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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
pyrimethaminedrugId:1614 - PA ANTIMALARIALS
pyridoxinedrugId:1613 * ELECTROLYTES AND NUTRIENTS
pyridostigmine bromide 30 mg tabletdrugId:7226 - PA PARASYMPATHETIC AGENTS
pyridostigmine bromidedrugId:1612 PARASYMPATHETIC AGENTS
Pyridium (phenazopyridine) ANALGESICS
pyrazinamidedrugId:1611 ANTIBIOTICS
pyrantel pamoatedrugId:6215 ANTIPARASITICS
Pylera (bismuth subcitrate / metronidazole / tetracycline)drugId:367 - PA H. PYLORI AGENTS
Purixan (mercaptopurine oral suspension)drugId:4632 - PA CHEMOTHERAPY
Pulmozyme (dornase alfa) ENZYMES
PulmicortdrugId:381 # (budesonide inhalation suspension)drugId:381 BRONCHODILATORS
Pulmicort (budesonide inhalation powder)drugId:380 BRONCHODILATORS
psylliumdrugId:1610 * CONSTIPATION AGENTS
pseudoephedrinedrugId:1607* - PA > 240 mg/day DECONGESTANT
Prudoxin (doxepin cream-Prudoxin)drugId:568 - PA DERMATOLOGICAL
prucalopridedrugId:7136 - PA CONSTIPATION AGENTS
Prozac Weekly (fluoxetine 90 mg delayed-release capsule) - PA; See Table 17drugId:880; See Table 71drugId:3720 ANTIDEPRESSANTS
Prozac # (fluoxetine 10 mg, 20 mg, 40 mg capsule, solution) - PA < 6 years; See Table 17drugId:879; See Table 71drugId:3721 ANTIDEPRESSANTS
Provigil (modafinil)drugId:1373 - PA CEREBRAL STIMULANTS
Provera # (medroxyprogesterone tablet) HORMONE REPLACEMENT THERAPY
Proventil (albuterol inhaler-Proventil)drugId:2 BP BRONCHODILATORS
Provenge (sipuleucel-T)drugId:2288 ^ - PA CHEMOTHERAPY
protriptyline - PA < 6 years; See Table 17drugId:1606; See Table 71drugId:4140 ANTIDEPRESSANTS
Protopic (tacrolimus topical)drugId:1919 BP DERMATOLOGICAL
Protonix IVdrugId:1477 # (pantoprazole IV)drugId:1477 PROTON PUMP INHIBITORS
ProtonixdrugId:2183 # (pantoprazole 40 mg tablet)drugId:2183 - PA > 60 units/month PROTON PUMP INHIBITORS
ProtonixdrugId:1476 # (pantoprazole 20 mg tablet)drugId:1476 - PA > 30 units/month PROTON PUMP INHIBITORS
Protonix (pantoprazole 40 mg suspension)drugId:2702 - PA PROTON PUMP INHIBITORS
prothrombin complex concentrate, human HEMOSTATICS
protein C concentratedrugId:1605 - PA HEMATINIC AGENT
Proscar (finasteride)drugId:857 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
Proquad (measles / mumps / rubella / varicella virus vaccine)drugId:1122 1 BIOLOGICAL
propranolol solutiondrugId:2959 - PA CARDIOVASCULAR
propranolol long-acting capsuledrugId:6562 - PA CARDIOVASCULAR
propranolol immediate-releasedrugId:1600 CARDIOVASCULAR
propranolol extended-releasedrugId:1601 CARDIOVASCULAR
propranolol / hydrochlorothiazidedrugId:1603 CARDIOVASCULAR
Prometrium # (progesterone capsule) HORMONE REPLACEMENT THERAPY
promethazinedrugId:1593 ANTIHISTAMINES
