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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
Triumeq (abacavir / dolutegravir / lamivudine)drugId:4642 PD ANTIVIRALS
TrizivirdrugId:139 # (abacavir / lamivudine / zidovudine)drugId:139 ANTIVIRALS
Tymlos (abaloparatide)drugId:6362 - PA HORMONE AGENTS
Tylenol / CodeinedrugId:146 # (acetaminophen / codeine)drugId:146 - PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine OPIOID ANALGESICS
Tudorza (aclidinium)drugId:2649 - PA > 1 inhaler/month BRONCHODILATORS
Tanzeum (albiglutide)drugId:2946 - PA DIABETIC AGENTS
Tekturna (aliskiren)drugId:13 BP - PA CARDIOVASCULAR
Tekturna HCT (aliskiren / hydrochlorothiazide)drugId:14 - PA CARDIOVASCULAR
Travasol (amino acid and electrolyte IV infusion) ELECTROLYTES AND NUTRIENTS
Tribenzor (amlodipine / olmesartan / hydrochlorothiazide)drugId:1969 - PA CARDIOVASCULAR
Twynsta (amlodipine / telmisartan)drugId:1661 - PA CARDIOVASCULAR
Thymoglobulin (antithymocyte globulin, rabbit)drugId:1111 BIOLOGICAL
Trisenox (arsenic trioxide)drugId:2697 CHEMOTHERAPY
TenormindrugId:102 # (atenolol)drugId:102 CARDIOVASCULAR
TenoreticdrugId:103 # (atenolol / chlorthalidone)drugId:103 CARDIOVASCULAR
Tecentriq (atezolizumab)drugId:5593 - PA CHEMOTHERAPY
Theracys (BCG live, intravesical)drugId:127 CHEMOTHERAPY
Treanda (bendamustine)drugId:134 CHEMOTHERAPY
Taclonex (betamethasone / calcipotriene ointment, scalp suspension)drugId:421 - PA GLUCOCORTICOIDS
TargretindrugId:361 # (bexarotene)drugId:361 CHEMOTHERAPY
Tracleer (bosentan)drugId:372 BP - PA CARDIOVASCULAR
Tegretol XR # (carbamazepine extended-release-Tegretol XR) - PA < 6 years; See Table 20drugId:2192; See Table 71drugId:3220 ANTICONVULSANTS
Tegretol # (carbamazepine-Tegretol) - PA < 6 years; See Table 20drugId:170; See Table 71drugId:3280 ANTICONVULSANTS
Teflaro (ceftaroline)drugId:2179 - PA ANTIBIOTICS
Temovate EdrugId:5035 # (clobetasol propionate / emollient)drugId:5035 GLUCOCORTICOIDS
TemovatedrugId:269 # (clobetasol propionate cream, ointment)drugId:269 GLUCOCORTICOIDS
Tranxene # (clorazepate) - PA < 6 years; See Table 69drugId:278; See Table 71drugId:4380 BENZODIAZEPINES
Tybost (cobicistat)drugId:4816 ANTIVIRALS
Tafinlar (dabrafenib)drugId:2823 - PA CHEMOTHERAPY
Topicort (desoximetasone 0.05% cream, ointment)drugId:5021 - PA GLUCOCORTICOIDS
Topicort (desoximetasone 0.25% cream, ointment, spray, 0.05% gel)drugId:488 - PA GLUCOCORTICOIDS
Totect (dexrazoxane) ANTIDOTES
Tiazac ERdrugId:533 # (diltiazem-Tiazac ER)drugId:533 CARDIOVASCULAR
Tecfidera (dimethyl fumarate)drugId:2793 - PA MULTIPLE SCLEROSIS AGENTS
Tenivac (diphtheria / tetanus toxoid vaccine)drugId:1686 1 BIOLOGICAL
TaxoteredrugId:553 # (docetaxel-Taxotere)drugId:553 CHEMOTHERAPY
Tikosyn # (dofetilide) CARDIOVASCULAR
Tivicay (dolutegravir)drugId:2852 - PA > 30 units/month ANTIVIRALS
