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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
Hetlioz (tasimelteon)drugId:2960 - PA SEDATIVE, NON-BARBITURATE
Hysingla ER (hydrocodone extended-release tablet)drugId:4772 - PA OPIOID ANALGESICS
hydromorphone powderdrugId:755 - PA OPIOID ANALGESICS
hydromorphonedrugId:754 - PA > 32 mg/day OPIOID ANALGESICS
hydromorphone extended-releasedrugId:1939 - PA OPIOID ANALGESICS
hydrocodone powderdrugId:717 - PA OPIOID ANALGESICS
hydrocodone extended-release tabletdrugId:4772 - PA OPIOID ANALGESICS
hydrocodone extended-release capsuledrugId:2924 - PA OPIOID ANALGESICS
hydrocodone 7.5 mg / ibuprofendrugId:728 - PA > 80 mg/day OPIOID ANALGESICS
hydrocodone 5 mg, 10 mg / ibuprofendrugId:726 - PA OPIOID ANALGESICS
hydrocodone / acetaminophendrugId:723 - PA > 80 mg/day OPIOID ANALGESICS
hydrocodone / acetaminophen 300 mgdrugId:5143 - PA OPIOID ANALGESICS
hydroxypropyl cellulose ophthalmic insertdrugId:2172 - PA OPHTHALMIC PREPARATIONS
Hyper-Sal (sodium chloride 3.5%, 7% for inhalation) - Non-Drug Product NON-DRUG PRODUCT
Hymovis (hyaluronate modified)drugId:5500 - PA; Non-Drug Product NON-DRUG PRODUCT
hylan G-F20-SynviscdrugId:4810 - PA; Non-Drug Product NON-DRUG PRODUCT
hylan G-F20-Synvisc-OnedrugId:4811 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-Visco-3drugId:6411 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-TriviscdrugId:6926 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-TrilurondrugId:7268 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-SupartzdrugId:4809 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-MonoviscdrugId:4805 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate modifieddrugId:5500 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-HyalgandrugId:4803 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-GenviscdrugId:5340 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-GelsyndrugId:5620 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-EuflexxadrugId:4801 - PA; Non-Drug Product NON-DRUG PRODUCT
hyaluronate-DurolanedrugId:6381 - PA; Non-Drug Product NON-DRUG PRODUCT
Hyalgan (hyaluronate-Hyalgan)drugId:4803 - PA; Non-Drug Product NON-DRUG PRODUCT
high molecular weight hyaluronandrugId:4808 - PA; Non-Drug Product NON-DRUG PRODUCT
Humira (adalimumab)drugId:158 PD - PA IMMUNOMODULATOR
hydroxyprogesterone caproate injectiondrugId:759 - PA HORMONE REPLACEMENT THERAPY
hydroxyprogesterone caproate injection-MakenadrugId:2243 - PA HORMONE REPLACEMENT THERAPY
Humatrope (somatropin-Humatrope)drugId:1881 - PA HORMONE AGENTS
histrelin-VantasdrugId:711 - PA HORMONE AGENTS
histrelin-Supprelin LAdrugId:710 - PA HORMONE AGENTS
hydroxyurea; See Table 4drugId:760; See Table 57drugId:761 HEMATOLOGIC
hydrocortisone valerate ointmentdrugId:5025 GLUCOCORTICOIDS
hydrocortisone valerate creamdrugId:2048 GLUCOCORTICOIDS
hydrocortisone tabletdrugId:736 GLUCOCORTICOIDS
hydrocortisone solutiondrugId:739 - PA GLUCOCORTICOIDS
hydrocortisone probutate creamdrugId:732 - PA GLUCOCORTICOIDS
hydrocortisone injection-Solu-CortefdrugId:729 GLUCOCORTICOIDS
hydrocortisone injectiondrugId:730 GLUCOCORTICOIDS
hydrocortisone hemorrhoidal creamdrugId:740 GLUCOCORTICOIDS
hydrocortisone foamdrugId:731 GLUCOCORTICOIDS
hydrocortisone enemadrugId:2983 GLUCOCORTICOIDS
hydrocortisone cream, lotion, ointmentdrugId:2530 * GLUCOCORTICOIDS
hydrocortisone butyrate lotiondrugId:6561 - PA GLUCOCORTICOIDS
hydrocortisone butyrate cream, ointment, solutiondrugId:2531 GLUCOCORTICOIDS
hydrocortisone butyrate / emollientdrugId:5031 GLUCOCORTICOIDS
Halog (halcinonide cream, ointment)drugId:695 - PA GLUCOCORTICOIDS
halobetasol lotiondrugId:7001 - PA GLUCOCORTICOIDS
halobetasol foamdrugId:6983 - PA GLUCOCORTICOIDS
halobetasol cream, ointmentdrugId:2041 GLUCOCORTICOIDS
halobetasol / tazarotene lotiondrugId:7134 - PA GLUCOCORTICOIDS
halobetasol / lactic aciddrugId:2585 - PA GLUCOCORTICOIDS
halcinonide cream, ointmentdrugId:695 - PA GLUCOCORTICOIDS
Horizant (gabapentin enacarbil)drugId:2285 - PA GABA ANALOGS
Hylenex (hyaluronidase, human recombinant) ENZYMES
hyaluronidase, ovine ENZYMES