Promacta (eltrombopag)drugId:594 - PA HEMATINIC AGENT
Prolia (denosumab-Prolia)drugId:1967 - PA BIOLOGICAL
Proleukin (aldesleukin)drugId:2307 CHEMOTHERAPY
Prolensa (bromfenac 0.07%)drugId:2788 - PA OPHTHALMIC PREPARATIONS
Prolastin (alpha-1-proteinase inhibitor, human-Prolastin) ENZYMES
PrografdrugId:1918 # (tacrolimus oral)drugId:1918 IMMUNOMODULATOR
Prograf (tacrolimus injection)drugId:2741 ^ IMMUNOMODULATOR
Proglycem (diazoxide) DIABETIC AGENTS
progesterone injection PROGESTERONE
progesterone geldrugId:2587 - PA HORMONE REPLACEMENT THERAPY
Profilnine SD (factor IX complex human-Profilnine SD) ANTI-HEMOPHILIA AGENTS
Procysbi (cysteamine delayed-release capsule)drugId:2861 - PA ENZYMES
Procrit (epoetin alfa-Procrit)drugId:611 - PA HEMATINIC AGENT
prochlorperazine ANTIEMETICS
Procardia XLdrugId:1215 # (nifedipine extended-release)drugId:1215 CARDIOVASCULAR
ProcardiadrugId:2064 # (nifedipine capsule)drugId:2064 CARDIOVASCULAR
procarbazinedrugId:1589 CHEMOTHERAPY
Probuphine (buprenorphine implant)drugId:5591 - PA ALCOHOL AND DRUG CESSATION AGENT
probenecid / colchicinedrugId:287 GOUT AGENTS
probeneciddrugId:1587 GOUT AGENTS
Proair Respiclick (albuterol inhalation powder)drugId:5109 BRONCHODILATORS
Proair HFA (albuterol inhaler-Proair HFA)drugId:1 BP BRONCHODILATORS
Privigen (immune globulin IV, human-Privigen)drugId:2197 - PA BIOLOGICAL
Pristiq (desvenlafaxine succinate extended-release) - PA; See Table 17drugId:490; See Table 71drugId:3940 ANTIDEPRESSANTS
PrinivildrugId:1087 # (lisinopril)drugId:1087 CARDIOVASCULAR
primidone; See Table 20drugId:1586; See Table 71drugId:4461 ANTICONVULSANTS
PrimaxindrugId:781 # (imipenem / cilastatin)drugId:781 ANTIBIOTICS
Prilosec (omeprazole suspension)drugId:2054 - PA PROTON PUMP INHIBITORS
Priftin (rifapentine)drugId:2501 TB PREPARATIONS
Prialt (ziconotide)drugId:1819 - PA ANALGESICS
Prezista (darunavir)drugId:330 ANTIVIRALS
Prezcobix (darunavir / cobicistat)drugId:4792 ANTIVIRALS
Prevymis (letermovir)drugId:6615 - PA ANTIVIRALS
Prevpac (lansoprazole / amoxicillin / clarithromycin)drugId:1023 - PA H. PYLORI AGENTS
Prevnar 13 (pneumococcal 13-valent conjugate vaccine)drugId:1542 1 BIOLOGICAL
PrevalitedrugId:228 # (cholestyramine / aspartame-Prevalite)drugId:228 LIPID LOWERING AGENTS
Prevacid Solutab (lansoprazole orally disintegrating tablet)drugId:1022 BP - PA ≥ 2 years PROTON PUMP INHIBITORS
PrevaciddrugId:1021 # (lansoprazole capsule)drugId:1021 - PA ≥ 2 years PROTON PUMP INHIBITORS
Prestalia (perindopril / amlodipine)drugId:5287 - PA CARDIOVASCULAR
Prepopik (sodium picosulfate / magnesium oxide / anhydrous citric acid-Prepopik)drugId:2644 LAXATIVES
prenatal vitaminsdrugId:1583 * ELECTROLYTES AND NUTRIENTS
