIRALS
cobicistatdrugId:4816 ANTIVIRALS
CombivirdrugId:1012 # (lamivudine / zidovudine)drugId:1012 ANTIVIRALS
Complera (emtricitabine / rilpivirine / tenofovir disoproxil fumarate)drugId:2361 ANTIVIRALS
CopegusdrugId:1651 # (ribavirin tablet)drugId:1651 ANTIVIRALS
Crixivan (indinavir)drugId:791 ANTIVIRALS
CytovenedrugId:922 # (ganciclovir injection)drugId:922 ANTIVIRALS
Cardura XL (doxazosin extended-release)drugId:566 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
Cialis (tadalafil-Cialis)drugId:2373 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
chlordiazepoxide - PA < 6 years; See Table 69drugId:218; See Table 71drugId:4361 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
clonazepam 2 mg orally disintegrating tablet - PA; See Table 69drugId:2909; See Table 71drugId:4364 BENZODIAZEPINES
clonazepam powder - PA; See Table 69drugId:7022; See Table 71drugId:7023 BENZODIAZEPINES
clonazepam tablet - PA < 6 years; See Table 69drugId:274; See Table 71drugId:4363 BENZODIAZEPINES
clorazepate - PA < 6 years; See Table 69drugId:278; See Table 71drugId:4380 BENZODIAZEPINES
chenodioldrugId:1956 - PA BILE THERAPY
Cholbam (cholic acid)drugId:4907 - PA BILE THERAPY
cholic aciddrugId:4907 - PA BILE THERAPY
Cablivi (caplacizumab-yhdp)drugId:7180 - PA BIOLOGICAL
caplacizumab-yhdpdrugId:7180 - PA BIOLOGICAL
Carimune NF (immune globulin IV, human-Carimune NF)drugId:785 - PA BIOLOGICAL
cholera vaccine, live, oraldrugId:5594 1 BIOLOGICAL
Cinqair (reslizumab)drugId:5586 - PA BIOLOGICAL
Crysvita (burosumab-twza)drugId:6740 - PA BIOLOGICAL
Cutaquig (immune globulin subcutaneous injection, human-hipp)drugId:7131 - PA BIOLOGICAL
Cuvitru (immune globulin subcutaneous injection, human-Cuvitru)drugId:5720 - PA BIOLOGICAL
Cytogam (cytomegalovirus immune globulin IV, human)drugId:318 BIOLOGICAL
cytomegalovirus immune globulin IV, humandrugId:318 BIOLOGICAL
Cafcit # (caffeine) BRONCHODILATORS
caffeine BRONCHODILATORS
ciclesonidedrugId:230 BRONCHODILATORS
Combivent (albuterol / ipratropium inhalation spray)drugId:2557 BRONCHODILATORS
cromolyn inhalationdrugId:298 BRONCHODILATORS
cromolyn oral BRONCHODILATORS
cinacalcet BP CALCIMIMETIC
Caduet (amlodipine / atorvastatin) - PA; See Table 13drugId:42; See Table 18drugId:43 CARDIOVASCULAR/STATIN
CalandrugId:1800 # (verapamil tablet)drugId:1800 CARDIOVASCULAR
Calan SRdrugId:2742 # (verapamil sustained-release)drugId:2742 CARDIOVASCULAR
candesartan / hydrochlorothiazidedrugId:434 - PA CARDIOVASCULAR
candesartandrugId:433 - PA CARDIOVASCULAR
captopril / hydrochlorothiazidedrugId:438 - PA CARDIOVASCULAR
captoprildrugId:437 - PA CARDIOVASCULAR
CardizemdrugId:528 # (diltiazem-Cardizem)drugId:528 CARDIOVASCULAR
Cardizem CD (diltiazem 360 mg-Cardizem CD)drugId:2299 - PA CARDIOVASCULAR
