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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
fluoxymesterone ANABOLIC STEROID
Fiorinal (butalbital / aspirin / caffeine capsule)drugId:2797 - PA ANALGESICS
fidaxomicindrugId:2283 - PA ANTIBIOTICS
FirvanqdrugId:6683 # (vancomycin oral solution)drugId:6683 ANTIBIOTICS
Flagyl (metronidazole 375 mg capsule)drugId:1988 - PA ANTIBIOTICS
FlagyldrugId:1341 # (metronidazole 250 mg, 500 mg tablet)drugId:1341 ANTIBIOTICS
flucytosinedrugId:861 ANTIBIOTICS
fosfomycindrugId:911 ANTIBIOTICS
FuradantindrugId:1223 # (nitrofurantoin)drugId:1223 ANTIBIOTICS
fondaparinuxdrugId:904 ANTICOAGULANTS
Fragmin (dalteparin)drugId:321 ANTICOAGULANTS
felbamate; See Table 20drugId:465; See Table 71drugId:3460 ANTICONVULSANTS
Felbatol # (felbamate); See Table 20drugId:465; See Table 71drugId:3460 ANTICONVULSANTS
fosphenytoindrugId:2681 ANTICONVULSANTS
Fycompa (perampanel) - PA; See Table 20drugId:2926; See Table 71drugId:4444 ANTICONVULSANTS
Fetzima (levomilnacipran) - PA; See Table 17drugId:2886; See Table 71drugId:3980 ANTIDEPRESSANTS
fluoxetine 10 mg, 20 mg, 40 mg capsule, solution - PA < 6 years; See Table 17drugId:879; See Table 71drugId:3721 ANTIDEPRESSANTS
fluoxetine 10 mg tablet for premenstrual dysphoric disorder - PA < 6 years; See Table 17drugId:881; See Table 71drugId:3740 ANTIDEPRESSANTS
fluoxetine 20 mg tablet for premenstrual dysphoric disorder - PA; See Table 17drugId:2589; See Table 71drugId:3741 ANTIDEPRESSANTS
fluoxetine 60 mg tablet - PA; See Table 17drugId:2458; See Table 71drugId:4580 ANTIDEPRESSANTS
fluoxetine 90 mg delayed-release capsule - PA; See Table 17drugId:880; See Table 71drugId:3720 ANTIDEPRESSANTS
fluvoxamine extended-release - PA; See Table 17drugId:901; See Table 71drugId:3780 ANTIDEPRESSANTS
fluvoxamine immediate-release - PA < 6 years; See Table 17drugId:900; See Table 71drugId:3781 ANTIDEPRESSANTS
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet) BP - PA; See Table 17drugId:2640; See Table 71drugId:3681 ANTIDEPRESSANTS
Ferriprox (deferiprone)drugId:2483 - PA ANTIDOTES
Fusilev (levoleucovorin powder for injection)drugId:1047 - PA ANTIDOTES
fosaprepitant injectiondrugId:909 ANTIEMETICS
fosnetupitant / palonosetron injectiondrugId:6620 - PA > 2 vials/28 days ANTIEMETICS
factor IX ANTI-HEMOPHILIA AGENTS
factor IX, human ANTI-HEMOPHILIA AGENTS
factor ix complex human-Bebulin ANTI-HEMOPHILIA AGENTS
factor IX complex human-Profilnine SD ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-Benefix ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-Ixinity ANTI-HEMOPHILIA AGENTS
factor IX recombinant, albumin fusion protein ANTI-HEMOPHILIA AGENTS
factor IX recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor XIII A-subunit recombinant ANTI-HEMOPHILIA AGENTS
factor XIII concentrate, human ANTI-HEMOPHILIA AGENTS
Feiba NF (anti-inhibitor coagulant complex-Feiba NF) ANTI-HEMOPHILIA AGENTS
Feiba VH Immuno (anti-inhibitor coagulant complex-Feiba VH) ANTI-HEMOPHILIA AGENTS
fibrinogen ANTI-HEMOPHILIA AGENTS
fibrinogen concentrate ANTI-HEMOPHILIA AGENTS
Fibryga (fibrinogen) ANTI-HEMOPHILIA AGENTS
Fanapt (iloperidone) - PA; See Table 24drugId:777; See Table 71drugId:4265 ANTIPSYCHOTIC
