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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
Dysport (abobotulinumtoxinA)drugId:141 - PA BIOLOGICAL
Dyrenium (triamterene)drugId:5247 - PA CARDIOVASCULAR
Dymista (azelastine/fluticasone propionate)drugId:2580 - PA NASAL PREPARATIONS
DyazidedrugId:1755 # (hydrochlorothiazide / triamterene)drugId:1755 CARDIOVASCULAR
Dyanavel XR (amphetamine extended-release oral suspension) - PA; See Table 31drugId:5383; See Table 71drugId:5384 CEREBRAL STIMULANTS
Duzallo (lesinurad / allopurinol)drugId:6382 - PA GOUT AGENTS
duvelisibdrugId:7002 - PA CHEMOTHERAPY
Dutoprol (metoprolol extended-release / hydrochlorothiazide)drugId:2479 - PA CARDIOVASCULAR
dutasteridedrugId:586 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
dutasteride / tamsulosindrugId:1960 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
durvalumabdrugId:6122 - PA CHEMOTHERAPY
Durolane (hyaluronate-Durolane)drugId:6381 - PA; Non-Drug Product NON-DRUG PRODUCT
Durlaza (aspirin extended-release)drugId:5245 - PA ANTIPLATELET AGENT
Durezol (difluprednate)drugId:522 - PA OPHTHALMIC PREPARATIONS
Duramorph (morphine, injection-Duramorph)drugId:1392 - PA > 120 mg/day OPIOID ANALGESICS
DuragesicdrugId:845 # (fentanyl 12, 25, 50 mcg/hr transdermal system)drugId:845 - PA > 50 mcg/hr and PA > 10 patches/month OPIOID ANALGESICS
Duragesic (fentanyl 75, 100 mcg/hr transdermal system)drugId:4800 - PA OPIOID ANALGESICS
DuraclondrugId:2750 # (clonidine injection)drugId:2750 ANALGESICS
Dupixent (dupilumab)drugId:6101 - PA BIOLOGICAL
dupilumabdrugId:6101 - PA BIOLOGICAL
Duopa (carbidopa / levodopa enteral suspension)drugId:5104 - PA ANTIPARKINSON
Duobrii (halobetasol / tazarotene lotion)drugId:7134 - PA GLUCOCORTICOIDS
duloxetine 40 mg - PA; See Table 17drugId:4910; See Table 71drugId:4911 PSYCHOSTIMULANTS-ANTIDEPRESSAN
duloxetine 20 mg, 30 mg, 60 mg - PA < 6 years; See Table 17drugId:585; See Table 71drugId:3960 ANTIDEPRESSANTS
Dulera (mometasone / formoterol)drugId:1958 - PA BRONCHODILATORS
dulaglutidedrugId:4814 - PA DIABETIC AGENTS
Duexis (ibuprofen / famotidine)drugId:2363 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
Duetact (glimepiride / pioglitazone)drugId:1535 - PA DIABETIC AGENTS
Duavee (estrogens, conjugated/bazedoxifene) ESTROGENS
Duac (clindamycin / benzoyl peroxide-Duac)drugId:264 - PA DERMATOLOGICAL
droxidopadrugId:4630 - PA ADRENERGICS
Droxia (hydroxyurea)drugId:760 HEMATOLOGIC
droperidol ANTIPSYCHOTIC
dronedarone CARDIOVASCULAR
dronabinol solutiondrugId:6361 - PA ANTIEMETICS
dronabinol capsuledrugId:582 - PA ANTIEMETICS
doxylamine * SEDATIVE, NON-BARBITURATE
doxylamine / pyridoxine extended-releasedrugId:6680 - PA ANTIEMETICS
doxylamine / pyridoxine delayed-releasedrugId:2778 BP - PA ANTIEMETICS
doxycycline monohydrate suspensiondrugId:2904 ANTIBIOTICS
doxycycline monohydrate 75 mg capsuledrugId:2906 - PA ANTIBIOTICS
