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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
Lithostat (acetohydroxamic acid) ANTIBIOTICS
Lastacaft (alcaftadine)drugId:2173 - PA ANTIHISTAMINES
Lemtrada (alemtuzumab 12 mg)drugId:4782 ^ - PA MULTIPLE SCLEROSIS AGENTS
Lumizyme (alglucosidase alfa)drugId:11 - PA ENZYMES
Lotronex (alosetron)drugId:19 - PA GASTROINTESTINAL AGENT
Letairis (ambrisentan)drugId:30 BP - PA CARDIOVASCULAR
Levulan (aminolevulinic acid) ^ CHEMOTHERAPY
LotreldrugId:44 # (amlodipine / benazepril)drugId:44 CARDIOVASCULAR
LipitordrugId:105 # (atorvastatin 10 mg, 20 mg, 40 mg)drugId:105 - PA > 45 units/month LIPID LOWERING AGENTS
LipitordrugId:2933 # (atorvastatin 80 mg)drugId:2933 - PA > 30 units/month LIPID LOWERING AGENTS
Lioresal (baclofen intrathecal injection)drugId:125 MUSCLE RELAXANT
LotensindrugId:132 # (benazepril)drugId:132 CARDIOVASCULAR
Lotensin HCTdrugId:133 # (benazepril / hydrochlorothiazide)drugId:133 CARDIOVASCULAR
Luxiq (betamethasone valerate foam)drugId:355 - PA GLUCOCORTICOIDS
Lumigan (bimatoprost 0.01% ophthalmic solution)drugId:363 - PA OPHTHALMIC PREPARATIONS
LodosyndrugId:173 # (carbidopa)drugId:173 ANTIPARKINSON
Libtayo (cemiplimab-rwlc)drugId:7005 - PA CHEMOTHERAPY
Leukeran (chlorambucil)drugId:216 CHEMOTHERAPY
Librax (chlordiazepoxide / clidinium)drugId:6843 - PA ANTISPASMODICS,ANTICHOLINERGIC
LoproxdrugId:5625 # (ciclopirox 0.77% cream, suspension)drugId:5625 FUNGICIDES
Loprox (ciclopirox 1% shampoo)drugId:5128 - PA FUNGICIDES
LotrisonedrugId:280 # (clotrimazole / betamethasone cream)drugId:280 FUNGICIDES
Lanoxin # (digoxin) CARDIOVASCULAR
LomotildrugId:542 # (diphenoxylate / atropine)drugId:542 ANTIDIARRHEALS
LovenoxdrugId:601 # (enoxaparin)drugId:601 ANTICOAGULANTS
Lexapro # (escitalopram) - PA < 6 years; See Table 17drugId:630; See Table 71drugId:3701 ANTIDEPRESSANTS
Lunesta # (eszopiclone) - PA < 6 years and PA > 30 units/month; See Table 15drugId:662; See Table 71drugId:4348 SEDATIVES
Liposyn # (fat emulsions, intravenous-liposyn) ELECTROLYTES AND NUTRIENTS
Lipofen (fenofibrate capsule)drugId:5480 LIPID LOWERING AGENTS
Lazanda (fentanyl nasal spray)drugId:2963 - PA OPIOID ANALGESICS
Lescol (fluvastatin)drugId:899 - PA LIPID LOWERING AGENTS
Lescol XL (fluvastatin extended-release)drugId:898 - PA LIPID LOWERING AGENTS
Lexiva (fosamprenavir)drugId:908 BP ANTIVIRALS
LasixdrugId:916 # (furosemide)drugId:916 CARDIOVASCULAR
LopiddrugId:927 # (gemfibrozil)drugId:927 LIPID LOWERING AGENTS
Lonhala (glycopyrrolate inhalation solution)drugId:6742 - PA BRONCHODILATORS
Lexette (halobetasol foam)drugId:6983 - PA GLUCOCORTICOIDS
Lacrisert (hydroxypropyl cellulose ophthalmic insert)drugId:2172 - PA OPHTHALMIC PREPARATIONS
Levemir (insulin detemir)drugId:805 DIABETIC AGENTS
Lantus (insulin glargine-Lantus)drugId:807 DIABETIC AGENTS
l-glutamine-EndaridrugId:6503 - PA ELECTROLYTES AND NUTRIENTS
