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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
Inspra (eplerenone)drugId:609 - PA ALDOSTERONE ANTAGONISTS
imipenem / cilastatindrugId:781 ANTIBIOTICS
InvanzdrugId:620 # (ertapenem)drugId:620 ANTIBIOTICS
isoniaziddrugId:5740 ANTIBIOTICS
Iprivask (desirudin)drugId:2989 - PA ANTICOAGULANTS
imipramine hydrochloride - PA < 6 years; See Table 17drugId:782; See Table 71drugId:4060 ANTIDEPRESSANTS
imipramine pamoate - PA; See Table 17drugId:2308; See Table 71drugId:4080 ANTIDEPRESSANTS
isocarboxazid - PA; See Table 17drugId:2619; See Table 71drugId:3600 ANTIDEPRESSANTS
Idelvion (factor IX recombinant, albumin fusion protein) ANTI-HEMOPHILIA AGENTS
Ixinity (factor IX human recombinant-Ixinity) ANTI-HEMOPHILIA AGENTS
ivermectin lotiondrugId:2584 - PA ANTIPARASITICS
ivermectin tabletdrugId:989 ANTIPARASITICS
iloperidone - PA; See Table 24drugId:777; See Table 71drugId:4265 ANTIPSYCHOTIC
Invega (paliperidone tablet) - PA; See Table 24drugId:1471; See Table 71drugId:4280 ANTIPSYCHOTIC
Invega Sustenna (paliperidone extended-release 1-month injection) - PA < 6 years, PA > 2 units/month within the first 30 days of therapy and PA > 1 unit/month after 30 days of therapy; See Table 24drugId:1470; See Table 71drugId:4281 ANTIPSYCHOTIC
Invega Trinza (paliperidone extended-release 3-month injection) - PA < 6 years and PA > 1 unit/3 months; See Table 24drugId:5121; See Table 71drugId:5122 ANTIPSYCHOTIC
iodinedrugId:1992 * ANTISEPTICS
isopropyl alcoholdrugId:976 * ANTISEPTICS
ibalizumab-uiykdrugId:6687 - PA ANTIVIRALS
indinavirdrugId:791 ANTIVIRALS
Intelence (etravirine)drugId:447 ANTIVIRALS
Invirase (saquinavir)drugId:1832 ANTIVIRALS
Isentress (raltegravir)drugId:2701 ANTIVIRALS
immune globulin IM, human-Gamastan S/DdrugId:2683 - PA BIOLOGICAL
immune globulin injection, human-GammagarddrugId:2198 - PA BIOLOGICAL
immune globulin injection, human-GammakeddrugId:2641 - PA BIOLOGICAL
immune globulin injection, human-Gamunex-CdrugId:2167 - PA BIOLOGICAL
immune globulin IV, human-BivigamdrugId:2817 - PA BIOLOGICAL
immune globulin IV, human-Carimune NFdrugId:785 - PA BIOLOGICAL
immune globulin IV, human-FlebogammadrugId:786 - PA BIOLOGICAL
immune globulin IV, human-Gammagard S/DdrugId:787 - PA BIOLOGICAL
immune globulin IV, human-GammaplexdrugId:2381 - PA BIOLOGICAL
immune globulin IV, human-ifasdrugId:7104 - PA BIOLOGICAL
immune globulin IV, human-OctagamdrugId:2684 - PA BIOLOGICAL
immune globulin IV, human-PrivigendrugId:2197 - PA BIOLOGICAL
immune globulin subcutaneous injection, human / hyaluronidase human recombinantdrugId:4626 - PA BIOLOGICAL
immune globulin subcutaneous injection, human-CuvitrudrugId:5720 - PA BIOLOGICAL
immune globulin subcutaneous injection, human-hippdrugId:7131 - PA BIOLOGICAL
immune globulin subcutaneous injection, human-HizentradrugId:1940 - PA BIOLOGICAL
