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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
c1 esterase inhibitor, human-BerinertdrugId:1938 - PA ENZYMES
c1 esterase inhibitor, human-CinryzedrugId:416 - PA ENZYMES
c1 esterase inhibitor, human-HaegardadrugId:6283 - PA ENZYMES
c1 esterase inhibitor, recombinant-RuconestdrugId:4794 - PA ENZYMES
cabazitaxeldrugId:1961 - PA CHEMOTHERAPY
cabergoline HORMONE AGENTS
Cabometyx (cabozantinib tablet)drugId:5585 - PA CHEMOTHERAPY
cabozantinib capsuledrugId:2719 - PA CHEMOTHERAPY
cabozantinib tabletdrugId:5585 - PA CHEMOTHERAPY
Caduet (amlodipine / atorvastatin) - PA; See Table 13drugId:42; See Table 18drugId:43 CARDIOVASCULAR/STATIN
Cafcit # (caffeine) BRONCHODILATORS
caffeine BRONCHODILATORS
calamine lotion * DERMATOLOGICAL
CalandrugId:1800 # (verapamil tablet)drugId:1800 CARDIOVASCULAR
Calan SRdrugId:2742 # (verapamil sustained-release)drugId:2742 CARDIOVASCULAR
calcifedioldrugId:5765 - PA ELECTROLYTES AND NUTRIENTS
calcipotriene creamdrugId:420 - PA > 60 grams/month DERMATOLOGICAL
calcipotriene foamdrugId:2560 - PA DERMATOLOGICAL
calcipotriene ointmentdrugId:2563 - PA > 60 grams/month DERMATOLOGICAL
calcipotriene scalp solutiondrugId:2562 DERMATOLOGICAL
calcitonin salmon injectiondrugId:4960 - PA HORMONE AGENTS
calcitonin salmon nasal spray-ForticaldrugId:422 HORMONE AGENTS
calcitonin salmon nasal spray-MiacalcindrugId:423 HORMONE AGENTS
calcitrioldrugId:426 ELECTROLYTES AND NUTRIENTS
calcitriol injectiondrugId:425 ELECTROLYTES AND NUTRIENTS
calcitriol ointmentdrugId:424 - PA DERMATOLOGICAL
calcium acetate ELECTROLYTES AND NUTRIENTS
calcium replacementdrugId:428 * ELECTROLYTES AND NUTRIENTS
Calquence (acalabrutinib)drugId:6483 - PA CHEMOTHERAPY
Cambia (diclofenac powder for solution)drugId:1953 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Campath (alemtuzumab 30 mg)drugId:6110 CHEMOTHERAPY
CamptosardrugId:970 # (irinotecan)drugId:970 CHEMOTHERAPY
canagliflozin / metformin extended-releasedrugId:5723 - PA DIABETIC AGENTS
canagliflozin / metformindrugId:4775 - PA DIABETIC AGENTS
canagliflozindrugId:2780 - PA DIABETIC AGENTS
canakinumabdrugId:432 - PA IMMUNOMODULATOR
Canasa (mesalamine suppository)drugId:2095 GI ANTI-INFLAMMATORY
Cancidas # (caspofungin) ANTIBIOTICS
candesartan / hydrochlorothiazidedrugId:434 - PA CARDIOVASCULAR
candesartandrugId:433 - PA CARDIOVASCULAR
Cantil (mepenzolate) ANTISPASMODICS,ANTICHOLINERGIC
Capastat (capreomycin)drugId:2490 TB PREPARATIONS
capecitabinedrugId:435 BP CHEMOTHERAPY
Capex (fluocinolone shampoo)drugId:868 - PA GLUCOCORTICOIDS
Caprelsa (vandetanib)drugId:2281 - PA CHEMOTHERAPY
capreomycindrugId:2490 TB PREPARATIONS
capsaicin * DERMATOLOGICAL
capsaicin high dose patchdrugId:1946 ^ - PA ANALGESICS
captopril / hydrochlorothiazidedrugId:438 - PA CARDIOVASCULAR
captoprildrugId:437 - PA CARDIOVASCULAR
Carac (fluorouracil 0.5% cream)drugId:876 - PA CHEMOTHERAPY
Carafate # (sucralfate) ANTACIDS
carbachol 0.01%drugId:1984 OPHTHALMIC PREPARATIONS
