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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
Xyrem (sodium oxybate)drugId:1870 - PA SEDATIVES
Xyosted (testosterone enanthate)drugId:7050 - PA HORMONE REPLACEMENT THERAPY
Xyntha (antihemophilic factor, recombinant-Xyntha) ANTI-HEMOPHILIA AGENTS
Xylocaine-MPF # (lidocaine-Xylocaine-MPF) ANESTHETICS
Xultophy (insulin degludec / liraglutide)drugId:5769 - PA DIABETIC AGENTS
Xtandi (enzalutamide)drugId:2651 - PA CHEMOTHERAPY
Xtampza (oxycodone extended-release capsule)drugId:5598 - PA OPIOID ANALGESICS
Xpovio (selinexor)drugId:7300 - PA CHEMOTHERAPY
Xospata (gilteritinib)drugId:7108 - PA CHEMOTHERAPY
Xopenex HFA (levalbuterol inhaler)drugId:1035 BP BRONCHODIALATORS
Xopenex (levalbuterol inhalation solution)drugId:1036 - PA BRONCHODILATORS
Xolair (omalizumab)drugId:1287 - PA BIOLOGICAL
Xofluza (baloxavir)drugId:6989 - PA ANTIVIRALS
Xofigo (radium Ra 223 dichloride)drugId:2853 ^ - PA CHEMOTHERAPY
Ximino (minocycline extended-release capsule)drugId:6413 - PA ANTIBIOTICS
Xiidra (lifitegrast)drugId:5681 - PA OPHTHALMIC PREPARATIONS
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841 DIABETIC AGENTS
Xifaxan (rifaximin 550 mg)drugId:7140 - PA ANTIBIOTICS
Xifaxan (rifaximin 200 mg)drugId:1433 ANTIBIOTICS
Xiaflex (collagenase clostridium histolyticum)drugId:1951 - PA ENZYMES
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488 - PA NASAL PREPARATIONS
Xgeva (denosumab-Xgeva)drugId:2180 - PA BIOLOGICAL
Xermelo (telotristat ethyl)drugId:6108 - PA ANTIDIARRHEALS
Xerese (acyclovir / hydrocortisone)drugId:1973 - PA DERMATOLOGICAL
Xerava (eravacycline)drugId:7049 - PA ANTIBIOTICS
Xeomin (incobotulinumtoxinA)drugId:2087 - PA BIOLOGICAL
Xenazine (tetrabenazine)drugId:1688 - PA NEUROLOGIC AGENT
Xembify (immune globulin subcutaneous injection, human-klhw)drugId:7336 - PA BIOLOGICAL
Xelpros (latanoprost emulsion)drugId:7013 - PA OPHTHALMIC PREPARATIONS
XelodadrugId:435 # (capecitabine)drugId:435 CHEMOTHERAPY
Xeljanz XR (tofacitinib extended-release)drugId:5407 - PA IMMUNOMODULATOR
Xeljanz (tofacitinib)drugId:2660 - PA IMMUNOMODULATOR
Xatmep (methotrexate oral solution)drugId:6125 - PA IMMUNOMODULATOR
Xartemis XR (oxycodone / acetaminophen extended-release)drugId:2949 - PA ANALGESICS, NARCOTIC
Xarelto (rivaroxaban 2.5 mg)drugId:2384 - PA ANTICOAGULANTS
Xarelto (rivaroxaban 10 mg, 15 mg, 20 mg, starter pack)drugId:2371 ANTICOAGULANTS
Xanax XR # (alprazolam extended-release) - PA < 6 years and PA > 60 units/month; See Table 69drugId:26; See Table 71drugId:4359 BENZODIAZEPINES
Xanax # (alprazolam) - PA < 6 years; See Table 69drugId:25; See Table 71drugId:4358 BENZODIAZEPINES
Xalkori (crizotinib)drugId:2376 - PA CHEMOTHERAPY
XalatandrugId:1027 # (latanoprost solution)drugId:1027 OPHTHALMIC PREPARATIONS
Xadago (safinamide)drugId:6185 - PA ANTIPARKINSON

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 02/24/20