l-glutamine-NutrestoredrugId:672 - PA ELECTROLYTES AND NUTRIENTS
labetaloldrugId:1001 CARDIOVASCULAR
lacosamide injectiondrugId:1002 ANTICONVULSANTS
lacosamide solution - PA; See Table 20drugId:1972; See Table 71drugId:3500 ANTICONVULSANTS
lacosamide tablet - PA; See Table 20drugId:1003; See Table 71drugId:3520 ANTICONVULSANTS
lactic acid DERMATOLOGICAL
Lactinol (lactic acid) DERMATOLOGICAL
lactic acid / vitamin E DERMATOLOGICAL
lactobacillus rhamnosus GGdrugId:6204 - PA ≥ 19 years GASTROINTESTINAL AGENT
lactulose packetdrugId:1007 - PA CONSTIPATION AGENTS
lactulose solutiondrugId:1008 GASTROINTESTINAL AGENT
lamivudine / tenofovir disoproxil fumaratedrugId:6780 - PA ANTIVIRALS
lamivudine / zidovudinedrugId:1012 ANTIVIRALS
lamivudine 10 mg/mL solutiondrugId:2541 ANTIVIRALS
lamivudine 100 mg tabletdrugId:1010 - PA > 30 units/month  ANTIVIRALS
lamivudine 150 mg, 300 mg tabletdrugId:1009 ANTIVIRALS
lamivudine 5 mg/mL solutiondrugId:1011 - PA > 600 mL/month ANTIVIRALS
lamotrigine dispersible tablet - PA < 6 years; See Table 20drugId:2216; See Table 71drugId:4288 ANTICONVULSANTS
Lamictal # (lamotrigine dispersible tablet) - PA < 6 years; See Table 20drugId:2216; See Table 71drugId:4288 ANTICONVULSANTS
lamotrigine extended-release tablet - PA; See Table 20drugId:1017; See Table 71drugId:4297 ANTICONVULSANTS
Lamictal XR (lamotrigine extended-release tablet) - PA; See Table 20drugId:1017; See Table 71drugId:4297 ANTICONVULSANTS
lamotrigine extended-release tablet starter kit - PA; See Table 20drugId:1018; See Table 71drugId:4300 ANTICONVULSANTS
Lamictal XR (lamotrigine extended-release tablet starter kit) - PA; See Table 20drugId:1018; See Table 71drugId:4300 ANTICONVULSANTS
lamotrigine orally disintegrating tablet - PA; See Table 20drugId:1014; See Table 71drugId:4291 ANTICONVULSANTS
Lamictal ODT (lamotrigine orally disintegrating tablet) - PA; See Table 20drugId:1014; See Table 71drugId:4291 ANTICONVULSANTS
lamotrigine orally disintegrating tablet starter kit - PA; See Table 20drugId:1015; See Table 71drugId:4292 ANTICONVULSANTS
Lamictal ODT (lamotrigine orally disintegrating tablet starter kit) - PA; See Table 20drugId:1015; See Table 71drugId:4292 ANTICONVULSANTS
lamotrigine tablet - PA < 6 years; See Table 20drugId:1013; See Table 71drugId:4289 ANTICONVULSANTS
Lamictal # (lamotrigine tablet) - PA < 6 years; See Table 20drugId:1013; See Table 71drugId:4289 ANTICONVULSANTS
lamotrigine tablet starter kit - PA; See Table 20drugId:1016; See Table 71drugId:4284 ANTICONVULSANTS
Lamictal (lamotrigine tablet starter kit) - PA; See Table 20drugId:1016; See Table 71drugId:4284 ANTICONVULSANTS
lanadelumab-flyodrugId:7008 - PA BIOLOGICAL
lanolin * COMPOUNDING AGENT
lanreotidedrugId:1020 ENDOCRINE/METABOLIC AGENTS
lansoprazole / amoxicillin / clarithromycindrugId:1023 - PA H. PYLORI AGENTS
lansoprazole capsuledrugId:1021 - PA ≥ 2 years PROTON PUMP INHIBITORS