Cardizem CDdrugId:531 # (diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CD)drugId:531 CARDIOVASCULAR
Cardizem LAdrugId:529 # (diltiazem extended-release tablet)drugId:529 CARDIOVASCULAR
Cardura # (doxazosin immediate-release); See Table 18drugId:565; See Table 19drugId:5163 CARDIOVASCULAR
carvediloldrugId:185 CARDIOVASCULAR
carvedilol extended-releasedrugId:186 - PA CARDIOVASCULAR
Catapres # (clonidine tablet) - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
Catapres-TTS (clonidine patch) BP - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
chlorothiazidedrugId:221 CARDIOVASCULAR
chlorthalidonedrugId:225 CARDIOVASCULAR
clevidipinedrugId:2896 CARDIOVASCULAR
Cleviprex (clevidipine)drugId:2896 CARDIOVASCULAR
clonidine patch BP - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
clonidine powder - PA; See Table 18drugId:6370; See Table 71drugId:6371 CARDIOVASCULAR
clonidine tablet - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
Cordarone # (amiodarone) CARDIOVASCULAR
CoregdrugId:185 # (carvedilol)drugId:185 CARDIOVASCULAR
Coreg CR (carvedilol extended-release)drugId:186 - PA CARDIOVASCULAR
Corgard (nadolol)drugId:1416 - PA CARDIOVASCULAR
Corlanor (ivabradine)drugId:5124 - PA CARDIOVASCULAR
CorzidedrugId:1418 # (nadolol / bendroflumethiazide)drugId:1418 CARDIOVASCULAR
CozaardrugId:1103 # (losartan)drugId:1103 CARDIOVASCULAR
Concerta (methylphenidate extended-release-Concerta) BP - PA < 3 years and PA > 60 units/month; See Table 31drugId:2662; See Table 71drugId:3041 CEREBRAL STIMULANTS
Cotempla XR-ODT (methylphenidate extended-release orally disintegrating tablet) - PA; See Table 31drugId:6281; See Table 71drugId:6282 CEREBRAL STIMULANTS
Chemet (succimer) CHELATING AGENT
Cuprimine (penicillamine-Cuprimine) BP CHELATING AGENT
cabazitaxeldrugId:1961 - PA CHEMOTHERAPY
Cabometyx (cabozantinib tablet)drugId:5585 - PA CHEMOTHERAPY
cabozantinib capsuledrugId:2719 - PA CHEMOTHERAPY
cabozantinib tabletdrugId:5585 - PA CHEMOTHERAPY
Calquence (acalabrutinib)drugId:6483 - PA CHEMOTHERAPY
Campath (alemtuzumab 30 mg)drugId:6110 CHEMOTHERAPY
CamptosardrugId:970 # (irinotecan)drugId:970 CHEMOTHERAPY
capecitabinedrugId:435 CHEMOTHERAPY
Caprelsa (vandetanib)drugId:2281 - PA CHEMOTHERAPY
Carac (fluorouracil 0.5% cream)drugId:876 - PA CHEMOTHERAPY
carboplatindrugId:179 CHEMOTHERAPY
carfilzomibdrugId:2581 - PA CHEMOTHERAPY
carmustinedrugId:183 CHEMOTHERAPY
CasodexdrugId:362 # (bicalutamide)drugId:362 CHEMOTHERAPY
cemiplimab-rwlcdrugId:7005 - PA CHEMOTHERAPY
ceritinibdrugId:2951 - PA CHEMOTHERAPY
cetuximabdrugId:212 CHEMOTHERAPY
chlorambucildrugId:216 CHEMOTHERAPY
cisplatindrugId:247 CHEMOTHERAPY
cladribine injectiondrugId:2673 CHEMOTHERAPY
clofarabinedrugId:271 CHEMOTHERAPY
ClolardrugId:271 # (clofarabine)drugId:271 CHEMOTHERAPY
cobimetinibdrugId:5243 - PA CHEMOTHERAPY