TrusoptdrugId:563 # (dorzolamide)drugId:563 OPHTHALMIC PREPARATIONS
Trulicity (dulaglutide)drugId:4814 - PA DIABETIC AGENTS
Truvada (emtricitabine / tenofovir disoproxil fumarate)drugId:597 ANTIVIRALS
Tarceva (erlotinib)drugId:619 BP - PA CHEMOTHERAPY
Taytulla (ethinyl estradiol / norethindrone / ferrous fumarate) CONTRACEPTIVES
Tri-Norinyl # (ethinyl estradiol / norethindrone-Tri-Norinyl) CONTRACEPTIVES
Trecator (ethionamide)drugId:2499 TB PREPARATIONS
Tretten (factor XIII A-subunit recombinant) ANTI-HEMOPHILIA AGENTS
Triglide (fenofibrate 160 mg tablet)drugId:472 LIPID LOWERING AGENTS
TricordrugId:467 # (fenofibrate 48 mg, 145 mg tablet)drugId:467 LIPID LOWERING AGENTS
TrilipixdrugId:837 # (fenofibric acid)drugId:837 LIPID LOWERING AGENTS
Triferic (ferric pyrophosphate citrate)drugId:6021 ^ ELECTROLYTES AND NUTRIENTS
Toviaz (fesoterodine)drugId:850 BP URINARY ANTISPASMODICS
Tambocor # (flecainide) CARDIOVASCULAR
Tolak (fluorouracil 4% cream)drugId:5503 - PA CHEMOTHERAPY
Trelegy (fluticasone furoate / umeclidinium / vilanterol)drugId:6408 - PA BRONCHODILATORS
Tavalisse (fostamatinib)drugId:6823 - PA HEMATOLOGIC
Tenex # (guanfacine) - PA < 3 years; See Table 18drugId:5162; See Table 71drugId:691 CARDIOVASCULAR
Tremfya (guselkumab)drugId:6289 - PA IMMUNOMODULATOR
Twinrix (hepatitis A, inactivated / hepatitis B recombinant)drugId:2627 1 BIOLOGICAL
Trivisc (hyaluronate-Trivisc)drugId:6926 - PA; Non-Drug Product NON-DRUG PRODUCT
Trogarzo (ibalizumab-uiyk)drugId:6687 - PA ANTIVIRALS
Tofranil # (imipramine hydrochloride) - PA < 6 years; See Table 17drugId:782; See Table 71drugId:4060 ANTIDEPRESSANTS
Tofranil-PM (imipramine pamoate) - PA; See Table 17drugId:2308; See Table 71drugId:4080 ANTIDEPRESSANTS
Tivorbex (indomethacin 20 mg, 40 mg)drugId:5115 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Tegsedi (inotersen)drugId:6988 - PA OLIGONUCLEOTIDE AGENTS
Tresiba (insulin degludec)drugId:5302 DIABETIC AGENTS
Toujeo (insulin glargine-Toujeo)drugId:4914 DIABETIC AGENTS
Tolsura (itraconazole 65 mg capsule)drugId:7011 - PA FUNGICIDES
Tibsovo (ivosidenib)drugId:6925 - PA CHEMOTHERAPY
Taltz (ixekizumab)drugId:5399 - PA IMMUNOMODULATOR
Takhzyro (lanadelumab-flyo)drugId:7008 - PA BIOLOGICAL
Tykerb (lapatinib)drugId:1025 CHEMOTHERAPY
Tirosint (levothyroxine-Tirosint) THYROID PREPARATIONS
Tradjenta (linagliptin)drugId:2293 DIABETIC AGENTS
Thyrolar (liotrix) THYROID PREPARATIONS
Trumenba (meningococcal group B vaccine-Trumenba)drugId:4815 1 BIOLOGICAL
Tapazole # (methimazole) THYROID PREPARATIONS
Toprol XLdrugId:1337 # (metoprolol extended-release tablet)drugId:1337 CARDIOVASCULAR
Tysabri (natalizumab)drugId:1177 MULTIPLE SCLEROSIS AGENTS
triple antibiotic ointment (neomycin / bacitracin / polymyxin B topical ointment)drugId:1994 * ANTIBIOTICS
