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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
bacitracin / polymyxin B ophthalmic ointmentdrugId:123 OPHTHALMIC PREPARATIONS
bacitracin / polymyxin B topical ointmentdrugId:6260 ANTIBIOTICS *
bacitracindrugId:1989 ANTIBIOTICS *
bacitracin ophthalmic ointmentdrugId:122 OPHTHALMIC PREPARATIONS
baclofen injectiondrugId:2166 MUSCLE RELAXANT #
baclofen intrathecal injectiondrugId:125 MUSCLE RELAXANT
baclofen powderdrugId:6688 PA MUSCLE RELAXANT
baclofen tabletdrugId:124 MUSCLE RELAXANT
BactrimdrugId:1907 (sulfamethoxazole / trimethoprim tablet)drugId:1907 ANTIBIOTICS #
Bactroban (mupirocin cream)drugId:1406 PA ANTIBIOTICS
Bactroban (mupirocin nasal ointment)drugId:1405 PA ANTIBIOTICS
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate) CONTRACEPTIVES
BAL in Oil (dimercaprol) ANTIDOTES ^
baloxavirdrugId:6989 PA ANTIVIRALS
balsalazidedrugId:126 GI ANTI-INFLAMMATORY #
Balversa (erdafitinib)drugId:7129 PA CHEMOTHERAPY
Banzel (rufinamide); See Table 20drugId:1826; See Table 71drugId:4462 PA ANTICONVULSANTS
Baqsimi (glucagon nasal powder)drugId:7367 DIABETIC AGENTS PD
Baraclude (entecavir solution)drugId:604 PA > 600 mL/month  ANTIVIRALS
BaracludedrugId:603 (entecavir tablet)drugId:603 PA > 30 units/month ANTIVIRALS #
baricitinibdrugId:6803 PA IMMUNOMODULATOR
Basaglar (insulin glargine-Basaglar)drugId:5761 PA DIABETIC AGENTS
basiliximabdrugId:2382 BIOLOGICAL
Bavencio (avelumab)drugId:6100 PA CHEMOTHERAPY
Baxdela (delafloxacin injection)drugId:6480 PA ANTIBIOTICS
Baxdela (delafloxacin tablet)drugId:6481 PA ANTIBIOTICS
BCG live, intravesicaldrugId:127 CHEMOTHERAPY
BCG live vaccinedrugId:5180 BIOLOGICAL
BCG Vaccine (BCG live vaccine)drugId:5180 BIOLOGICAL
Bebulin VH Immuno (factor ix complex human-Bebulin) ANTI-HEMOPHILIA AGENTS
becaplermindrugId:129 PA DERMATOLOGICAL
beclomethasone inhalerdrugId:6580 PA BRONCHODILATORS
beclomethasone nasal aerosoldrugId:2522 PA NASAL PREPARATIONS
beclomethasone nasal spraydrugId:131 PA > 1 inhaler/month NASAL PREPARATIONS
Beconase AQ (beclomethasone nasal spray)drugId:131 PA > 1 inhaler/month NASAL PREPARATIONS
bedaquilinedrugId:2851 PA TB PREPARATIONS
belataceptdrugId:2286 PA IMMUNOMODULATOR
Belbuca (buprenorphine buccal film)drugId:5362 PA OPIOID ANALGESICS
Beleodaq (belinostat)drugId:4621 PA CHEMOTHERAPY
belimumabdrugId:2238 PA BIOLOGICAL
belinostatdrugId:4621 PA CHEMOTHERAPY
Belrapzo (bendamustine)drugId:7130 CHEMOTHERAPY
Belsomra (suvorexant); See Table 15drugId:4903; See Table 71drugId:4904 PA SEDATIVE, NON-BARBITURATE
bempedoic aciddrugId:7372 PA LIPID LOWERING AGENTS
Benadryl  drugId:541 (diphenhydramine)drugId:541 ANTIHISTAMINES * #
benazeprildrugId:132 CARDIOVASCULAR #
benazepril / hydrochlorothiazidedrugId:133 CARDIOVASCULAR #
bendamustinedrugId:7130 CHEMOTHERAPY
Bendeka (bendamustine)drugId:5380 CHEMOTHERAPY
Benefix (factor IX human recombinant-Benefix) ANTI-HEMOPHILIA AGENTS PD