Imogam Rabies-HT (rabies immune globulin IM, human-Imogam Rabies-HT)drugId:1626 BIOLOGICAL
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627 BIOLOGICAL
incobotulinumtoxinAdrugId:2087 - PA BIOLOGICAL
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537 1 BIOLOGICAL
influenza virus vaccine, adjuvanteddrugId:5386 1 - PA < 65 years BIOLOGICAL
influenza virus vaccine, high dosedrugId:798 1 - PA < 65 years  BIOLOGICAL
influenza virus vaccine-AfluriadrugId:2046 1 BIOLOGICAL
influenza virus vaccine-FluarixdrugId:796 1 BIOLOGICAL
influenza virus vaccine-FlublokdrugId:2863 1 BIOLOGICAL
influenza virus vaccine-FlucelvaxdrugId:2652 1 BIOLOGICAL
influenza virus vaccine-FlulavaldrugId:795 1 BIOLOGICAL
influenza virus vaccine-FlumistdrugId:800 1 BIOLOGICAL
influenza virus vaccine-FluvirindrugId:799 1 BIOLOGICAL
influenza virus vaccine-FluzonedrugId:797 1 BIOLOGICAL
Ipol (poliovirus vaccine, inactivated)drugId:1546 1 BIOLOGICAL
Ixiaro (japanese encephalitis vaccine)drugId:2044 BIOLOGICAL
Incruse (umeclidinium)drugId:4774 - PA > 1 inhaler/month BRONCHODILATORS
indacaterol / glycopyrrolatedrugId:5402 - PA BRONCHODILATORS
indacateroldrugId:2357 - PA BRONCHODILATORS
ipratropium inhalation aerosoldrugId:833 BRONCHODILATORS
ipratropium inhalation solution BRONCHODILATORS
iloprostdrugId:778 - PA CARDIOVASCULAR
indapamidedrugId:790 CARDIOVASCULAR
Inderal LAdrugId:1601 # (propranolol extended-release)drugId:1601 CARDIOVASCULAR
Inderal XL (propranolol long-acting capsule)drugId:6562 - PA CARDIOVASCULAR
Innopran XL (propranolol long-acting capsule)drugId:1602 - PA CARDIOVASCULAR
irbesartandrugId:968 CARDIOVASCULAR
irbesartan / hydrochlorothiazidedrugId:969 CARDIOVASCULAR
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978 - PA CARDIOVASCULAR
IsordildrugId:6290 # (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId:6290 CARDIOVASCULAR
isosorbide dinitrate / hydralazinedrugId:982 - PA CARDIOVASCULAR
isosorbide dinitrate 40 mg tabletdrugId:978 - PA CARDIOVASCULAR
isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tabletdrugId:6290 CARDIOVASCULAR
isosorbide dinitrate extended-release capsuledrugId:977 CARDIOVASCULAR
isosorbide dinitrate extended-release tabletdrugId:6760 CARDIOVASCULAR
isosorbide mononitratedrugId:979 CARDIOVASCULAR
isradipine immediate-releasedrugId:987 CARDIOVASCULAR
ivabradinedrugId:5124 - PA CARDIOVASCULAR
Ibrance (palbociclib)drugId:4940 - PA CHEMOTHERAPY
ibrutinibdrugId:2927 - PA CHEMOTHERAPY
Iclusig (ponatinib)drugId:2724 - PA CHEMOTHERAPY
idarubicindrugId:2687 CHEMOTHERAPY
idelalisibdrugId:4644 - PA CHEMOTHERAPY
Idhifa (enasidenib)drugId:6284 - PA CHEMOTHERAPY
IfexdrugId:2457 # (ifosfamide)drugId:2457 CHEMOTHERAPY
ifosfamidedrugId:2457 CHEMOTHERAPY
imatinibdrugId:779 CHEMOTHERAPY
Imbruvica (ibrutinib)drugId:2927 - PA CHEMOTHERAPY
Imfinzi (durvalumab)drugId:6122 - PA CHEMOTHERAPY
Imlygic (talimogene laherparepvec)drugId:5440 ^ - PA CHEMOTHERAPY