Fazaclo (clozapine orally disintegrating tablet) - PA; See Table 24drugId:282; See Table 71drugId:4262 ANTIPSYCHOTIC
fluphenazine - PA < 6 years; See Table 24drugId:6322; See Table 71drugId:883 ANTIPSYCHOTIC
famciclovirdrugId:460 ANTIVIRALS
FamvirdrugId:460 # (famciclovir)drugId:460 ANTIVIRALS
fosamprenavirdrugId:908 BP ANTIVIRALS
foscarnet ANTIVIRALS
Fuzeon (enfuvirtide)drugId:600 ANTIVIRALS
finasteridedrugId:857 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
FlomaxdrugId:1922 # (tamsulosin)drugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS
flurazepam - PA < 6 years and PA > 30 units/month; See Table 69drugId:885; See Table 71drugId:4349 BENZODIAZEPINES
Fasenra (benralizumab)drugId:6520 - PA BIOLOGICAL
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786 - PA BIOLOGICAL
Fluad (influenza virus vaccine, adjuvanted)drugId:5386 1 - PA < 65 years BIOLOGICAL
Fluarix (influenza virus vaccine-Fluarix)drugId:796 1 BIOLOGICAL
Flublok (influenza virus vaccine-Flublok)drugId:2863 1 BIOLOGICAL
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652 1 BIOLOGICAL
Flulaval (influenza virus vaccine-Flulaval)drugId:795 1 BIOLOGICAL
Flumist (influenza virus vaccine-Flumist)drugId:800 1 BIOLOGICAL
Fluzone (influenza virus vaccine, high dose)drugId:798 1 - PA < 65 years  BIOLOGICAL
Fluzone (influenza virus vaccine-Fluzone)drugId:797 1 BIOLOGICAL
fremanezumab-vfrmdrugId:7000 - PA BIOLOGICAL
Flovent (fluticasone propionate inhalation aerosol, powder)drugId:893 BRONCHODILATORS
flunisolide inhalation aerosoldrugId:2920 - PA BRONCHODILATORS
fluticasone / salmeterol inhalation aerosol, powderdrugId:896 - PA BRONCHODILATORS
fluticasone / salmeterol inhalation powderdrugId:6120 - PA BRONCHODILATORS
fluticasone / vilanteroldrugId:2860 - PA BRONCHODILATORS
fluticasone furoate / umeclidinium / vilanteroldrugId:6408 - PA BRONCHODILATORS
fluticasone furoate inhalation powderdrugId:4760 - PA BRONCHODILATORS
fluticasone propionate inhalation aerosol, powderdrugId:893 BRONCHODILATORS
fluticasone propionate inhalation powder-ArmonairdrugId:6340 - PA BRONCHODILATORS
Foradil (formoterol inhalation powder)drugId:907 - PA BRONCHODILATORS
formoterol inhalation powderdrugId:907 - PA BRONCHODILATORS
formoterol inhalation solutiondrugId:906 - PA BRONCHODILATORS
felodipine extended-releasedrugId:466 CARDIOVASCULAR
flecainide CARDIOVASCULAR
FlolandrugId:612 # (epoprostenol-Flolan)drugId:612 CARDIOVASCULAR
fosinoprildrugId:912 CARDIOVASCULAR
fosinopril / hydrochlorothiazidedrugId:913 CARDIOVASCULAR
furosemidedrugId:916 CARDIOVASCULAR
Focalin # (dexmethylphenidate) - PA < 3 years and PA > 90 units/month; See Table 31drugId:497; See Table 71drugId:3101 CEREBRAL STIMULANTS
Focalin XR (dexmethylphenidate extended-release) BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:498; See Table 71drugId:3020 CEREBRAL STIMULANTS
FarestondrugId:1731 # (toremifene)drugId:1731 CHEMOTHERAPY
Farydak (panobinostat)drugId:5105 - PA CHEMOTHERAPY
Faslodex (fulvestrant)drugId:915 - PA CHEMOTHERAPY
FemaradrugId:1031 # (letrozole)drugId:1031 CHEMOTHERAPY
Firmagon (degarelix)drugId:335 - PA CHEMOTHERAPY
floxuridinedrugId:2680 CHEMOTHERAPY
fludarabinedrugId:2538 CHEMOTHERAPY
fluorouracil 0.5% creamdrugId:876 - PA CHEMOTHERAPY
fluorouracil 4% creamdrugId:5503 - PA CHEMOTHERAPY