hyaluronidase, human recombinant ENZYMES
Haegarda (c1 esterase inhibitor, human-Haegarda)drugId:6283 - PA ENZYMES
Hectorol (doxercalciferol injection)drugId:5780 ^ ELECTROLYTES AND NUTRIENTS
Hectorol (doxercalciferol capsule)drugId:570 - PA ELECTROLYTES AND NUTRIENTS
Humulin R (insulin regular)drugId:821 DIABETIC AGENTS
Humulin N (insulin NPH)drugId:1263 DIABETIC AGENTS
Humulin (insulin NPH / regular insulin 70/30)drugId:817 DIABETIC AGENTS
Humalog (insulin lispro-Humalog)drugId:815 BP DIABETIC AGENTS
Humalog (insulin lispro 75/25)drugId:813 DIABETIC AGENTS
Humalog (insulin lispro 50/50)drugId:811 DIABETIC AGENTS
hydrophilic ointment * DERMATOLOGICAL
HydreadrugId:761 # (hydroxyurea)drugId:761 CHEMOTHERAPY
HycamtindrugId:1730 # (topotecan)drugId:1730 CHEMOTHERAPY
Herceptin (trastuzumab)drugId:1742 CHEMOTHERAPY
Halaven (eribulin)drugId:2168 - PA CHEMOTHERAPY
HyzaardrugId:1104 # (losartan / hydrochlorothiazide)drugId:1104 CARDIOVASCULAR
hydrochlorothiazide / triamterenedrugId:1755 CARDIOVASCULAR
hydrochlorothiazidedrugId:716 CARDIOVASCULAR
hydralazinedrugId:715 CARDIOVASCULAR
Hemangeol (propranolol solution)drugId:2959 - PA CARDIOVASCULAR
Hyqvia (immune globulin subcutaneous injection, human / hyaluronidase human recombinant)drugId:4626 - PA BIOLOGICAL
Hypertet (tetanus immune globulin IM, human)drugId:1687 BIOLOGICAL
Hyperrho (rho(d) immune globulin IM, human-Hyperrho)drugId:1647 BIOLOGICAL
Hyperrab (rabies immune globulin IM, human-Hyperrab)drugId:1625 BIOLOGICAL
Hyperhep B (hepatitis B immune globulin IM, human-Hyperhep B)drugId:706 BIOLOGICAL
human papillomavirus 9-valent vaccinedrugId:4770 1 - PA < 9 years and PA ≥ 46 years BIOLOGICAL
Hizentra (immune globulin subcutaneous injection, human-Hizentra)drugId:1940 - PA BIOLOGICAL
Hiberix (haemophilus B conjugate vaccine-Hiberix)drugId:5624 1 BIOLOGICAL
herpes zoster vaccinedrugId:1791 - PA < 50 years BIOLOGICAL
Heplisav-B (hepatitis B recombinant vaccine, adjuvanted)drugId:6403 BIOLOGICAL
hepatitis B recombinant vaccinedrugId:2579 1 BIOLOGICAL
hepatitis B recombinant vaccine, adjuvanteddrugId:6403 BIOLOGICAL
hepatitis B immune globulin IV, human-Hepagam BdrugId:2685 BIOLOGICAL
hepatitis B immune globulin IM, human-Nabi-HBdrugId:707 BIOLOGICAL
hepatitis B immune globulin IM, human-Hyperhep BdrugId:706 BIOLOGICAL
hepatitis A vaccine, inactivated-VaqtadrugId:705 1 BIOLOGICAL
hepatitis A vaccine, inactivated - HavrixdrugId:2578 1 BIOLOGICAL
hepatitis A, inactivated / hepatitis B recombinantdrugId:2627 1 BIOLOGICAL
Hepagam B (hepatitis B immune globulin IV, human-Hepagam B)drugId:2685 BIOLOGICAL
Havrix (hepatitis A vaccine, inactivated - Havrix)drugId:2578 1 BIOLOGICAL
haemophilus B conjugate vaccine-PedvaxhibdrugId:694 1 BIOLOGICAL
haemophilus B conjugate vaccine-HiberixdrugId:5624 1 BIOLOGICAL
haemophilus B conjugate vaccine-ActhibdrugId:693 1 BIOLOGICAL
Halcion # (triazolam) - PA < 6 years and PA > 30 units/month; See Table 69drugId:1757; See Table 71drugId:4353 BENZODIAZEPINES
HepseradrugId:161 # (adefovir)drugId:161 - PA > 30 units/month ANTIVIRALS
Harvoni (ledipasvir / sofosbuvir)drugId:4600 PD - PA ANTIVIRALS
hyoscyamine oraldrugId:768 ANTISPASMODICS,ANTICHOLINERGIC
hydrogen peroxidedrugId:753 * ANTISEPTICS
haloperidol - PA < 6 years; See Table 24drugId:6323; See Table 71drugId:696 ANTIPSYCHOTIC
Haldol # (haloperidol) - PA < 6 years; See Table 24drugId:6323; See Table 71drugId:696 ANTIPSYCHOTIC
hydroxychloroquine ANTIMALARIALS
hydroxyzine pamoatedrugId:762 ANTIHISTAMINES
hydroxyzine hydrochloridedrugId:6000 ANTIHISTAMINES
Humate-P (antihemophilic factor, human-Humate-P) ANTI-HEMOPHILIA AGENTS
Hemofil-M (antihemophilic factor, recombinant-Hemofil-M) ANTI-HEMOPHILIA AGENTS
Hemlibra (emicizumab-kxwh) ANTI-HEMOPHILIA AGENTS
Helixate (antihemophilic factor, recombinant-Helixate) ANTI-HEMOPHILIA AGENTS
hydroxocobalamin ANTIDOTES
heparin lock flushdrugId:703 ANTICOAGULANTS
heparindrugId:704 ANTICOAGULANTS
HiprexdrugId:938 # (methenamine)drugId:938 ANTIBACTERIAL
hydrocortisone / pramoxine foamdrugId:2310 ANESTHETICS

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