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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
Rythmol # (propafenone) CARDIOVASCULAR
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 - PA ANTIPARKINSON
Rydapt (midostaurin)drugId:6184 - PA CHEMOTHERAPY
Ryanodex (dantrolene injection suspension)drugId:4634 ^ MUSCLE RELAXANT
ruxolitinibdrugId:2418 - PA CHEMOTHERAPY
rufinamide - PA; See Table 20drugId:1826; See Table 71drugId:4462 ANTICONVULSANTS
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794 - PA ENZYMES
rucaparibdrugId:5980 - PA CHEMOTHERAPY
Rubraca (rucaparib)drugId:5980 - PA CHEMOTHERAPY
Rozerem (ramelteon)drugId:1631 - PA > 30 units/month SEDATIVES
RoxicodonedrugId:1320 # (oxycodone immediate-release-Roxicodone)drugId:1320 - PA > 80 mg/day OPIOID ANALGESICS
Rowasa Kit (mesalamine kit)drugId:1149 - PA GI ANTI-INFLAMMATORY
RowasadrugId:2937 # (mesalamine enema)drugId:2937 GI ANTI-INFLAMMATORY
rotigotine transdermal systemdrugId:2643 - PA ANTIPARKINSON
rotavirus vaccine, live, oraldrugId:1823 1 BIOLOGICAL
rotavirus vaccine, live, oral, pentavalentdrugId:1824 1 BIOLOGICAL
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824 1 BIOLOGICAL
Rotarix (rotavirus vaccine, live, oral)drugId:1823 1 BIOLOGICAL
rosuvastatin 5 mg, 10 mg, 20 mgdrugId:1459 - PA > 45 units/month LIPID LOWERING AGENTS
rosuvastatin 40 mgdrugId:5601 - PA > 30 units/month LIPID LOWERING AGENTS
rosiglitazonedrugId:1456 - PA DIABETIC AGENTS
ropivacaine ^ ANESTHETICS
ropinirole extended-releasedrugId:1454 - PA ANTIPARKINSON
ropiniroledrugId:1453 ANTIPARKINSON
romiplostimdrugId:1452 - PA HEMATINIC AGENT
romidepsindrugId:1959 - PA CHEMOTHERAPY
rolapitant tabletdrugId:5303 - PA > 2 tablets/28 days ANTIEMETICS
rolapitant injectiondrugId:6409 - PA > 2 vials/28 days ANTIEMETICS
roflumilastdrugId:2282 - PA IMMUNOMODULATOR
RocaltroldrugId:426 # (calcitriol)drugId:426 ELECTROLYTES AND NUTRIENTS
Robinul FortedrugId:2908 # (glycopyrrolate 2 mg tablet)drugId:2908 ANTISPASMODICS,ANTICHOLINERGIC
RobinuldrugId:679 # (glycopyrrolate 1 mg tablet)drugId:679 ANTISPASMODICS,ANTICHOLINERGIC
Robinul (glycopyrrolate injection)drugId:5940 - PA ANTISPASMODICS,ANTICHOLINERGIC
RobaxindrugId:942 # (methocarbamol)drugId:942 - PA < 16 years MUSCLE RELAXANT
rizatriptan tabletdrugId:1451 - PA > 18 units/month TRIPTAN
rizatriptan orally disintegrating tabletdrugId:1450 - PA > 18 units/month TRIPTAN
Rixubis (coagulation factor IX, recombinant) ANTI-HEMOPHILIA AGENTS
rivastigmine patchdrugId:1449 - PA ALZHEIMER'S THERAPY
rivastigmine capsuledrugId:2249 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
rivaroxaban 2.5 mgdrugId:2384 - PA ANTICOAGULANTS
rivaroxaban 10 mg, 15 mg, 20 mg, starter packdrugId:2371 ANTICOAGULANTS
rituximabdrugId:1447 - PA CHEMOTHERAPY
rituximab / hyaluronidase humandrugId:6183 - PA CHEMOTHERAPY
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183 - PA CHEMOTHERAPY
Rituxan (rituximab)drugId:1447 - PA CHEMOTHERAPY
ritonavir tabletdrugId:1446 BP PD ANTIVIRALS
ritonavir capsule, packet, solutiondrugId:6640 ANTIVIRALS
Ritalin LA (methylphenidate-Ritalin LA) - PA; See Table 31drugId:2421; See Table 71drugId:3040 CEREBRAL STIMULANTS
Ritalin # (methylphenidate-Ritalin) - PA < 3 years and PA > 90 units/month; See Table 31drugId:961; See Table 71drugId:3201 CEREBRAL STIMULANTS