lansoprazole orally disintegrating tabletdrugId:1022 BP - PA ≥ 2 years PROTON PUMP INHIBITORS
lanthanum ELECTROLYTES AND NUTRIENTS
lapatinibdrugId:1025 CHEMOTHERAPY
laronidasedrugId:1026 - PA ENZYMES
larotrectinibdrugId:7047 - PA CHEMOTHERAPY
latanoprost emulsiondrugId:7013 - PA OPHTHALMIC PREPARATIONS
latanoprost solutiondrugId:1027 OPHTHALMIC PREPARATIONS
latanoprostenedrugId:6487 - PA OPHTHALMIC PREPARATIONS
ledipasvir / sofosbuvirdrugId:4600 BP PD - PA ANTIVIRALS
leflunomide IMMUNOMODULATOR
lenalidomidedrugId:2298 - PA CHEMOTHERAPY
lenvatinibdrugId:4943 - PA CHEMOTHERAPY
Lenvima (lenvatinib)drugId:4943 - PA CHEMOTHERAPY
lesinuraddrugId:5680 - PA GOUT AGENTS
lesinurad / allopurinoldrugId:6382 - PA GOUT AGENTS
letermovirdrugId:6615 - PA ANTIVIRALS
letrozoledrugId:1031 CHEMOTHERAPY
leucovorindrugId:1032 ANTIDOTES
leuprolidedrugId:1034 - PA CHEMOTHERAPY
Lupron (leuprolide)drugId:1033 - PA HORMONE AGENTS
leuprolide / norethindronedrugId:2964 - PA OTHER HORMONES
Lupaneta Pack (leuprolide / norethindrone)drugId:2964 - PA OTHER HORMONES
levalbuterol inhalation solutiondrugId:1036 - PA BRONCHODILATORS
levalbuterol inhalerdrugId:1035 BP BRONCHODIALATORS
levetiracetam extended-release - PA < 6 years; See Table 20drugId:1038; See Table 71drugId:4320 ANTICONVULSANTS
levetiracetam injection, solution, tablet; See Table 20drugId:1037; See Table 71drugId:4302 ANTICONVULSANTS
levetiracetam tablet for oral suspension - PA; See Table 20drugId:5397; See Table 71drugId:5398 ANTICONVULSANTS
levobunololdrugId:1040 OPHTHALMIC PREPARATIONS
levocarnitine ELECTROLYTES AND NUTRIENTS
L-Carnitine (levocarnitine) ELECTROLYTES AND NUTRIENTS
levocetirizine solutiondrugId:5960 - PA ANTIHISTAMINES
levocetirizine tabletdrugId:1043 ANTIHISTAMINES
levofloxacin; See Table 35drugId:1044; See Table 66drugId:4720 ANTIBIOTICS
Levaquin # (levofloxacin); See Table 35drugId:1044; See Table 66drugId:4720 ANTIBIOTICS
levofloxacin ophthalmic solutiondrugId:1046 OPHTHALMIC PREPARATIONS
levofloxacin powderdrugId:7053 - PA ANTIBIOTICS
levoleucovorin injectiondrugId:4944 - PA ANTIDOTES
levoleucovorin powder for injectiondrugId:1047 - PA ANTIDOTES
levomilnacipran - PA; See Table 17drugId:2886; See Table 71drugId:3980 ANTIDEPRESSANTS
levonorgestrel / ethinyl estradiol / ferrous bisglycinate CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 0.10/0.02 mg CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 0.15/0.03 mg CONTRACEPTIVES
levonorgestrel / ethinyl estradiol 90/20 mcg CONTRACEPTIVES
levonorgestrel / ethinyl estradiol triphasic CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Loseasonique CONTRACEPTIVES
Loseasonique # (levonorgestrel / ethinyl estradiol-Loseasonique) CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Quartette CONTRACEPTIVES
levonorgestrel / ethinyl estradiol-Seasonique CONTRACEPTIVES