Benicar (olmesartan)drugId:1281 PA CARDIOVASCULAR
Benicar HCT (olmesartan / hydrochlorothiazide)drugId:1282 PA CARDIOVASCULAR
Benlysta (belimumab)drugId:2238 PA BIOLOGICAL
benralizumabdrugId:6520 PA BIOLOGICAL
BentyldrugId:516 (dicyclomine)drugId:516 ANTISPASMODICS,ANTICHOLINERGIC #
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263 PA DERMATOLOGICAL
Benzamycin (benzoyl peroxide / erythromycin)drugId:627 PA ANTIBIOTICS
Benzepro (benzoyl peroxide 7% microspheres)drugId:5840 PA DERMATOLOGICAL
Benzepro (benzoyl peroxide foaming cloth)drugId:5860 PA DERMATOLOGICAL
benzhydrocodone / acetaminophendrugId:7234 PA OPIOID ANALGESICS
benznidazoledrugId:6502 ANTIPARASITICS
benzoyl peroxide / erythromycindrugId:627 PA ANTIBIOTICS
benzoyl peroxidedrugId:2106 PA ≥ 22 years DERMATOLOGICAL *
benzoyl peroxide 7% microspheresdrugId:5840 PA DERMATOLOGICAL
benzoyl peroxide 9.8% foamdrugId:2182 PA DERMATOLOGICAL
benzoyl peroxide foaming clothdrugId:5860 PA DERMATOLOGICAL
benztropinedrugId:348 ANTIPARKINSON
Beovu (brolucizumab-dbll) OPHTHALMIC PREPARATIONS ^
bepotastinedrugId:350 PA ANTIHISTAMINES
Bepreve (bepotastine)drugId:350 PA ANTIHISTAMINES
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938 PA ENZYMES
besifloxacin ophthalmic suspensiondrugId:351 PA OPHTHALMIC PREPARATIONS
Besivance (besifloxacin ophthalmic suspension)drugId:351 PA OPHTHALMIC PREPARATIONS
Besponsa (inotuzumab ozogamicin)drugId:6341 PA CHEMOTHERAPY
BetagandrugId:1040 (levobunolol)drugId:1040 OPHTHALMIC PREPARATIONS #
betaine ELECTROLYTES AND NUTRIENTS
betamethasone / calcipotriene foamdrugId:5248 PA GLUCOCORTICOIDS
betamethasone / calcipotriene ointment, scalp suspensiondrugId:421 PA GLUCOCORTICOIDS
betamethasone augmented geldrugId:5034 GLUCOCORTICOIDS
betamethasone dipropionate, augmented creamdrugId:2204 GLUCOCORTICOIDS #
betamethasone dipropionate, augmented lotiondrugId:353 GLUCOCORTICOIDS #
betamethasone dipropionate, augmented ointmentdrugId:5022 GLUCOCORTICOIDS #
betamethasone dipropionate creamdrugId:5023 GLUCOCORTICOIDS
betamethasone dipropionate lotion, ointmentdrugId:2992 GLUCOCORTICOIDS
betamethasone dipropionate powderdrugId:7270 PA GLUCOCORTICOIDS
betamethasone dipropionate spraydrugId:5396 PA GLUCOCORTICOIDS
betamethasone injectiondrugId:357 GLUCOCORTICOIDS #
betamethasone valerate creamdrugId:356 GLUCOCORTICOIDS
betamethasone valerate foamdrugId:355 PA GLUCOCORTICOIDS
betamethasone valerate lotiondrugId:5026 GLUCOCORTICOIDS
betamethasone valerate ointmentdrugId:5027 GLUCOCORTICOIDS
BetapacedrugId:1891 (sotalol tablet)drugId:1891 CARDIOVASCULAR #
Betaseron (interferon beta-1b-Betaseron)drugId:827 MULTIPLE SCLEROSIS AGENTS
betaxolol 0.25%drugId:1981 OPHTHALMIC PREPARATIONS
betaxolol 0.5%drugId:2506 OPHTHALMIC PREPARATIONS
betaxolol tabletdrugId:358 CARDIOVASCULAR
bethanechol PARASYMPATHETIC AGENTS
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884 PA ANTIBIOTICS
Betoptic S (betaxolol 0.25%)drugId:1981 OPHTHALMIC PREPARATIONS
