Skip to Content

MassHealth Drug List A - Z


A    B    C    D    E    F    G    H    I    J    K    L    M    N    O    P    Q    R    S    T    U    V    W    X    Y    Z


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.



MassHealth Drug List table
Drug - Brand Name (Generic Name) PA Status Class Drug Notes
Otiprio (ciprofloxacin otic suspension)drugId:5390 OTIC PREPARATIONS ^
Ozurdex (dexamethasone intravitreal implant)drugId:494 OPHTHALMIC PREPARATIONS ^
ocriplasmin OPHTHALMIC PREPARATIONS ^
Oncaspar (pegaspargase)drugId:2430 CHEMOTHERAPY ^
Omidria (phenylephrine / ketorolac) OPHTHALMIC PREPARATIONS ^
Ora-Plus suspending vehicle COMPOUNDING AGENT *
Ora-Sweet oral syrup COMPOUNDING AGENT *
Ora-Sweet-SF oral syrup COMPOUNDING AGENT *
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 #
Oxsoralen-Ultra (methoxsalen capsules) DERMATOLOGICAL #
Orfadin (nitisinone) ENDOCRINE/METABOLIC AGENTS #
Ortho Micronor (norethindrone 0.35 mg) CONTRACEPTIVES #
octreotidedrugId:1269 ENDOCRINE/METABOLIC AGENTS #
ofloxacin ophthalmic solutiondrugId:1273 OPHTHALMIC PREPARATIONS #
OcufloxdrugId:1273 (ofloxacin ophthalmic solution)drugId:1273 OPHTHALMIC PREPARATIONS #
olanzapine 15 mg orally disintegrating tablet; See Table 24drugId:7126; See Table 71drugId:7127 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
olanzapine 15 mg tablet; See Table 24drugId:2756; See Table 71drugId:4296 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets; See Table 24drugId:1274; See Table 71drugId:4298 PA < 6 years and PA > 1 unit/day ANTIPSYCHOTIC #
olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet; See Table 24drugId:1276; See Table 71drugId:4299 PA < 6 years and PA > 1 unit/day ANTIPSYCHOTIC #
olanzapine injectiondrugId:1275 ANTIPSYCHOTIC #
olmesartandrugId:1281 CARDIOVASCULAR #
olmesartan / hydrochlorothiazidedrugId:1282 CARDIOVASCULAR #
omega-3 acid ethyl estersdrugId:1288 LIPID LOWERING AGENTS #
ondansetron 4 mg, 8 mg tabletdrugId:1292 ANTIEMETICS #
ondansetron injectiondrugId:1295 ANTIEMETICS #
ondansetron orally disintegrating tabletdrugId:1294 ANTIEMETICS #
oseltamivir 30mgdrugId:1303 PA > 20 units/ claim and PA > 40 units/ 365 days ANTIVIRALS #
oseltamivir 45 mg and 75 mgdrugId:1305 PA > 10 units/ claim and PA > 20 units/ 365 days ANTIVIRALS #
oseltamivir suspensiondrugId:2314 PA > 180 mL/ claim and PA > 360 mL/ 365 days ANTIVIRALS #
oxaprozindrugId:1309 NONSTEROIDAL ANTI-INFLAMMATORY #
oxcarbazepine; See Table 20drugId:1311; See Table 71drugId:4442 PA < 6 years ANTICONVULSANTS #
oxybutynin extended-release tabletdrugId:1314 URINARY ANTISPASMODICS #
oxycodone / acetaminophen-PercocetdrugId:1323 PA > 80 mg/day OPIOID ANALGESICS #
oxycodone immediate-release-RoxicodonedrugId:1320 PA > 80 mg/day OPIOID ANALGESICS #
Orap (pimozide); See Table 24drugId:6327; See Table 71drugId:1532 PA < 6 years ANTIPSYCHOTIC #
OmnipreddrugId:2633 (prednisolone acetate 1% ophthalmic suspension-Omnipred)drugId:2633 OPHTHALMIC PREPARATIONS #
Oralone (triamcinolone paste) GLUCOCORTICOIDS #
Olumiant (baricitinib COVID EUA - November 19, 2020) COVID - 19 related Treatments and Vaccines COVID H
octreotide injectable suspensiondrugId:2497 ENDOCRINE/METABOLIC AGENTS BP
oxycodone extended-release tabletdrugId:1319 PA OPIOID ANALGESICS BP
Oxycontin (oxycodone extended-release tablet)drugId:1319 PA OPIOID ANALGESICS BP
Osmoprep (sodium phosphate)drugId:1873 LAXATIVES BP
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389 ANTIVIRALS PD
Orkambi (lumacaftor / ivacaftor)drugId:5126 PA CYSTIC FIBROSIS AGENTS PD
Onpattro (patisiran)drugId:6985 PA SMALL INTERFERING RNA AGENTS PD
onasemnogene abeparvovec-xioidrugId:7273 PA GENE THERAPY CO PD ^
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
Onureg (azacitidine tablet)drugId:7565 PA CHEMOTHERAPY
Olumiant (baricitinib)drugId:6803 PA IMMUNOMODULATOR
Ortikos (budesonide extended-release capsule)drugId:7493 PA GLUCOCORTICOIDS
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
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788 PA DERMATOLOGICAL
Onfi (clobazam suspension, tablet); See Table 20drugId:2419; See Table 71drugId:3300 PA ANTICONVULSANTS