doxycycline monohydrate 50 mg, 75 mg, 100 mg tabletdrugId:2300 ANTIBIOTICS
doxycycline monohydrate 50 mg, 100 mg capsuledrugId:2899 ANTIBIOTICS
doxycycline monohydrate 40 mg capsuledrugId:579 - PA ANTIBIOTICS
doxycycline monohydrate 150 mg tabletdrugId:2905 - PA ANTIBIOTICS
doxycycline monohydrate 150 mg capsuledrugId:576 - PA ANTIBIOTICS
doxycycline hyclate injectiondrugId:2301 ANTIBIOTICS
doxycycline hyclate delayed-release 75 mg, 100 mg, 150 mg tabletdrugId:574 - PA ANTIBIOTICS
doxycycline hyclate delayed-release 50 mg, 120 mg, 200 mg tabletdrugId:2900 - PA ANTIBIOTICS
doxycycline hyclate 75 mg, 150 mg tabletdrugId:6141 - PA ANTIBIOTICS
doxycycline hyclate 50 mg capsuledrugId:2901 ANTIBIOTICS
doxycycline hyclate 20 mg, 100 mg tabletdrugId:2902 ANTIBIOTICS
doxycycline hyclate 100 mg capsuledrugId:575 ANTIBIOTICS
doxycycline calcium syrupdrugId:2903 ANTIBIOTICS
doxorubicin liposomal injectiondrugId:2689 CHEMOTHERAPY
doxorubicindrugId:571 CHEMOTHERAPY
DoxildrugId:2689 # (doxorubicin liposomal injection)drugId:2689 CHEMOTHERAPY
doxercalciferol injectiondrugId:5780 ^ ELECTROLYTES AND NUTRIENTS
doxercalciferol capsuledrugId:570 - PA ELECTROLYTES AND NUTRIENTS
doxepin tablet-Silenor - PA; See Table 15drugId:2082; See Table 71drugId:4346 SEDATIVES
doxepin cream-ZonalondrugId:569 - PA DERMATOLOGICAL
doxepin cream-PrudoxindrugId:568 - PA DERMATOLOGICAL
doxepin capsule, oral concentrate - PA < 6 years; See Table 17drugId:2040; See Table 71drugId:4040 ANTIDEPRESSANTS
doxazosin immediate-release; See Table 18drugId:565; See Table 19drugId:5163 CARDIOVASCULAR
doxazosin extended-releasedrugId:566 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
DovonexdrugId:420 # (calcipotriene cream)drugId:420 - PA > 60 grams/month DERMATOLOGICAL
double antibiotic ointment (bacitracin / polymyxin B topical ointment)drugId:6260 * ANTIBIOTICS
dorzolamide / timolol, preservative freedrugId:2517 - PA OPHTHALMIC PREPARATIONS
dorzolamide / timololdrugId:564 OPHTHALMIC PREPARATIONS
dorzolamidedrugId:563 OPHTHALMIC PREPARATIONS
Doryx (doxycycline hyclate delayed-release 50 mg, 120 mg, 200 mg tablet)drugId:2900 - PA ANTIBIOTICS
dornase alfa ENZYMES
doripenemdrugId:561 ANTIBIOTICS
DoribaxdrugId:561 # (doripenem)drugId:561 ANTIBIOTICS
doravirine / lamivudine / tenofovir disoproxil fumaratedrugId:6981 ANTIVIRALS
doravirinedrugId:6986 ANTIVIRALS
Doptelet (avatrombopag)drugId:6990 - PA HEMATOLOGIC
donepezil orally disintegrating tabletdrugId:560 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
donepezil 5 mg tabletdrugId:559 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
donepezil 23 mg tabletdrugId:2247 - PA ALZHEIMER'S THERAPY
donepezil 10 mg tabletdrugId:2422 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
dolutegravirdrugId:2852 - PA > 30 units/month ANTIVIRALS
dolutegravir / rilpivirinedrugId:6781 - PA ANTIVIRALS