fluorouracil 5% creamdrugId:2260 BP - PA CHEMOTHERAPY
fluorouracil injectiondrugId:875 CHEMOTHERAPY
fluorouracil solutiondrugId:877 CHEMOTHERAPY
flutamidedrugId:888 CHEMOTHERAPY
Folotyn (pralatrexate)drugId:1568 CHEMOTHERAPY
fulvestrantdrugId:915 - PA CHEMOTHERAPY
Fabior (tazarotene foam)drugId:2841 - PA DERMATOLOGICAL
Finacea (azelaic acid foam)drugId:5106 - PA DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113 BP - PA DERMATOLOGICAL
Farxiga (dapagliflozin)drugId:2923 DIABETIC AGENTS
Fiasp (insulin aspart-Fiasp)drugId:6400 - PA DIABETIC AGENTS
Fortamet (metformin extended-release-Fortamet)drugId:1157 - PA DIABETIC AGENTS
fat emulsions, intravenous- intralipid ELECTROLYTES AND NUTRIENTS
fat emulsions, intravenous-liposyn ELECTROLYTES AND NUTRIENTS
Feraheme (ferumoxytol)drugId:849 - PA ELECTROLYTES AND NUTRIENTS
ferric citrate ELECTROLYTES AND NUTRIENTS
ferric pyrophosphate citratedrugId:6021 ^ ELECTROLYTES AND NUTRIENTS
Ferrlecit (sodium ferric gluconate complex)drugId:1865 - PA ELECTROLYTES AND NUTRIENTS
ferrous fumaratedrugId:846 * ELECTROLYTES AND NUTRIENTS
ferrous gluconatedrugId:847 * ELECTROLYTES AND NUTRIENTS
ferrous sulfatedrugId:848 * ELECTROLYTES AND NUTRIENTS
ferumoxytoldrugId:849 - PA ELECTROLYTES AND NUTRIENTS
folic aciddrugId:902 * ELECTROLYTES AND NUTRIENTS
Foltrate (cyanocobalamin / folic acid)drugId:303 - PA ELECTROLYTES AND NUTRIENTS
FosamaxdrugId:7 # (alendronate tablet)drugId:7 ELECTROLYTES AND NUTRIENTS
Fosamax Plus D (alendronate / cholecalciferol)drugId:9 - PA ELECTROLYTES AND NUTRIENTS
Fosrenol # (lanthanum) ELECTROLYTES AND NUTRIENTS
Fabrazyme (agalsidase beta)drugId:162 - PA ENZYMES
Firazyr (icatibant)drugId:2364 - PA ENZYMES
fluconazoledrugId:860 FUNGICIDES
fluconazole powderdrugId:7162 - PA FUNGICIDES
Florastor (saccharomyces boulardii)drugId:6207 - PA ≥ 19 years GASTROINTESTINAL AGENT
fludrocortisone GLUCOCORTICOIDS
fluocinolone 0.01% creamdrugId:2529 GLUCOCORTICOIDS
fluocinolone 0.025% creamdrugId:5060 GLUCOCORTICOIDS
fluocinolone body oil, scalp oildrugId:867 GLUCOCORTICOIDS
fluocinolone cream kitdrugId:5062 - PA GLUCOCORTICOIDS
fluocinolone ointmentdrugId:5061 GLUCOCORTICOIDS
fluocinolone ointment kitdrugId:5063 - PA GLUCOCORTICOIDS
fluocinolone shampoodrugId:868 - PA GLUCOCORTICOIDS
fluocinolone solutiondrugId:2632 GLUCOCORTICOIDS
fluocinolone solution kitdrugId:5064 - PA GLUCOCORTICOIDS
fluocinonide / emollientdrugId:2910 GLUCOCORTICOIDS
fluocinonide 0.1% creamdrugId:872 - PA GLUCOCORTICOIDS
fluocinonide cream, gel, ointment, solutiondrugId:2577 GLUCOCORTICOIDS
flurandrenolide cream, lotiondrugId:5520 - PA GLUCOCORTICOIDS
flurandrenolide ointmentdrugId:5941 - PA GLUCOCORTICOIDS
flurandrenolide tapedrugId:884 - PA GLUCOCORTICOIDS
fluticasone creamdrugId:5065 GLUCOCORTICOIDS
fluticasone lotiondrugId:892 - PA GLUCOCORTICOIDS
fluticasone ointmentdrugId:5066 GLUCOCORTICOIDS
febuxostatdrugId:464 BP - PA GOUT AGENTS
famotidine injectiondrugId:5603 H2 ANTAGONISTS
famotidine suspensiondrugId:5602 - PA H2 ANTAGONISTS
famotidine tabletdrugId:461 * H2 ANTAGONISTS
ferric carboxymaltose injectiondrugId:2844 - PA HEMATINIC AGENT
filgrastimdrugId:856 HEMATINIC AGENT
filgrastim-aafidrugId:6922 - PA HEMATINIC AGENT
filgrastim-sndzdrugId:5116 - PA HEMATINIC AGENT
