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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
Zomig ZMT (zolmitriptan orally disintegrating tablet)drugId:1931 PA TRIPTAN
ZomigdrugId:1929 (zolmitriptan tablet)drugId:1929 PA > 18 units/month TRIPTAN #
Zomig (zolmitriptan nasal spray)drugId:1930 PA TRIPTAN BP
zolmitriptan tabletdrugId:1929 PA > 18 units/month TRIPTAN #
zolmitriptan orally disintegrating tabletdrugId:1931 PA TRIPTAN
zolmitriptan nasal spraydrugId:1930 PA TRIPTAN BP
Zembrace (sumatriptan injection-Zembrace)drugId:5599 PA TRIPTAN
ZybandrugId:4560 (bupropion hydrochloride sustained-release-Zyban)drugId:4560 PA < 6 years SMOKING CESSATION #
zolpidem extended-release tablet; See Table 15drugId:1934; See Table 71drugId:4345 PA < 6 years and PA > 1 unit/day SEDATIVES #
zolpidem 5 mg tablet; See Table 15drugId:1933; See Table 71drugId:4344 PA < 6 years and PA > 1.5 units/day SEDATIVES #
zolpidem 5 mg, 10 mg sublingual tablet; See Table 15drugId:1935; See Table 71drugId:4340 PA SEDATIVES
zolpidem 10 mg tablet; See Table 15drugId:1932; See Table 71drugId:4342 PA < 6 years and PA > 1 unit/day SEDATIVES #
zolpidem 1.75 mg, 3.5 mg sublingual tablet; See Table 15drugId:2518; See Table 71drugId:4341 PA SEDATIVES
zaleplon; See Table 15drugId:1817; See Table 71drugId:4354 PA < 6 years and PA > 1 unit/day SEDATIVES
Zohydro ER (hydrocodone extended-release capsule)drugId:2924 PA OPIOID ANALGESICS
Zymaxid (gatifloxacin ophthalmic solution)drugId:1976 PA OPHTHALMIC PREPARATIONS
Zylet (tobramycin / loteprednol ophthalmic suspension)drugId:1718 PA OPHTHALMIC PREPARATIONS
Zirgan (ganciclovir ophthalmic gel) OPHTHALMIC PREPARATIONS
Zioptan (tafluprost)drugId:2524 PA OPHTHALMIC PREPARATIONS
Zorvolex (diclofenac 18 mg, 35 mg capsule)drugId:2894 PA NONSTEROIDAL ANTI-INFLAMMATORY
Zipsor (diclofenac 25 mg capsule)drugId:511 PA NONSTEROIDAL ANTI-INFLAMMATORY
Zetonna (ciclesonide nasal aerosol, 37 mcg)drugId:2561 PA > 1 inhaler/month NASAL PREPARATIONS
ZanaflexdrugId:1712 (tizanidine tablet)drugId:1712 MUSCLE RELAXANT #
Zanaflex (tizanidine capsule)drugId:1711 PA MUSCLE RELAXANT
Zeposia (ozanimod)drugId:7463 PA MULTIPLE SCLEROSIS AGENTS
Zypitamag (pitavastatin magnesium)drugId:7109 PA LIPID LOWERING AGENTS
ZocordrugId:1855 (simvastatin 80 mg)drugId:1855 PA > 1 unit/day LIPID LOWERING AGENTS #
ZocordrugId:2737 (simvastatin 5 mg, 10 mg, 20 mg, 40 mg)drugId:2737 PA > 1.5 units/day LIPID LOWERING AGENTS #
ZetiadrugId:452 (ezetimibe)drugId:452 LIPID LOWERING AGENTS #
ZortressdrugId:1974 (everolimus 0.25 mg, 0.5 mg, 0.75 mg, 1 mg)drugId:1974 IMMUNOMODULATOR #
Zorbtive (somatropin-Zorbtive)drugId:1889 PA HORMONE AGENTS
Zomacton (somatropin-Zomacton)drugId:5002 PA HORMONE AGENTS
Ziextenzo (pegfilgrastim-bmez)drugId:7337 HEMATINIC AGENT