risperidone solution - PA < 6 years and PA > 480 mL/month; See Table 24drugId:1441; See Table 71drugId:4287 ANTIPSYCHOTIC
risperidone extended-release subcutaneous injection - PA; See Table 24drugId:7007; See Table 71drugId:7009 ANTIPSYCHOTIC
risperidone extended-release intramuscular injection - PA < 6 years and PA > 2 units (2 syringes)/month; See Table 24drugId:1444; See Table 71drugId:4285 ANTIPSYCHOTIC
risperidone 4 mg tablet - PA < 6 years and PA > 120 units/month; See Table 24drugId:2755; See Table 71drugId:4283 ANTIPSYCHOTIC
risperidone 2 mg orally disintegrating tablet - PA < 6 years and PA > 240 units/month; See Table 24drugId:7124; See Table 71drugId:7125 ANTIPSYCHOTIC
risperidone 0.5 mg, 1 mg, 3 mg orally disintegrating tablet - PA < 6 years and PA > 60 units/month; See Table 24drugId:7122; See Table 71drugId:7123 ANTIPSYCHOTIC
risperidone 0.25 mg, 4 mg orally disintegrating tablet - PA; See Table 24drugId:1442; See Table 71drugId:4286 ANTIPSYCHOTIC
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets - PA < 6 years and PA > 60 units/month; See Table 24drugId:1440; See Table 71drugId:4282 ANTIPSYCHOTIC
Risperdal M-Tab # (risperidone 2 mg orally disintegrating tablet) - PA < 6 years and PA > 240 units/month; See Table 24drugId:7124; See Table 71drugId:7125 ANTIPSYCHOTIC
Risperdal M-Tab # (risperidone 0.5 mg, 1 mg, 3 mg orally disintegrating tablet) - PA < 6 years and PA > 60 units/month; See Table 24drugId:7122; See Table 71drugId:7123 ANTIPSYCHOTIC
Risperdal M-Tab (risperidone 0.25 mg, 4 mg orally disintegrating tablet) - PA; See Table 24drugId:1442; See Table 71drugId:4286 ANTIPSYCHOTIC
Risperdal Consta (risperidone extended-release intramuscular injection) - PA < 6 years and PA > 2 units (2 syringes)/month; See Table 24drugId:1444; See Table 71drugId:4285 ANTIPSYCHOTIC
Risperdal # (risperidone solution) - PA < 6 years and PA > 480 mL/month; See Table 24drugId:1441; See Table 71drugId:4287 ANTIPSYCHOTIC
Risperdal # (risperidone 4 mg tablet) - PA < 6 years and PA > 120 units/month; See Table 24drugId:2755; See Table 71drugId:4283 ANTIPSYCHOTIC
Risperdal # (risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets) - PA < 6 years and PA > 60 units/month; See Table 24drugId:1440; See Table 71drugId:4282 ANTIPSYCHOTIC
risedronatedrugId:1439 - PA ELECTROLYTES AND NUTRIENTS
risedronate delayed-releasedrugId:2101 - PA ELECTROLYTES AND NUTRIENTS
Riomet (metformin solution)drugId:1161 BP - PA ≥ 13 years DIABETIC AGENTS
riociguatdrugId:2883 - PA CARDIOVASCULAR
ringers solution, lactated ANTIBACTERIALS AND ANTISEPTICS
Rimso-50 (dimethyl sulfoxide solution)drugId:2694 ANALGESICS
rimexolonedrugId:1438 - PA OPHTHALMIC PREPARATIONS
rimantadine ANTIVIRALS
rimabotulinumtoxinBdrugId:1436 - PA BIOLOGICAL
riluzole tabletdrugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzole suspensiondrugId:7010 - PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
RilutekdrugId:1435 # (riluzole tablet)drugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS
rilpivirinedrugId:2284 ANTIVIRALS
rilonaceptdrugId:1434 - PA BIOLOGICAL
rifaximin 550 mgdrugId:7140 - PA ANTIBIOTICS
rifaximin 200 mgdrugId:1433 ANTIBIOTICS
Rifater (rifampin / isoniazid / pyrazinamide)drugId:2502 TB PREPARATIONS
rifapentinedrugId:2501 TB PREPARATIONS