Tasigna (nilotinib)drugId:1216 CHEMOTHERAPY
Technivie (ombitasvir / paritaprevir / ritonavir)drugId:5114 - PA ANTIVIRALS
TamifludrugId:1303 # (oseltamivir 30mg)drugId:1303 - PA all quantities (June 1st to September 30th); PA > 20 capsules/season (October 1st to May 31st) ANTIVIRALS
TamifludrugId:1305 # (oseltamivir 45 mg and 75 mg)drugId:1305 - PA all quantities (June 1st to September 30th); PA > 10 capsules/season (October 1st to May 31st) ANTIVIRALS
TamifludrugId:2314 # (oseltamivir 6 mg/mL suspension)drugId:2314 - PA all quantities (June 1st to September 30th); PA > 180 mL/season (October 1st to May 31st) ANTIVIRALS
Tagrisso (osimertinib)drugId:5301 - PA CHEMOTHERAPY
Trileptal # (oxcarbazepine) - PA < 6 years; See Table 20drugId:1311; See Table 71drugId:4442 ANTICONVULSANTS
Talwin (pentazocine)drugId:1502 OPIOID ANALGESICS
Trulance (plecanatide)drugId:6043 - PA CONSTIPATION AGENTS
Tiglutik (riluzole suspension)drugId:7010 - PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Transderm-Scop (scopolamine transdermal patch)drugId:1835 BP - PA ANTIEMETICS
ThermazenedrugId:1852 # (silver sulfadiazine-Thermazene)drugId:1852 ANTIBIOTICS
Treximet (sumatriptan / naproxen)drugId:1916 BP - PA TRIPTAN/NON STEROIDAL ANTI-INFLAMMATORY
tacrolimus extended-release capsuledrugId:2838 IMMUNOMODULATOR
tacrolimus extended-release tabletdrugId:5249 IMMUNOMODULATOR
tacrolimus injectiondrugId:2741 ^ IMMUNOMODULATOR
tacrolimus oraldrugId:1918 IMMUNOMODULATOR
tacrolimus topicaldrugId:1919 BP DERMATOLOGICAL
tadalafil-AdcircadrugId:1920 - PA CARDIOVASCULAR
tadalafil-CialisdrugId:2373 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
tafamidisdrugId:7228 - PA TRANSTHYRETIN STABILIZER
tafluprostdrugId:2524 - PA OPHTHALMIC PREPARATIONS
tagraxofusp-erzsdrugId:7182 - PA CHEMOTHERAPY
talazoparibdrugId:7045 - PA CHEMOTHERAPY
Talzenna (talazoparib)drugId:7045 - PA CHEMOTHERAPY
taliglucerase alfadrugId:2558 - PA ENZYMES
talimogene laherparepvecdrugId:5440 ^ - PA CHEMOTHERAPY
tamoxifen solutiondrugId:4980 - PA CHEMOTHERAPY
tamoxifen tabletdrugId:1921 CHEMOTHERAPY
tamsulosindrugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS
tapentadoldrugId:1923 - PA OPIOID ANALGESICS
tapentadol extended-releasedrugId:2369 - PA OPIOID ANALGESICS
tasimelteondrugId:2960 - PA SEDATIVE, NON-BARBITURATE
tavaboroledrugId:4629 - PA FUNGICIDES
tazarotenedrugId:1657 - PA DERMATOLOGICAL
Tazorac (tazarotene)drugId:1657 - PA DERMATOLOGICAL
tazarotene foamdrugId:2841 - PA DERMATOLOGICAL
TBO-filgrastimdrugId:2889 - PA HEMATINIC AGENT
tedizolid injectiondrugId:4636 - PA ANTIBIOTICS
tedizolid tabletdrugId:4635 - PA ANTIBIOTICS
teduglutide injectiondrugId:2722 - PA GASTROINTESTINAL AGENT
telavancindrugId:1949 - PA ANTIBIOTICS
telithromycindrugId:1659 - PA ANTIBIOTICS
telmisartandrugId:1660 - PA CARDIOVASCULAR