Prempro (medroxyprogesterone / estrogens, conjugated-Prempro) HORMONE REPLACEMENT THERAPY
Premphase (medroxyprogesterone / estrogens, conjugated-Premphase) HORMONE REPLACEMENT THERAPY
Premarin (estrogens, conjugated) HORMONE REPLACEMENT THERAPY
pregabalin extended-release - PA; See Table 71drugId:6609; See Table 72drugId:6608 GABA ANALOGS
pregabalin BP - PA; See Table 20drugId:1582; See Table 71drugId:4460 ANTICONVULSANTS
Prefest (estradiol / norgestimate) HORMONE REPLACEMENT THERAPY
prednisone delayed-releasedrugId:2645 - PA GLUCOCORTICOIDS
prednisonedrugId:1581 GLUCOCORTICOIDS
prednisolone tabletdrugId:2199 GLUCOCORTICOIDS
prednisolone sodium phosphate ophthalmic solutiondrugId:2618 OPHTHALMIC PREPARATIONS
prednisolone orally disintegrating tabletdrugId:1577 - PA GLUCOCORTICOIDS
prednisolone acetate 1% ophthalmic suspension-Pred FortedrugId:1580 OPHTHALMIC PREPARATIONS
prednisolone acetate 1% ophthalmic suspension-OmnipreddrugId:2633 OPHTHALMIC PREPARATIONS
prednisolone acetate 0.12% ophthalmic suspensiondrugId:5001 OPHTHALMIC PREPARATIONS
prednisolone 5 mg/5 mL oral solutiondrugId:1578 GLUCOCORTICOIDS
prednisolone 20 mg/5 mL oral solutiondrugId:1579 - PA GLUCOCORTICOIDS
prednisolone 15 mg/5 mL, 25 mg/5 mL oral solutiondrugId:1576 GLUCOCORTICOIDS
prednisolone 10 mg/5 mL oral solutiondrugId:1575 - PA GLUCOCORTICOIDS
prednicarbate cream, ointmentdrugId:1574 GLUCOCORTICOIDS
Pred Mild (prednisolone acetate 0.12% ophthalmic suspension)drugId:5001 OPHTHALMIC PREPARATIONS
Pred-G (gentamicin / prednisolone ophthalmic ointment, suspension)drugId:929 - PA OPHTHALMIC PREPARATIONS
Pred FortedrugId:1580 # (prednisolone acetate 1% ophthalmic suspension-Pred Forte)drugId:1580 OPHTHALMIC PREPARATIONS
PrecosedrugId:143 # (acarbose)drugId:143 DIABETIC AGENTS
prazosin; See Table 18drugId:1573; See Table 19drugId:5164 CARDIOVASCULAR
praziquanteldrugId:2358 BP ANTIPARASITICS
pravastatin 80 mgdrugId:1572 - PA > 30 units/month LIPID LOWERING AGENTS
pravastatin 10 mg, 20 mg, 40 mgdrugId:2736 - PA > 45 units/month LIPID LOWERING AGENTS
PravacholdrugId:1572 # (pravastatin 80 mg)drugId:1572 - PA > 30 units/month LIPID LOWERING AGENTS
PravacholdrugId:2736 # (pravastatin 10 mg, 20 mg, 40 mg)drugId:2736 - PA > 45 units/month LIPID LOWERING AGENTS
prasugreldrugId:1571 - PA ANTIPLATELET AGENT
PrandindrugId:1642 # (repaglinide)drugId:1642 DIABETIC AGENTS
pramlintidedrugId:1570 - PA DIABETIC AGENTS
pramipexole extended-releasedrugId:1943 - PA ANTIPARKINSON
pramipexoledrugId:1569 ANTIPARKINSON
Praluent (alirocumab)drugId:5119 - PA LIPID LOWERING AGENTS
pralatrexatedrugId:1568 CHEMOTHERAPY
Pradaxa (dabigatran etexilate mesylate 75 mg, 150 mg)drugId:2081 - PA ANTICOAGULANTS
Pradaxa (dabigatran etexilate mesylate 110 mg)drugId:5286 - PA > 70 capsules/365 days ANTICOAGULANTS