Zarxio (filgrastim-sndz)drugId:5116 PA HEMATINIC AGENT
ZantacdrugId:2693 (ranitidine injection)drugId:2693 H2 ANTAGONISTS #
ZyloprimdrugId:17 (allopurinol)drugId:17 GOUT AGENTS #
Zilretta (triamcinolone extended-release injectable suspension)drugId:6415 PA GLUCOCORTICOIDS
Zolgensma (onasemnogene abeparvovec-xioi)drugId:7273 PA GENE THERAPY CO PD ^
Zenpep DR (pancrelipase-Zenpep DR)drugId:1084 ENZYMES
Zemaira (alpha-1-proteinase inhibitor, human-Zemaira) ENZYMES
Zavesca (miglustat)drugId:1357 PA ENZYMES BP
ZometadrugId:1928 (zoledronic acid 4 mg)drugId:1928 ELECTROLYTES AND NUTRIENTS #
zoledronic acid 5 mgdrugId:1927 PA ELECTROLYTES AND NUTRIENTS
zoledronic acid 4 mgdrugId:1928 ELECTROLYTES AND NUTRIENTS #
Zemplar (paricalcitol injection)drugId:5781 ELECTROLYTES AND NUTRIENTS ^
Zemplar (paricalcitol capsule)drugId:1481 PA ELECTROLYTES AND NUTRIENTS
Zyclara (imiquimod 2.5%, 3.75% cream)drugId:1952 PA DERMATOLOGICAL
Zonalon (doxepin cream-Zonalon)drugId:569 PA DERMATOLOGICAL
Ziana (clindamycin / tretinoin-Ziana)drugId:265 PA DERMATOLOGICAL
Zytiga (abiraterone 250 mg, 500 mg)drugId:2297 PA CHEMOTHERAPY BP
Zykadia (ceritinib)drugId:2951 PA CHEMOTHERAPY
Zydelig (idelalisib)drugId:4644 PA CHEMOTHERAPY
Zolinza (vorinostat)drugId:1811 CHEMOTHERAPY
Zoladex (goserelin)drugId:682 PA CHEMOTHERAPY
ziv-afliberceptdrugId:2637 PA CHEMOTHERAPY
Zelboraf (vemurafenib)drugId:2372 PA CHEMOTHERAPY
Zejula (niraparib)drugId:6126 PA CHEMOTHERAPY
zanubrutinibdrugId:7345 PA CHEMOTHERAPY
Zanosar (streptozocin)drugId:2700 CHEMOTHERAPY
Zaltrap (ziv-aflibercept)drugId:2637 PA CHEMOTHERAPY
ZiacdrugId:369 (bisoprolol / hydrochlorothiazide)drugId:369 CARDIOVASCULAR #
ZestrildrugId:1088 (lisinopril)drugId:1088 CARDIOVASCULAR #
ZestoreticdrugId:1090 (lisinopril / hydrochlorothiazide)drugId:1090 CARDIOVASCULAR #
Zyflo (zileuton)drugId:2337 PA BRONCHODILATORS
zileutondrugId:2337 PA BRONCHODILATORS
zafirlukastdrugId:1816 PA BRONCHODILATORS
zoster vaccine recombinant, adjuvanteddrugId:6407 PA < 50 years BIOLOGICAL
Zinplava (bezlotoxumab)drugId:5771 PA BIOLOGICAL
ZoviraxdrugId:155 (acyclovir capsule, suspension, tablet)drugId:155 ANTIVIRALS #
Zovirax (acyclovir cream, ointment)drugId:157 ANTIVIRALS BP
zidovudinedrugId:1820 ANTIVIRALS #
ZiagendrugId:137 (abacavir)drugId:137 ANTIVIRALS #
ZeritdrugId:1894 (stavudine)drugId:1894 ANTIVIRALS #
Zepatier (elbasvir / grazoprevir)drugId:5321 PA ANTIVIRALS
zanamivirdrugId:1818 PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days ANTIVIRALS
Zegerid (omeprazole / sodium bicarbonate)drugId:2988 PA ANTI-ULCER PREPARATIONS
Zyprexa Zydis (olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet); See Table 24drugId:1276; See Table 71drugId:4299 PA < 6 years and PA > 1 unit/day ANTIPSYCHOTIC #