telmisartan / hydrochlorothiazidedrugId:1663 - PA CARDIOVASCULAR
telotristat ethyldrugId:6108 - PA ANTIDIARRHEALS
temazepam 22.5 mg - PA; See Table 69drugId:1666; See Table 71drugId:4351 BENZODIAZEPINES
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
temozolomidedrugId:1667 CHEMOTHERAPY
TemodardrugId:1667 # (temozolomide)drugId:1667 CHEMOTHERAPY
temsirolimusdrugId:1668 CHEMOTHERAPY
ToriseldrugId:1668 # (temsirolimus)drugId:1668 CHEMOTHERAPY
teniposidedrugId:2699 CHEMOTHERAPY
tenofovir alafenamidedrugId:5768 - PA ANTIVIRALS
tenofovir disoproxil fumarate powder - PA ≥ 13 years; See Table 38drugId:2489; See Table 44drugId:5821 ANTIVIRALS
tenofovir disoproxil fumarate tablet - PA > 30 units/month; See Table 38drugId:1669; See Table 44drugId:5820 ANTIVIRALS
terazosin; See Table 18drugId:1670; See Table 19drugId:5165 CARDIOVASCULAR
terbinafine tabletdrugId:1672 FUNGICIDES
terbutaline BRONCHODILATORS
terconazole ANTIBIOTICS
Terazol # (terconazole) ANTIBIOTICS
teriflunomidedrugId:2657 - PA MULTIPLE SCLEROSIS AGENTS
teriparatidedrugId:1678 - PA HORMONE AGENTS
tesamorelindrugId:5626 - PA OTHER HORMONES
testosterone 1% gel packetdrugId:2248 BP - PA HORMONE REPLACEMENT THERAPY
testosterone 1% gel tubedrugId:1684 - PA HORMONE REPLACEMENT THERAPY
Testim (testosterone 1% gel tube)drugId:1684 - PA HORMONE REPLACEMENT THERAPY
testosterone 1% gel tube, packet, pumpdrugId:2948 - PA HORMONE REPLACEMENT THERAPY
testosterone 1.62% gel packet, pumpdrugId:2280 - PA HORMONE REPLACEMENT THERAPY
testosterone 2% gel pumpdrugId:2241 - PA HORMONE REPLACEMENT THERAPY
testosterone 2% solutiondrugId:2237 - PA HORMONE REPLACEMENT THERAPY
testosterone buccal systemdrugId:2647 - PA HORMONE REPLACEMENT THERAPY
testosterone cypionatedrugId:1680 - PA HORMONE REPLACEMENT THERAPY
testosterone enanthatedrugId:7050 - PA HORMONE REPLACEMENT THERAPY
testosterone intramuscular pelletdrugId:1685 - PA HORMONE REPLACEMENT THERAPY
Testopel (testosterone intramuscular pellet)drugId:1685 - PA HORMONE REPLACEMENT THERAPY
testosterone patchdrugId:1682 - PA HORMONE REPLACEMENT THERAPY
testosterone powderdrugId:2311 - PA HORMONE REPLACEMENT THERAPY
testosterone undecanoatedrugId:2954 ^ - PA HORMONE REPLACEMENT THERAPY
tetanus immune globulin IM, humandrugId:1687 BIOLOGICAL
tetrabenazinedrugId:1688 BP - PA NEUROLOGIC AGENT
tetracaine OPHTHALMIC PREPARATIONS
tetracyclinedrugId:1689 ANTIBIOTICS
tetradecyl sulfate injectiondrugId:2495 - PA CARDIOVASCULAR
tezacaftor / ivacaftordrugId:6540 - PA CYSTIC FIBROSIS AGENTS
thalidomidedrugId:1690 IMMUNOMODULATOR
Thalomid (thalidomide)drugId:1690 IMMUNOMODULATOR
theophyllinedrugId:1691 BRONCHODILATORS
thiaminedrugId:1692 * ELECTROLYTES AND NUTRIENTS
thioguaninedrugId:1693 CHEMOTHERAPY
Tabloid (thioguanine)drugId:1693 CHEMOTHERAPY