Cometriq (cabozantinib capsule)drugId:2719 - PA CHEMOTHERAPY
copanlisibdrugId:6500 - PA CHEMOTHERAPY
Copiktra (duvelisib)drugId:7002 - PA CHEMOTHERAPY
CosmegendrugId:2674 # (dactinomycin)drugId:2674 CHEMOTHERAPY
Cotellic (cobimetinib)drugId:5243 - PA CHEMOTHERAPY
crizotinibdrugId:2376 - PA CHEMOTHERAPY
cyclophosphamidedrugId:310 CHEMOTHERAPY
Cyramza (ramucirumab)drugId:2955 - PA CHEMOTHERAPY
cytarabinedrugId:317 CHEMOTHERAPY
cherry syrup * COMPOUNDING AGENT
copper IUD CONTRACEPTIVES
Cyclessa # (ethinyl estradiol / desogestrel-Cyclessa) CONTRACEPTIVES
calamine lotion * DERMATOLOGICAL
calcipotriene creamdrugId:420 - PA > 60 grams/month DERMATOLOGICAL
calcipotriene foamdrugId:2560 - PA DERMATOLOGICAL
calcipotriene ointmentdrugId:2563 - PA > 60 grams/month DERMATOLOGICAL
calcipotriene scalp solutiondrugId:2562 DERMATOLOGICAL
calcitriol ointmentdrugId:424 - PA DERMATOLOGICAL
capsaicin * DERMATOLOGICAL
clindamycin / benzoyl peroxide-AcanyadrugId:262 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-BenzaclindrugId:263 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-DuacdrugId:264 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-OnextondrugId:4788 - PA DERMATOLOGICAL
clindamycin / tretinoin-VeltindrugId:1970 - PA DERMATOLOGICAL
clindamycin / tretinoin-ZianadrugId:265 - PA DERMATOLOGICAL
colloidal oatmeal * DERMATOLOGICAL
Condylox Gel (podofilox gel)drugId:2261 - PA DERMATOLOGICAL
Condylox SolutiondrugId:1545 # (podofilox solution)drugId:1545 DERMATOLOGICAL
crisaboroledrugId:6041 - PA DERMATOLOGICAL
canagliflozindrugId:2780 DIABETIC AGENTS
canagliflozin / metformindrugId:4775 DIABETIC AGENTS
canagliflozin / metformin extended-releasedrugId:5723 - PA DIABETIC AGENTS
chlorpropamidedrugId:224 DIABETIC AGENTS
Cycloset (bromocriptine 0.8 mg tablet)drugId:2984 - PA DIABETIC AGENTS
Cortrosyn # (cosyntropin) DIAGNOSTICS
cosyntropin DIAGNOSTICS
calcifedioldrugId:5765 - PA ELECTROLYTES AND NUTRIENTS
calcitrioldrugId:426 ELECTROLYTES AND NUTRIENTS
calcitriol injectiondrugId:425 ELECTROLYTES AND NUTRIENTS
calcium acetate ELECTROLYTES AND NUTRIENTS
calcium replacementdrugId:428 * ELECTROLYTES AND NUTRIENTS
Carnitor # (levocarnitine) ELECTROLYTES AND NUTRIENTS
citric acid / potassium citrate ELECTROLYTES AND NUTRIENTS
citric acid / sodium citrate / potassium citrate ELECTROLYTES AND NUTRIENTS
cod liver oil * ELECTROLYTES AND NUTRIENTS
coenzyme Q10drugId:6202 - PA ≥ 19 years ELECTROLYTES AND NUTRIENTS
cyanocobalamin / folic aciddrugId:303 - PA ELECTROLYTES AND NUTRIENTS
cyanocobalamin-NascobaldrugId:301 - PA ELECTROLYTES AND NUTRIENTS
cyanocobalamindrugId:302 o ELECTROLYTES AND NUTRIENTS
Cystadane (betaine) ELECTROLYTES AND NUTRIENTS
Cytra-2 (sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-3 (potassium citrate / sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-K (potassium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
