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
Lysteda # (tranexamic acid tablet)	HEMOSTATICS
Lysodren (mitotane)drugId:4881	CHEMOTHERAPY
Lyrica CR (pregabalin extended-release) - PA; See Table 71drugId:6609; See Table 72drugId:6608	GABA ANALOGS
Lyrica (pregabalin) - PA; See Table 20drugId:1582; See Table 71drugId:4460	ANTICONVULSANTS
Lynparza (olaparib)drugId:4783 - PA	CHEMOTHERAPY
Luzu (luliconazole)drugId:2925 - PA	FUNGICIDES
Luxiq (betamethasone valerate foam)drugId:355 - PA	GLUCOCORTICOIDS
lusutrombopagdrugId:6991 - PA	HEMATOLOGIC
lurasidone - PA; See Table 24drugId:2174; See Table 71drugId:4266	ANTIPSYCHOTIC
Lupron (leuprolide)drugId:1033 - PA	HORMONE AGENTS
Lupaneta Pack (leuprolide / norethindrone)drugId:2964 - PA	OTHER HORMONES
Lunesta # (eszopiclone) - PA < 6 years and PA > 30 units/month; See Table 15drugId:662; See Table 71drugId:4348	SEDATIVES
Lumoxiti (moxetumomab pasudotox-tdfk)drugId:7043 - PA	CHEMOTHERAPY
Lumizyme (alglucosidase alfa)drugId:11 - PA	ENZYMES
Lumigan (bimatoprost 0.01% ophthalmic solution)drugId:363 - PA	OPHTHALMIC PREPARATIONS
lumacaftor / ivacaftordrugId:5126 - PA	CYSTIC FIBROSIS AGENTS
luliconazoledrugId:2925 - PA	FUNGICIDES
Lucentis (ranibizumab) ^	OPHTHALMIC PREPARATIONS
Lucemyra (lofexidine)drugId:6906 - PA	ALPHA-2 ADRENERGIC AGONIST
lubiprostonedrugId:1110 - PA	CONSTIPATION AGENTS
Loxitane # (loxapine capsule) - PA < 6 years; See Table 24drugId:6324; See Table 71drugId:1109	ANTIPSYCHOTIC
loxapine capsule - PA < 6 years; See Table 24drugId:6324; See Table 71drugId:1109	ANTIPSYCHOTIC
low molecular weight iron dextrandrugId:972 - PA	ELECTROLYTES AND NUTRIENTS
LovenoxdrugId:601 # (enoxaparin)drugId:601	ANTICOAGULANTS
LovazadrugId:1288 # (omega-3 acid ethyl esters)drugId:1288	LIPID LOWERING AGENTS
lovastatin extended-releasedrugId:1107 - PA	LIPID LOWERING AGENTS
lovastatin 40 mgdrugId:2735 - PA > 60 units/month	LIPID LOWERING AGENTS
lovastatin 10 mg, 20 mgdrugId:1108 - PA > 45 units/month	LIPID LOWERING AGENTS
Lotronex (alosetron)drugId:19 - PA	GASTROINTESTINAL AGENT
LotrisonedrugId:280 # (clotrimazole / betamethasone cream)drugId:280	FUNGICIDES
LotreldrugId:44 # (amlodipine / benazepril)drugId:44	CARDIOVASCULAR
loteprednol 0.5%drugId:1106 BP - PA	OPHTHALMIC PREPARATIONS
loteprednol 0.2%drugId:1105 - PA	OPHTHALMIC PREPARATIONS
Lotensin HCTdrugId:133 # (benazepril / hydrochlorothiazide)drugId:133	CARDIOVASCULAR
LotensindrugId:132 # (benazepril)drugId:132	CARDIOVASCULAR
Lotemax (loteprednol 0.5%)drugId:1106 BP - PA	OPHTHALMIC PREPARATIONS
Loseasonique # (levonorgestrel / ethinyl estradiol-Loseasonique)	CONTRACEPTIVES
losartan / hydrochlorothiazidedrugId:1104	CARDIOVASCULAR
losartandrugId:1103	CARDIOVASCULAR
lorlatinibdrugId:7042 - PA	CHEMOTHERAPY
Lorbrena (lorlatinib)drugId:7042 - PA	CHEMOTHERAPY
lorazepam solution, tablet - PA < 6 years; See Table 69drugId:1100; See Table 71drugId:4400	BENZODIAZEPINES