povidonedrugId:1567 * ANTISEPTICS
Poteligeo (mogamulizumab-kpkc)drugId:6924 - PA CHEMOTHERAPY
potassium phosphate * ELECTROLYTES AND NUTRIENTS
potassium phosphate / sodium phosphate / phosphorus ELECTROLYTES AND NUTRIENTS
potassium phosphate / sodium phosphate ELECTROLYTES AND NUTRIENTS
potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate ELECTROLYTES AND NUTRIENTS
potassium citrate / sodium citrate / citric acid ELECTROLYTES AND NUTRIENTS
potassium citrate / citric acid ELECTROLYTES AND NUTRIENTS
potassium chloride-Micro-K ELECTROLYTES AND NUTRIENTS
potassium chloride-Klor-Con ELECTROLYTES AND NUTRIENTS
potassium chloride-Kaochlor ELECTROLYTES AND NUTRIENTS
potassium chloride injection ELECTROLYTES AND NUTRIENTS
potassium bicarbonate ELECTROLYTES AND NUTRIENTS
posaconazoledrugId:2928 BP - PA FUNGICIDES
Portrazza (necitumumab)drugId:5420 - PA CHEMOTHERAPY
ponatinibdrugId:2724 - PA CHEMOTHERAPY
Pomalyst (pomalidomide)drugId:2787 - PA CHEMOTHERAPY
pomalidomidedrugId:2787 - PA CHEMOTHERAPY
PolytrimdrugId:2060 # (trimethoprim / polymyxin B ophthalmic solution)drugId:2060 OPHTHALMIC PREPARATIONS
polyethylene glycol-electrolyte solution-PlenvudrugId:7137 - PA LAXATIVES
polyethylene glycol-electrolyte solution-NulytelydrugId:1552 LAXATIVES
polyethylene glycol-electrolyte solution-MoviprepdrugId:1551 LAXATIVES
polyethylene glycol-electrolyte solution-GolytelydrugId:1549 LAXATIVES
polyethylene glycol-electrolyte solution-ColytedrugId:2539 LAXATIVES
polyethylene glycol 3350drugId:1547 * LAXATIVES
poliovirus vaccine, inactivateddrugId:1546 1 BIOLOGICAL
polidocanoldrugId:2934 - PA CARDIOVASCULAR
podofilox solutiondrugId:1545 DERMATOLOGICAL
podofilox geldrugId:2261 - PA DERMATOLOGICAL
Pneumovax (pneumococcal vaccine)drugId:1544 BIOLOGICAL
pneumococcal vaccinedrugId:1544 BIOLOGICAL
pneumococcal 13-valent conjugate vaccinedrugId:1542 1 BIOLOGICAL
Plenvu (polyethylene glycol-electrolyte solution-Plenvu)drugId:7137 - PA LAXATIVES
Plegridy (peginterferon beta-1a)drugId:4631 - PA MULTIPLE SCLEROSIS AGENTS
plecanatidedrugId:6043 - PA CONSTIPATION AGENTS
plazomicindrugId:7014 - PA ANTIBIOTICS
PlavixdrugId:277 # (clopidogrel)drugId:277 ANTIPLATELET AGENT
pitavastatin magnesiumdrugId:7109 - PA LIPID LOWERING AGENTS
pitavastatin calciumdrugId:1962 - PA LIPID LOWERING AGENTS
pirfenidonedrugId:4767 - PA PULMONARY FIBROSIS AGENTS
Piqray (alpelisib)drugId:7225 - PA CHEMOTHERAPY
piperonyl butoxide / pyrethrinsdrugId:1538 * ANTIPARASITICS
piperacillin / tazobactamdrugId:1537 ANTIBIOTICS
pioglitazone / metformindrugId:1536 - PA DIABETIC AGENTS
pioglitazone / metformin extended-releasedrugId:1937 - PA DIABETIC AGENTS
pioglitazonedrugId:1534 DIABETIC AGENTS