c1 esterase inhibitor, human-BerinertdrugId:1938 - PA ENZYMES
c1 esterase inhibitor, human-CinryzedrugId:416 - PA ENZYMES
c1 esterase inhibitor, human-HaegardadrugId:6283 - PA ENZYMES
c1 esterase inhibitor, recombinant-RuconestdrugId:4794 - PA ENZYMES
Carbaglu (carglumic acid)drugId:2161 - PA ENZYMES
carglumic aciddrugId:2161 - PA ENZYMES
Cerdelga (eliglustat)drugId:4764 - PA ENZYMES
Cerezyme (imiglucerase)drugId:780 - PA ENZYMES
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416 - PA ENZYMES
collagenase ENZYMES
collagenase clostridium histolyticumdrugId:1951 - PA ENZYMES
Creon DR (pancrelipase-Creon DR)drugId:1082 ENZYMES
Cystagon (cysteamine immediate-release capsule)drugId:316 ENZYMES
cysteamine delayed-release capsuledrugId:2861 - PA ENZYMES
cysteamine immediate-release capsuledrugId:316 ENZYMES
ciclopirox 0.77% cream, suspensiondrugId:5625 FUNGICIDES
ciclopirox 0.77% geldrugId:232 - PA FUNGICIDES
ciclopirox 1% shampoodrugId:5128 - PA FUNGICIDES
ciclopirox 8% nail lacquerdrugId:233 FUNGICIDES
clotrimazole / betamethasone creamdrugId:280 FUNGICIDES
clotrimazole / betamethasone lotiondrugId:2856 - PA FUNGICIDES
clotrimazoledrugId:279 * FUNGICIDES
clotrimazole trochedrugId:1995 FUNGICIDES
Cresemba (isavuconazonium)drugId:4909 - PA FUNGICIDES
Culturelle (lactobacillus rhamnosus GG)drugId:6204 - PA ≥ 19 years GASTROINTESTINAL AGENT
CanasadrugId:2095 # (mesalamine suppository)drugId:2095 GI ANTI-INFLAMMATORY
ColazaldrugId:126 # (balsalazide)drugId:126 GI ANTI-INFLAMMATORY
Capex (fluocinolone shampoo)drugId:868 - PA GLUCOCORTICOIDS
CelestonedrugId:357 # (betamethasone injection)drugId:357 GLUCOCORTICOIDS
clobetasol propionate / emollientdrugId:5035 GLUCOCORTICOIDS
clobetasol propionate cream, ointmentdrugId:269 GLUCOCORTICOIDS
clobetasol propionate foam / emollientdrugId:2532 - PA GLUCOCORTICOIDS
clobetasol propionate foamdrugId:268 - PA GLUCOCORTICOIDS
clobetasol propionate gel, shampoo kitdrugId:5033 - PA GLUCOCORTICOIDS
clobetasol propionate lotion, shampoo, spraydrugId:266 - PA GLUCOCORTICOIDS
clobetasol propionate powderdrugId:7160 - PA GLUCOCORTICOIDS
clobetasol propionate solutiondrugId:5080 GLUCOCORTICOIDS
Clobex (clobetasol propionate lotion, shampoo, spray)drugId:266 - PA GLUCOCORTICOIDS
clocortolone creamdrugId:270 - PA GLUCOCORTICOIDS
Cloderm (clocortolone cream)drugId:270 - PA GLUCOCORTICOIDS
Cordran (flurandrenolide tape)drugId:884 - PA GLUCOCORTICOIDS
CortefdrugId:736 # (hydrocortisone tablet)drugId:736 GLUCOCORTICOIDS
CortenemadrugId:2983 # (hydrocortisone enema)drugId:2983 GLUCOCORTICOIDS
Cortifoam (hydrocortisone foam)drugId:731 GLUCOCORTICOIDS
cortisonedrugId:295 GLUCOCORTICOIDS
Cutivate (fluticasone lotion)drugId:892 - PA GLUCOCORTICOIDS
