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

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