Dolophine (methadone oral-Dolophine)drugId:1163 - PA OPIOID ANALGESICS
dolasetron tabletdrugId:557 - PA ANTIEMETICS
dolasetron injectiondrugId:558 ANTIEMETICS
dofetilide CARDIOVASCULAR
docusate sodiumdrugId:554 * CONSTIPATION AGENTS
docusate enemadrugId:555 CONSTIPATION AGENTS
docetaxel-TaxoteredrugId:553 CHEMOTHERAPY
docetaxel-DocefrezdrugId:2985 CHEMOTHERAPY
Docefrez (docetaxel-Docefrez)drugId:2985 CHEMOTHERAPY
Divigel (estradiol-Divigel) HORMONE REPLACEMENT THERAPY
divalproex sprinkle capsule - PA < 6 years; See Table 20drugId:2315; See Table 71drugId:3360 ANTICONVULSANTS
divalproex immediate-release - PA < 6 years; See Table 20drugId:552; See Table 71drugId:3320 ANTICONVULSANTS
divalproex extended-release - PA < 6 years; See Table 20drugId:550; See Table 71drugId:3340 ANTICONVULSANTS
DiurildrugId:221 # (chlorothiazide)drugId:221 CARDIOVASCULAR
Ditropan XLdrugId:1314 # (oxybutynin extended-release tablet)drugId:1314 URINARY ANTISPASMODICS
disulfiramdrugId:549 ALCOHOL AND DRUG CESSATION AGENT
disopyramide immediate-release CARDIOVASCULAR
disopyramide controlled-release CARDIOVASCULAR
dipyridamoledrugId:545 ANTIPLATELET AGENT
Diprolene AFdrugId:2204 # (betamethasone dipropionate, augmented cream)drugId:2204 GLUCOCORTICOIDS
DiprolenedrugId:5022 # (betamethasone dipropionate, augmented ointment)drugId:5022 GLUCOCORTICOIDS
DiprolenedrugId:353 # (betamethasone dipropionate, augmented lotion)drugId:353 GLUCOCORTICOIDS
diphtheria / tetanus toxoid vaccinedrugId:1686 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis vaccinedrugId:539 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccinedrugId:535 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis / hepatitis B, recombinant / poliovirus, inactivated vaccinedrugId:700 1 BIOLOGICAL
diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate vaccinedrugId:581 1 BIOLOGICAL
diphenoxylate / atropinedrugId:542 ANTIDIARRHEALS
diphenhydraminedrugId:541 * ANTIHISTAMINES
Dipentum (olsalazine)drugId:1286 - PA GI ANTI-INFLAMMATORY
Diovan HCTdrugId:1786 # (valsartan / hydrochlorothiazide)drugId:1786 CARDIOVASCULAR
DiovandrugId:1785 # (valsartan)drugId:1785 CARDIOVASCULAR
dimethyl sulfoxide solutiondrugId:2694 ANALGESICS
dimethyl sulfoxide liquiddrugId:7161 - PA ANALGESICS
dimethyl fumaratedrugId:2793 - PA MULTIPLE SCLEROSIS AGENTS
dimercaprol ^ ANTIDOTES
dimenhydrinate injectiondrugId:2677 ANTIHISTAMINES
diltiazem-Tiazac ERdrugId:533 CARDIOVASCULAR
diltiazem extended-release tabletdrugId:529 CARDIOVASCULAR
diltiazem-CardizemdrugId:528 CARDIOVASCULAR
diltiazem 360 mg-Cardizem CDdrugId:2299 - PA CARDIOVASCULAR
diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CDdrugId:531 CARDIOVASCULAR
DilaudiddrugId:754 # (hydromorphone)drugId:754 - PA > 32 mg/day OPIOID ANALGESICS
Dilatrate-SR (isosorbide dinitrate extended-release capsule)drugId:977 CARDIOVASCULAR
Dilantin Infatab # (phenytoin chewable tablet); See Table 20drugId:1523; See Table 71drugId:4520 ANTICONVULSANTS