lorazepam powder - PA; See Table 69drugId:1102; See Table 71drugId:4401	BENZODIAZEPINES
loratadine tablet, solutiondrugId:1099 *	ANTIHISTAMINES
loratadine / pseudoephedrinedrugId:2264 *	ANTIHISTAMINES
LoproxdrugId:5625 # (ciclopirox 0.77% cream, suspension)drugId:5625	FUNGICIDES
Loprox (ciclopirox 1% shampoo)drugId:5128 - PA	FUNGICIDES
Lopressor HCTdrugId:1339 # (metoprolol / hydrochlorothiazide)drugId:1339	CARDIOVASCULAR
LopressordrugId:1338 # (metoprolol)drugId:1338	CARDIOVASCULAR
lopinavir / ritonavirdrugId:1098 BP	ANTIVIRALS
LopiddrugId:927 # (gemfibrozil)drugId:927	LIPID LOWERING AGENTS
loperamidedrugId:1097 *	ANTIDIARRHEALS
Lonsurf (trifluridine / tipiracil)drugId:5261 - PA	CHEMOTHERAPY
Lonhala (glycopyrrolate inhalation solution)drugId:6742 - PA	BRONCHODILATORS
LomotildrugId:542 # (diphenoxylate / atropine)drugId:542	ANTIDIARRHEALS
lomitapidedrugId:2727 - PA	LIPID LOWERING AGENTS
Lo Loestrin Fe (norethindrone / ethinyl estradiol / ferrous fumarate)	CONTRACEPTIVES
Lokelma (sodium zirconium cyclosilicate)drugId:6905 - PA > 30 units/month	CHELATING AGENT
lofexidinedrugId:6906 - PA	ALPHA-2 ADRENERGIC AGONIST
lodoxamidedrugId:1095 - PA	OPHTHALMIC PREPARATIONS
LodosyndrugId:173 # (carbidopa)drugId:173	ANTIPARKINSON
lixisenatidedrugId:5760 - PA	DIABETIC AGENTS
Livalo (pitavastatin calcium)drugId:1962 - PA	LIPID LOWERING AGENTS
Lithostat (acetohydroxamic acid)	ANTIBIOTICS
LithobiddrugId:1092 # (lithium)drugId:1092 - PA < 6 years	ANTIPSYCHOTIC
lithiumdrugId:1092 - PA < 6 years	ANTIPSYCHOTIC
lisinopril solutiondrugId:5592 - PA	CARDIOVASCULAR
lisinopril / hydrochlorothiazidedrugId:1090	CARDIOVASCULAR
lisinoprildrugId:1087	CARDIOVASCULAR
lisdexamfetamine PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:1086; See Table 71drugId:3021	CEREBRAL STIMULANTS
liraglutidedrugId:1085 - PA	DIABETIC AGENTS
Liposyn # (fat emulsions, intravenous-liposyn)	ELECTROLYTES AND NUTRIENTS
Lipofen (fenofibrate capsule)drugId:5480	LIPID LOWERING AGENTS
LipitordrugId:2933 # (atorvastatin 80 mg)drugId:2933 - PA > 30 units/month	LIPID LOWERING AGENTS
LipitordrugId:105 # (atorvastatin 10 mg, 20 mg, 40 mg)drugId:105 - PA > 45 units/month	LIPID LOWERING AGENTS
liotrix	THYROID PREPARATIONS
liothyronine	THYROID PREPARATIONS
Lioresal (baclofen intrathecal injection)drugId:125	MUSCLE RELAXANT
Linzess (linaclotide)drugId:2658 - PA	CONSTIPATION AGENTS
linezolid suspension, tabletdrugId:1078 - PA	ANTIBIOTICS
linezolid injectiondrugId:1079 - PA	ANTIBIOTICS
lindane shampoodrugId:1076 - PA	ANTIPARASITICS
lincomycindrugId:2634	ANTIBIOTICS
LincocindrugId:2634 # (lincomycin)drugId:2634	ANTIBIOTICS
linagliptin / metformin extended-releasedrugId:5724 - PA	DIABETIC AGENTS
linagliptin / metformindrugId:2486	DIABETIC AGENTS
linagliptindrugId:2293	DIABETIC AGENTS
linaclotidedrugId:2658 - PA	CONSTIPATION AGENTS
Liletta (levonorgestrel-releasing intrauterine system 52 mg-Liletta)	CONTRACEPTIVES
lifitegrastdrugId:5681 - PA	OPHTHALMIC PREPARATIONS
