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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
ZiagendrugId:137 # (abacavir)drugId:137 ANTIVIRALS
Zytiga (abiraterone 250 mg, 500 mg)drugId:2297 BP - PA CHEMOTHERAPY
ZoviraxdrugId:155 # (acyclovir capsule, suspension, tablet)drugId:155 ANTIVIRALS
Zovirax (acyclovir cream)drugId:157 BP - PA ANTIVIRALS
Zovirax (acyclovir ointment)drugId:156 - PA ANTIVIRALS
ZyloprimdrugId:17 # (allopurinol)drugId:17 GOUT AGENTS
Zemaira (alpha-1-proteinase inhibitor, human-Zemaira) ENZYMES
Zithromax # (azithromycin); See Table 35drugId:117; See Table 66drugId:2622 ANTIBIOTICS
Zinplava (bezlotoxumab)drugId:5771 - PA BIOLOGICAL
ZiacdrugId:369 # (bisoprolol / hydrochlorothiazide)drugId:369 CARDIOVASCULAR
Zubsolv (buprenorphine / naloxone tablet-Zubsolv)drugId:2854 - PA ALCOHOL AND DRUG CESSATION AGENT
ZybandrugId:4560 # (bupropion hydrochloride sustained-release-Zyban)drugId:4560 - PA < 6 years SMOKING CESSATION
Zerbaxa (ceftolozane / tazobactam)drugId:4842 - PA ANTIBIOTICS
Zykadia (ceritinib)drugId:2951 - PA CHEMOTHERAPY
Zetonna (ciclesonide nasal aerosol, 37 mcg)drugId:2561 - PA NASAL PREPARATIONS
Ziana (clindamycin / tretinoin-Ziana)drugId:265 - PA DERMATOLOGICAL
Zinecard # (dexrazoxane) ANTIDOTES
Zorvolex (diclofenac 18 mg, 35 mg capsule)drugId:2894 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Zipsor (diclofenac 25 mg capsule)drugId:511 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Zonalon (doxepin cream-Zonalon)drugId:569 - PA DERMATOLOGICAL
Zepatier (elbasvir / grazoprevir)drugId:5321 - PA ANTIVIRALS
Zarontin # (ethosuximide); See Table 20drugId:668; See Table 71drugId:3400 ANTICONVULSANTS
Zortress (everolimus-Zortress)drugId:1974 IMMUNOMODULATOR
ZetiadrugId:452 # (ezetimibe)drugId:452 LIPID LOWERING AGENTS
Zarxio (filgrastim-sndz)drugId:5116 - PA HEMATINIC AGENT
Zirgan (ganciclovir ophthalmic gel) OPHTHALMIC PREPARATIONS
Zymaxid (gatifloxacin ophthalmic solution)drugId:1976 - PA OPHTHALMIC PREPARATIONS
Zoladex (goserelin)drugId:682 - PA CHEMOTHERAPY
Zostavax (herpes zoster vaccine)drugId:1791 - PA < 50 years BIOLOGICAL
Zohydro ER (hydrocodone extended-release capsule)drugId:2924 - PA OPIOID ANALGESICS
Zydelig (idelalisib)drugId:4644 - PA CHEMOTHERAPY
Zyclara (imiquimod 2.5%, 3.75% cream)drugId:1952 - PA DERMATOLOGICAL
Zurampic (lesinurad)drugId:5680 - PA GOUT AGENTS
Ztlido (lidocaine 1.8% patch)drugId:7015 - PA ANESTHETICS
Zingo (lidocaine powder intradermal injection system)drugId:5118 - PA ANESTHETICS
Zyvox (linezolid injection)drugId:1079 - PA ANTIBIOTICS
Zyvox (linezolid suspension, tablet)drugId:1078 - PA ANTIBIOTICS
ZestrildrugId:1088 # (lisinopril)drugId:1088 CARDIOVASCULAR
ZestoreticdrugId:1090 # (lisinopril / hydrochlorothiazide)drugId:1090 CARDIOVASCULAR
Zavesca (miglustat)drugId:1357 BP - PA ENZYMES
Zejula (niraparib)drugId:6126 - PA CHEMOTHERAPY
