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MassHealth Drug List A - Z

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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.

MassHealth Drug List table
Drug - Brand Name (Generic Name) PA Status Class Drug Notes
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; See Table 20drugId:1782; See Table 71drugId:4506 PA < 6 years ANTICONVULSANTS #
vigabatrin; See Table 20drugId:1802; See Table 71drugId:4481 PA ANTICONVULSANTS BP
Vimpat (lacosamide injection)drugId:1002 ANTICONVULSANTS
Vimpat (lacosamide solution); See Table 20drugId:1972; See Table 71drugId:3500 PA ANTICONVULSANTS
Vimpat (lacosamide tablet); See Table 20drugId:1003; See Table 71drugId:3520 PA ANTICONVULSANTS
venlafaxine extended-release capsule; See Table 17drugId:1795; See Table 71drugId:3901 PA < 6 years ANTIDEPRESSANTS #
venlafaxine extended-release tablet; See Table 17drugId:1794; See Table 71drugId:3902 PA ANTIDEPRESSANTS
venlafaxine; See Table 17drugId:1796; See Table 71drugId:3900 PA < 6 years ANTIDEPRESSANTS
Viibryd (vilazodone); See Table 17drugId:2294; See Table 71drugId:3880 PA ANTIDEPRESSANTS
vilazodone; See Table 17drugId:2294; See Table 71drugId:3880 PA ANTIDEPRESSANTS
vortioxetine; See Table 17drugId:2885; See Table 71drugId:3881 PA 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); See Table 24drugId:2930; See Table 71drugId:4263 PA ANTIPSYCHOTIC
Vraylar (cariprazine); See Table 24drugId:5405; See Table 71drugId:5406 PA 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
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); See Table 38drugId:2489; See Table 44drugId:5821 PA ≥ 13 years ANTIVIRALS
Viread (tenofovir disoproxil fumarate tablet); See Table 38drugId:1669; See Table 44drugId:5820 PA > 1 unit/day ANTIVIRALS #
Vistide (cidofovir) ANTIVIRALS #
Vitekta (elvitegravir)drugId:4840 ANTIVIRALS
Vosevi (sofosbuvir / velpatasvir / voxilaprevir)drugId:6364 PA ANTIVIRALS
Valtoco (diazepam nasal spray)drugId:7384 PA > 10 units/month BENZODIAZEPINES
Vaqta (hepatitis A vaccine, inactivated-Vaqta)drugId:705 BIOLOGICAL 1
varicella virus vaccinedrugId:1790 BIOLOGICAL 1
varicella zoster immune globulin, humandrugId:2855 BIOLOGICAL
Varivax (varicella virus vaccine)drugId:1790 BIOLOGICAL 1
Varizig (varicella zoster immune globulin, human)drugId:2855 BIOLOGICAL
Vaxchora (cholera vaccine, live, oral)drugId:5594 BIOLOGICAL 1
Vivotif Berna (typhoid vaccine capsule)drugId:2628 BIOLOGICAL
Vyepti (eptinezumab-jjmr)drugId:7460 PA BIOLOGICAL ^
Vyondys 53 (golodirsen)drugId:7496 PA BIOLOGICAL
Ventolin (albuterol inhaler-Ventolin)drugId:3 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); See Table 31drugId:1086; See Table 71drugId:3021 PA < 3 years and PA > 2 units/day CEREBRAL STIMULANTS PD
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
Veklury (remdesivir) COVID - 19 related Treatments and Vaccines COVID H
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 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 ELECTROLYTES AND NUTRIENTS o
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 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
voxelotordrugId:7350 PA HEMATOLOGIC
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 BP
Vytorin (ezetimibe / simvastatin)drugId:453 PA > 1 unit/day LIPID LOWERING AGENTS BP
valbenazinedrugId:6123 PA NEUROLOGIC AGENT
Visco-3 (hyaluronate-Visco-3)drugId:6411 - Non-Drug Product PA NON-DRUG PRODUCT
VimovodrugId:1971 (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 #
VigamoxdrugId:1397 (moxifloxacin ophthalmic solution-Vigamox)drugId:1397 OPHTHALMIC PREPARATIONS #
Viroptic (trifluridine) OPHTHALMIC PREPARATIONS #
Visudyne (verteporfin) OPHTHALMIC PREPARATIONS
voretigene neparvovecdrugId:7497 PA OPHTHALMIC PREPARATIONS CO ^
Vyzulta (latanoprostene)drugId:6487 PA OPHTHALMIC PREPARATIONS
Vabomere (meropenem / vaborbactam)drugId:6363 PA OTHER ANTIBIOTICS
Vyndamax (tafamidis)drugId:7269 PA TRANSTHYRETIN STABILIZER
Vyndaqel (tafamidis)drugId:7228 PA TRANSTHYRETIN STABILIZER
VesicaredrugId:1879 (solifenacin)drugId:1879 URINARY ANTISPASMODICS #

Note: Any drug that does not appear on the List requires prior authorization.

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Last updated 01/11/21