Inlyta (axitinib)drugId:2484 - PA CHEMOTHERAPY
inotuzumab ozogamicindrugId:6341 - PA CHEMOTHERAPY
interferon alfa-2bdrugId:822 CHEMOTHERAPY
interferon gamma-1bdrugId:829 CHEMOTHERAPY
Intron A (interferon alfa-2b)drugId:822 CHEMOTHERAPY
iobenguane I 131drugId:6980 ^ CHEMOTHERAPY
ipilimumabdrugId:2296 CHEMOTHERAPY
Iressa (gefitinib)drugId:924 - PA CHEMOTHERAPY
irinotecandrugId:970 CHEMOTHERAPY
irinotecan liposomedrugId:5285 - PA CHEMOTHERAPY
Istodax (romidepsin)drugId:1959 - PA CHEMOTHERAPY
ivosidenibdrugId:6925 - PA CHEMOTHERAPY
ixabepilonedrugId:990 CHEMOTHERAPY
ixazomibdrugId:5281 - PA CHEMOTHERAPY
Ixempra (ixabepilone)drugId:990 CHEMOTHERAPY
ivacaftordrugId:2487 - PA CYSTIC FIBROSIS AGENTS
imiquimod 2.5%, 3.75% creamdrugId:1952 - PA DERMATOLOGICAL
imiquimod 5% creamdrugId:783 - PA DERMATOLOGICAL
ingenol geldrugId:2521 - PA DERMATOLOGICAL
isotretinoin-AbsoricadrugId:2881 - PA DERMATOLOGICAL
isotretinoindrugId:983 - PA ≥ 22 years DERMATOLOGICAL
ivermectin creamdrugId:4813 - PA DERMATOLOGICAL
insulin aspart 70/30drugId:801 DIABETIC AGENTS
insulin aspart-FiaspdrugId:6400 - PA DIABETIC AGENTS
insulin aspart-NovologdrugId:804 DIABETIC AGENTS
insulin degludecdrugId:5302 DIABETIC AGENTS
insulin degludec / liraglutidedrugId:5769 - PA DIABETIC AGENTS
insulin detemirdrugId:805 DIABETIC AGENTS
insulin glargine / lixisenatidedrugId:5766 - PA DIABETIC AGENTS
insulin glargine-BasaglardrugId:5761 - PA DIABETIC AGENTS
insulin glargine-LantusdrugId:807 DIABETIC AGENTS
insulin glargine-ToujeodrugId:4914 DIABETIC AGENTS
insulin glulisinedrugId:810 DIABETIC AGENTS
insulin human inhalation powderdrugId:4900 - PA DIABETIC AGENTS
insulin lispro 50/50drugId:811 DIABETIC AGENTS
insulin lispro 75/25drugId:813 DIABETIC AGENTS
insulin lispro-AdmelogdrugId:6660 - PA DIABETIC AGENTS
insulin lispro-HumalogdrugId:815 BP DIABETIC AGENTS
insulin NPHdrugId:1263 DIABETIC AGENTS
insulin NPH / regular insulin 70/30drugId:817 DIABETIC AGENTS
insulin regulardrugId:821 DIABETIC AGENTS
Invokamet (canagliflozin / metformin)drugId:4775 DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723 - PA DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780 DIABETIC AGENTS
ibandronate IVdrugId:769 - PA ELECTROLYTES AND NUTRIENTS
ibandronate tabletdrugId:770 - PA ELECTROLYTES AND NUTRIENTS
Infed (low molecular weight iron dextran)drugId:972 - PA ELECTROLYTES AND NUTRIENTS
Intralipid (fat emulsions, intravenous- intralipid) ELECTROLYTES AND NUTRIENTS
iron sucrosedrugId:974 - PA ELECTROLYTES AND NUTRIENTS
icatibantdrugId:2364 - PA ENZYMES
idursulfasedrugId:776 - PA ENZYMES
imiglucerasedrugId:780 - PA ENZYMES
isavuconazoniumdrugId:4909 - PA FUNGICIDES
itraconazole 100 mg capsuledrugId:988 FUNGICIDES
itraconazole 200 mg tabletdrugId:2728 - PA FUNGICIDES
itraconazole 65 mg capsuledrugId:7011 - PA FUNGICIDES
itraconazole solutiondrugId:7060 BP FUNGICIDES