bevacizumabdrugId:360 PA CHEMOTHERAPY
Bevespi (glycopyrrolate / formoterol)drugId:5700 PA BRONCHODILATORS
bexarotenedrugId:361 CHEMOTHERAPY #
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905 BIOLOGICAL 1
Beyaz (ethinyl estradiol / drospirenone / levomefolate-Beyaz) CONTRACEPTIVES #
bezlotoxumabdrugId:5771 PA BIOLOGICAL
BiaxindrugId:252 (clarithromycin)drugId:252 ANTIBIOTICS #
bicalutamidedrugId:362 CHEMOTHERAPY #
Bicillin CR (penicillin G benzathine / penicillin G procaine)drugId:2624 ANTIBIOTICS
Bicillin LA (penicillin G 0.6 million, 1.2 million, 2.4 million units)drugId:2625 ANTIBIOTICS
BicnudrugId:183 (carmustine)drugId:183 CHEMOTHERAPY #
bictegravir / emtricitabine / tenofovir alafenamidedrugId:6603 ANTIVIRALS PD
Bidil (isosorbide dinitrate / hydralazine)drugId:982 PA CARDIOVASCULAR
bifidobacterium infantisdrugId:6200 PA ≥ 19 years GASTROINTESTINAL AGENT
Bijuva (estradiol / progesterone)drugId:7281 PA HORMONE REPLACEMENT THERAPY
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603 ANTIVIRALS PD
Biltricide (praziquantel)drugId:2358 ANTIPARASITICS BP
bimatoprost 0.01% ophthalmic solutiondrugId:363 PA OPHTHALMIC PREPARATIONS
bimatoprost 0.03% ophthalmic solutiondrugId:4906 PA OPHTHALMIC PREPARATIONS
binimetinibdrugId:6802 PA CHEMOTHERAPY
Binosto (alendronate effervescent tablet)drugId:2638 PA ELECTROLYTES AND NUTRIENTS
bisacodyldrugId:364 CONSTIPATION AGENTS *
bismuth subcitrate / metronidazole / tetracyclinedrugId:367 H. PYLORI AGENTS
bismuth subsalicylatedrugId:366 ANTIDIARRHEALS *
bisoprololdrugId:368 CARDIOVASCULAR
bisoprolol / hydrochlorothiazidedrugId:369 CARDIOVASCULAR #
Bivigam (immune globulin IV, human-Bivigam)drugId:2817 PA BIOLOGICAL
bleomycindrugId:370 CHEMOTHERAPY
Bleph-10drugId:1901 (sulfacetamide ophthalmic ointment, solution)drugId:1901 OPHTHALMIC PREPARATIONS #
Blephamide (sulfacetamide / prednisolone sodium acetate ophthalmic ointment, suspension)drugId:1877 PA OPHTHALMIC PREPARATIONS
blinatumomabdrugId:4763 PA CHEMOTHERAPY
Blincyto (blinatumomab)drugId:4763 PA CHEMOTHERAPY
Boniva (ibandronate IV)drugId:769 PA ELECTROLYTES AND NUTRIENTS
Boniva (ibandronate tablet)drugId:770 PA ELECTROLYTES AND NUTRIENTS
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680 PA ANTIEMETICS
Boostrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:540 BIOLOGICAL 1
bortezomibdrugId:371 CHEMOTHERAPY
bosentandrugId:372 PA CARDIOVASCULAR BP
Bosulif (bosutinib)drugId:2639 PA CHEMOTHERAPY PD
bosutinibdrugId:2639 PA CHEMOTHERAPY PD
Botox (onabotulinumtoxinA)drugId:1290 PA BIOLOGICAL
Braftovi (encorafenib)drugId:6800 PA CHEMOTHERAPY
brentuximabdrugId:2374 PA CHEMOTHERAPY
Breo (fluticasone / vilanterol)drugId:2860 PA BRONCHODILATORS
BreviblocdrugId:631 (esmolol)drugId:631 CARDIOVASCULAR #
Brevicon (ethinyl estradiol / norethindrone-Brevicon) CONTRACEPTIVES #
brexanolonedrugId:7303 PA ANTIDEPRESSANTS ^
brexpiprazole; See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
brigatinibdrugId:6180 PA CHEMOTHERAPY