Dilantin-125 # (phenytoin suspension); See Table 20drugId:2938; See Table 71drugId:4522 ANTICONVULSANTS
Dilantin # (phenytoin extended 30 mg and 100 mg capsule); See Table 20drugId:1525; See Table 71drugId:4523 ANTICONVULSANTS
dihydroergotamine nasal spraydrugId:527 - PA ANALGESICS
dihydroergotamine injectiondrugId:526 - PA ANALGESICS
dihydrocodeine / aspirin / caffeinedrugId:525 - PA OPIOID ANALGESICS
dihydrocodeine / acetaminophen / caffeinedrugId:5142 - PA OPIOID ANALGESICS
digoxin CARDIOVASCULAR
difluprednatedrugId:522 - PA OPHTHALMIC PREPARATIONS
diflunisaldrugId:521 NONSTEROIDAL ANTI-INFLAMMATORY
DiflucandrugId:860 # (fluconazole)drugId:860 FUNGICIDES
diflorasone ointmentdrugId:2207 - PA GLUCOCORTICOIDS
diflorasone creamdrugId:4918 - PA GLUCOCORTICOIDS
diflorasone cream / emollientdrugId:520 - PA GLUCOCORTICOIDS
Dificid (fidaxomicin)drugId:2283 - PA ANTIBIOTICS
Differin (adapalene)drugId:159 BP - PA DERMATOLOGICAL
difenoxin / atropinedrugId:6111 - PA ANTIDIARRHEALS
dienestrol HORMONE REPLACEMENT THERAPY
didanosinedrugId:517 ANTIVIRALS
dicyclominedrugId:516 ANTISPASMODICS,ANTICHOLINERGIC
dicloxacillindrugId:515 ANTIBIOTICS
diclofenac topical solutiondrugId:1944 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac topical patchdrugId:509 BP - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac tabletdrugId:2117 NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac powder for solutiondrugId:1953 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac eye dropsdrugId:2269 OPHTHALMIC PREPARATIONS
diclofenac extended-releasedrugId:513 NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 3% geldrugId:508 - PA CHEMOTHERAPY
diclofenac 25 mg capsuledrugId:511 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 18 mg, 35 mg capsuledrugId:2894 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 1% geldrugId:512 BP NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac / misoprostoldrugId:514 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
Diclegis (doxylamine / pyridoxine delayed-release)drugId:2778 BP - PA ANTIEMETICS
dichlorphenamidedrugId:5260 - PA UNCLASSIFIED DRUG PRODUCTS
Dibenzyline (phenoxybenzamine)drugId:5123 - PA CARDIOVASCULAR
diazoxide DIABETIC AGENTS
diazepam solution, tablet - PA < 6 years; See Table 69drugId:504; See Table 71drugId:4381 BENZODIAZEPINES
diazepam rectal geldrugId:503 - PA > 5 kits (10 syringes) /month BENZODIAZEPINES
diazepam powder - PA; See Table 69drugId:506; See Table 71drugId:4382 BENZODIAZEPINES
Diastat (diazepam rectal gel)drugId:503 - PA > 5 kits (10 syringes) /month BENZODIAZEPINES
DiamoxdrugId:147 # (acetazolamide)drugId:147 CARDIOVASCULAR
Diacomit (stiripentol) - PA; See Table 20drugId:7132; See Table 71drugId:7133 ANTICONVULSANTS
dextrose ELECTROLYTES AND NUTRIENTS
dextromethorphan / quinidinedrugId:2177 - PA MULTIPLE SCLEROSIS AGENTS