rifampin / isoniazid / pyrazinamidedrugId:2502 TB PREPARATIONS
rifampin / isoniaziddrugId:1432 ANTIBIOTICS
rifampin; See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS
Rifadin # (rifampin); See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS
rifabutindrugId:1429 ANTIBIOTICS
Ridaura (auranofin) IMMUNOMODULATOR
riboflavindrugId:1428 * ELECTROLYTES AND NUTRIENTS
ribociclibdrugId:6102 - PA CHEMOTHERAPY
ribociclib / letrozoledrugId:6103 - PA CHEMOTHERAPY
ribavirin tabletdrugId:1651 ANTIVIRALS
ribavirin solutiondrugId:1653 - PA ≥ 19 years ANTIVIRALS
ribavirin dose packdrugId:1654 - PA ANTIVIRALS
ribavirin 400 mg and 600 mgdrugId:1655 - PA ANTIVIRALS
ribavirin 200 mg capsuledrugId:1652 - PA ANTIVIRALS
Riastap (fibrinogen concentrate) ANTI-HEMOPHILIA AGENTS
Rhopressa (netarsudil)drugId:6743 - PA OPHTHALMIC PREPARATIONS
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648 BIOLOGICAL
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747 BIOLOGICAL
Rhofade (oxymetazoline cream)drugId:6105 - PA DERMATOLOGICAL
rho(d) immune globulin IV, human-Winrho SDFdrugId:1650 BIOLOGICAL
rho(d) immune globulin IV, human-RhophylacdrugId:1648 BIOLOGICAL
rho(d) immune globulin IM, human-RhogamdrugId:2747 BIOLOGICAL
rho(d) immune globulin IM, human-MicrhogamdrugId:2746 BIOLOGICAL
rho(d) immune globulin IM, human-HyperrhodrugId:1647 BIOLOGICAL
ReyatazdrugId:101 # (atazanavir)drugId:101 ANTIVIRALS
Rexulti (brexpiprazole) - PA; See Table 24drugId:5110; See Table 71drugId:5111 ANTIPSYCHOTIC
Revlimid (lenalidomide)drugId:2298 - PA CHEMOTHERAPY
revefenacindrugId:7051 - PA BRONCHODILATORS
Revcovi (elapegademase-lvlr)drugId:7044 - PA ENZYMES
Revatio (sildenafil oral suspension)drugId:4793 BP - PA CARDIOVASCULAR
Revatio (sildenafil 20 mg tablet)drugId:1848 - PA CARDIOVASCULAR
RetrovirdrugId:1820 # (zidovudine)drugId:1820 ANTIVIRALS
Retisert (fluocinolone ophthalmic implant-Retisert) ^ OPHTHALMIC PREPARATIONS
retinoldrugId:1806 * ELECTROLYTES AND NUTRIENTS
Retin-A Micro (tretinoin microspheres)drugId:1749 - PA DERMATOLOGICAL
Retin-A (tretinoin-Retin-A)drugId:1748 BP - PA ≥ 22 years DERMATOLOGICAL
Retacrit (epoetin alfa-epbx)drugId:6820 - PA HEMATINIC AGENT
Restoril # (temazepam 7.5 mg, 15 mg, 30 mg) - PA < 6 years and PA >30 units/month; See Table 69drugId:1665; See Table 71drugId:4352 BENZODIAZEPINES
Restoril (temazepam 22.5 mg) - PA; See Table 69drugId:1666; See Table 71drugId:4351 BENZODIAZEPINES
Restasis (cyclosporine ophthalmic)drugId:311 - PA OPHTHALMIC PREPARATIONS
reslizumabdrugId:5586 - PA BIOLOGICAL
reserpinedrugId:1645 CARDIOVASCULAR
Rescriptor (delavirdine)drugId:336 ANTIVIRALS
Requip XL (ropinirole extended-release)drugId:1454 - PA ANTIPARKINSON
RequipdrugId:1453 # (ropinirole)drugId:1453 ANTIPARKINSON
Repatha (evolocumab)drugId:5120 - PA LIPID LOWERING AGENTS
repaglinide / metformindrugId:1643 - PA DIABETIC AGENTS
repaglinidedrugId:1642 DIABETIC AGENTS
Renvela # (sevelamer carbonate) ELECTROLYTES AND NUTRIENTS
Renflexis (infliximab-abda)drugId:6182 - PA IMMUNOMODULATOR
Renagel (sevelamer hydrochloride) BP ELECTROLYTES AND NUTRIENTS
Remodulin (treprostinil injection)drugId:1745 BP - PA CARDIOVASCULAR
Remicade (infliximab)drugId:793 - PA IMMUNOMODULATOR
Remeron Sol Tab (mirtazapine orally disintegrating tablet) - PA; See Table 17drugId:1367; See Table 71drugId:3620 ANTIDEPRESSANTS