LidodermdrugId:1071 # (lidocaine 5% patch)drugId:1071 - PA > 90 patches/month	ANESTHETICS
lidocaine-Xylocaine-MPF	ANESTHETICS
lidocaine viscous solutiondrugId:5605	ANESTHETICS
lidocaine powderdrugId:6374 - PA	ANESTHETICS
lidocaine powder intradermal injection systemdrugId:5118 - PA	ANESTHETICS
lidocaine ophthalmic gel	OPHTHALMIC PREPARATIONS
lidocaine ointmentdrugId:5604 - PA	ANESTHETICS
lidocaine 5% patchdrugId:1071 - PA > 90 patches/month	ANESTHETICS
lidocaine 1.8% patchdrugId:7015 - PA	ANESTHETICS
lidocaine / tetracainedrugId:1075 - PA > 4 patches / month	ANESTHETICS
lidocaine / prilocainedrugId:1074	ANESTHETICS
Libtayo (cemiplimab-rwlc)drugId:7005 - PA	CHEMOTHERAPY
Librax (chlordiazepoxide / clidinium)drugId:6843 - PA	ANTISPASMODICS,ANTICHOLINERGIC
LialdadrugId:1153 # (mesalamine delayed-release)drugId:1153	GI ANTI-INFLAMMATORY
l-glutaminedrugId:6503 - PA	ELECTROLYTES AND NUTRIENTS
Lexiva (fosamprenavir)drugId:908 BP	ANTIVIRALS
Lexette (halobetasol foam)drugId:6983 - PA	GLUCOCORTICOIDS
Lexapro # (escitalopram) - PA < 6 years; See Table 17drugId:630; See Table 71drugId:3701	ANTIDEPRESSANTS
Levulan (aminolevulinic acid) ^	CHEMOTHERAPY
Levoxyl # (levothyroxine-Levoxyl)	THYROID PREPARATIONS
levothyroxine-Unithroid	THYROID PREPARATIONS
levothyroxine-Tirosint	THYROID PREPARATIONS
levothyroxine-Synthroid	THYROID PREPARATIONS
levothyroxine-Levoxyl	THYROID PREPARATIONS
levothyroxine-Levo-T	THYROID PREPARATIONS
levothyroxine-Euthyrox	THYROID PREPARATIONS
levothyroxine	THYROID PREPARATIONS
Levo-T # (levothyroxine-Levo-T)	THYROID PREPARATIONS
levorphanol tabletdrugId:1064 - PA	OPIOID ANALGESICS
levorphanol powderdrugId:1063 - PA	OPIOID ANALGESICS
levonorgestrel-releasing intrauterine system 52 mg-Mirena	CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 52 mg-Liletta	CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 19.5 mg	CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 13.5 mg	CONTRACEPTIVES
levonorgestrel 1.5 mg tablet *	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol triphasic	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Seasonique	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Quartette	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Loseasonique	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 90/20 mcg	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 0.15/0.03 mg	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 0.10/0.02 mg	CONTRACEPTIVES
levonorgestrel / ethinyl estradiol / ferrous bisglycinate	CONTRACEPTIVES
levomilnacipran - PA; See Table 17drugId:2886; See Table 71drugId:3980	ANTIDEPRESSANTS
levoleucovorin powder for injectiondrugId:1047 - PA	ANTIDOTES
levoleucovorin injectiondrugId:4944 - PA	ANTIDOTES
levofloxacin powderdrugId:7053 - PA	ANTIBIOTICS
levofloxacin ophthalmic solutiondrugId:1046	OPHTHALMIC PREPARATIONS
levofloxacin; See Table 35drugId:1044; See Table 66drugId:4720	ANTIBIOTICS