levonorgestrel 1.5 mg tablet * CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 13.5 mg CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 19.5 mg CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 52 mg-Liletta CONTRACEPTIVES
Liletta (levonorgestrel-releasing intrauterine system 52 mg-Liletta) CONTRACEPTIVES
levonorgestrel-releasing intrauterine system 52 mg-Mirena CONTRACEPTIVES
levorphanol powderdrugId:1063 - PA OPIOID ANALGESICS
levorphanol tabletdrugId:1064 - PA OPIOID ANALGESICS
levothyroxine THYROID PREPARATIONS
levothyroxine-Levo-T THYROID PREPARATIONS
Levo-T # (levothyroxine-Levo-T) THYROID PREPARATIONS
levothyroxine-Levoxyl THYROID PREPARATIONS
Levoxyl # (levothyroxine-Levoxyl) THYROID PREPARATIONS
levothyroxine-Synthroid THYROID PREPARATIONS
levothyroxine-Tirosint THYROID PREPARATIONS
levothyroxine-Unithroid THYROID PREPARATIONS
lidocaine / prilocainedrugId:1074 ANESTHETICS
lidocaine / tetracainedrugId:1075 - PA > 4 patches / month ANESTHETICS
lidocaine 1.8% patchdrugId:7015 - PA ANESTHETICS
lidocaine 5% patchdrugId:1071 - PA > 90 patches/month ANESTHETICS
LidodermdrugId:1071 # (lidocaine 5% patch)drugId:1071 - PA > 90 patches/month ANESTHETICS
lidocaine ointmentdrugId:5604 - PA ANESTHETICS
lidocaine ophthalmic gel OPHTHALMIC PREPARATIONS
lidocaine powderdrugId:6374 - PA ANESTHETICS
lidocaine powder intradermal injection systemdrugId:5118 - PA ANESTHETICS
lidocaine viscous solutiondrugId:5605 ANESTHETICS
lidocaine-Xylocaine-MPF ANESTHETICS
lifitegrastdrugId:5681 - PA OPHTHALMIC PREPARATIONS
linaclotidedrugId:2658 - PA CONSTIPATION AGENTS
Linzess (linaclotide)drugId:2658 - PA CONSTIPATION AGENTS
linagliptindrugId:2293 DIABETIC AGENTS
linagliptin / metformindrugId:2486 DIABETIC AGENTS
linagliptin / metformin extended-releasedrugId:5724 - PA DIABETIC AGENTS
lincomycindrugId:2634 ANTIBIOTICS
LincocindrugId:2634 # (lincomycin)drugId:2634 ANTIBIOTICS
lindane shampoodrugId:1076 - PA ANTIPARASITICS
linezolid injectiondrugId:1079 - PA ANTIBIOTICS
linezolid suspension, tabletdrugId:1078 - PA ANTIBIOTICS
liothyronine THYROID PREPARATIONS
liotrix THYROID PREPARATIONS
liraglutidedrugId:1085 - PA DIABETIC AGENTS
lisdexamfetamine PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:1086; See Table 71drugId:3021 CEREBRAL STIMULANTS
lisinoprildrugId:1087 CARDIOVASCULAR
lisinopril / hydrochlorothiazidedrugId:1090 CARDIOVASCULAR
lisinopril solutiondrugId:5592 - PA CARDIOVASCULAR
lithiumdrugId:1092 - PA < 6 years ANTIPSYCHOTIC
LithobiddrugId:1092 # (lithium)drugId:1092 - PA < 6 years ANTIPSYCHOTIC
lixisenatidedrugId:5760 - PA DIABETIC AGENTS
lodoxamidedrugId:1095 - PA OPHTHALMIC PREPARATIONS
lofexidinedrugId:6906 - PA ALPHA-2 ADRENERGIC AGONIST
Lucemyra (lofexidine)drugId:6906 - PA ALPHA-2 ADRENERGIC AGONIST
lomitapidedrugId:2727 - PA LIPID LOWERING AGENTS
loperamidedrugId:1097 * ANTIDIARRHEALS
lopinavir / ritonavirdrugId:1098 BP ANTIVIRALS
loratadine / pseudoephedrinedrugId:2264 * ANTIHISTAMINES