Fulphila (pegfilgrastim-jmdb)drugId:6903 - PA HEMATINIC AGENT
fostamatinibdrugId:6823 - PA HEMATOLOGIC
Forteo (teriparatide)drugId:1678 - PA HORMONE AGENTS
Fortical (calcitonin salmon nasal spray-Fortical)drugId:422 HORMONE AGENTS
Femhrt # (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt) HORMONE REPLACEMENT THERAPY
Femring (estradiol-Femring) HORMONE REPLACEMENT THERAPY
Fortesta (testosterone 2% gel pump)drugId:2241 - PA HORMONE REPLACEMENT THERAPY
fenofibrate 160 mg tabletdrugId:472 LIPID LOWERING AGENTS
fenofibrate 40 mg, 120 mg tabletdrugId:2986 - PA LIPID LOWERING AGENTS
fenofibrate 48 mg, 145 mg tabletdrugId:467 LIPID LOWERING AGENTS
fenofibrate capsuledrugId:468 LIPID LOWERING AGENTS
fenofibrate capsule, 54 mg and 160 mg tabletdrugId:471 LIPID LOWERING AGENTS
fenofibric aciddrugId:473 LIPID LOWERING AGENTS
Fenoglide (fenofibrate 40 mg, 120 mg tablet)drugId:2986 - PA LIPID LOWERING AGENTS
FibricordrugId:473 # (fenofibric acid)drugId:473 LIPID LOWERING AGENTS
fluvastatin extended-releasedrugId:898 - PA LIPID LOWERING AGENTS
fluvastatindrugId:899 - PA LIPID LOWERING AGENTS
fingolimoddrugId:2102 BP - PA MULTIPLE SCLEROSIS AGENTS
flunisolide nasal spraydrugId:866 - PA NASAL PREPARATIONS
fluticasone propionate 50 mcg nasal spraydrugId:889 - PA > 1 inhaler/month NASAL PREPARATIONS
fluticasone propionate 93 mcg nasal spraydrugId:6488 - PA NASAL PREPARATIONS
FeldenedrugId:1540 # (piroxicam)drugId:1540 NONSTEROIDAL ANTI-INFLAMMATORY
fenoprofen capsuledrugId:839 - PA NONSTEROIDAL ANTI-INFLAMMATORY
fenoprofen tabletdrugId:838 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Flector (diclofenac topical patch)drugId:509 - PA NONSTEROIDAL ANTI-INFLAMMATORY
flurbiprofendrugId:887 NONSTEROIDAL ANTI-INFLAMMATORY
Flarex (fluorometholone acetate)drugId:873 OPHTHALMIC PREPARATIONS
fluocinolone ophthalmic implant-Iluvien ^ OPHTHALMIC PREPARATIONS
fluocinolone ophthalmic implant-Retisert ^ OPHTHALMIC PREPARATIONS
fluorometholonedrugId:874 OPHTHALMIC PREPARATIONS
fluorometholone acetatedrugId:873 OPHTHALMIC PREPARATIONS
flurbiprofen ophthalmic solutiondrugId:886 OPHTHALMIC PREPARATIONS
FMLdrugId:874 # (fluorometholone)drugId:874 OPHTHALMIC PREPARATIONS
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845 - PA > 50 mcg/hr and PA > 10 patches/month OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769 - PA OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800 - PA OPIOID ANALGESICS
fentanyl buccal tabletdrugId:840 - PA OPIOID ANALGESICS
fentanyl injectiondrugId:842 OPIOID ANALGESICS
fentanyl nasal spraydrugId:2963 - PA OPIOID ANALGESICS
fentanyl powderdrugId:843 - PA OPIOID ANALGESICS
fentanyl sublingual spraydrugId:2523 - PA OPIOID ANALGESICS
fentanyl sublingual tabletdrugId:2157 - PA OPIOID ANALGESICS
fentanyl transmucosal systemdrugId:844 - PA OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840 - PA OPIOID ANALGESICS
Fiorinal / Codeine (butalbital / aspirin / caffeine / codeine)drugId:411 - PA OPIOID ANALGESICS
fluocinolone oil, otic drops OTIC PREPARATIONS
Firdapse (amifampridine)drugId:7041 - PA POTASSIUM CHANNEL BLOCKER
Frova (frovatriptan)drugId:914 - PA TRIPTAN
frovatriptandrugId:914 - PA TRIPTAN
fesoterodinedrugId:850 BP URINARY ANTISPASMODICS
flavoxatedrugId:858 URINARY ANTISPASMODICS

