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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
Vivitrol (naltrexone injection)drugId:1426 ALCOHOL AND DRUG CESSATION AGENT
Vivlodex (meloxicam capsule)drugId:5404 - PA ANTIARTHRITICS
VancocindrugId:1787 # (vancomycin capsule)drugId:1787 ANTIBIOTICS
vancomycin capsuledrugId:1787 ANTIBIOTICS
vancomycin injectiondrugId:1788 ANTIBIOTICS
vancomycin oral solutiondrugId:6683 ANTIBIOTICS
Vandazole (metronidazole 0.75% vaginal gel-Vandazole)drugId:4887 ANTIBIOTICS
Vibativ (telavancin)drugId:1949 - PA ANTIBIOTICS
Vibramycin (doxycycline calcium syrup)drugId:2903 ANTIBIOTICS
VibramycindrugId:575 # (doxycycline hyclate 100 mg capsule)drugId:575 ANTIBIOTICS
VibramycindrugId:2904 # (doxycycline monohydrate suspension)drugId:2904 ANTIBIOTICS
valproatedrugId:1780 ANTICONVULSANTS
valproic acid - PA < 6 years; See Table 20drugId:1782; See Table 71drugId:4506 ANTICONVULSANTS
vigabatrin BP - PA; See Table 20drugId:1802; See Table 71drugId:4481 ANTICONVULSANTS
Vimpat (lacosamide injection)drugId:1002 ANTICONVULSANTS
Vimpat (lacosamide solution) - PA; See Table 20drugId:1972; See Table 71drugId:3500 ANTICONVULSANTS
Vimpat (lacosamide tablet) - PA; See Table 20drugId:1003; See Table 71drugId:3520 ANTICONVULSANTS
venlafaxine extended-release capsule - PA < 6 years; See Table 17drugId:1795; See Table 71drugId:3901 ANTIDEPRESSANTS
venlafaxine extended-release tablet - PA; See Table 17drugId:1794; See Table 71drugId:3902 ANTIDEPRESSANTS
venlafaxine - PA < 6 years; See Table 17drugId:1796; See Table 71drugId:3900 ANTIDEPRESSANTS
Viibryd (vilazodone) - PA; See Table 17drugId:2294; See Table 71drugId:3880 ANTIDEPRESSANTS
vilazodone - PA; See Table 17drugId:2294; See Table 71drugId:3880 ANTIDEPRESSANTS
vortioxetine - PA; See Table 17drugId:2885; See Table 71drugId:3881 ANTIDEPRESSANTS
Varubi (rolapitant injection)drugId:6409 - PA > 2 vials/28 days ANTIEMETICS
Varubi (rolapitant tablet)drugId:5303 - PA > 2 tablets/28 days ANTIEMETICS
Vonvendi (von willebrand factor, recombinant) ANTI-HEMOPHILIA AGENTS
von willebrand factor, recombinant ANTI-HEMOPHILIA AGENTS
von willebrand factor / coagulation factor VIII complex ANTI-HEMOPHILIA AGENTS
VistarildrugId:762 # (hydroxyzine pamoate)drugId:762 ANTIHISTAMINES
vorapaxardrugId:2950 - PA ANTIPLATELET AGENT
Versacloz (clozapine suspension) - PA; See Table 24drugId:2930; See Table 71drugId:4263 ANTIPSYCHOTIC
Vraylar (cariprazine) - PA; See Table 24drugId:5405; See Table 71drugId:5406 ANTIPSYCHOTIC
valacyclovirdrugId:1778 ANTIVIRALS
Valcyte # (valganciclovir solution) ANTIVIRALS
Valcyte # (valganciclovir tablet) ANTIVIRALS
valganciclovir solution ANTIVIRALS
valganciclovir tablet ANTIVIRALS
ValtrexdrugId:1778 # (valacyclovir)drugId:1778 ANTIVIRALS
Vemlidy (tenofovir alafenamide)drugId:5768 - PA ANTIVIRALS
Veregen (sinecatechins)drugId:1856 - PA ANTIVIRALS
VidexdrugId:517 # (didanosine)drugId:517 ANTIVIRALS
Viekira Pak (ombitasvir / paritaprevir / ritonavir / dasabuvir)drugId:4740 - PA ANTIVIRALS
Viekira XR (dasabuvir / ombitasvir / paritaprevir / ritonavir extended-release)drugId:5596 - PA ANTIVIRALS
Viracept (nelfinavir)drugId:1183 ANTIVIRALS
ViramunedrugId:1199 # (nevirapine)drugId:1199 ANTIVIRALS