dextroamphetamine solution - PA < 3 years and PA > 900 mL/month; See Table 31drugId:501; See Table 71drugId:3141 CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg tablet - PA < 3 years and PA > 90 units/month; See Table 31drugId:2968; See Table 71drugId:3120 CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg, 15 mg capsule - PA < 3 years and PA > 90 units/month; See Table 31drugId:500; See Table 71drugId:3140 CEREBRAL STIMULANTS
dextroamphetamine 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg tablet - PA; See Table 31drugId:2819; See Table 71drugId:3121 CEREBRAL STIMULANTS
dextrindrugId:6205 * GASTROINTESTINAL AGENT
dexrazoxane ANTIDOTES
dexmethylphenidate - PA < 3 years and PA > 90 units/month; See Table 31drugId:497; See Table 71drugId:3101 CEREBRAL STIMULANTS
dexmethylphenidate extended-release BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:498; See Table 71drugId:3020 CEREBRAL STIMULANTS
dexlansoprazoledrugId:496 - PA PROTON PUMP INHIBITORS
Dexilant (dexlansoprazole)drugId:496 - PA PROTON PUMP INHIBITORS
Dexedrine # (dextroamphetamine 5 mg, 10 mg, 15 mg capsule) - PA < 3 years and PA > 90 units/month; See Table 31drugId:500; See Table 71drugId:3140 CEREBRAL STIMULANTS
dexamethasone tablet packdrugId:492 - PA GLUCOCORTICOIDS
dexamethasone solution, tabletdrugId:2491 GLUCOCORTICOIDS
dexamethasone sodium phosphate ophthalmic solutiondrugId:4919 OPHTHALMIC PREPARATIONS
dexamethasone ophthalmic suspensiondrugId:493 - PA OPHTHALMIC PREPARATIONS
dexamethasone intravitreal implantdrugId:494 ^ OPHTHALMIC PREPARATIONS
dexamethasone injectiondrugId:5131 GLUCOCORTICOIDS
deutetrabenazinedrugId:6121 - PA NEUROLOGIC AGENT
Detrol LAdrugId:1725 # (tolterodine extended-release 4 mg)drugId:1725 URINARY ANTISPASMODICS
Detrol LAdrugId:1727 # (tolterodine extended-release 2 mg)drugId:1727 - PA > 30 units/month URINARY ANTISPASMODICS
DetroldrugId:1726 # (tolterodine immediate-release)drugId:1726 URINARY ANTISPASMODICS
desvenlafaxine succinate extended-release - PA; See Table 17drugId:490; See Table 71drugId:3940 ANTIDEPRESSANTS
desvenlafaxine extended-release - PA; See Table 17drugId:2777; See Table 71drugId:3920 ANTIDEPRESSANTS
desvenlafaxine extended-release-Khedezla - PA; See Table 17drugId:2907; See Table 71drugId:3922 ANTIDEPRESSANTS
Desoxyn (methamphetamine) - PA; See Table 31drugId:1165; See Table 71drugId:3142 CEREBRAL STIMULANTS
desoximetasone 0.25% cream, ointment, spray, 0.05% geldrugId:488 - PA GLUCOCORTICOIDS
desoximetasone 0.05% cream, ointmentdrugId:5021 - PA GLUCOCORTICOIDS
DesowendrugId:484 # (desonide cream)drugId:484 GLUCOCORTICOIDS
desonide lotion, ointmentdrugId:2528 GLUCOCORTICOIDS
desonide geldrugId:485 - PA GLUCOCORTICOIDS
desonide creamdrugId:484 GLUCOCORTICOIDS
Desonate (desonide gel)drugId:485 - PA GLUCOCORTICOIDS
desmopressin-Stimate HORMONE AGENTS
desmopressin-NoctivadrugId:6612 - PA HORMONE AGENTS