CutivatedrugId:5065 # (fluticasone cream)drugId:5065 GLUCOCORTICOIDS
colchicine capsuledrugId:4765 - PA GOUT AGENTS
colchicine tabletdrugId:2162 - PA GOUT AGENTS
Colcrys (colchicine tablet)drugId:2162 - PA GOUT AGENTS
cimetidinedrugId:236 * H2 ANTAGONISTS
cimetidine powderdrugId:7271 - PA H2 ANTAGONISTS
Ceprotin (protein C concentrate)drugId:1605 - PA HEMATINIC AGENT
cabergoline HORMONE AGENTS
calcitonin salmon injectiondrugId:4960 - PA HORMONE AGENTS
calcitonin salmon nasal spray-ForticaldrugId:422 HORMONE AGENTS
calcitonin salmon nasal spray-MiacalcindrugId:423 HORMONE AGENTS
corticotropindrugId:294 - PA HORMONE AGENTS
Climara # (estradiol-Climara) HORMONE REPLACEMENT THERAPY
Combipatch (estradiol / norethindrone-Combipatch) HORMONE REPLACEMENT THERAPY
Crinone (progesterone gel)drugId:2587 - PA HORMONE REPLACEMENT THERAPY
canakinumabdrugId:432 - PA IMMUNOMODULATOR
CellceptdrugId:1410 # (mycophenolate mofetil)drugId:1410 IMMUNOMODULATOR
certolizumabdrugId:210 - PA IMMUNOMODULATOR
Cimzia (certolizumab)drugId:210 - PA IMMUNOMODULATOR
Cosentyx (secukinumab)drugId:4908 - PA IMMUNOMODULATOR
cyclosporinedrugId:2092 IMMUNOMODULATOR
cyclosporine modifieddrugId:314 IMMUNOMODULATOR
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380 - PA LAXATIVES
ColytedrugId:2539 # (polyethylene glycol-electrolyte solution-Colyte)drugId:2539 LAXATIVES
cholestyramine / aspartame-PrevalitedrugId:228 LIPID LOWERING AGENTS
cholestyramine / aspartame-Questran LightdrugId:2431 LIPID LOWERING AGENTS
cholestyramine / sucrosedrugId:229 LIPID LOWERING AGENTS
cholestyramine resin powderdrugId:7110 - PA LIPID LOWERING AGENTS
colesevelam BP; See Table 13drugId:288; See Table 26drugId:289 LIPID LOWERING AGENTS
ColestiddrugId:290 # (colestipol)drugId:290 LIPID LOWERING AGENTS
colestipoldrugId:290 LIPID LOWERING AGENTS
CrestordrugId:5601 # (rosuvastatin 40 mg)drugId:5601 - PA > 30 units/month LIPID LOWERING AGENTS
CrestordrugId:1459 # (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459 - PA > 45 units/month LIPID LOWERING AGENTS
cladribine tabletdrugId:7224 - PA MULTIPLE SCLEROSIS AGENTS
Copaxone (glatiramer)drugId:930 BP MULTIPLE SCLEROSIS AGENTS
carisoprodol / aspirindrugId:181 - PA MUSCLE RELAXANT
carisoprodoldrugId:180 - PA MUSCLE RELAXANT
chlorzoxazone 250 mg, 375 mg, 750 mgdrugId:2360 - PA MUSCLE RELAXANT
chlorzoxazone 500 mgdrugId:226 - PA < 18 years MUSCLE RELAXANT
cyclobenzaprine 5 mg, 10 mgdrugId:305 - PA < 15 years MUSCLE RELAXANT
cyclobenzaprine 7.5 mgdrugId:306 - PA MUSCLE RELAXANT
cyclobenzaprine extended-releasedrugId:304 - PA MUSCLE RELAXANT
ciclesonide nasal aerosol, 37 mcgdrugId:2561 - PA NASAL PREPARATIONS
ciclesonide nasal spray, 50 mcgdrugId:231 - PA NASAL PREPARATIONS
crossed-linked hyaluronatedrugId:4802 - PA; Non-Drug Product NON-DRUG PRODUCT
