A   B   C   D   E    F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z


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.


Refine Search Table

      (Please specify search value)

 
MassHealth Drug List table
Drug - Brand Name (Generic Name) Class
ezetimibe / simvastatindrugId:453 BP - PA > 30 units/month LIPID LOWERING AGENTS
ezetimibedrugId:452 LIPID LOWERING AGENTS
Eylea (aflibercept) ^ OPHTHALMIC PREPARATIONS
Extina (ketoconazole foam)drugId:994 - PA FUNGICIDES
Extavia (interferon beta-1b-Extavia)drugId:828 - PA MULTIPLE SCLEROSIS AGENTS
Exondys 51 (eteplirsen)drugId:5721 - PA BIOLOGICAL
Exjade (deferasirox 125 mg, 250 mg, 500 mg)drugId:333 BP ANTIDOTES
Exforge HCT (amlodipine / valsartan / hydrochlorothiazide)drugId:50 - PA CARDIOVASCULAR
ExforgedrugId:48 # (amlodipine / valsartan)drugId:48 CARDIOVASCULAR
exenatide extended-release pen, vialdrugId:2478 DIABETIC AGENTS
exenatide extended-release auto-injectiondrugId:6940 - PA DIABETIC AGENTS
exenatidedrugId:451 BP DIABETIC AGENTS
exemestanedrugId:450 CHEMOTHERAPY
Exelon (rivastigmine patch)drugId:1449 - PA ALZHEIMER'S THERAPY
Exelderm (sulconazole)drugId:1898 - PA FUNGICIDES
Exalgo (hydromorphone extended-release)drugId:1939 - PA OPIOID ANALGESICS
Evoxac # (cevimeline) PARASYMPATHETIC AGENTS
Evotaz (atazanavir / cobicistat)drugId:4768 ANTIVIRALS
Evomela (melphalan injection)drugId:5385 CHEMOTHERAPY
evolocumabdrugId:5120 - PA LIPID LOWERING AGENTS
Evoclin (clindamycin foam)drugId:261 - PA ANTIBIOTICS
EvistadrugId:1629 # (raloxifene)drugId:1629 HORMONE REPLACEMENT THERAPY
everolimus-ZortressdrugId:1974 IMMUNOMODULATOR
everolimus tablets for oral suspension - PA; See Table 20drugId:6880; See Table 57drugId:2795 CHEMOTHERAPY
everolimus-Afinitor - PA; See Table 20drugId:448; See Table 57drugId:1954 CHEMOTHERAPY
Evamist (estradiol-Evamist) HORMONE REPLACEMENT THERAPY
Eurax (crotamiton)drugId:300 - PA ANTIPARASITICS
Euflexxa (hyaluronate-Euflexxa)drugId:4801 - PA; Non-Drug Product NON-DRUG PRODUCT
Eucrisa (crisaborole)drugId:6041 - PA DERMATOLOGICAL
etravirinedrugId:447 ANTIVIRALS
etoposidedrugId:446 CHEMOTHERAPY
etonogestrel implant-Nexplanon CONTRACEPTIVES
etonogestrel / ethinyl estradiol CONTRACEPTIVES
etodolac extended-releasedrugId:2065 - PA NONSTEROIDAL ANTI-INFLAMMATORY
etodolacdrugId:443 NONSTEROIDAL ANTI-INFLAMMATORY
etidronatedrugId:442 ELECTROLYTES AND NUTRIENTS
ethotoin; See Table 20drugId:669; See Table 71drugId:3420 ANTICONVULSANTS
ethosuximide; See Table 20drugId:668; See Table 71drugId:3400 ANTICONVULSANTS
ethionamidedrugId:2499 TB PREPARATIONS
ethinyl estradiol 5 mcg / norethindrone 1 mg HORMONE REPLACEMENT THERAPY
ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt HORMONE REPLACEMENT THERAPY
ethinyl estradiol / norgestimate-Ortho Tri-Cyclen Lo CONTRACEPTIVES
ethinyl estradiol / norgestimate-Ortho Tri-Cyclen CONTRACEPTIVES
ethinyl estradiol / norgestimate-Ortho-Cyclen CONTRACEPTIVES
ethinyl estradiol / norethindrone-Tri-Norinyl CONTRACEPTIVES
ethinyl estradiol / norethindrone-Ortho-Novum CONTRACEPTIVES