desmopressin-NocdurnadrugId:6984 - PA HORMONE AGENTS
desmopressin-DDAVPdrugId:476 HORMONE AGENTS
desloratadinedrugId:339 - PA ANTIHISTAMINES
desloratadine orally disintegrating tabletdrugId:2749 - PA ANTIHISTAMINES
desloratadine / pseudoephedrinedrugId:474 - PA ANTIHISTAMINES
desirudindrugId:2989 - PA ANTICOAGULANTS
desipramine - PA; See Table 17drugId:2620; See Table 71drugId:4020 ANTIDEPRESSANTS
DesferaldrugId:334 # (deferoxamine)drugId:334 CHELATING AGENT
Descovy (emtricitabine / tenofovir alafenamide)drugId:5381 PD ANTIVIRALS
Dermotic # (fluocinolone oil, otic drops) OTIC PREPARATIONS
DermatopdrugId:1574 # (prednicarbate cream, ointment)drugId:1574 GLUCOCORTICOIDS
Derma-Smoothe-FSdrugId:867 # (fluocinolone body oil, scalp oil)drugId:867 GLUCOCORTICOIDS
Depo-Testosterone (testosterone cypionate)drugId:1680 - PA HORMONE REPLACEMENT THERAPY
Depo-SubQ Provera 104 (medroxyprogesterone syringe) CONTRACEPTIVES
Depo-Provera # (medroxyprogesterone vial) CONTRACEPTIVES
Depo-MedroldrugId:966 # (methylprednisolone acetate)drugId:966 GLUCOCORTICOIDS
Depo-estradiol (estradiol-Depo-estradiol) HORMONE REPLACEMENT THERAPY
Depen (penicillamine-Depen) CHELATING AGENT
Depakote ER # (divalproex extended-release) - PA < 6 years; See Table 20drugId:550; See Table 71drugId:3340 ANTICONVULSANTS
Depakote # (divalproex sprinkle capsule) - PA < 6 years; See Table 20drugId:2315; See Table 71drugId:3360 ANTICONVULSANTS
Depakote # (divalproex immediate-release) - PA < 6 years; See Table 20drugId:552; See Table 71drugId:3320 ANTICONVULSANTS
Depakene # (valproic acid) - PA < 6 years; See Table 20drugId:1782; See Table 71drugId:4506 ANTICONVULSANTS
DepacondrugId:1780 # (valproate)drugId:1780 ANTICONVULSANTS
denosumab-XgevadrugId:2180 - PA BIOLOGICAL
denosumab-ProliadrugId:1967 - PA BIOLOGICAL
Denavir (penciclovir)drugId:1495 - PA ANTIVIRALS
Demser (metyrosine) CARDIOVASCULAR
Demerol (meperidine)drugId:1144 - PA OPIOID ANALGESICS
demeclocyclinedrugId:337 ANTIBIOTICS
DemadexdrugId:1732 # (torsemide)drugId:1732 CARDIOVASCULAR
Delzicol DR (mesalamine capsule)drugId:2720 BP GI ANTI-INFLAMMATORY
Delstrigo (doravirine / lamivudine / tenofovir disoproxil fumarate)drugId:6981 ANTIVIRALS
Delestrogen # (estradiol-Delestrogen) HORMONE REPLACEMENT THERAPY
delavirdinedrugId:336 ANTIVIRALS
delafloxacin tabletdrugId:6481 - PA ANTIBIOTICS
delafloxacin injectiondrugId:6480 - PA ANTIBIOTICS
Dekas Plus (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Plus)drugId:5622 - PA HEMATINIC AGENT
Dekas Plus (multivitamins / minerals / coenzyme Q10-Dekas Plus)drugId:5621 - PA HEMATINIC AGENT
Dekas Essential (multivitamin-Dekas Essential)drugId:5623 - PA HEMATINIC AGENT
Dekas Bariatric (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Bariatric)drugId:6605 - PA ELECTROLYTES AND NUTRIENTS
degarelixdrugId:335 - PA CHEMOTHERAPY
deflazacortdrugId:6720 - PA GLUCOCORTICOIDS