Pin-X (pyrantel pamoate)drugId:6215 ANTIPARASITICS
pindololdrugId:1533 CARDIOVASCULAR
pimozide - PA < 6 years; See Table 24drugId:6327; See Table 71drugId:1532 ANTIPSYCHOTIC
pimecrolimusdrugId:1531 BP DERMATOLOGICAL
pimavanserindrugId:5588 - PA ANTIPSYCHOTIC
pilocarpine eye dropsdrugId:2635 OPHTHALMIC PREPARATIONS
Pifeltro (doravirine)drugId:6986 ANTIVIRALS
Picato (ingenol gel)drugId:2521 - PA DERMATOLOGICAL
Phospholine Iodide (echothiophate)drugId:587 OPHTHALMIC PREPARATIONS
Phoslyra (calcium acetate) ELECTROLYTES AND NUTRIENTS
Phos-Flur (sodium fluoride oral rinse) ELECTROLYTES AND NUTRIENTS
phenytoin suspension; See Table 20drugId:2938; See Table 71drugId:4522 ANTICONVULSANTS
phenytoin injectiondrugId:2661 ^ ANTICONVULSANTS
phenytoin extended 30 mg and 100 mg capsule; See Table 20drugId:1525; See Table 71drugId:4523 ANTICONVULSANTS
phenytoin extended 200 mg and 300 mg capsule; See Table 20drugId:1526; See Table 71drugId:4524 ANTICONVULSANTS
phenytoin chewable tablet; See Table 20drugId:1523; See Table 71drugId:4520 ANTICONVULSANTS
phenylephrine / promethazine DECONGESTANT
phenylephrine / ketorolac ^ OPHTHALMIC PREPARATIONS
phenylephrine ADRENERGICS
phenoxybenzaminedrugId:5123 - PA CARDIOVASCULAR
phenobarbitaldrugId:1516 BARBITURATES
PhenergandrugId:1593 # (promethazine)drugId:1593 ANTIHISTAMINES
phenelzine - PA < 6 years; See Table 17drugId:1515; See Table 71drugId:3580 ANTIDEPRESSANTS
phenazopyridine ANALGESICS
PfizerpendrugId:1499 # (penicillin G 5 million, 20 million units)drugId:1499 ANTIBIOTICS
Pexeva (paroxetine mesylate) - PA; See Table 17drugId:1483; See Table 71drugId:3802 ANTIDEPRESSANTS
Pertzye DR (pancrelipase-Pertzye DR)drugId:2730 ENZYMES
pertuzumabdrugId:2583 - PA CHEMOTHERAPY
Perseris (risperidone extended-release subcutaneous injection) - PA; See Table 24drugId:7007; See Table 71drugId:7009 ANTIPSYCHOTIC
perphenazine - PA < 6 years; See Table 24drugId:6326; See Table 71drugId:1511 ANTIPSYCHOTIC
permethrin creamdrugId:4700 ANTIPARASITICS
permethrindrugId:1510 * ANTIPARASITICS
Perjeta (pertuzumab)drugId:2583 - PA CHEMOTHERAPY
perindopril / amlodipinedrugId:5287 - PA CARDIOVASCULAR
perindoprildrugId:1509 CARDIOVASCULAR
Perforomist (formoterol inhalation solution)drugId:906 - PA BRONCHODILATORS
PercocetdrugId:1323 # (oxycodone / acetaminophen-Percocet)drugId:1323 - PA > 80 mg/day OPIOID ANALGESICS
perampanel - PA; See Table 20drugId:2926; See Table 71drugId:4444 ANTICONVULSANTS
PepciddrugId:461 # (famotidine tablet)drugId:461 * H2 ANTAGONISTS
Pepcid (famotidine suspension)drugId:5602 - PA H2 ANTAGONISTS
pentoxifylline CARDIOVASCULAR
pentostatindrugId:2692 CHEMOTHERAPY
pentazocine / naloxonedrugId:1504 - PA OPIOID ANALGESICS
pentazocinedrugId:1502 OPIOID ANALGESICS