levodopadrugId:7237 - PA	ANTIPARKINSON
levocetirizine tabletdrugId:1043	ANTIHISTAMINES
levocetirizine solutiondrugId:5960 - PA	ANTIHISTAMINES
levocarnitine	ELECTROLYTES AND NUTRIENTS
levobunololdrugId:1040	OPHTHALMIC PREPARATIONS
levetiracetam tablet for oral suspension - PA; See Table 20drugId:5397; See Table 71drugId:5398	ANTICONVULSANTS
levetiracetam injection, solution, tablet; See Table 20drugId:1037; See Table 71drugId:4302	ANTICONVULSANTS
levetiracetam extended-release - PA < 6 years; See Table 20drugId:1038; See Table 71drugId:4320	ANTICONVULSANTS
Levemir (insulin detemir)drugId:805	DIABETIC AGENTS
Levatol (penbutolol)drugId:1494 - PA	CARDIOVASCULAR
Levaquin # (levofloxacin); See Table 35drugId:1044; See Table 66drugId:4720	ANTIBIOTICS
levalbuterol inhalerdrugId:1035 BP	BRONCHODIALATORS
levalbuterol inhalation solutiondrugId:1036 - PA	BRONCHODILATORS
leuprolidedrugId:1034 - PA	CHEMOTHERAPY
leuprolide / norethindronedrugId:2964 - PA	OTHER HORMONES
Leukine (sargramostim)drugId:1833	HEMATINIC AGENT
Leukeran (chlorambucil)drugId:216	CHEMOTHERAPY
leucovorindrugId:1032	ANTIDOTES
letrozoledrugId:1031	CHEMOTHERAPY
letermovirdrugId:6615 - PA	ANTIVIRALS
Letairis (ambrisentan)drugId:30 - PA	CARDIOVASCULAR
lesinuraddrugId:5680 - PA	GOUT AGENTS
lesinurad / allopurinoldrugId:6382 - PA	GOUT AGENTS
Lescol XL (fluvastatin extended-release)drugId:898 - PA	LIPID LOWERING AGENTS
Lescol (fluvastatin)drugId:899 - PA	LIPID LOWERING AGENTS
Lenvima (lenvatinib)drugId:4943 - PA	CHEMOTHERAPY
lenvatinibdrugId:4943 - PA	CHEMOTHERAPY
lenalidomidedrugId:2298 - PA	CHEMOTHERAPY
Lemtrada (alemtuzumab 12 mg)drugId:4782 ^ - PA	MULTIPLE SCLEROSIS AGENTS
leflunomide	IMMUNOMODULATOR
ledipasvir / sofosbuvirdrugId:4600 PD - PA	ANTIVIRALS
L-Carnitine (levocarnitine)	ELECTROLYTES AND NUTRIENTS
Lazanda (fentanyl nasal spray)drugId:2963 - PA	OPIOID ANALGESICS
Latuda (lurasidone) - PA; See Table 24drugId:2174; See Table 71drugId:4266	ANTIPSYCHOTIC
latanoprost solutiondrugId:1027	OPHTHALMIC PREPARATIONS
latanoprostenedrugId:6487 - PA	OPHTHALMIC PREPARATIONS
latanoprost emulsiondrugId:7013 - PA	OPHTHALMIC PREPARATIONS
Lastacaft (alcaftadine)drugId:2173 - PA	ANTIHISTAMINES
LasixdrugId:916 # (furosemide)drugId:916	CARDIOVASCULAR
Lartruvo (olaratumab)drugId:5764 - PA	CHEMOTHERAPY
larotrectinibdrugId:7047 - PA	CHEMOTHERAPY
laronidasedrugId:1026 - PA	ENZYMES
lapatinibdrugId:1025	CHEMOTHERAPY
Lantus (insulin glargine-Lantus)drugId:807	DIABETIC AGENTS
lanthanum	ELECTROLYTES AND NUTRIENTS
lansoprazole orally disintegrating tabletdrugId:1022 BP - PA ≥ 2 years	PROTON PUMP INHIBITORS
lansoprazole capsuledrugId:1021 - PA > 30 units/month	PROTON PUMP INHIBITORS
lansoprazole / amoxicillin / clarithromycindrugId:1023 - PA	H. PYLORI AGENTS
lanreotidedrugId:1020	ENDOCRINE/METABOLIC AGENTS
Lanoxin # (digoxin)	CARDIOVASCULAR
lanolin *	COMPOUNDING AGENT
lanadelumab-flyodrugId:7008 - PA	BIOLOGICAL