MassHealth Drug List Footnotes
PA Prior authorization is required. The prescriber must obtain prior authorization for the drug in order for the pharmacy to receive payment. Note: Prior authorization applies to both the brand-name and the FDA "A"-rated generic equivalent of listed product.
 
# This designates a brand-name drug with FDA “A”-rated generic equivalents. Prior authorization is required for the brand, unless a particular form of that drug (for example, tablet, capsule, or liquid) does not have an FDA “A”-rated generic equivalent.
 
BP Brand Preferred over generic equivalents. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent.
 
CO Carve-Out. This agent is listed on the Acute Hospital Carve-Out Drugs List and is subject to additional monitoring and billing requirements.
 
PD Preferred Drug. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class.
 
* The generic OTC and, if any, generic prescription versions of the drug are payable under MassHealth without prior authorization.
 
o Prior-authorization status depends on the drug's formulation.
 
^ This drug is available through the health care professional who administers the drug. MassHealth does not pay for this drug to be dispensed through a retail pharmacy.
 
1 Product may be available through the Massachusetts Department of Public Health (DPH). Please check with DPH for availability. MassHealth does not pay for immunizing biologicals (i.e., vaccines) and tubercular (TB) drugs that are available free of charge through local boards of public health or through the Massachusetts Department of Public Health without prior authorization (130 CMR 406.413(C)). In cases where free vaccines are available to providers for specific populations (e.g. children, high risk, etc.), MassHealth will reimburse the provider only for individuals not eligible for the free vaccines. Notwithstanding the above, MassHealth will pay pharmacies for seasonal flu vaccine serum without prior authorization, if the vaccine is administered in the pharmacy.
 
2 Prior authorization status is gender specific.
 

Note: Any drug that does not appear on the List requires prior authorization.


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Last updated 11/25/19