Injectafer (ferric carboxymaltose injection)drugId:2844 - PA HEMATINIC AGENT
Increlex (mecasermin)drugId:1124 - PA HORMONE AGENTS
Ilaris (canakinumab)drugId:432 - PA IMMUNOMODULATOR
Ilumya (tildrakizumab-asmn)drugId:7004 - PA IMMUNOMODULATOR
ImurandrugId:111 # (azathioprine 50 mg tablet)drugId:111 IMMUNOMODULATOR
Inflectra (infliximab-dyyb)drugId:5763 - PA IMMUNOMODULATOR
infliximab-abdadrugId:6182 - PA IMMUNOMODULATOR
infliximab-dyybdrugId:5763 - PA IMMUNOMODULATOR
infliximabdrugId:793 - PA IMMUNOMODULATOR
ixekizumabdrugId:5399 - PA IMMUNOMODULATOR
icosapent ethyldrugId:2733 - PA LIPID LOWERING AGENTS
interferon beta-1a-AvonexdrugId:825 MULTIPLE SCLEROSIS AGENTS
interferon beta-1a-RebifdrugId:826 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-BetaserondrugId:827 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-ExtaviadrugId:828 - PA MULTIPLE SCLEROSIS AGENTS
ipratropium nasal spray NASAL PREPARATIONS
Ingrezza (valbenazine)drugId:6123 - PA NEUROLOGIC AGENT
ibuprofen / famotidinedrugId:2363 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
ibuprofendrugId:773 * NONSTEROIDAL ANTI-INFLAMMATORY
ibuprofen powderdrugId:6689 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Indocin (indomethacin suppository)drugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
Indocin (indomethacin suspension)drugId:792 - PA NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin 20 mg, 40 mgdrugId:5115 - PA NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin 25 mg, 50 mgdrugId:2862 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin extended-releasedrugId:2066 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suppositorydrugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suspensiondrugId:792 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Intuniv # (guanfacine extended-release) - PA < 3 years; See Table 31drugId:692; See Table 71drugId:3082 NONSTIMULANT ADHD AGENTS
inotersendrugId:6988 - PA OLIGONUCLEOTIDE AGENTS
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725 - PA OPHTHALMIC PREPARATIONS
Iluvien (fluocinolone ophthalmic implant-Iluvien) ^ OPHTHALMIC PREPARATIONS
IopidinedrugId:84 # (apraclonidine)drugId:84 OPHTHALMIC PREPARATIONS
Isopto Atropine # (atropine ophthalmic) OPHTHALMIC PREPARATIONS
Isopto CarpinedrugId:2635 # (pilocarpine eye drops)drugId:2635 OPHTHALMIC PREPARATIONS
Istalol (timolol-Istalol)drugId:1703 BP OPHTHALMIC PREPARATIONS
Infumorph (morphine infusion)drugId:1393 OPIOID ANALGESICS
Intermezzo (zolpidem 1.75 mg, 3.5 mg sublingual tablet) - PA; See Table 15drugId:2518; See Table 71drugId:4341 SEDATIVES
Imitrex (sumatriptan injection-Imitrex)drugId:1914 - PA TRIPTAN
Imitrex (sumatriptan nasal spray)drugId:1913 - PA TRIPTAN
ImitrexdrugId:1915 # (sumatriptan tablet)drugId:1915 - PA > 18 units/month TRIPTAN

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 11/18/19