Carbaglu (carglumic acid)drugId:2161 - PA ENZYMES
carbamazepine extended-release-Carbatrol - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
carbamazepine extended-release-Equetro - PA; See Table 20drugId:171; See Table 71drugId:3260 ANTICONVULSANTS
carbamazepine extended-release-Tegretol XR - PA < 6 years; See Table 20drugId:2192; See Table 71drugId:3220 ANTICONVULSANTS
carbamazepine-Tegretol - PA < 6 years; See Table 20drugId:170; See Table 71drugId:3280 ANTICONVULSANTS
carbamide peroxide * OTIC PREPARATIONS
Carbatrol # (carbamazepine extended-release-Carbatrol) - PA < 6 years; See Table 20drugId:439; See Table 71drugId:3240 ANTICONVULSANTS
carbidopadrugId:173 ANTIPARKINSON
carbidopa / levodopa / entacaponedrugId:176 - PA ANTIPARKINSON
carbidopa / levodopa enteral suspensiondrugId:5104 - PA ANTIPARKINSON
carbidopa / levodopa extended-release capsuledrugId:4950 - PA ANTIPARKINSON
carbidopa / levodopa extended-release tabletdrugId:1997 ANTIPARKINSON
carbidopa / levodopa orally disintegrating tabletdrugId:174 - PA ANTIPARKINSON
carbidopa / levodopa tabletdrugId:175 ANTIPARKINSON
carbinoxamine extended-releasedrugId:2962 - PA ANTIHISTAMINES
carbinoxaminedrugId:2267 - PA ANTIHISTAMINES
Carbocaine (mepivacaine) ^ ANESTHETICS
carboplatindrugId:179 CHEMOTHERAPY
CardizemdrugId:528 # (diltiazem-Cardizem)drugId:528 CARDIOVASCULAR
Cardizem CD (diltiazem 360 mg-Cardizem CD)drugId:2299 - PA CARDIOVASCULAR
Cardizem CDdrugId:531 # (diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CD)drugId:531 CARDIOVASCULAR
Cardizem LAdrugId:529 # (diltiazem extended-release tablet)drugId:529 CARDIOVASCULAR
Cardura # (doxazosin immediate-release); See Table 18drugId:565; See Table 19drugId:5163 CARDIOVASCULAR
Cardura XL (doxazosin extended-release)drugId:566 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
carfilzomibdrugId:2581 - PA CHEMOTHERAPY
carglumic aciddrugId:2161 - PA ENZYMES
Carimune NF (immune globulin IV, human-Carimune NF)drugId:785 - PA BIOLOGICAL
cariprazine - PA; See Table 24drugId:5405; See Table 71drugId:5406 ANTIPSYCHOTIC
carisoprodol / aspirin / codeinedrugId:182 - PA OPIOID ANALGESICS/MUSCLE RELAXANTS
carisoprodol / aspirindrugId:181 - PA MUSCLE RELAXANT
carisoprodoldrugId:180 - PA MUSCLE RELAXANT
carmustinedrugId:183 CHEMOTHERAPY
Carnitor # (levocarnitine) ELECTROLYTES AND NUTRIENTS
Carospir (spironolactone suspension)drugId:6280 - PA ALDOSTERONE ANTAGONISTS
carteololdrugId:184 OPHTHALMIC PREPARATIONS
carvediloldrugId:185 CARDIOVASCULAR
carvedilol extended-releasedrugId:186 - PA CARDIOVASCULAR
CasodexdrugId:362 # (bicalutamide)drugId:362 CHEMOTHERAPY
caspofungin ANTIBIOTICS
Catapres # (clonidine tablet) - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
Catapres-TTS (clonidine patch) - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
Cayston (aztreonam) ANTIBIOTICS
Cedax (ceftibuten)drugId:203 - PA ANTIBIOTICS
cefaclordrugId:189 ANTIBIOTICS
cefaclor extended-releasedrugId:190 - PA ANTIBIOTICS