ethinyl estradiol / norethindrone-Necon CONTRACEPTIVES
ethinyl estradiol / norethindrone-Estrostep FE CONTRACEPTIVES
ethinyl estradiol / norethindrone-Brevicon CONTRACEPTIVES
ethinyl estradiol / norethindrone / ferrous fumarate chewable-Minastrin 24 Fe CONTRACEPTIVES
ethinyl estradiol / norethindrone / ferrous fumarate chewable 0.8 mg / 25 mcg CONTRACEPTIVES
ethinyl estradiol / norethindrone / ferrous fumarate CONTRACEPTIVES
ethinyl estradiol / norethindrone CONTRACEPTIVES
ethinyl estradiol / norelgestromin patch CONTRACEPTIVES
ethinyl estradiol / ethynodiol CONTRACEPTIVES
ethinyl estradiol / drospirenone-Yaz CONTRACEPTIVES
ethinyl estradiol / drospirenone-Yasmin CONTRACEPTIVES
ethinyl estradiol / drospirenone / levomefolate-Safyral CONTRACEPTIVES
ethinyl estradiol / drospirenone / levomefolate-Beyaz CONTRACEPTIVES
ethinyl estradiol / desogestrel-Cyclessa CONTRACEPTIVES
ethinyl estradiol / desogestrel CONTRACEPTIVES
ethambutoldrugId:665 ANTIBIOTICS
ethacrynic acid tabletdrugId:664 - PA CARDIOVASCULAR
eteplirsendrugId:5721 - PA BIOLOGICAL
etelcalcetide ^ CALCIMIMETIC
etanerceptdrugId:663 PD - PA IMMUNOMODULATOR
eszopiclone - PA < 6 years and PA > 30 units/month; See Table 15drugId:662; See Table 71drugId:4348 SEDATIVES
Estrostep FE # (ethinyl estradiol / norethindrone-Estrostep FE) CONTRACEPTIVES
estropipate HORMONE REPLACEMENT THERAPY
estrogens,esterified HORMONE REPLACEMENT THERAPY
estrogens, conjugated/bazedoxifene ESTROGENS
estrogens, conjugated HORMONE REPLACEMENT THERAPY
Estring (estradiol-Estring) HORMONE REPLACEMENT THERAPY
estramustinedrugId:656 CHEMOTHERAPY
estradiol-Vivelle-Dot HORMONE REPLACEMENT THERAPY
estradiol valerate and estradiol valerate / dienogest CONTRACEPTIVES
estradiol-Vagifem HORMONE REPLACEMENT THERAPY
estradiol tablet-Estrace HORMONE REPLACEMENT THERAPY
estradiol-Minivelle HORMONE REPLACEMENT THERAPY
estradiol-menostar HORMONE REPLACEMENT THERAPY
estradiol-Femring HORMONE REPLACEMENT THERAPY
estradiol-Evamist HORMONE REPLACEMENT THERAPY
estradiol-Estring HORMONE REPLACEMENT THERAPY
estradiol-Elestrin HORMONE REPLACEMENT THERAPY
estradiol-Divigel HORMONE REPLACEMENT THERAPY
estradiol-Depo-estradiol HORMONE REPLACEMENT THERAPY
estradiol-Delestrogen HORMONE REPLACEMENT THERAPY
estradiol cream HORMONE REPLACEMENT THERAPY
estradiol-Climara HORMONE REPLACEMENT THERAPY
estradiol-Alora HORMONE REPLACEMENT THERAPY
estradiol / norgestimate HORMONE REPLACEMENT THERAPY
estradiol / norethindrone-Combipatch HORMONE REPLACEMENT THERAPY
estradiol / norethindrone-Activella HORMONE REPLACEMENT THERAPY
estradiol / drospirenone HORMONE REPLACEMENT THERAPY
Estrace # (estradiol tablet-Estrace) HORMONE REPLACEMENT THERAPY
Estrace # (estradiol cream) HORMONE REPLACEMENT THERAPY
estazolam - PA < 6 years and PA > 30 units/month; See Table 69drugId:634; See Table 71drugId:4347 BENZODIAZEPINES
esomeprazole strontiumdrugId:5900 - PA PROTON PUMP INHIBITORS
esomeprazole sodium IVdrugId:633 - PA PROTON PUMP INHIBITORS
esomeprazole magnesiumdrugId:632 - PA PROTON PUMP INHIBITORS
