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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
Orencia (abatacept)drugId:140 - PA IMMUNOMODULATOR
Oseni (alogliptin / pioglitazone)drugId:2783 - PA DIABETIC AGENTS
Osmolex ER (amantadine extended-release tablet)drugId:7006 - PA ANTIPARKINSON
Obizur (antihemophilic factor, recombinant, porcine sequence-Obizur) ANTI-HEMOPHILIA AGENTS
Otezla (apremilast)drugId:2941 - PA IMMUNOMODULATOR
Olumiant (baricitinib)drugId:6803 - PA IMMUNOMODULATOR
Oxervate (cenegermin-bkbj)drugId:7103 - PA OPHTHALMIC PREPARATIONS
Omnaris (ciclesonide nasal spray, 50 mcg)drugId:231 - PA NASAL PREPARATIONS
Otovel (ciprofloxacin / fluocinolone)drugId:5683 - PA OTIC PREPARATIONS
Otiprio (ciprofloxacin otic suspension)drugId:5390 ^ OTIC PREPARATIONS
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788 - PA DERMATOLOGICAL
Onfi (clobazam suspension, tablet) - PA; See Table 20drugId:2419; See Table 71drugId:3300 ANTICONVULSANTS
Olux (clobetasol propionate foam)drugId:268 - PA GLUCOCORTICOIDS
Olux-E (clobetasol propionate foam / emollient)drugId:2532 - PA GLUCOCORTICOIDS
Ozurdex (dexamethasone intravitreal implant)drugId:494 ^ OPHTHALMIC PREPARATIONS
Oracea (doxycycline monohydrate 40 mg capsule)drugId:579 - PA ANTIBIOTICS
Orilissa (elagolix)drugId:6921 - PA HORMONE AGENTS
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389 PD ANTIVIRALS
Ogen # (estropipate) HORMONE REPLACEMENT THERAPY
Ortho-Novum # (ethinyl estradiol / norethindrone-Ortho-Novum) CONTRACEPTIVES
Ortho Tri-Cyclen # (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen) CONTRACEPTIVES
Ortho Tri-Cyclen Lo # (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen Lo) CONTRACEPTIVES
Ortho-Cyclen # (ethinyl estradiol / norgestimate-Ortho-Cyclen) CONTRACEPTIVES
Oralair (grass pollen allergen extract)drugId:4789 - PA ALLERGENS
Orthovisc (high molecular weight hyaluronan)drugId:4808 - PA; Non-Drug Product NON-DRUG PRODUCT
Octagam (immune globulin IV, human-Octagam)drugId:2684 - PA BIOLOGICAL
Onivyde (irinotecan liposome)drugId:5285 - PA CHEMOTHERAPY
Onmel (itraconazole 200 mg tablet)drugId:2728 - PA FUNGICIDES
Orkambi (lumacaftor / ivacaftor)drugId:5126 - PA CYSTIC FIBROSIS AGENTS
Opsumit (macitentan)drugId:2892 - PA CARDIOVASCULAR
Ovide (malathion)drugId:1117 - PA ANTIPARASITICS
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929 - PA IMMUNOMODULATOR
Oxsoralen-Ultra # (methoxsalen capsules) DERMATOLOGICAL
Oxsoralen (methoxsalen topical) DERMATOLOGICAL
Oravig (miconazole buccal tablet)drugId:1966 - PA FUNGICIDES
Opcon-A (naphazoline / pheniramine)drugId:6213 OPHTHALMIC PREPARATIONS
Ofev (nintedanib)drugId:4787 - PA PULMONARY FIBROSIS AGENTS
Orfadin (nitisinone) ENDOCRINE/METABOLIC AGENTS
Opdivo (nivolumab)drugId:5108 - PA CHEMOTHERAPY
Ortho Micronor # (norethindrone 0.35 mg) CONTRACEPTIVES
obeticholic aciddrugId:5589 - PA BILE THERAPY
Ocaliva (obeticholic acid)drugId:5589 - PA BILE THERAPY
obinutuzumabdrugId:2887 - PA CHEMOTHERAPY
ocrelizumabdrugId:6104 - PA MULTIPLE SCLEROSIS AGENTS
Ocrevus (ocrelizumab)drugId:6104 - PA MULTIPLE SCLEROSIS AGENTS
ocriplasmin ^ OPHTHALMIC PREPARATIONS
octreotidedrugId:1269 ENDOCRINE/METABOLIC AGENTS
octreotide injectable suspensiondrugId:2497 ENDOCRINE/METABOLIC AGENTS
ofatumumabdrugId:1270 - PA CHEMOTHERAPY
ofloxacin ophthalmic solutiondrugId:1273 OPHTHALMIC PREPARATIONS
OcufloxdrugId:1273 # (ofloxacin ophthalmic solution)drugId:1273 OPHTHALMIC PREPARATIONS
ofloxacin otic solutiondrugId:1272 OTIC PREPARATIONS
ofloxacin tabletdrugId:1271 - PA ANTIBIOTICS