Zyprexa Zydis # (olanzapine 15 mg orally disintegrating tablet) - PA < 6 years and PA > 60 units/month; See Table 24drugId:7126; See Table 71drugId:7127 ANTIPSYCHOTIC
Zyprexa # (olanzapine 15 mg tablet) - PA < 6 years and PA > 60 units/month; See Table 24drugId:2756; See Table 71drugId:4296 ANTIPSYCHOTIC
Zyprexa # (olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets) - PA < 6 years and PA > 30 units/month; See Table 24drugId:1274; See Table 71drugId:4298 ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 210 mg, 300 mg extended-release injection) - PA < 6 years and PA > 2 injections/month; See Table 24drugId:1277; See Table 71drugId:4301 ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 405 mg extended-release injection) - PA < 6 years and PA > 1 injection/month; See Table 24drugId:1278; See Table 71drugId:4303 ANTIPSYCHOTIC
Zyprexa Zydis # (olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet) - PA < 6 years and PA > 30 units/month; See Table 24drugId:1276; See Table 71drugId:4299 ANTIPSYCHOTIC
ZyprexadrugId:1275 # (olanzapine injection)drugId:1275 ANTIPSYCHOTIC
Zegerid (omeprazole / sodium bicarbonate)drugId:2988 - PA ANTI-ULCER PREPARATIONS
ZofrandrugId:1292 # (ondansetron 4 mg, 8 mg tablet)drugId:1292 ANTIEMETICS
Zuplenz (ondansetron film)drugId:1975 - PA ANTIEMETICS
ZofrandrugId:1295 # (ondansetron injection)drugId:1295 ANTIEMETICS
Zofran ODTdrugId:1294 # (ondansetron orally disintegrating tablet)drugId:1294 ANTIEMETICS
Zofran (ondansetron solution)drugId:1293 - PA ANTIEMETICS
Zenpep DR (pancrelipase-Zenpep DR)drugId:1084 ENZYMES
Zemplar (paricalcitol capsule)drugId:1481 - PA ELECTROLYTES AND NUTRIENTS
Zemplar (paricalcitol injection)drugId:5781 ^ ELECTROLYTES AND NUTRIENTS
ZosyndrugId:1537 # (piperacillin / tazobactam)drugId:1537 ANTIBIOTICS
Zypitamag (pitavastatin magnesium)drugId:7109 - PA LIPID LOWERING AGENTS
Zemdri (plazomicin)drugId:7014 - PA ANTIBIOTICS
ZantacdrugId:2693 # (ranitidine injection)drugId:2693 H2 ANTAGONISTS
ZantacdrugId:1635 # (ranitidine tablet)drugId:1635 * H2 ANTAGONISTS
Zelapar (selegiline orally disintegrating tablet)drugId:1839 - PA ANTIPARKINSON
Zoloft # (sertraline) - PA < 6 years; See Table 17drugId:1845; See Table 71drugId:3820 ANTIDEPRESSANTS
ZocordrugId:2737 # (simvastatin 5 mg, 10 mg, 20 mg, 40 mg)drugId:2737 - PA > 45 units/month LIPID LOWERING AGENTS
ZocordrugId:1855 # (simvastatin 80 mg)drugId:1855 - PA > 30 units/month LIPID LOWERING AGENTS
Zomacton (somatropin-Zomacton)drugId:5002 - PA HORMONE AGENTS
Zorbtive (somatropin-Zorbtive)drugId:1889 - PA HORMONE AGENTS
ZeritdrugId:1894 # (stavudine)drugId:1894 ANTIVIRALS
Zanosar (streptozocin)drugId:2700 CHEMOTHERAPY
Zembrace (sumatriptan injection-Zembrace)drugId:5599 - PA TRIPTAN
Zioptan (tafluprost)drugId:2524 - PA OPHTHALMIC PREPARATIONS
Zanaflex (tizanidine capsule)drugId:1711 - PA MUSCLE RELAXANT