cefadroxil capsule, suspensiondrugId:191 ANTIBIOTICS
cefadroxil tabletdrugId:1986 - PA ANTIBIOTICS
cefazolindrugId:192 ANTIBIOTICS
cefdinirdrugId:193 ANTIBIOTICS
cefepimedrugId:195 ANTIBIOTICS
cefiximedrugId:196 - PA ANTIBIOTICS
CefotandrugId:5200 # (cefotetan)drugId:5200 ANTIBIOTICS
cefotaximedrugId:197 ANTIBIOTICS
cefotetandrugId:5200 ANTIBIOTICS
cefoxitindrugId:198 ANTIBIOTICS
cefpodoximedrugId:199 ANTIBIOTICS
cefprozildrugId:200 ANTIBIOTICS
ceftarolinedrugId:2179 - PA ANTIBIOTICS
ceftazidimedrugId:202 ANTIBIOTICS
ceftazidime / avibactamdrugId:4902 - PA ANTIBIOTICS
ceftibutendrugId:203 - PA ANTIBIOTICS
CeftindrugId:205 # (cefuroxime axetil)drugId:205 ANTIBIOTICS
ceftolozane / tazobactamdrugId:4842 - PA ANTIBIOTICS
ceftriaxonedrugId:204 ANTIBIOTICS
cefuroxime axetildrugId:205 ANTIBIOTICS
cefuroxime sodiumdrugId:206 ANTIBIOTICS
CelebrexdrugId:207 # (celecoxib)drugId:207 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
celecoxibdrugId:207 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
CelestonedrugId:357 # (betamethasone injection)drugId:357 GLUCOCORTICOIDS
Celexa # (citalopram) - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
CellceptdrugId:1410 # (mycophenolate mofetil)drugId:1410 IMMUNOMODULATOR
Celontin (methsuximide); See Table 20drugId:948; See Table 71drugId:4441 ANTICONVULSANTS
Centany (mupirocin ointment)drugId:2564 ANTIBIOTICS
centruroides immune F(ab’)2, equine ^ ANTIDOTES
cephalexin 250 mg, 500 mg capsule, suspensiondrugId:208 ANTIBIOTICS
cephalexin 333 mg capsuledrugId:6484 - PA ANTIBIOTICS
cephalexin 750 mg capsuledrugId:209 - PA ANTIBIOTICS
Ceprotin (protein C concentrate)drugId:1605 - PA HEMATINIC AGENT
Cerdelga (eliglustat)drugId:4764 - PA ENZYMES
CerebyxdrugId:2681 # (fosphenytoin)drugId:2681 ANTICONVULSANTS
Cerezyme (imiglucerase)drugId:780 - PA ENZYMES
ceritinibdrugId:2951 - PA CHEMOTHERAPY
certolizumabdrugId:210 - PA IMMUNOMODULATOR
Cesamet (nabilone)drugId:1414 - PA ANTIEMETICS
cetirizine / pseudoephedrinedrugId:2265 * ANTIHISTAMINES
cetirizine syrup, tabletdrugId:211 * ANTIHISTAMINES
cetuximabdrugId:212 CHEMOTHERAPY
cevimeline PARASYMPATHETIC AGENTS
Chantix (varenicline) SMOKING CESSATION
Chemet (succimer) CHELATING AGENT
chenodioldrugId:1956 - PA BILE THERAPY
cherry syrup * COMPOUNDING AGENT
chlorambucildrugId:216 CHEMOTHERAPY
chloramphenicoldrugId:217 ANTIBIOTICS
chlordiazepoxide / clidiniumdrugId:6843 - PA ANTISPASMODICS,ANTICHOLINERGIC
chlordiazepoxide - PA < 6 years; See Table 69drugId:218; See Table 71drugId:4361 BENZODIAZEPINES
chlorhexidine gluconatedrugId:1990 * ANTISEPTICS
chloroprocaine ^ ANESTHETICS
chloroquine phosphate tablet ANTIMALARIALS
chlorothiazidedrugId:221 CARDIOVASCULAR
chlorpheniraminedrugId:222 * ANTIHISTAMINES
chlorpromazine - PA < 6 years; See Table 24drugId:6321; See Table 71drugId:223 ANTIPSYCHOTIC
chlorpropamidedrugId:224 DIABETIC AGENTS
chlorthalidonedrugId:225 CARDIOVASCULAR
chlorzoxazone 375 mg, 750 mgdrugId:2360 - PA MUSCLE RELAXANT