Brilinta (ticagrelor)drugId:2359 ANTIPLATELET AGENT
brimonidine / timolol, ophthalmicdrugId:374 OPHTHALMIC PREPARATIONS
brimonidine 0.1%, 0.15% eye dropsdrugId:2505 OPHTHALMIC PREPARATIONS BP
brimonidine 0.2% eye dropsdrugId:2209 OPHTHALMIC PREPARATIONS
brimonidine topical gel, 0.33%drugId:2891 PA DERMATOLOGICAL
brinzolamide / brimonidine tartrate ophthalmic suspensiondrugId:2849 PA OPHTHALMIC PREPARATIONS
brinzolamidedrugId:375 PA OPHTHALMIC PREPARATIONS
Brisdelle (paroxetine 7.5 mg capsule)drugId:2839 PA UNCLASSIFIED DRUG PRODUCTS
brivaracetam solution, tablet; See Table 20drugId:5581; See Table 71drugId:5582 PA ANTICONVULSANTS
Briviact (brivaracetam solution, tablet); See Table 20drugId:5581; See Table 71drugId:5582 PA ANTICONVULSANTS
brodalumabdrugId:6042 PA IMMUNOMODULATOR
brolucizumab-dbll OPHTHALMIC PREPARATIONS ^
bromfenac 0.07%drugId:2788 PA OPHTHALMIC PREPARATIONS
bromfenac 0.075%drugId:5762 PA OPHTHALMIC PREPARATIONS
bromfenac 0.09%drugId:2084 PA OPHTHALMIC PREPARATIONS
bromocriptine 0.8 mg tabletdrugId:2984 PA DIABETIC AGENTS
bromocriptine 2.5 mg, 5 mgdrugId:377 ANTIPARKINSON #
Bromsite (bromfenac 0.075%)drugId:5762 PA OPHTHALMIC PREPARATIONS
Brovana (arformoterol)drugId:88 PA BRONCHODILATORS
Brukinsa (zanubrutinib)drugId:7345 PA CHEMOTHERAPY
Bryhali (halobetasol lotion)drugId:7001 PA GLUCOCORTICOIDS
budesonide / formoteroldrugId:383 PA BRONCHODILATORS BP
budesonide-EntocortdrugId:379 GLUCOCORTICOIDS #
budesonide extended-release tabletdrugId:2991 PA GLUCOCORTICOIDS
budesonide inhalation powderdrugId:380 BRONCHODILATORS
budesonide inhalation suspensiondrugId:381 PA BRONCHODILATORS
budesonide OTC nasal spraydrugId:6240 PA > 1 inhaler/month NASAL PREPARATIONS
budesonide rectal foamdrugId:4817 PA GLUCOCORTICOIDS
bumetanidedrugId:384 CARDIOVASCULAR
Bunavail (buprenorphine / naloxone buccal film)drugId:4622 PA ALCOHOL AND DRUG CESSATION AGENT
Buphenyl (sodium phenylbutyrate tablet) ENZYMES BP
Buphenyl (sodium phenylbutyrate powder) ENZYMES #
bupivacaine ANESTHETICS #
Buprenex (buprenorphine injection)drugId:388 PA OPIOID ANALGESICS
buprenorphine / naloxone buccal filmdrugId:4622 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone film ≤ 24 mg/daydrugId:2085 ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone filmdrugId:2049 PA > 32 mg/day ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone filmdrugId:2050 PA > 90 days (> 24 mg/day and ≤ 32 mg/day) ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone tabletdrugId:2057 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone tablet-ZubsolvdrugId:2854 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine buccal filmdrugId:5362 PA OPIOID ANALGESICS
buprenorphine extended-release injectiondrugId:6524 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine implantdrugId:5591 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine injectiondrugId:388 PA OPIOID ANALGESICS