thioridazine - PA < 6 years; See Table 24drugId:6328; See Table 71drugId:1694 ANTIPSYCHOTIC
thiothixene - PA < 6 years; See Table 24drugId:6329; See Table 71drugId:1696 ANTIPSYCHOTIC
thyroid THYROID PREPARATIONS
tiagabine - PA; See Table 20drugId:2617; See Table 71drugId:4500 ANTICONVULSANTS
ticagrelordrugId:2359 - PA ANTIPLATELET AGENT
ticarcillin / clavulanatedrugId:1699 ANTIBIOTICS
Timentin (ticarcillin / clavulanate)drugId:1699 ANTIBIOTICS
tigecyclinedrugId:1701 - PA ANTIBIOTICS
Tygacil (tigecycline)drugId:1701 - PA ANTIBIOTICS
tildrakizumab-asmndrugId:7004 - PA IMMUNOMODULATOR
timolol ophthalmic gel forming solutiondrugId:2211 - PA OPHTHALMIC PREPARATIONS
Timoptic-XE (timolol ophthalmic gel forming solution)drugId:2211 - PA OPHTHALMIC PREPARATIONS
timolol ophthalmic unit dose solutiondrugId:2210 - PA OPHTHALMIC PREPARATIONS
Timoptic Ocudose (timolol ophthalmic unit dose solution)drugId:2210 - PA OPHTHALMIC PREPARATIONS
timolol tabletdrugId:5020 CARDIOVASCULAR
timolol-IstaloldrugId:1703 BP OPHTHALMIC PREPARATIONS
timolol-TimopticdrugId:1704 OPHTHALMIC PREPARATIONS
TimopticdrugId:1704 # (timolol-Timoptic)drugId:1704 OPHTHALMIC PREPARATIONS
tinidazoledrugId:1706 - PA ANTIPARASITICS
Tindamax (tinidazole)drugId:1706 - PA ANTIPARASITICS
tiopronin CHELATING AGENT
Thiola (tiopronin) CHELATING AGENT
tiotropium / olodateroldrugId:5112 - PA BRONCHODILATORS
tiotropium inhalation powderdrugId:1708 - PA > 30 units/month BRONCHODILATORS
tiotropium inhalation solutiondrugId:4640 - PA > 1 inhaler/month BRONCHODILATORS
tipranavirdrugId:1709 ANTIVIRALS
tisagenlecleuceldrugId:6404 CO ^ - PA CHEMOTHERAPY
tizanidine capsuledrugId:1711 - PA MUSCLE RELAXANT
tizanidine tabletdrugId:1712 MUSCLE RELAXANT
tobramycin ophthalmic solutiondrugId:1715 OPHTHALMIC PREPARATIONS
TobrexdrugId:1715 # (tobramycin ophthalmic solution)drugId:1715 OPHTHALMIC PREPARATIONS
tobramycin / loteprednol ophthalmic suspensiondrugId:1718 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspensiondrugId:2088 - PA OPHTHALMIC PREPARATIONS
Tobradex ST (tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspension)drugId:2088 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointmentdrugId:2275 - PA OPHTHALMIC PREPARATIONS
Tobradex (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointment)drugId:2275 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.1%, ophthalmic suspensiondrugId:1717 OPHTHALMIC PREPARATIONS
TobradexdrugId:1717 # (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic suspension)drugId:1717 OPHTHALMIC PREPARATIONS
tobramycin inhalation powderdrugId:2794 - PA ANTIBIOTICS
Tobi Podhaler (tobramycin inhalation powder)drugId:2794 - PA ANTIBIOTICS
tobramycin inhalation solution-BethkisdrugId:2884 - PA ANTIBIOTICS
tobramycin inhalation solution-Kitabis PakdrugId:4781 ANTIBIOTICS
tobramycin inhalation solution-TobidrugId:1713 ANTIBIOTICS