chlorzoxazone 500 mgdrugId:226 - PA < 18 years MUSCLE RELAXANT
Cholbam (cholic acid)drugId:4907 - PA BILE THERAPY
cholera vaccine, live, oraldrugId:5594 1 BIOLOGICAL
cholestyramine / aspartame-PrevalitedrugId:228 LIPID LOWERING AGENTS
cholestyramine / aspartame-Questran LightdrugId:2431 LIPID LOWERING AGENTS
cholestyramine / sucrosedrugId:229 LIPID LOWERING AGENTS
cholic aciddrugId:4907 - PA BILE THERAPY
Cialis (tadalafil-Cialis)drugId:2373 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
ciclesonidedrugId:230 BRONCHODILATORS
ciclesonide nasal aerosol, 37 mcgdrugId:2561 - PA NASAL PREPARATIONS
ciclesonide nasal spray, 50 mcgdrugId:231 - PA NASAL PREPARATIONS
ciclopirox 0.77% cream, suspensiondrugId:5625 ANTIBIOTICS
ciclopirox 0.77% geldrugId:232 - PA ANTIBIOTICS
ciclopirox 1% shampoodrugId:5128 - PA ANTIBIOTICS
ciclopirox 8% nail lacquerdrugId:233 ANTIBIOTICS
cidofovir ANTIVIRALS
cilostazoldrugId:235 ANTIPLATELET AGENT
Ciloxan (ciprofloxacin ophthalmic ointment)drugId:243 - PA OPHTHALMIC PREPARATIONS
CiloxandrugId:244 # (ciprofloxacin ophthalmic solution)drugId:244 OPHTHALMIC PREPARATIONS
Cimduo (lamivudine / tenofovir disoproxil fumarate)drugId:6780 - PA ANTIVIRALS
cimetidinedrugId:236 * H2 ANTAGONISTS
Cimzia (certolizumab)drugId:210 - PA IMMUNOMODULATOR
cinacalcet BP CALCIMIMETIC
Cinqair (reslizumab)drugId:5586 - PA BIOLOGICAL
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416 - PA ENZYMES
Cinvanti (aprepitant injectable emulsion)drugId:6604 ANTIEMETICS
Cipro # (ciprofloxacin); See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
Ciprodex (ciprofloxacin / dexamethasone)drugId:245 OTIC PREPARATIONS
ciprofloxacin; See Table 35drugId:241; See Table 66drugId:5663 ANTIBIOTICS
ciprofloxacin / dexamethasonedrugId:245 OTIC PREPARATIONS
ciprofloxacin / fluocinolonedrugId:5683 - PA OTIC PREPARATIONS
ciprofloxacin / hydrocortisonedrugId:246 OTIC PREPARATIONS
ciprofloxacin 0.2% otic solutiondrugId:2895 - PA OTIC PREPARATIONS
ciprofloxacin extended-releasedrugId:238 - PA ANTIBIOTICS
ciprofloxacin ophthalmic ointmentdrugId:243 - PA OPHTHALMIC PREPARATIONS
ciprofloxacin ophthalmic solutiondrugId:244 OPHTHALMIC PREPARATIONS
ciprofloxacin otic suspensiondrugId:5390 ^ OTIC PREPARATIONS
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246 OTIC PREPARATIONS
Cipro XR (ciprofloxacin extended-release)drugId:238 - PA ANTIBIOTICS
cisplatindrugId:247 CHEMOTHERAPY
citalopram - PA < 6 years; See Table 17drugId:248; See Table 71drugId:3700 ANTIDEPRESSANTS
citric acid / potassium citrate ELECTROLYTES AND NUTRIENTS
citric acid / sodium citrate / potassium citrate ELECTROLYTES AND NUTRIENTS
cladribinedrugId:2673 CHEMOTHERAPY
ClaforandrugId:197 # (cefotaxime)drugId:197 ANTIBIOTICS
Clarinex (desloratadine)drugId:339 - PA ANTIHISTAMINES
Clarinex-D (desloratadine / pseudoephedrine)drugId:474 - PA ANTIHISTAMINES
clarithromycindrugId:252 ANTIBIOTICS
clarithromycin extended-releasedrugId:253 - PA ANTIBIOTICS
clemastinedrugId:254 ANTIHISTAMINES