deferoxaminedrugId:334 CHELATING AGENT
deferipronedrugId:2483 - PA ANTIDOTES
deferasirox 90 mg, 180 mg, 360 mgdrugId:4942 ANTIDOTES
deferasirox 125 mg, 250 mg, 500 mgdrugId:333 BP ANTIDOTES
decitabinedrugId:332 CHEMOTHERAPY
DecadrondrugId:2491 # (dexamethasone solution, tablet)drugId:2491 GLUCOCORTICOIDS
DDAVPdrugId:476 # (desmopressin-DDAVP)drugId:476 HORMONE AGENTS
Daytrana (methylphenidate transdermal) - PA; See Table 31drugId:955; See Table 71drugId:3060 CEREBRAL STIMULANTS
DayprodrugId:1309 # (oxaprozin)drugId:1309 NONSTEROIDAL ANTI-INFLAMMATORY
Daurismo (glasdegib)drugId:7100 - PA CHEMOTHERAPY
daunorubicin / cytarabinedrugId:6412 - PA CHEMOTHERAPY
daunorubicin, conventionaldrugId:2676 CHEMOTHERAPY
dasatinibdrugId:331 CHEMOTHERAPY
dasabuvir / ombitasvir / paritaprevir / ritonavir extended-releasedrugId:5596 - PA ANTIVIRALS
Darzalex (daratumumab)drugId:5244 - PA CHEMOTHERAPY
darunavir / cobicistat / emtricitabine / tenofovir alafenamidedrugId:6822 - PA ANTIVIRALS
darunavir / cobicistatdrugId:4792 ANTIVIRALS
darunavirdrugId:330 ANTIVIRALS
darifenacindrugId:328 - PA URINARY ANTISPASMODICS
darbepoetin alfadrugId:327 - PA HEMATINIC AGENT
daratumumabdrugId:5244 - PA CHEMOTHERAPY
Daraprim (pyrimethamine)drugId:1614 - PA ANTIMALARIALS
daptomycindrugId:326 - PA ANTIBIOTICS
Daptacel (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:536 1 BIOLOGICAL
dapsone tabletdrugId:324 ANTIBIOTICS
dapsone geldrugId:325 - PA DERMATOLOGICAL
dapagliflozin / saxagliptindrugId:6406 - PA DIABETIC AGENTS
dapagliflozin / metformin extended-releasedrugId:4841 DIABETIC AGENTS
dapagliflozindrugId:2923 DIABETIC AGENTS
dantrolene injection suspensiondrugId:4634 ^ MUSCLE RELAXANT
dantrolene injection solutiondrugId:4645 ^ MUSCLE RELAXANT
dantrolene capsuledrugId:323 MUSCLE RELAXANT
DantriumdrugId:323 # (dantrolene capsule)drugId:323 MUSCLE RELAXANT
Dantrium (dantrolene injection solution)drugId:4645 ^ MUSCLE RELAXANT
danazol HORMONE AGENTS
Dalvance (dalbavancin)drugId:4623 - PA ANTIBIOTICS
dalteparindrugId:321 ANTICOAGULANTS
Daliresp (roflumilast)drugId:2282 - PA IMMUNOMODULATOR
dalfopristin / quinupristindrugId:2037 - PA ANTIBIOTICS
dalfampridinedrugId:320 - PA MULTIPLE SCLEROSIS AGENTS
dalbavancindrugId:4623 - PA ANTIBIOTICS
Daklinza (daclatasvir)drugId:5103 - PA ANTIVIRALS
dactinomycindrugId:2674 CHEMOTHERAPY
dacomitinibdrugId:7048 - PA CHEMOTHERAPY
DacogendrugId:332 # (decitabine)drugId:332 CHEMOTHERAPY
daclizumabdrugId:5600 - PA MULTIPLE SCLEROSIS AGENTS
daclatasvirdrugId:5103 - PA ANTIVIRALS
dacarbazinedrugId:319 CHEMOTHERAPY
dabrafenibdrugId:2823 - PA CHEMOTHERAPY
dabigatran etexilate mesylate 75 mg, 150 mgdrugId:2081 - PA ANTICOAGULANTS
dabigatran etexilate mesylate 110 mgdrugId:5286 - PA > 70 capsules/365 days ANTICOAGULANTS
D.H.E. 45 (dihydroergotamine injection)drugId:526 - PA ANALGESICS

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 07/15/19