TobidrugId:1713 # (tobramycin inhalation solution-Tobi)drugId:1713 ANTIBIOTICS
tobramycin injectiondrugId:2630 ANTIBIOTICS
tobramycin ophthalmic ointmentdrugId:1716 - PA OPHTHALMIC PREPARATIONS
Tobrex (tobramycin ophthalmic ointment)drugId:1716 - PA OPHTHALMIC PREPARATIONS
tocilizumabdrugId:1719 - PA IMMUNOMODULATOR
tofacitinibdrugId:2660 - PA IMMUNOMODULATOR
tofacitinib extended-releasedrugId:5407 - PA IMMUNOMODULATOR
tolazamidedrugId:1720 DIABETIC AGENTS
tolbutamidedrugId:1721 DIABETIC AGENTS
tolcaponedrugId:1722 - PA ANTIPARKINSON
Tasmar (tolcapone)drugId:1722 - PA ANTIPARKINSON
tolmetindrugId:1723 - PA NONSTEROIDAL ANTI-INFLAMMATORY
tolnaftatedrugId:1724 * FUNGICIDES
tolterodine extended-releasedrugId:1725 URINARY ANTISPASMODICS
tolterodine immediate-releasedrugId:1726 URINARY ANTISPASMODICS
tolvaptan-JynarquedrugId:6801 - PA VASOPRESSIN ANTAGONISTS
tolvaptan-SamscadrugId:1728 - PA VASOPRESSIN ANTAGONISTS
topiramate - PA < 6 years; See Table 20drugId:1729; See Table 71drugId:4503 ANTICONVULSANTS
Topamax # (topiramate) - PA < 6 years; See Table 20drugId:1729; See Table 71drugId:4503 ANTICONVULSANTS
topiramate extended-release capsule-Qudexy XR - PA; See Table 20drugId:2943; See Table 71drugId:4502 ANTICONVULSANTS
topiramate extended-release capsule-Trokendi XR - PA; See Table 20drugId:2859; See Table 71drugId:4505 ANTICONVULSANTS
Trokendi XR (topiramate extended-release capsule-Trokendi XR) - PA; See Table 20drugId:2859; See Table 71drugId:4505 ANTICONVULSANTS
topiramate powder - PA; See Table 20drugId:7120; See Table 71drugId:7121 ANTICONVULSANTS
topiramate sprinkle capsule - PA < 6 years; See Table 20drugId:2316; See Table 71drugId:4504 ANTICONVULSANTS
Topamax # (topiramate sprinkle capsule) - PA < 6 years; See Table 20drugId:2316; See Table 71drugId:4504 ANTICONVULSANTS
topotecandrugId:1730 CHEMOTHERAPY
toremifenedrugId:1731 CHEMOTHERAPY
torsemidedrugId:1732 CARDIOVASCULAR
tramadoldrugId:1735 - PA < 12 years and PA > 400 mg/day ANALGESICS
tramadol / acetaminophendrugId:1737 - PA ANALGESICS
tramadol extended-release capsuledrugId:2362 - PA ANALGESICS
tramadol extended-release tabletdrugId:1736 - PA ANALGESICS
trametinibdrugId:2845 - PA CHEMOTHERAPY
trandolaprildrugId:1738 CARDIOVASCULAR
trandolapril / verapamildrugId:4812 - PA CARDIOVASCULAR
Tarka (trandolapril / verapamil)drugId:4812 - PA CARDIOVASCULAR
tranexamic acid tablet HEMOSTATICS
tranylcypromine - PA < 6 years; See Table 17drugId:1741; See Table 71drugId:3540 ANTIDEPRESSANTS
trastuzumabdrugId:1742 CHEMOTHERAPY
travoprost 0.004% eye dropdrugId:1743 OPHTHALMIC PREPARATIONS
Travatan Z (travoprost 0.004% eye drop)drugId:1743 OPHTHALMIC PREPARATIONS
trazodone 300 mg tablet - PA; See Table 17drugId:2062; See Table 71drugId:3862 ANTIDEPRESSANTS