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380 - PA LAXATIVES
Cleocin # (clindamycin capsule, injection, oral solution); See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
CleocindrugId:5000 # (clindamycin vaginal cream-Cleocin)drugId:5000 ANTIBIOTICS
Cleocin T (clindamycin pledgets)drugId:256 - PA ANTIBIOTICS
Cleocin TdrugId:257 # (clindamycin gel, lotion, solution)drugId:257 - PA ≥ 22 years ANTIBIOTICS
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915 - PA ANTIBIOTICS
clevidipinedrugId:2896 CARDIOVASCULAR
Cleviprex (clevidipine)drugId:2896 CARDIOVASCULAR
Climara # (estradiol-Climara) HORMONE REPLACEMENT THERAPY
clindamycin / benzoyl peroxide-AcanyadrugId:262 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-BenzaclindrugId:263 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-DuacdrugId:264 - PA DERMATOLOGICAL
clindamycin / benzoyl peroxide-OnextondrugId:4788 - PA DERMATOLOGICAL
clindamycin / tretinoin-VeltindrugId:1970 - PA DERMATOLOGICAL
clindamycin / tretinoin-ZianadrugId:265 - PA DERMATOLOGICAL
clindamycin capsule, injection, oral solution; See Table 35drugId:255; See Table 66drugId:2626 ANTIBIOTICS
clindamycin foamdrugId:261 - PA ANTIBIOTICS
clindamycin gel, lotion, solutiondrugId:257 - PA ≥ 22 years ANTIBIOTICS
clindamycin pledgetsdrugId:256 - PA ANTIBIOTICS
clindamycin vaginal cream-CleocindrugId:5000 ANTIBIOTICS
clindamycin vaginal cream-ClindessedrugId:260 - PA ANTIBIOTICS
clindamycin vaginal suppositorydrugId:4915 - PA ANTIBIOTICS
Clindesse (clindamycin vaginal cream-Clindesse)drugId:260 - PA ANTIBIOTICS
clobazam - PA; See Table 20drugId:2419; See Table 71drugId:3300 ANTICONVULSANTS
clobetasol propionate / emollientdrugId:5035 GLUCOCORTICOIDS
clobetasol propionate cream, ointmentdrugId:269 GLUCOCORTICOIDS
clobetasol propionate foam / emollientdrugId:2532 - PA GLUCOCORTICOIDS
clobetasol propionate foamdrugId:268 - PA GLUCOCORTICOIDS
clobetasol propionate gel, shampoo kitdrugId:5033 - PA GLUCOCORTICOIDS
clobetasol propionate lotion, shampoo, spraydrugId:266 - PA GLUCOCORTICOIDS
clobetasol propionate solutiondrugId:5080 GLUCOCORTICOIDS
Clobex (clobetasol propionate lotion, shampoo, spray)drugId:266 - PA GLUCOCORTICOIDS
clocortolone creamdrugId:270 - PA GLUCOCORTICOIDS
Cloderm (clocortolone cream)drugId:270 - PA GLUCOCORTICOIDS
clofarabinedrugId:271 CHEMOTHERAPY
ClolardrugId:271 # (clofarabine)drugId:271 CHEMOTHERAPY
clomipramine - PA; See Table 17drugId:272; See Table 71drugId:4002 ANTIDEPRESSANTS
clonazepam orally disintegrating 0.125 mg and 0.25 mg tablet - PA < 6 years and PA > 90 units/month; See Table 69drugId:273; See Table 71drugId:4362 BENZODIAZEPINES
clonazepam orally disintegrating 0.5 mg, 1 mg, 2 mg tablet - PA; See Table 69drugId:2909; See Table 71drugId:4364 BENZODIAZEPINES
clonazepam - PA < 6 years; See Table 69drugId:274; See Table 71drugId:4363 BENZODIAZEPINES
clonidine / chlorthalidonedrugId:276 CARDIOVASCULAR
clonidine extended-release tablet - PA; See Table 31drugId:2170; See Table 71drugId:3081 NONSTIMULANT ADHD AGENTS