esmololdrugId:631 CARDIOVASCULAR
eslicarbazepine - PA; See Table 20drugId:2953; See Table 71drugId:3380 ANTICONVULSANTS
esketamine - PA; See Table 17drugId:7138; See Table 71drugId:7139 ANTIDEPRESSANTS
escitalopram - PA < 6 years; See Table 17drugId:630; See Table 71drugId:3701 ANTIDEPRESSANTS
Esbriet (pirfenidone)drugId:4767 - PA PULMONARY FIBROSIS AGENTS
erythromycin tabletdrugId:624 ANTIBIOTICS
erythromycin solutiondrugId:2437 - PA ≥ 22 years ANTIBIOTICS
erythromycin ophthalmic ointmentdrugId:625 OPHTHALMIC PREPARATIONS
erythromycin injectiondrugId:2679 ANTIBIOTICS
erythromycin geldrugId:5880 - PA ≥ 22 years ANTIBIOTICS
erythromycin ethylsuccinate suspensiondrugId:621 ANTIBIOTICS
erythromycin delayed-release tablet-PCEdrugId:5132 ANTIBIOTICS
erythromycin delayed-release capsule, tabletdrugId:623 ANTIBIOTICS
erythromycin / ethanol pads, pledgetsdrugId:628 - PA ANTIBIOTICS
Erythrocin (erythromycin injection)drugId:2679 ANTIBIOTICS
ErypeddrugId:621 # (erythromycin ethylsuccinate suspension)drugId:621 ANTIBIOTICS
ErygeldrugId:5880 # (erythromycin gel)drugId:5880 - PA ≥ 22 years ANTIBIOTICS
Erwinaze (asparaginase erwinia chrysanthemi)drugId:2420 ^ - PA CHEMOTHERAPY
ertugliflozindrugId:6617 - PA DIABETIC AGENTS
ertugliflozin / sitagliptindrugId:6618 - PA DIABETIC AGENTS
ertugliflozin / metformindrugId:6616 - PA DIABETIC AGENTS
ertapenemdrugId:620 ANTIBIOTICS
Ertaczo (sertaconazole)drugId:1843 - PA FUNGICIDES
erlotinibdrugId:619 BP - PA CHEMOTHERAPY
Erleada (apalutamide)drugId:6682 - PA CHEMOTHERAPY
Erivedge (vismodegib)drugId:2481 - PA CHEMOTHERAPY
eribulindrugId:2168 - PA CHEMOTHERAPY
ergotaminedrugId:6080 - PA ANALGESICS
ergotamine / caffeine tabletdrugId:618 - PA ANALGESICS
ergotamine / caffeine suppositorydrugId:6060 - PA ANALGESICS
ergoloid CARDIOVASCULAR
ergocalciferol capsuledrugId:616 ELECTROLYTES AND NUTRIENTS
erenumab-aooedrugId:6661 - PA BIOLOGICAL
erdafitinibdrugId:7129 - PA CHEMOTHERAPY
Erbitux (cetuximab)drugId:212 CHEMOTHERAPY
Eraxis (anidulafungin) ANTIBIOTICS
eravacyclinedrugId:7049 - PA ANTIBIOTICS
Equetro (carbamazepine extended-release-Equetro) - PA; See Table 20drugId:171; See Table 71drugId:3260 ANTICONVULSANTS
EpzicomdrugId:138 # (abacavir / lamivudine)drugId:138 ANTIVIRALS
eprosartandrugId:613 - PA CARDIOVASCULAR
epoprostenol-VeletridrugId:2098 - PA CARDIOVASCULAR
epoprostenol-FlolandrugId:612 CARDIOVASCULAR
Epogen (epoetin alfa-Epogen)drugId:610 - PA HEMATINIC AGENT
epoetin alfa-ProcritdrugId:611 - PA HEMATINIC AGENT
epoetin alfa-EpogendrugId:610 - PA HEMATINIC AGENT
epoetin alfa-epbxdrugId:6820 - PA HEMATINIC AGENT
eplerenonedrugId:609 - PA ALDOSTERONE ANTAGONISTS
Epivir HBVdrugId:1010 # (lamivudine 100 mg tablet)drugId:1010 - PA > 30 units/month  ANTIVIRALS
Epivir HBV (lamivudine 5 mg/mL solution)drugId:1011 - PA > 600 mL/month ANTIVIRALS
EpivirdrugId:1009 # (lamivudine 150 mg, 300 mg tablet)drugId:1009 ANTIVIRALS
EpivirdrugId:2541 # (lamivudine 10 mg/mL solution)drugId:2541 ANTIVIRALS
epirubicindrugId:608 CHEMOTHERAPY
Epipen Jr (epinephrine 0.15 mg auto-injection-Epipen Jr)drugId:4680 - PA ADRENERGICS