trazodone 50 mg, 100 mg, 150 mg - PA < 6 years; See Table 17drugId:1744; See Table 71drugId:3861 ANTIDEPRESSANTS
treprostinil inhalation solutiondrugId:1746 - PA CARDIOVASCULAR
Tyvaso (treprostinil inhalation solution)drugId:1746 - PA CARDIOVASCULAR
treprostinil injectiondrugId:1745 BP - PA CARDIOVASCULAR
treprostinil tabletdrugId:2940 - PA CARDIOVASCULAR
tretinoin 0.05% geldrugId:2432 - PA DERMATOLOGICAL
tretinoin 0.05% lotiondrugId:6900 - PA DERMATOLOGICAL
tretinoin capsuledrugId:5135 CHEMOTHERAPY
tretinoin microspheresdrugId:1749 - PA DERMATOLOGICAL
tretinoin-AvitadrugId:1747 - PA ≥ 22 years DERMATOLOGICAL
tretinoin-Retin-AdrugId:1748 BP - PA ≥ 22 years DERMATOLOGICAL
triamcinolone 0.025% cream, lotiondrugId:1753 GLUCOCORTICOIDS
triamcinolone 0.05% ointmentdrugId:2527 - PA GLUCOCORTICOIDS
triamcinolone 0.1% creamdrugId:5029 GLUCOCORTICOIDS
triamcinolone 0.1% lotion, 0.025% ointmentdrugId:5028 GLUCOCORTICOIDS
triamcinolone 0.1% ointment, 0.5% creamdrugId:5030 GLUCOCORTICOIDS
triamcinolone 0.5% ointmentdrugId:5032 GLUCOCORTICOIDS
triamcinolone extended-release injectable suspensiondrugId:6415 - PA GLUCOCORTICOIDS
triamcinolone injectiondrugId:1750 GLUCOCORTICOIDS
triamcinolone ophthalmic suspension ^ OPHTHALMIC PREPARATIONS
Triesence (triamcinolone ophthalmic suspension) ^ OPHTHALMIC PREPARATIONS
triamcinolone OTC nasal spraydrugId:6241 - PA > 1 inhaler/month NASAL PREPARATIONS
triamcinolone paste GLUCOCORTICOIDS
triamcinolone spraydrugId:2526 - PA GLUCOCORTICOIDS
triamcinolone, oral GLUCOCORTICOIDS
triamterenedrugId:5247 - PA CARDIOVASCULAR
triazolam - PA < 6 years and PA > 30 units/month; See Table 69drugId:1757; See Table 71drugId:4353 BENZODIAZEPINES
trientine BP CHELATING AGENT
trifluoperazine - PA < 6 years; See Table 24drugId:6330; See Table 71drugId:1760 ANTIPSYCHOTIC
trifluridine OPHTHALMIC PREPARATIONS
trifluridine / tipiracildrugId:5261 - PA CHEMOTHERAPY
trihexyphenidyldrugId:1762 ANTIPARKINSON
trimethobenzamide ANTIEMETICS
Tigan # (trimethobenzamide) ANTIEMETICS
trimethoprim / polymyxin B ophthalmic solutiondrugId:2060 OPHTHALMIC PREPARATIONS
trimethoprim tabletdrugId:4886 ANTIBIOTICS
trimipramine - PA < 6 years; See Table 17drugId:1765; See Table 71drugId:4160 ANTIDEPRESSANTS
triptorelindrugId:1766 - PA CHEMOTHERAPY
Trelstar (triptorelin)drugId:1766 - PA CHEMOTHERAPY
Triptodur (triptorelin)drugId:6486 - PA HORMONE AGENTS
tropicamide OPHTHALMIC PREPARATIONS
trospium extended-releasedrugId:1769 - PA URINARY ANTISPASMODICS
trospium immediate-releasedrugId:1770 URINARY ANTISPASMODICS
typhoid vaccine capsuledrugId:2628 BIOLOGICAL
typhoid vaccine injectiondrugId:1771 BIOLOGICAL
Typhim VI (typhoid vaccine injection)drugId:1771 BIOLOGICAL
Trintellix (vortioxetine) - PA; See Table 17drugId:2885; See Table 71drugId:3881 ANTIDEPRESSANTS

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