clonidine injectiondrugId:2750 ANALGESICS
clonidine patch - PA; See Table 18drugId:5160; See Table 71drugId:2194 CARDIOVASCULAR
clonidine powder - PA; See Table 18drugId:6370; See Table 71drugId:6371 CARDIOVASCULAR
clonidine tablet - PA < 3 years; See Table 18drugId:5161; See Table 71drugId:2105 CARDIOVASCULAR
clopidogreldrugId:277 ANTIPLATELET AGENT
clorazepate - PA < 6 years; See Table 69drugId:278; See Table 71drugId:4380 BENZODIAZEPINES
clotrimazole / betamethasone creamdrugId:280 ANTIBIOTICS
clotrimazole / betamethasone lotiondrugId:2856 - PA ANTIBIOTICS
clotrimazoledrugId:279 * ANTIBIOTICS
clotrimazole trochedrugId:1995 ANTIBIOTICS
clozapine orally disintegrating tablet - PA; See Table 24drugId:282; See Table 71drugId:4262 ANTIPSYCHOTIC
clozapine suspension - PA; See Table 24drugId:2930; See Table 71drugId:4263 ANTIPSYCHOTIC
clozapine tablet - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
Clozaril # (clozapine tablet) - PA < 6 years; See Table 24drugId:281; See Table 71drugId:4261 ANTIPSYCHOTIC
Coagadex (coagulation factor X, human) ANTI-HEMOPHILIA AGENTS
coagulation factor IX, recombinant ANTI-HEMOPHILIA AGENTS
coagulation factor VIIa, recombinant ANTI-HEMOPHILIA AGENTS
coagulation factor X, human ANTI-HEMOPHILIA AGENTS
Coartem (artemether / lumefantrine)drugId:95 - PA > 24 units/365 days ANTIMALARIALS
cobicistatdrugId:4816 ANTIVIRALS
cobimetinibdrugId:5243 - PA CHEMOTHERAPY
codeinedrugId:285 - PA < 12 years and PA > 360 mg/day OPIOID ANALGESICS
codeine powderdrugId:286 - PA OPIOID ANALGESICS
cod liver oil * ELECTROLYTES AND NUTRIENTS
coenzyme Q10drugId:6202 - PA ≥ 19 years ELECTROLYTES AND NUTRIENTS
ColazaldrugId:126 # (balsalazide)drugId:126 GI ANTI-INFLAMMATORY
colchicine capsuledrugId:4765 - PA GOUT AGENTS
colchicine tabletdrugId:2162 - PA GOUT AGENTS
Colcrys (colchicine tablet)drugId:2162 - PA GOUT AGENTS
colesevelam BP - PA; See Table 13drugId:288; See Table 26drugId:289 LIPID LOWERING AGENTS
ColestiddrugId:290 # (colestipol)drugId:290 LIPID LOWERING AGENTS
colestipoldrugId:290 LIPID LOWERING AGENTS
colistimethate sodium injectiondrugId:291 ANTIBIOTICS
colistin / neomycin / thonzonium / hydrocortisonedrugId:2108 OTIC PREPARATIONS
collagenase ENZYMES
collagenase clostridium histolyticumdrugId:1951 - PA ENZYMES
colloidal oatmeal * DERMATOLOGICAL
Coly-Mycin MdrugId:291 # (colistimethate sodium injection)drugId:291 ANTIBIOTICS
Coly-Mycin S (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108 OTIC PREPARATIONS
Colyte with flavor packs (polyethylene glycol-electrolyte solution-Colyte with flavor packs)drugId:2539 - PA LAXATIVES
Combigan (brimonidine / timolol, ophthalmic)drugId:374 OPHTHALMIC PREPARATIONS
Combipatch (estradiol / norethindrone-Combipatch) HORMONE REPLACEMENT THERAPY
Combivent (albuterol / ipratropium inhalation spray)drugId:2557 BRONCHODILATORS
CombivirdrugId:1012 # (lamivudine / zidovudine)drugId:1012 ANTIVIRALS
Cometriq (cabozantinib capsule)drugId:2719 - PA CHEMOTHERAPY