Remeron # (mirtazapine) - PA < 6 years; See Table 17drugId:1366; See Table 71drugId:3621 ANTIDEPRESSANTS
Relpax (eletriptan)drugId:593 - PA TRIPTAN
Relistor (methylnaltrexone)drugId:953 - PA CONSTIPATION AGENTS
Relenza (zanamivir)drugId:1818 - PA all quantities (June 1st to September 30th); PA < 5 years of age and > 20 inhalations/season (October 1st to May 31st) ANTIVIRALS
Regranex (becaplermin)drugId:129 - PA DERMATOLOGICAL
regorafenibdrugId:2646 - PA CHEMOTHERAPY
Reglan # (metoclopramide) ANTIEMETICS
Reese's Pinworm (pyrantel pamoate)drugId:6217 ANTIPARASITICS
Rectiv (nitroglycerin 0.4% ointment) GASTROINTESTINAL AGENT
Recombivax HB (hepatitis B recombinant vaccine)drugId:708 1 BIOLOGICAL
Recombinate (antihemophilic factor, recombinant-Recombinate) ANTI-HEMOPHILIA AGENTS
Reclast (zoledronic acid 5 mg)drugId:1927 - PA ELECTROLYTES AND NUTRIENTS
Rebinyn (coagulation factor IX recombinant, glycopegylated-Rebinyn) ANTI-HEMOPHILIA AGENTS
Rebif (interferon beta-1a-Rebif)drugId:826 MULTIPLE SCLEROSIS AGENTS
Rebetol (ribavirin solution)drugId:1653 - PA ≥ 19 years ANTIVIRALS
Rebetol (ribavirin 200 mg capsule)drugId:1652 - PA ANTIVIRALS
Razadyne ERdrugId:919 # (galantamine extended-release capsule)drugId:919 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
RazadynedrugId:920 # (galantamine tablet)drugId:920 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
Rayos (prednisone delayed-release)drugId:2645 - PA GLUCOCORTICOIDS
Rayaldee (calcifediol)drugId:5765 - PA ELECTROLYTES AND NUTRIENTS
ravulizumab-cwvzdrugId:7046 - PA BIOLOGICAL
Ravicti (glycerol phenylbutyrate)drugId:2789 - PA ENZYMES
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633 - PA IMMUNOMODULATOR
rasburicase ENZYMES
rasagilinedrugId:1640 - PA ANTIPARKINSON
RapamunedrugId:1857 # (sirolimus tablet)drugId:1857 IMMUNOMODULATOR
Rapamune (sirolimus solution)drugId:7080 BP IMMUNOMODULATOR
Rapaflo (silodosin)drugId:1849 BP - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
ranolazinedrugId:1639 BP - PA CARDIOVASCULAR
ranitidine tabletdrugId:1635 * H2 ANTAGONISTS
ranitidine syrupdrugId:1638 H2 ANTAGONISTS
ranitidine injectiondrugId:2693 H2 ANTAGONISTS
ranitidine capsulesdrugId:1637 - PA H2 ANTAGONISTS
ranibizumab ^ OPHTHALMIC PREPARATIONS
Ranexa (ranolazine)drugId:1639 BP - PA CARDIOVASCULAR
ramucirumabdrugId:2955 - PA CHEMOTHERAPY
ramiprildrugId:2588 CARDIOVASCULAR
ramelteondrugId:1631 - PA > 30 units/month SEDATIVES
raltegravirdrugId:2701 ANTIVIRALS
raloxifenedrugId:1629 HORMONE REPLACEMENT THERAPY
radium Ra 223 dichloridedrugId:2853 ^ - PA CHEMOTHERAPY
Radicava (edaravone)drugId:6288 - PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
rabies virus vaccine-RabavertdrugId:1628 BIOLOGICAL
rabies virus vaccine-Imovax RabiesdrugId:1627 BIOLOGICAL
rabies immune globulin IM, human-KedrabdrugId:6741 BIOLOGICAL
rabies immune globulin IM, human-Imogam Rabies-HTdrugId:1626 BIOLOGICAL
rabies immune globulin IM, human-HyperrabdrugId:1625 BIOLOGICAL
rabeprazole delayed-release tabletdrugId:1624 - PA PROTON PUMP INHIBITORS
rabeprazole delayed-release capsuledrugId:2882 - PA PROTON PUMP INHIBITORS
Rabavert (rabies virus vaccine-Rabavert)drugId:1628 BIOLOGICAL

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