olanzapine / fluoxetine - PA; See Table 17drugId:2058; See Table 24drugId:1279; See Table 71drugId:4264 ANTIDEPRESSANTS
olanzapine 15 mg orally disintegrating tablet - PA < 6 years and PA > 60 units/month; See Table 24drugId:7126; See Table 71drugId:7127 ANTIPSYCHOTIC
olanzapine 15 mg tablet - PA < 6 years and PA > 60 units/month; See Table 24drugId:2756; See Table 71drugId:4296 ANTIPSYCHOTIC
olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets - PA < 6 years and PA > 30 units/month; See Table 24drugId:1274; See Table 71drugId:4298 ANTIPSYCHOTIC
olanzapine 210 mg, 300 mg extended-release injection - PA < 6 years and PA > 2 injections/month; See Table 24drugId:1277; See Table 71drugId:4301 ANTIPSYCHOTIC
olanzapine 405 mg extended-release injection - PA < 6 years and PA > 1 injection/month; See Table 24drugId:1278; See Table 71drugId:4303 ANTIPSYCHOTIC
olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet - PA < 6 years and PA > 30 units/month; See Table 24drugId:1276; See Table 71drugId:4299 ANTIPSYCHOTIC
olanzapine injectiondrugId:1275 ANTIPSYCHOTIC
olaparibdrugId:4783 - PA CHEMOTHERAPY
olaratumabdrugId:5764 - PA CHEMOTHERAPY
olmesartandrugId:1281 - PA CARDIOVASCULAR
olmesartan / hydrochlorothiazidedrugId:1282 - PA CARDIOVASCULAR
olodateroldrugId:4641 - PA BRONCHODILATORS
olopatadine 0.1% eye dropsdrugId:1285 - PA ANTIHISTAMINES
olopatadine 0.2% eye dropsdrugId:1284 - PA ANTIHISTAMINES
olopatadine 0.7% eye dropsdrugId:4791 - PA ANTIHISTAMINES
olopatadine nasal spraydrugId:1283 - PA NASAL PREPARATIONS
olsalazinedrugId:1286 - PA GI ANTI-INFLAMMATORY
omacetaxine mepesuccinatedrugId:2659 - PA CHEMOTHERAPY
omadacycline injectiondrugId:7101 - PA ANTIBIOTICS
omadacycline tabletdrugId:7102 - PA ANTIBIOTICS
omalizumabdrugId:1287 - PA BIOLOGICAL
ombitasvir / paritaprevir / ritonavirdrugId:5114 - PA ANTIVIRALS
ombitasvir / paritaprevir / ritonavir / dasabuvirdrugId:4740 - PA ANTIVIRALS
omega-3 acid ethyl estersdrugId:1288 LIPID LOWERING AGENTS
omeprazole / clarithromycin / amoxicillindrugId:2582 - PA H. PYLORI AGENTS
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582 - PA H. PYLORI AGENTS
omeprazole / sodium bicarbonatedrugId:2988 - PA ANTI-ULCER PREPARATIONS
omeprazole 10 mgdrugId:2100 - PA > 30 units/month PROTON PUMP INHIBITORS
omeprazole 20 mg capsuledrugId:1289 - PA > 120 units/month PROTON PUMP INHIBITORS
omeprazole 40 mgdrugId:2055 - PA > 60 units/month PROTON PUMP INHIBITORS
omeprazole suspensiondrugId:2054 - PA PROTON PUMP INHIBITORS
onabotulinumtoxinAdrugId:1290 - PA BIOLOGICAL
ondansetron 24 mg tabletdrugId:6375 - PA ANTIEMETICS
ondansetron 4 mg, 8 mg tabletdrugId:1292 ANTIEMETICS
ondansetron filmdrugId:1975 - PA ANTIEMETICS
ondansetron injectiondrugId:1295 ANTIEMETICS
ondansetron orally disintegrating tabletdrugId:1294 ANTIEMETICS
ondansetron solutiondrugId:1293 - PA ANTIEMETICS
opium tincturedrugId:2423 - PA ANTIDIARRHEALS
oprelvekindrugId:1297 HEMATINIC AGENT
Ora-Plus suspending vehicle * COMPOUNDING AGENT
Ora-Sweet oral syrup * COMPOUNDING AGENT
Ora-Sweet-SF oral syrup * COMPOUNDING AGENT
oritavancindrugId:4790 - PA ANTIBIOTICS
Orbactiv (oritavancin)drugId:4790 - PA ANTIBIOTICS
orphenadrinedrugId:1301 - PA < 18 years MUSCLE RELAXANT
orphenadrine / aspirin / caffeinedrugId:7164 - PA MUSCLE RELAXANT
orphenadrine powderdrugId:6992 - PA MUSCLE RELAXANT
oseltamivir 30mgdrugId:1303 BP - PA all quantities (June 1st to September 30th); PA > 20 capsules/season (October 1st to May 31st) ANTIVIRALS
oseltamivir 45 mg and 75 mgdrugId:1305 BP - PA all quantities (June 1st to September 30th); PA > 10 capsules/season (October 1st to May 31st) ANTIVIRALS