Pentasa (mesalamine controlled-release)drugId:1154 - PA GI ANTI-INFLAMMATORY
Pentacel (diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate vaccine)drugId:581 1 BIOLOGICAL
Pennsaid (diclofenac topical solution)drugId:1944 - PA NONSTEROIDAL ANTI-INFLAMMATORY
PenlacdrugId:233 # (ciclopirox 8% nail lacquer)drugId:233 FUNGICIDES
penicillin VdrugId:1500 ANTIBIOTICS
penicillin G benzathine / penicillin G procainedrugId:2624 ANTIBIOTICS
penicillin G 5 million, 20 million unitsdrugId:1499 ANTIBIOTICS
penicillin G 0.6 million, 1.2 million, 2.4 million unitsdrugId:2625 ANTIBIOTICS
penicillamine-Depen CHELATING AGENT
penicillamine-Cuprimine BP CHELATING AGENT
penciclovirdrugId:1495 - PA ANTIVIRALS
penbutololdrugId:1494 - PA CARDIOVASCULAR
pemetrexeddrugId:1492 CHEMOTHERAPY
pembrolizumabdrugId:4780 - PA CHEMOTHERAPY
pegvisomantdrugId:1491 - PA HORMONE AGENTS
pegvaliase-pqpzdrugId:6923 - PA ENZYMES
pegloticasedrugId:6294 - PA GOUT AGENTS
Pegintron (peginterferon alfa-2b)drugId:1490 - PA ANTIVIRALS
peginterferon beta-1adrugId:4631 - PA MULTIPLE SCLEROSIS AGENTS
peginterferon alfa-2b-Sylatron ANTIVIRALS
peginterferon alfa-2bdrugId:1490 - PA ANTIVIRALS
peginterferon alfa-2adrugId:2059 - PA ANTIVIRALS
pegfilgrastim-jmdbdrugId:6903 - PA HEMATINIC AGENT
pegfilgrastim-cbqvdrugId:7012 - PA HEMATINIC AGENT
pegfilgrastimdrugId:1489 HEMATINIC AGENT
Pegasys (peginterferon alfa-2a)drugId:2059 - PA ANTIVIRALS
pegaspargasedrugId:2430 ^ CHEMOTHERAPY
Peganone (ethotoin); See Table 20drugId:669; See Table 71drugId:3420 ANTICONVULSANTS
pegademase bovinedrugId:2682 - PA UNCLASSIFIED DRUG PRODUCTS
Pedvaxhib (haemophilus B conjugate vaccine-Pedvaxhib)drugId:694 1 BIOLOGICAL
pediatric multivitaminsdrugId:1487 * ELECTROLYTES AND NUTRIENTS
Pediarix (diphtheria / tetanus toxoids / acellular pertussis / hepatitis B, recombinant / poliovirus, inactivated vaccine)drugId:700 1 BIOLOGICAL
PediapreddrugId:1578 # (prednisolone 5 mg/5 mL oral solution)drugId:1578 GLUCOCORTICOIDS
PCE (erythromycin delayed-release tablet-PCE)drugId:5132 ANTIBIOTICS
pazopanibdrugId:1486 - PA CHEMOTHERAPY
Pazeo (olopatadine 0.7% eye drops)drugId:4791 - PA ANTIHISTAMINES
Paxil CR (paroxetine controlled-release) - PA; See Table 17drugId:1485; See Table 71drugId:3800 ANTIDEPRESSANTS
Paxil # (paroxetine hydrochloride) - PA < 6 years; See Table 17drugId:1484; See Table 71drugId:3801 ANTIDEPRESSANTS
patiromerdrugId:5320 - PA > 30 units/month CHELATING AGENT
Patanol (olopatadine 0.1% eye drops)drugId:1285 - PA ANTIHISTAMINES
Patanase (olopatadine nasal spray)drugId:1283 - PA NASAL PREPARATIONS
Pataday (olopatadine 0.2% eye drops)drugId:1284 - PA ANTIHISTAMINES
pasireotidedrugId:2791 - PA ENDOCRINE/METABOLIC AGENTS
pasireotide injectable suspensiondrugId:4912 - PA ENDOCRINE/METABOLIC AGENTS