lamotrigine tablet starter kit - PA; See Table 20drugId:1016; See Table 71drugId:4284	ANTICONVULSANTS
lamotrigine tablet - PA < 6 years; See Table 20drugId:1013; See Table 71drugId:4289	ANTICONVULSANTS
lamotrigine powder - PA; See Table 20drugId:7189; See Table 71drugId:7190	ANTICONVULSANTS
lamotrigine orally disintegrating tablet starter kit - PA; See Table 20drugId:1015; See Table 71drugId:4292	ANTICONVULSANTS
lamotrigine orally disintegrating tablet - PA; See Table 20drugId:1014; See Table 71drugId:4291	ANTICONVULSANTS
lamotrigine extended-release tablet starter kit - PA; See Table 20drugId:1018; See Table 71drugId:4300	ANTICONVULSANTS
lamotrigine extended-release tablet - PA; See Table 20drugId:1017; See Table 71drugId:4297	ANTICONVULSANTS
lamotrigine dispersible tablet - PA < 6 years; See Table 20drugId:2216; See Table 71drugId:4288	ANTICONVULSANTS
lamivudine 5 mg/mL solutiondrugId:1011 - PA > 600 mL/month	ANTIVIRALS
lamivudine 150 mg, 300 mg tabletdrugId:1009	ANTIVIRALS
lamivudine 10 mg/mL solutiondrugId:2541	ANTIVIRALS
lamivudine 100 mg tabletdrugId:1010 - PA > 30 units/month	ANTIVIRALS
lamivudine / zidovudinedrugId:1012	ANTIVIRALS
lamivudine / tenofovir disoproxil fumaratedrugId:6780 - PA	ANTIVIRALS
LamisildrugId:1672 # (terbinafine tablet)drugId:1672	FUNGICIDES
Lamictal XR (lamotrigine extended-release tablet starter kit) - PA; See Table 20drugId:1018; See Table 71drugId:4300	ANTICONVULSANTS
Lamictal XR (lamotrigine extended-release tablet) - PA; See Table 20drugId:1017; See Table 71drugId:4297	ANTICONVULSANTS
Lamictal ODT (lamotrigine orally disintegrating tablet starter kit) - PA; See Table 20drugId:1015; See Table 71drugId:4292	ANTICONVULSANTS
Lamictal ODT (lamotrigine orally disintegrating tablet) - PA; See Table 20drugId:1014; See Table 71drugId:4291	ANTICONVULSANTS
Lamictal # (lamotrigine tablet) - PA < 6 years; See Table 20drugId:1013; See Table 71drugId:4289	ANTICONVULSANTS
Lamictal # (lamotrigine dispersible tablet) - PA < 6 years; See Table 20drugId:2216; See Table 71drugId:4288	ANTICONVULSANTS
Lamictal (lamotrigine tablet starter kit) - PA; See Table 20drugId:1016; See Table 71drugId:4284	ANTICONVULSANTS
lactulose solutiondrugId:1008	GASTROINTESTINAL AGENT
lactulose packetdrugId:1007 - PA	CONSTIPATION AGENTS
lactobacillus rhamnosus GGdrugId:6204 - PA ≥ 19 years	GASTROINTESTINAL AGENT
Lactinol (lactic acid)	DERMATOLOGICAL
lactic acid / vitamin E	DERMATOLOGICAL
lactic acid	DERMATOLOGICAL
Lacrisert (hydroxypropyl cellulose ophthalmic insert)drugId:2172 - PA	OPHTHALMIC PREPARATIONS
lacosamide tablet - PA; See Table 20drugId:1003; See Table 71drugId:3520	ANTICONVULSANTS
lacosamide solution - PA; See Table 20drugId:1972; See Table 71drugId:3500	ANTICONVULSANTS
lacosamide injectiondrugId:1002	ANTICONVULSANTS
labetaloldrugId:1001	CARDIOVASCULAR

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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