ZanaflexdrugId:1712 # (tizanidine tablet)drugId:1712 MUSCLE RELAXANT
Zylet (tobramycin / loteprednol ophthalmic suspension)drugId:1718 - PA OPHTHALMIC PREPARATIONS
Zilretta (triamcinolone extended-release injectable suspension)drugId:6415 - PA GLUCOCORTICOIDS
Zelboraf (vemurafenib)drugId:2372 - PA CHEMOTHERAPY
Zontivity (vorapaxar)drugId:2950 - PA ANTIPLATELET AGENT
Zolinza (vorinostat)drugId:1811 CHEMOTHERAPY
zafirlukastdrugId:1816 - PA BRONCHODILATORS
zaleplon - PA < 6 years and PA > 30 units/month; See Table 15drugId:1817; See Table 71drugId:4354 SEDATIVES
zanamivirdrugId:1818 - PA all quantities (June 1st to September 30th); PA < 5 years of age and > 20 inhalations/season (October 1st to May 31st) ANTIVIRALS
ziconotidedrugId:1819 - PA ANALGESICS
zidovudinedrugId:1820 ANTIVIRALS
zileutondrugId:2337 - PA BRONCHODILATORS
Zyflo (zileuton)drugId:2337 - PA BRONCHODILATORS
zileuton extended-releasedrugId:1821 - PA BRONCHODILATORS
zinc oxide * DERMATOLOGICAL
zinc sulfate ELECTROLYTES AND NUTRIENTS
Zincate (zinc sulfate) ELECTROLYTES AND NUTRIENTS
ziprasidone capsule - PA < 6 years and PA > 60 units/month; See Table 24drugId:1926; See Table 71drugId:4290 ANTIPSYCHOTIC
ziprasidone injectiondrugId:1925 ANTIPSYCHOTIC
ziv-afliberceptdrugId:2637 - PA CHEMOTHERAPY
Zaltrap (ziv-aflibercept)drugId:2637 - PA CHEMOTHERAPY
zoledronic acid 4 mgdrugId:1928 ELECTROLYTES AND NUTRIENTS
ZometadrugId:1928 # (zoledronic acid 4 mg)drugId:1928 ELECTROLYTES AND NUTRIENTS
zoledronic acid 5 mgdrugId:1927 - PA ELECTROLYTES AND NUTRIENTS
zolmitriptan nasal spraydrugId:1930 - PA TRIPTAN
Zomig (zolmitriptan nasal spray)drugId:1930 - PA TRIPTAN
zolmitriptan orally disintegrating tabletdrugId:1931 - PA TRIPTAN
Zomig ZMT (zolmitriptan orally disintegrating tablet)drugId:1931 - PA TRIPTAN
zolmitriptan tabletdrugId:1929 - PA TRIPTAN
Zomig (zolmitriptan tablet)drugId:1929 - PA TRIPTAN
zolpidem 1.75 mg, 3.5 mg sublingual tablet - PA; See Table 15drugId:2518; See Table 71drugId:4341 SEDATIVES
zolpidem 10 mg tablet - PA < 6 years and PA > 30 units/month; See Table 15drugId:1932; See Table 71drugId:4342 SEDATIVES
zolpidem 5 mg tablet - PA < 6 years and PA > 45 units/month; See Table 15drugId:1933; See Table 71drugId:4344 SEDATIVES
zolpidem 5 mg, 10 mg sublingual tablet - PA; See Table 15drugId:1935; See Table 71drugId:4340 SEDATIVES
zolpidem extended-release tablet - PA < 6 years and PA > 30 units/month; See Table 15drugId:1934; See Table 71drugId:4345 SEDATIVES
zolpidem oral spray - PA; See Table 15drugId:2181; See Table 71drugId:4343 SEDATIVES
Zolpimist (zolpidem oral spray) - PA; See Table 15drugId:2181; See Table 71drugId:4343 SEDATIVES
zonisamide; See Table 20drugId:1936; See Table 71drugId:4480 ANTICONVULSANTS
zoster vaccine recombinant, adjuvanteddrugId:6407 - PA < 50 years BIOLOGICAL

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