Olux (clobetasol propionate foam)drugId:268 PA GLUCOCORTICOIDS
Olux-E (clobetasol propionate foam / emollient)drugId:2532 PA GLUCOCORTICOIDS
Oracea (doxycycline monohydrate 40 mg capsule)drugId:579 PA ANTIBIOTICS
Orilissa (elagolix)drugId:6921 PA HORMONE AGENTS
Oralair (grass pollen allergen extract)drugId:4789 PA ALLERGENS
Orthovisc (high molecular weight hyaluronan)drugId:4808 - Non-Drug Product PA 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
Opsumit (macitentan)drugId:2892 PA CARDIOVASCULAR
Ovide (malathion)drugId:1117 PA ANTIPARASITICS
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929 PA IMMUNOMODULATOR
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
Opdivo (nivolumab)drugId:5108 PA CHEMOTHERAPY
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
ofatumumab prefilled syringedrugId:7544 PA MULTIPLE SCLEROSIS AGENTS
ofatumumab vialdrugId:1270 PA CHEMOTHERAPY
ofloxacin otic solutiondrugId:1272 OTIC PREPARATIONS
ofloxacin tabletdrugId:1271 PA ANTIBIOTICS
olanzapine / fluoxetine; See Table 17drugId:2058; See Table 24drugId:1279; See Table 71drugId:4264 PA ANTIDEPRESSANTS
olanzapine 210 mg, 300 mg extended-release injection; See Table 24drugId:1277; See Table 71drugId:4301 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
olanzapine 405 mg extended-release injection; See Table 24drugId:1278; See Table 71drugId:4303 PA < 6 years and PA > 1 injection/month ANTIPSYCHOTIC
olaparibdrugId:4783 PA CHEMOTHERAPY
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 GI ANTI-INFLAMMATORY
omacetaxine mepesuccinatedrugId:2659 PA CHEMOTHERAPY
omadacycline injectiondrugId:7101 PA ANTIBIOTICS
omadacycline tabletdrugId:7102 PA ANTIBIOTICS
omalizumabdrugId:1287 PA BIOLOGICAL
ombitasvir / paritaprevir / ritonavir / dasabuvirdrugId:4740 PA ANTIVIRALS
omeprazole / amoxicillin / rifabutindrugId:7380 PA H. PYLORI 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 > 1 unit/day PROTON PUMP INHIBITORS
omeprazole 20 mg capsuledrugId:1289 PA > 4 units/day PROTON PUMP INHIBITORS
omeprazole 40 mgdrugId:2055 PA > 2 units/day PROTON PUMP INHIBITORS
omeprazole suspensiondrugId:2054 PA PROTON PUMP INHIBITORS
onabotulinumtoxinAdrugId:1290 PA BIOLOGICAL
ondansetron 24 mg tabletdrugId:6375 PA ANTIEMETICS
ondansetron filmdrugId:1975 PA ANTIEMETICS
ondansetron solutiondrugId:1293 PA ANTIEMETICS
opicaponedrugId:7564 PA ANTIPARKINSON
Ongentys (opicapone)drugId:7564 PA ANTIPARKINSON
opium tincturedrugId:2423 PA ANTIDIARRHEALS
oprelvekindrugId:1297 HEMATINIC 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
osilodrostatdrugId:7466 PA ENDOCRINE/METABOLIC AGENTS
osimertinibdrugId:5301 PA CHEMOTHERAPY
oxacillindrugId:1306 ANTIBIOTICS
oxaliplatindrugId:1307 CHEMOTHERAPY
oxandrolonedrugId:1308 PA ANABOLIC STEROID
oxazepam; See Table 69drugId:1310; See Table 71drugId:4440 PA < 6 years BENZODIAZEPINES
oxcarbazepine extended-release; See Table 20drugId:2729; See Table 71drugId:4443 PA ANTICONVULSANTS
Oxtellar XR (oxcarbazepine extended-release); See Table 20drugId:2729; See Table 71drugId:4443 PA ANTICONVULSANTS
oxiconazoledrugId:1312 PA FUNGICIDES
Oxistat (oxiconazole)drugId:1312 PA FUNGICIDES
oxybutynin geldrugId:1315 URINARY ANTISPASMODICS
oxybutynin immediate-release tablet, syrupdrugId:1313 URINARY ANTISPASMODICS
oxybutynin transdermal systemdrugId:1316 URINARY ANTISPASMODICS
Oxytrol (oxybutynin transdermal system)drugId:1316 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 / aspirindrugId:1460 PA > 4 g/day aspirin OPIOID ANALGESICS
oxycodone / ibuprofendrugId:774 PA OPIOID ANALGESICS
oxycodone extended-release capsuledrugId:5598 PA 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
ozanimoddrugId:7463 PA MULTIPLE SCLEROSIS AGENTS
Onglyza (saxagliptin)drugId:1834 DIABETIC AGENTS
Ozempic (semaglutide injection)drugId:6613 PA DIABETIC AGENTS
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
Oxbryta (voxelotor)drugId:7350 PA HEMATOLOGIC

Note: Any drug that does not appear on the List requires prior authorization.


Back to Top | Previous | Next
Last updated 02/24/21

Feedback