buprenorphine tabletdrugId:389 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine transdermaldrugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
bupropion hydrobromide extended-release; See Table 17drugId:395; See Table 71drugId:3640 PA < 6 years and PA > 30 units/month ANTIDEPRESSANTS
bupropion hydrochloride extended-release 150 mg, 300 mg tablets; See Table 17drugId:398; See Table 71drugId:3680 PA < 6 years and PA > 30 units/month ANTIDEPRESSANTS #
bupropion hydrochloride extended-release 450 mg tablet; See Table 17drugId:2640; See Table 71drugId:3681 PA ANTIDEPRESSANTS BP
bupropion hydrochloride; See Table 17drugId:396; See Table 71drugId:3660 PA < 6 years ANTIDEPRESSANTS #
bupropion hydrochloride sustained-release-Wellbutrin SR; See Table 17drugId:397; See Table 71drugId:3682 PA < 6 years ANTIDEPRESSANTS #
bupropion hydrochloride sustained-release-ZybandrugId:4560 PA < 6 years SMOKING CESSATION #
burosumab-twzadrugId:6740 PA BIOLOGICAL
buspirone; See Table 69drugId:399; See Table 71drugId:4355 PA < 6 years ANTI-ANXIETY AGENT
buspirone powder; See Table 69drugId:7020; See Table 71drugId:7021 PA ANTI-ANXIETY AGENT
busulfan injectiondrugId:2537 CHEMOTHERAPY #
busulfan tabletdrugId:2536 CHEMOTHERAPY
BusulfexdrugId:2537 (busulfan injection)drugId:2537 CHEMOTHERAPY #
butabarbitaldrugId:400 BARBITURATES
butalbital / aspirin / caffeine / codeinedrugId:411 PA OPIOID ANALGESICS
butalbital / aspirin / caffeine capsuledrugId:2797 PA ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292 PA < 18 years and PA > 20 units/month ANALGESICS
butalbital 25 mg / acetaminophen 325 mg tabletdrugId:5583 PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mg / codeine 30 mgdrugId:2982 PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mgdrugId:2980 PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mgdrugId:2981 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119 PA < 18 years and PA > 20 units/month OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsule, tabletdrugId:2118 PA < 18 years and PA > 20 units/month ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg solutiondrugId:6293 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mgdrugId:2621 PA ANALGESICS
butenafinedrugId:412 PA FUNGICIDES
Butisol (butabarbital)drugId:400 BARBITURATES
butoconazole ANTIBIOTICS
butorphanol injection OPIOID ANALGESICS
butorphanol nasal spraydrugId:414 PA OPIOID ANALGESICS
Butrans (buprenorphine transdermal)drugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
Bydureon (exenatide extended-release pen, vial)drugId:2478 DIABETIC AGENTS
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940 PA DIABETIC AGENTS
Byetta (exenatide)drugId:451 DIABETIC AGENTS BP
Bystolic (nebivolol)drugId:1179 PA CARDIOVASCULAR
Byvalson (nebivolol / valsartan)drugId:5584 PA CARDIOVASCULAR

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


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Last updated 08/03/20

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