Epipen (epinephrine 0.3 mg auto-injection-Epipen)drugId:607 - PA ADRENERGICS
epinephrine injectiondrugId:606 ADRENERGICS
epinephrine auto-injectiondrugId:6109 ADRENERGICS
epinephrine 0.3 mg auto-injection-EpipendrugId:607 - PA ADRENERGICS
epinephrine 0.15 mg auto-injection-Epipen JrdrugId:4680 - PA ADRENERGICS
epinastinedrugId:605 - PA ANTIHISTAMINES
Epiduo (adapalene / benzoyl peroxide)drugId:160 - PA DERMATOLOGICAL
Epidiolex (cannabidiol) - PA; See Table 20drugId:6901; See Table 71drugId:6902 ANTICONVULSANTS
Epclusa (sofosbuvir / velpatasvir)drugId:5540 BP PD - PA ANTIVIRALS
Epaned (enalapril solution)drugId:2858 - PA CARDIOVASCULAR
enzalutamidedrugId:2651 - PA CHEMOTHERAPY
Envarsus XR (tacrolimus extended-release tablet)drugId:5249 IMMUNOMODULATOR
Entyvio (vedolizumab)drugId:2957 - PA UNCLASSIFIED DRUG PRODUCTS
Entresto (sacubitril / valsartan)drugId:5125 - PA CARDIOVASCULAR
EntocortdrugId:379 # (budesonide-Entocort)drugId:379 GLUCOCORTICOIDS
entecavir tabletdrugId:603 - PA > 30 units/month ANTIVIRALS
entecavir solutiondrugId:604 - PA > 600 mL/month  ANTIVIRALS
entacaponedrugId:602 - PA ANTIPARKINSON
Enstilar (betamethasone / calcipotriene foam)drugId:5248 - PA GLUCOCORTICOIDS
enoxaparindrugId:601 ANTICOAGULANTS
Engerix-B (hepatitis B recombinant vaccine)drugId:2579 1 BIOLOGICAL
enfuvirtidedrugId:600 ANTIVIRALS
Enemeez (docusate enema)drugId:555 CONSTIPATION AGENTS
Endari (l-glutamine-Endari)drugId:6503 - PA ELECTROLYTES AND NUTRIENTS
encorafenibdrugId:6800 - PA CHEMOTHERAPY
Enbrel (etanercept)drugId:663 PD - PA IMMUNOMODULATOR
enasidenibdrugId:6284 - PA CHEMOTHERAPY
enalapril solutiondrugId:2858 - PA CARDIOVASCULAR
enalapril / hydrochlorothiazidedrugId:599 CARDIOVASCULAR
enalaprildrugId:598 CARDIOVASCULAR
Enablex (darifenacin)drugId:328 - PA URINARY ANTISPASMODICS
Emtriva (emtricitabine)drugId:596 ANTIVIRALS
emtricitabine / tenofovir disoproxil fumaratedrugId:597 ANTIVIRALS
emtricitabine / tenofovir alafenamidedrugId:5381 PD ANTIVIRALS
emtricitabine / rilpivirine / tenofovir disoproxil fumaratedrugId:2361 ANTIVIRALS
emtricitabine / rilpivirine / tenofovir alafenamidedrugId:5389 PD ANTIVIRALS
emtricitabinedrugId:596 ANTIVIRALS
Emsam (selegiline transdermal patch) - PA; See Table 17drugId:1840; See Table 71drugId:3560 ANTIDEPRESSANTS
Empliciti (elotuzumab)drugId:5246 - PA CHEMOTHERAPY
empagliflozin / metformindrugId:5113 - PA DIABETIC AGENTS
empagliflozin / metformin extended-releasedrugId:6107 - PA DIABETIC AGENTS
empagliflozin / linagliptindrugId:4771 - PA DIABETIC AGENTS
empagliflozindrugId:4627 DIABETIC AGENTS
emicizumab-kxwh ANTI-HEMOPHILIA AGENTS
Emgality (galcanezumab-gnlm)drugId:7003 - PA BIOLOGICAL
Emflaza (deflazacort)drugId:6720 - PA GLUCOCORTICOIDS
EmenddrugId:85 # (aprepitant 80 mg)drugId:85 - PA > 4 capsules/28 days ANTIEMETICS
EmenddrugId:86 # (aprepitant 40 mg and 125 mg capsule)drugId:86 - PA > 2 capsules/28 days ANTIEMETICS
Emend (fosaprepitant injection)drugId:909 ANTIEMETICS
Emend (aprepitant trifold pack)drugId:87 BP - PA > 2 packs/28 days ANTIEMETICS