Cambia (diclofenac powder for solution)drugId:1953 - PA NONSTEROIDAL ANTI-INFLAMMATORY
CelebrexdrugId:207 # (celecoxib)drugId:207 NONSTEROIDAL ANTI-INFLAMMATORY
celecoxibdrugId:207 NONSTEROIDAL ANTI-INFLAMMATORY
clonidine extended-release tablet - PA; See Table 31drugId:2170; See Table 71drugId:3081 NONSTIMULANT ADHD AGENTS
carbachol 0.01%drugId:1984 OPHTHALMIC PREPARATIONS
carteololdrugId:184 OPHTHALMIC PREPARATIONS
cenegermin-bkbjdrugId:7103 - PA OPHTHALMIC PREPARATIONS
Cequa (cyclosporine 0.09% ophthalmic solution)drugId:7282 - PA OPHTHALMIC PREPARATIONS
Ciloxan (ciprofloxacin ophthalmic ointment)drugId:243 - PA OPHTHALMIC PREPARATIONS
CiloxandrugId:244 # (ciprofloxacin ophthalmic solution)drugId:244 OPHTHALMIC PREPARATIONS
ciprofloxacin ophthalmic ointmentdrugId:243 - PA OPHTHALMIC PREPARATIONS
ciprofloxacin ophthalmic solutiondrugId:244 OPHTHALMIC PREPARATIONS
Combigan (brimonidine / timolol, ophthalmic)drugId:374 OPHTHALMIC PREPARATIONS
CosoptdrugId:564 # (dorzolamide / timolol)drugId:564 OPHTHALMIC PREPARATIONS
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517 - PA OPHTHALMIC PREPARATIONS
cromolyn ophthalmicdrugId:299 OPHTHALMIC PREPARATIONS
cyclopentolate OPHTHALMIC PREPARATIONS
cyclopentolate / phenylephrine OPHTHALMIC PREPARATIONS
cyclosporine 0.05% ophthalmic emulsiondrugId:311 BP OPHTHALMIC PREPARATIONS
cyclosporine 0.09% ophthalmic solutiondrugId:7282 - PA OPHTHALMIC PREPARATIONS
cyclosporine multidose 0.05% ophthalmic emulsiondrugId:7305 - PA OPHTHALMIC PREPARATIONS
Cystaran (cysteamine ophthalmic)drugId:2818 - PA OPHTHALMIC PREPARATIONS
cysteamine ophthalmicdrugId:2818 - PA OPHTHALMIC PREPARATIONS
carisoprodol / aspirin / codeinedrugId:182 - PA OPIOID ANALGESICS/MUSCLE RELAXANTS
codeinedrugId:285 - PA < 12 years and PA > 360 mg/day OPIOID ANALGESICS
codeine powderdrugId:286 - PA OPIOID ANALGESICS
carbamide peroxide * OTIC PREPARATIONS
Ciprodex (ciprofloxacin / dexamethasone)drugId:245 OTIC PREPARATIONS
ciprofloxacin / dexamethasonedrugId:245 OTIC PREPARATIONS
ciprofloxacin / fluocinolonedrugId:5683 - PA OTIC PREPARATIONS
ciprofloxacin / hydrocortisonedrugId:246 OTIC PREPARATIONS
ciprofloxacin 0.2% otic solutiondrugId:2895 - PA OTIC PREPARATIONS
ciprofloxacin otic suspensiondrugId:5390 ^ OTIC PREPARATIONS
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246 OTIC PREPARATIONS
colistin / neomycin / thonzonium / hydrocortisonedrugId:2108 BP OTIC PREPARATIONS
Coly-Mycin S (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108 BP OTIC PREPARATIONS
cevimeline PARASYMPATHETIC AGENTS
Chantix (varenicline) SMOKING CESSATION
Capastat (capreomycin)drugId:2490 TB PREPARATIONS
capreomycindrugId:2490 TB PREPARATIONS
cycloserinedrugId:2498 TB PREPARATIONS
Cytomel # (liothyronine) THYROID 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 01/13/20