Viramune XR (nevirapine extended-release)drugId:2295 - PA ANTIVIRALS
Viread (tenofovir disoproxil fumarate powder) - PA ≥ 13 years; See Table 38drugId:2489; See Table 44drugId:5821 ANTIVIRALS
Viread # (tenofovir disoproxil fumarate tablet) - PA > 30 units/month; See Table 38drugId:1669; See Table 44drugId:5820 ANTIVIRALS
Vistide # (cidofovir) ANTIVIRALS
Vitekta (elvitegravir)drugId:4840 ANTIVIRALS
Vosevi (sofosbuvir / velpatasvir / voxilaprevir)drugId:6364 PD - PA ANTIVIRALS
Vaqta (hepatitis A vaccine, inactivated-Vaqta)drugId:705 1 BIOLOGICAL
varicella virus vaccinedrugId:1790 1 BIOLOGICAL
varicella zoster immune globulin, humandrugId:2855 BIOLOGICAL
Varivax (varicella virus vaccine)drugId:1790 1 BIOLOGICAL
Varizig (varicella zoster immune globulin, human)drugId:2855 BIOLOGICAL
Vaxchora (cholera vaccine, live, oral)drugId:5594 1 BIOLOGICAL
Vivotif Berna (typhoid vaccine capsule)drugId:2628 BIOLOGICAL
Ventolin (albuterol inhaler-Ventolin)drugId:3 BP - PA BRONCHODILATORS
valsartandrugId:1785 CARDIOVASCULAR
valsartan / hydrochlorothiazidedrugId:1786 CARDIOVASCULAR
VasereticdrugId:599 # (enalapril / hydrochlorothiazide)drugId:599 CARDIOVASCULAR
VasotecdrugId:598 # (enalapril)drugId:598 CARDIOVASCULAR
Vecamyl (mecamylamine)drugId:2824 - PA CARDIOVASCULAR
Veletri (epoprostenol-Veletri)drugId:2098 - PA CARDIOVASCULAR
Ventavis (iloprost)drugId:778 - PA CARDIOVASCULAR
verapamil capsuledrugId:1799 CARDIOVASCULAR
verapamil extended-releasedrugId:2743 CARDIOVASCULAR
verapamil sustained-releasedrugId:2742 CARDIOVASCULAR
verapamil tabletdrugId:1800 CARDIOVASCULAR
VerelandrugId:1799 # (verapamil capsule)drugId:1799 CARDIOVASCULAR
Verelan PMdrugId:2743 # (verapamil extended-release)drugId:2743 CARDIOVASCULAR
Vyvanse (lisdexamfetamine) PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:1086; See Table 71drugId:3021 CEREBRAL STIMULANTS
Veltassa (patiromer)drugId:5320 - PA > 30 units/month CHELATING AGENT
Valchlor (mechlorethamine gel)drugId:2893 CHEMOTHERAPY
valrubicindrugId:1784 CHEMOTHERAPY
Valstar (valrubicin)drugId:1784 CHEMOTHERAPY
vandetanibdrugId:2281 - PA CHEMOTHERAPY
Vectibix (panitumumab)drugId:1475 CHEMOTHERAPY
Velcade (bortezomib)drugId:371 CHEMOTHERAPY
vemurafenibdrugId:2372 - PA CHEMOTHERAPY
Venclexta (venetoclax)drugId:5595 - PA CHEMOTHERAPY
venetoclaxdrugId:5595 - PA CHEMOTHERAPY
Verzenio (abemaciclib)drugId:6410 - PA CHEMOTHERAPY
VidazadrugId:110 # (azacitidine)drugId:110 CHEMOTHERAPY
vinblastinedrugId:1803 CHEMOTHERAPY
vincristinedrugId:1804 CHEMOTHERAPY
vincristine liposomedrugId:2890 - PA CHEMOTHERAPY
vinorelbinedrugId:1805 CHEMOTHERAPY
vismodegibdrugId:2481 - PA CHEMOTHERAPY
Vitrakvi (larotrectinib)drugId:7047 - PA CHEMOTHERAPY
Vizimpro (dacomitinib)drugId:7048 - PA CHEMOTHERAPY
vorinostatdrugId:1811 CHEMOTHERAPY
Votrient (pazopanib)drugId:1486 - PA CHEMOTHERAPY
Vumon (teniposide)drugId:2699 CHEMOTHERAPY
Vyxeos (daunorubicin / cytarabine)drugId:6412 - PA CHEMOTHERAPY
Vectical (calcitriol ointment)drugId:424 - PA DERMATOLOGICAL
Veltin (clindamycin / tretinoin-Veltin)drugId:1970 - PA DERMATOLOGICAL
vitamin A and D ointment * DERMATOLOGICAL
Victoza (liraglutide)drugId:1085 - PA DIABETIC AGENTS
Velphoro (sucroferric oxyhydroxide) ELECTROLYTES AND NUTRIENTS