loratadine tablet, solutiondrugId:1099 * ANTIHISTAMINES
lorazepam powder - PA; See Table 69drugId:1102; See Table 71drugId:4401 BENZODIAZEPINES
lorazepam solution, tablet - PA < 6 years; See Table 69drugId:1100; See Table 71drugId:4400 BENZODIAZEPINES
lorlatinibdrugId:7042 - PA CHEMOTHERAPY
Lorbrena (lorlatinib)drugId:7042 - PA CHEMOTHERAPY
losartandrugId:1103 CARDIOVASCULAR
losartan / hydrochlorothiazidedrugId:1104 CARDIOVASCULAR
loteprednol 0.2%drugId:1105 - PA OPHTHALMIC PREPARATIONS
loteprednol 0.5%drugId:1106 BP - PA OPHTHALMIC PREPARATIONS
Lotemax (loteprednol 0.5%)drugId:1106 BP - PA OPHTHALMIC PREPARATIONS
lovastatin 10 mg, 20 mgdrugId:1108 - PA > 45 units/month LIPID LOWERING AGENTS
lovastatin 40 mgdrugId:2735 - PA > 60 units/month LIPID LOWERING AGENTS
lovastatin extended-releasedrugId:1107 - PA LIPID LOWERING AGENTS
low molecular weight iron dextrandrugId:972 - PA ELECTROLYTES AND NUTRIENTS
loxapine capsule - PA < 6 years; See Table 24drugId:6324; See Table 71drugId:1109 ANTIPSYCHOTIC
Loxitane # (loxapine capsule) - PA < 6 years; See Table 24drugId:6324; See Table 71drugId:1109 ANTIPSYCHOTIC
lubiprostonedrugId:1110 - PA CONSTIPATION AGENTS
luliconazoledrugId:2925 - PA FUNGICIDES
Luzu (luliconazole)drugId:2925 - PA FUNGICIDES
lumacaftor / ivacaftordrugId:5126 - PA CYSTIC FIBROSIS AGENTS
lurasidone - PA; See Table 24drugId:2174; See Table 71drugId:4266 ANTIPSYCHOTIC
Latuda (lurasidone) - PA; See Table 24drugId:2174; See Table 71drugId:4266 ANTIPSYCHOTIC
lusutrombopagdrugId:6991 - PA HEMATOLOGIC
LialdadrugId:1153 # (mesalamine delayed-release)drugId:1153 GI ANTI-INFLAMMATORY
LopressordrugId:1338 # (metoprolol)drugId:1338 CARDIOVASCULAR
Lopressor HCTdrugId:1339 # (metoprolol / hydrochlorothiazide)drugId:1339 CARDIOVASCULAR
Lysodren (mitotane)drugId:4881 CHEMOTHERAPY
Lumoxiti (moxetumomab pasudotox-tdfk)drugId:7043 - PA CHEMOTHERAPY
Lo Loestrin Fe (norethindrone / ethinyl estradiol / ferrous fumarate) CONTRACEPTIVES
Lynparza (olaparib)drugId:4783 - PA CHEMOTHERAPY
Lartruvo (olaratumab)drugId:5764 - PA CHEMOTHERAPY
LovazadrugId:1288 # (omega-3 acid ethyl esters)drugId:1288 LIPID LOWERING AGENTS
Levatol (penbutolol)drugId:1494 - PA CARDIOVASCULAR
Livalo (pitavastatin calcium)drugId:1962 - PA LIPID LOWERING AGENTS
Lyrica (pregabalin) BP - PA; See Table 20drugId:1582; See Table 71drugId:4460 ANTICONVULSANTS
Lyrica CR (pregabalin extended-release) - PA; See Table 71drugId:6609; See Table 72drugId:6608 GABA ANALOGS
Lucentis (ranibizumab) ^ OPHTHALMIC PREPARATIONS
Leukine (sargramostim)drugId:1833 HEMATINIC AGENT
Lokelma (sodium zirconium cyclosilicate)drugId:6905 - PA > 30 units/month CHELATING AGENT
LamisildrugId:1672 # (terbinafine tablet)drugId:1672 FUNGICIDES
Lysteda # (tranexamic acid tablet) HEMOSTATICS
Lonsurf (trifluridine / tipiracil)drugId:5261 - PA CHEMOTHERAPY

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 07/15/19