Paser (aminosalicylic acid)drugId:2500 TB PREPARATIONS
Parsabiv (etelcalcetide) ^ CALCIMIMETIC
paroxetine mesylate - PA; See Table 17drugId:1483; See Table 71drugId:3802 ANTIDEPRESSANTS
paroxetine hydrochloride - PA < 6 years; See Table 17drugId:1484; See Table 71drugId:3801 ANTIDEPRESSANTS
paroxetine controlled-release - PA; See Table 17drugId:1485; See Table 71drugId:3800 ANTIDEPRESSANTS
paroxetine 7.5 mg capsuledrugId:2839 - PA UNCLASSIFIED DRUG PRODUCTS
paromomycindrugId:1482 ANTIPARASITICS
Parnate # (tranylcypromine) - PA < 6 years; See Table 17drugId:1741; See Table 71drugId:3540 ANTIDEPRESSANTS
ParlodeldrugId:377 # (bromocriptine 2.5 mg, 5 mg)drugId:377 ANTIPARKINSON
paricalcitol injectiondrugId:5781 ^ ELECTROLYTES AND NUTRIENTS
paricalcitol capsuledrugId:1481 - PA ELECTROLYTES AND NUTRIENTS
parathyroid hormonedrugId:5107 - PA HORMONE AGENTS
Paragard (copper IUD) CONTRACEPTIVES
Parafon Forte DSCdrugId:226 # (chlorzoxazone 500 mg)drugId:226 - PA < 18 years MUSCLE RELAXANT
Panzyga (immune globulin IV, human-ifas)drugId:7104 - PA BIOLOGICAL
pantoprazole IVdrugId:1477 PROTON PUMP INHIBITORS
pantoprazole 40 mg tabletdrugId:2183 - PA > 60 units/month PROTON PUMP INHIBITORS
pantoprazole 40 mg suspensiondrugId:2702 - PA PROTON PUMP INHIBITORS
pantoprazole 20 mg tabletdrugId:1476 - PA > 30 units/month PROTON PUMP INHIBITORS
Panretin (alitretinoin)drugId:16 - PA CHEMOTHERAPY
panobinostatdrugId:5105 - PA CHEMOTHERAPY
panitumumabdrugId:1475 CHEMOTHERAPY
Pandel (hydrocortisone probutate cream)drugId:732 - PA GLUCOCORTICOIDS
pancrelipase-Zenpep DRdrugId:1084 ENZYMES
pancrelipase-ViokacedrugId:2597 ENZYMES
pancrelipase-Pertzye DRdrugId:2730 ENZYMES
pancrelipase-Pancreaze DRdrugId:2565 ENZYMES
pancrelipase-Creon DRdrugId:1082 ENZYMES
Pancreaze DR (pancrelipase-Pancreaze DR)drugId:2565 ENZYMES
Pamelor # (nortriptyline) - PA < 6 years; See Table 17drugId:1262; See Table 71drugId:4120 ANTIDEPRESSANTS
Palynziq (pegvaliase-pqpz)drugId:6923 - PA ENZYMES
palonosetron 0.25 mg/5 mL injectiondrugId:1473 - PA > 2 units/28 days ANTIEMETICS
palonosetron 0.25 mg/2 mL injectiondrugId:6614 - PA > 2 units/28 days ANTIEMETICS
palivizumabdrugId:1472 - PA ANTIVIRALS
paliperidone tablet - PA; See Table 24drugId:1471; See Table 71drugId:4280 ANTIPSYCHOTIC
paliperidone extended-release 3-month injection - PA < 6 years and PA > 1 unit/3 months; See Table 24drugId:5121; See Table 71drugId:5122 ANTIPSYCHOTIC
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
palifermin ANTIDOTES
palbociclibdrugId:4940 - PA CHEMOTHERAPY
paclitaxel injectiondrugId:1467 CHEMOTHERAPY
paclitaxel injectable suspensiondrugId:1468 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 10/09/19