oseltamivir 6 mg/mL suspensiondrugId:2314 BP - PA all quantities (June 1st to September 30th); PA > 180 mL/season (October 1st to May 31st) ANTIVIRALS
osimertinibdrugId:5301 - PA CHEMOTHERAPY
oxacillindrugId:1306 ANTIBIOTICS
oxaliplatindrugId:1307 CHEMOTHERAPY
oxandrolonedrugId:1308 - PA ANABOLIC STEROID
oxaprozindrugId:1309 NONSTEROIDAL ANTI-INFLAMMATORY
oxazepam - PA < 6 years; See Table 69drugId:1310; See Table 71drugId:4440 BENZODIAZEPINES
oxcarbazepine - PA < 6 years; See Table 20drugId:1311; See Table 71drugId:4442 ANTICONVULSANTS
oxcarbazepine extended-release - PA; See Table 20drugId:2729; See Table 71drugId:4443 ANTICONVULSANTS
Oxtellar XR (oxcarbazepine extended-release) - PA; See Table 20drugId:2729; See Table 71drugId:4443 ANTICONVULSANTS
oxiconazoledrugId:1312 - PA FUNGICIDES
Oxistat (oxiconazole)drugId:1312 - PA FUNGICIDES
oxybutynin extended-release tabletdrugId:1314 URINARY ANTISPASMODICS
oxybutynin geldrugId:1315 - PA URINARY ANTISPASMODICS
oxybutynin immediate-release tablet, syrupdrugId:1313 URINARY ANTISPASMODICS
oxybutynin transdermal systemdrugId:1316 - PA URINARY ANTISPASMODICS
Oxytrol (oxybutynin transdermal system)drugId:1316 - PA URINARY ANTISPASMODICS
oxybutynin transdermal system-Oxytrol for WomendrugId:6214 URINARY ANTISPASMODICS
Oxytrol for Women (oxybutynin transdermal system-Oxytrol for Women)drugId:6214 URINARY ANTISPASMODICS
oxycodone / acetaminophendrugId:1321 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone / acetaminophen 300 mgdrugId:5144 - PA OPIOID ANALGESICS
oxycodone / acetaminophen extended-releasedrugId:2949 - PA ANALGESICS, NARCOTIC
oxycodone / acetaminophen-PercocetdrugId:1323 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone / aspirindrugId:1460 - PA > 4 g/day aspirin OPIOID ANALGESICS
oxycodone / ibuprofendrugId:774 - PA OPIOID ANALGESICS
oxycodone extended-release capsuledrugId:5598 - PA OPIOID ANALGESICS
oxycodone extended-release tabletdrugId:1319 BP - PA OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319 BP - PA OPIOID ANALGESICS
oxycodone immediate-release-RoxicodonedrugId:1320 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone powderdrugId:1317 - PA OPIOID ANALGESICS
oxycodone-immediate-release-OxaydodrugId:6081 - PA OPIOID ANALGESICS
Oxaydo (oxycodone-immediate-release-Oxaydo)drugId:6081 - PA OPIOID ANALGESICS
oxymetazoline creamdrugId:6105 - PA DERMATOLOGICAL
oxymetholone ANABOLIC STEROID
oxymorphone extended-release, oraldrugId:2912 - PA OPIOID ANALGESICS
oxymorphone immediate-release, oraldrugId:1463 - PA OPIOID ANALGESICS
Opana IR (oxymorphone immediate-release, oral)drugId:1463 - PA OPIOID ANALGESICS
Onpattro (patisiran)drugId:6985 - PA SMALL INTERFERING RNA AGENTS
Oncaspar (pegaspargase)drugId:2430 ^ CHEMOTHERAPY
Omidria (phenylephrine / ketorolac) ^ OPHTHALMIC PREPARATIONS
Orap # (pimozide) - PA < 6 years; See Table 24drugId:6327; See Table 71drugId:1532 ANTIPSYCHOTIC
OmnipreddrugId:2633 # (prednisolone acetate 1% ophthalmic suspension-Omnipred)drugId:2633 OPHTHALMIC PREPARATIONS
Orapred ODT (prednisolone orally disintegrating tablet)drugId:1577 - PA GLUCOCORTICOIDS
Onglyza (saxagliptin)drugId:1834 DIABETIC AGENTS
Ozempic (semaglutide)drugId:6613 - PA DIABETIC AGENTS
Osmoprep (sodium phosphate)drugId:1873 LAXATIVES
Omnitrope (somatropin-Omnitrope)drugId:1885 - PA HORMONE AGENTS
Odomzo (sonidegib)drugId:5284 - PA CHEMOTHERAPY
Onzetra (sumatriptan nasal powder)drugId:5590 - PA TRIPTAN
Orenitram (treprostinil tablet)drugId:2940 - PA CARDIOVASCULAR
Oralone # (triamcinolone paste) GLUCOCORTICOIDS

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