Zyprexa Zydis (olanzapine 15 mg orally disintegrating tablet); See Table 24drugId:7126; See Table 71drugId:7127 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
Zyprexa Relprevv (olanzapine 405 mg extended-release injection); See Table 24drugId:1278; See Table 71drugId:4303 PA < 6 years and PA > 1 injection/month ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 210 mg, 300 mg extended-release injection); See Table 24drugId:1277; See Table 71drugId:4301 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
ZyprexadrugId:1275 (olanzapine injection)drugId:1275 ANTIPSYCHOTIC #
Zyprexa (olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets); See Table 24drugId:1274; See Table 71drugId:4298 PA < 6 years and PA > 1 unit/day ANTIPSYCHOTIC #
Zyprexa (olanzapine 15 mg tablet); See Table 24drugId:2756; See Table 71drugId:4296 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
ziprasidone injectiondrugId:1925 ANTIPSYCHOTIC #
ziprasidone capsule; See Table 24drugId:1926; See Table 71drugId:4290 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
Zontivity (vorapaxar)drugId:2950 PA ANTIPLATELET AGENT
Zelapar (selegiline orally disintegrating tablet)drugId:1839 PA ANTIPARKINSON
Zerviate (cetirizine ophthalmic solution)drugId:7472 PA ANTIHISTAMINES
Zuplenz (ondansetron film)drugId:1975 PA ANTIEMETICS
Zofran ODTdrugId:1294 (ondansetron orally disintegrating tablet)drugId:1294 ANTIEMETICS #
ZofrandrugId:1295 (ondansetron injection)drugId:1295 ANTIEMETICS #
ZofrandrugId:1292 (ondansetron 4 mg, 8 mg tablet)drugId:1292 ANTIEMETICS #
Zofran (ondansetron solution)drugId:1293 PA ANTIEMETICS
Zinecard (dexrazoxane) ANTIDOTES #
Zulresso (brexanolone)drugId:7303 PA ANTIDEPRESSANTS ^
Zoloft (sertraline); See Table 17drugId:1845; See Table 71drugId:3820 PA < 6 years ANTIDEPRESSANTS #
zonisamide; See Table 20drugId:1936; See Table 71drugId:4480 ANTICONVULSANTS
Zarontin (ethosuximide); See Table 20drugId:668; See Table 71drugId:3400 ANTICONVULSANTS #
Zyvox (linezolid suspension, tablet)drugId:1078 PA ANTIBIOTICS
Zyvox (linezolid injection)drugId:1079 PA ANTIBIOTICS
ZosyndrugId:1537 (piperacillin / tazobactam)drugId:1537 ANTIBIOTICS #
Zithromax (azithromycin); See Table 35drugId:117; See Table 66drugId:2622 ANTIBIOTICS #
Zerbaxa (ceftolozane / tazobactam)drugId:4842 PA ANTIBIOTICS
Zemdri (plazomicin)drugId:7014 PA ANTIBIOTICS
Ztlido (lidocaine 1.8% patch)drugId:7015 PA ANESTHETICS
Zingo (lidocaine powder intradermal injection system)drugId:5118 PA ANESTHETICS
ziconotidedrugId:1819 PA ANALGESICS
Zubsolv (buprenorphine / naloxone tablet-Zubsolv)drugId:2854 PA ALCOHOL AND DRUG CESSATION AGENT

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

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Last updated 02/24/21