Emend (aprepitant 125 mg powder for oral suspension)drugId:5726 - PA > 6 units/28 days ANTIEMETICS
emedastinedrugId:595 - PA ANTIHISTAMINES
Emcyt (estramustine)drugId:656 CHEMOTHERAPY
Embeda (morphine / naltrexone)drugId:4766 - PA OPIOID ANALGESICS
Emadine (emedastine)drugId:595 - PA ANTIHISTAMINES
elvitegravir / cobicistat / emtricitabine / tenofovir disoproxil fumaratedrugId:2648 ANTIVIRALS
elvitegravir / cobicistat / emtricitabine / tenofovir alafenamidedrugId:5250 PD ANTIVIRALS
elvitegravirdrugId:4840 ANTIVIRALS
eluxadolinedrugId:5403 - PA GASTROINTESTINAL AGENT
eltrombopagdrugId:594 - PA HEMATINIC AGENT
elotuzumabdrugId:5246 - PA CHEMOTHERAPY
elosulfase alfadrugId:2931 - PA ENZYMES
Eloctate (factor VIII recombinant, Fc fusion protein) ANTI-HEMOPHILIA AGENTS
ElocondrugId:5024 # (mometasone ointment)drugId:5024 GLUCOCORTICOIDS
ElocondrugId:1382 # (mometasone cream, solution)drugId:1382 GLUCOCORTICOIDS
Elmiron (pentosan) ANALGESICS
EllencedrugId:608 # (epirubicin)drugId:608 CHEMOTHERAPY
Ella (ulipristal acetate) CONTRACEPTIVES
Elitek (rasburicase) ENZYMES
Eliquis (apixaban)drugId:2721 - PA ANTICOAGULANTS
ElimitedrugId:4700 # (permethrin cream)drugId:4700 ANTIPARASITICS
eliglustatdrugId:4764 - PA ENZYMES
Eligard (leuprolide)drugId:1034 - PA CHEMOTHERAPY
Elidel (pimecrolimus)drugId:1531 BP DERMATOLOGICAL
eletriptandrugId:593 - PA TRIPTAN
Elestrin (estradiol-Elestrin) HORMONE REPLACEMENT THERAPY
Elestat (epinastine)drugId:605 - PA ANTIHISTAMINES
Elelyso (taliglucerase alfa)drugId:2558 - PA ENZYMES
electrolye solution, pediatric * ELECTROLYTES AND NUTRIENTS
elbasvir / grazoprevirdrugId:5321 - PA ANTIVIRALS
Elaprase (idursulfase)drugId:776 - PA ENZYMES
elapegademase-lvlrdrugId:7044 - PA ENZYMES
elagolixdrugId:6921 - PA HORMONE AGENTS
Egrifta (tesamorelin)drugId:5626 - PA OTHER HORMONES
Efudex (fluorouracil 5% cream)drugId:2260 BP - PA CHEMOTHERAPY
efinaconazoledrugId:4628 - PA FUNGICIDES
Effient (prasugrel)drugId:1571 - PA ANTIPLATELET AGENT
Effexor XR # (venlafaxine extended-release capsule) - PA < 6 years; See Table 17drugId:1795; See Table 71drugId:3901 ANTIDEPRESSANTS
efavirenzdrugId:590 BP ANTIVIRALS
efavirenz / lamivudine / tenofovir disoproxil fumaratedrugId:6782 - PA ANTIVIRALS
efavirenz / emtricitabine / tenofovirdrugId:591 ANTIVIRALS
Edurant (rilpivirine)drugId:2284 ANTIVIRALS
edoxabandrugId:4795 - PA ANTICOAGULANTS
Edluar (zolpidem 5 mg, 10 mg sublingual tablet) - PA; See Table 15drugId:1935; See Table 71drugId:4340 SEDATIVES
Edecrin (ethacrynic acid tablet)drugId:664 - PA CARDIOVASCULAR
Edarbyclor (azilsartan / chlorthalidone)drugId:2480 - PA CARDIOVASCULAR
Edarbi (azilsartan)drugId:2240 - PA CARDIOVASCULAR
edaravonedrugId:6288 - PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
eculizumabdrugId:589 - PA BIOLOGICAL
econazole 1% creamdrugId:588 FUNGICIDES
echothiophatedrugId:587 OPHTHALMIC PREPARATIONS
ecallantidedrugId:1941 ^ 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.


Back to Top | Previous | Next
Last updated 07/15/19