Venofer (iron sucrose)drugId:974 - PA ELECTROLYTES AND NUTRIENTS
vitamin A (retinol)drugId:1806 * ELECTROLYTES AND NUTRIENTS
vitamin B-1 (thiamine)drugId:1692 * ELECTROLYTES AND NUTRIENTS
vitamin B-12 (cyanocobalamin)drugId:302 o ELECTROLYTES AND NUTRIENTS
vitamin B-2 (riboflavin)drugId:1428 * ELECTROLYTES AND NUTRIENTS
vitamin B-3 (niacin) *; See Table 6drugId:1202; See Table 13drugId:1203 ELECTROLYTES AND NUTRIENTS
vitamin B-6 (pyridoxine)drugId:1613 * ELECTROLYTES AND NUTRIENTS
vitamin B complexdrugId:1807 * ELECTROLYTES AND NUTRIENTS
vitamin C (ascorbic acid)drugId:96 * ELECTROLYTES AND NUTRIENTS
vitamin DdrugId:227 * ELECTROLYTES AND NUTRIENTS
vitamin E, oraldrugId:1808 * ELECTROLYTES AND NUTRIENTS
vitamins, multiple / mineralsdrugId:1402 * ELECTROLYTES AND NUTRIENTS
vitamins, multipledrugId:1400 * ELECTROLYTES AND NUTRIENTS
vitamins, pediatricdrugId:1403 * ELECTROLYTES AND NUTRIENTS
vitamins, prenataldrugId:2061 * ELECTROLYTES AND NUTRIENTS
velaglucerase alfadrugId:1950 - PA ENZYMES
vestronidase alfa-vjbkdrugId:6521 - PA ENZYMES
Vimizim (elosulfase alfa)drugId:2931 - PA ENZYMES
Viokace (pancrelipase-Viokace)drugId:2597 ENZYMES
Vitrase (hyaluronidase, ovine) ENZYMES
Vpriv (velaglucerase alfa)drugId:1950 - PA ENZYMES
Vfend (voriconazole suspension, tablet)drugId:1809 - PA FUNGICIDES
VfenddrugId:1810 # (voriconazole injection)drugId:1810 FUNGICIDES
voriconazole injectiondrugId:1810 FUNGICIDES
voriconazole suspension, tabletdrugId:1809 - PA FUNGICIDES
Vusion (miconazole / zinc oxide ointment)drugId:1353 - PA FUNGICIDES
Viberzi (eluxadoline)drugId:5403 - PA GASTROINTESTINAL AGENT
Vanos (fluocinonide 0.1% cream)drugId:872 - PA GLUCOCORTICOIDS
Vantas (histrelin-Vantas)drugId:711 - PA HORMONE AGENTS
Vagifem # (estradiol-Vagifem) HORMONE REPLACEMENT THERAPY
Vivelle-Dot # (estradiol-Vivelle-Dot) HORMONE REPLACEMENT THERAPY
Vogelxo (testosterone 1% gel tube, packet, pump)drugId:2948 - PA HORMONE REPLACEMENT THERAPY
Vascepa (icosapent ethyl)drugId:2733 - PA LIPID LOWERING AGENTS
Vytorin (ezetimibe / simvastatin)drugId:453 BP - PA > 30 units/month LIPID LOWERING AGENTS
valbenazinedrugId:6123 - PA NEUROLOGIC AGENT
Visco-3 (hyaluronate-Visco-3)drugId:6411 - PA; Non-Drug Product NON-DRUG PRODUCT
Vimovo (naproxen / esomeprazole)drugId:1971 - PA <60 years NONSTEROIDAL ANTI-INFLAMMATORY
Voltaren GeldrugId:512 # (diclofenac 1% gel)drugId:512 NONSTEROIDAL ANTI-INFLAMMATORY
Voltaren-XRdrugId:513 # (diclofenac extended-release)drugId:513 NONSTEROIDAL ANTI-INFLAMMATORY
verteporfin OPHTHALMIC PREPARATIONS
Vexol (rimexolone)drugId:1438 - PA OPHTHALMIC PREPARATIONS
VigamoxdrugId:1397 # (moxifloxacin ophthalmic solution-Vigamox)drugId:1397 OPHTHALMIC PREPARATIONS
Viroptic # (trifluridine) OPHTHALMIC PREPARATIONS
Visudyne (verteporfin) OPHTHALMIC PREPARATIONS
Vyzulta (latanoprostene)drugId:6487 - PA OPHTHALMIC PREPARATIONS
Vabomere (meropenem / vaborbactam)drugId:6363 - PA OTHER ANTIBIOTICS
varenicline SMOKING CESSATION
Vyndamax (tafamidis)drugId:7269 - PA TRANSTHYRETIN STABILIZER
Vyndaqel (tafamidis)drugId:7228 - PA TRANSTHYRETIN STABILIZER
vedolizumabdrugId:2957 - PA UNCLASSIFIED DRUG PRODUCTS
VesicaredrugId:1879 # (solifenacin)drugId:1879 URINARY ANTISPASMODICS

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 11/25/19