Complera (emtricitabine / rilpivirine / tenofovir disoproxil fumarate)drugId:2361 ANTIVIRALS
Comtan (entacapone)drugId:602 - PA ANTIPARKINSON
Comvax (haemophilus B conjugate / hepatitis B vaccine)drugId:701 1 BIOLOGICAL
Concerta (methylphenidate extended-release-Concerta) BP - PA < 3 years and PA > 60 units/month; See Table 31drugId:2662; See Table 71drugId:3041 CEREBRAL STIMULANTS
Condylox Gel (podofilox gel)drugId:2261 - PA DERMATOLOGICAL
Condylox SolutiondrugId:1545 # (podofilox solution)drugId:1545 DERMATOLOGICAL
Conzip (tramadol extended-release capsule)drugId:2362 - PA ANALGESICS
copanlisibdrugId:6500 - PA CHEMOTHERAPY
Copaxone (glatiramer 20 mg)drugId:930 BP MULTIPLE SCLEROSIS AGENTS
CopaxonedrugId:6840 # (glatiramer 40 mg)drugId:6840 MULTIPLE SCLEROSIS AGENTS
CopegusdrugId:1651 # (ribavirin tablet)drugId:1651 ANTIVIRALS
copper IUD CONTRACEPTIVES
Cordarone # (amiodarone) CARDIOVASCULAR
Cordran (flurandrenolide tape)drugId:884 - PA GLUCOCORTICOIDS
CoregdrugId:185 # (carvedilol)drugId:185 CARDIOVASCULAR
Coreg CR (carvedilol extended-release)drugId:186 - PA CARDIOVASCULAR
Corgard (nadolol)drugId:1416 - PA CARDIOVASCULAR
Corifact (factor XIII concentrate, human) ANTI-HEMOPHILIA AGENTS
Corlanor (ivabradine)drugId:5124 - PA CARDIOVASCULAR
CortefdrugId:736 # (hydrocortisone tablet)drugId:736 GLUCOCORTICOIDS
CortenemadrugId:2983 # (hydrocortisone enema)drugId:2983 GLUCOCORTICOIDS
corticotropin - PA; See Table 20drugId:294; See Table 52drugId:6560 HORMONE AGENTS
Cortifoam (hydrocortisone foam)drugId:731 GLUCOCORTICOIDS
cortisonedrugId:295 GLUCOCORTICOIDS
Cortisporin (neomycin / bacitracin / polymyxin B / hydrocortisone topical ointment)drugId:5502 ANTIBIOTICS
Cortisporin (neomycin / polymyxin B / hydrocortisone cream)drugId:1184 ANTIBIOTICS
Cortrosyn # (cosyntropin) DIAGNOSTICS
CorzidedrugId:1418 # (nadolol / bendroflumethiazide)drugId:1418 CARDIOVASCULAR
Cosentyx (secukinumab)drugId:4908 - PA IMMUNOMODULATOR
CosmegendrugId:2674 # (dactinomycin)drugId:2674 CHEMOTHERAPY
CosoptdrugId:564 # (dorzolamide / timolol)drugId:564 OPHTHALMIC PREPARATIONS
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517 - PA OPHTHALMIC PREPARATIONS
cosyntropin DIAGNOSTICS
Cotellic (cobimetinib)drugId:5243 - PA CHEMOTHERAPY
Cotempla XR-ODT (methylphenidate extended-release orally disintegrating tablet) - PA; See Table 31drugId:6281; See Table 71drugId:6282 CEREBRAL STIMULANTS
CoumadindrugId:1812 # (warfarin)drugId:1812 ANTICOAGULANTS
CozaardrugId:1103 # (losartan)drugId:1103 CARDIOVASCULAR
Creon DR (pancrelipase-Creon DR)drugId:1082 ENZYMES
Cresemba (isavuconazonium)drugId:4909 - PA FUNGICIDES
CrestordrugId:5601 # (rosuvastatin 40 mg)drugId:5601 - PA > 30 units/month LIPID LOWERING AGENTS
CrestordrugId:1459 # (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459 - PA > 45 units/month LIPID LOWERING AGENTS
Crinone (progesterone gel)drugId:2587 - PA HORMONE REPLACEMENT THERAPY
crisaboroledrugId:6041 - PA DERMATOLOGICAL
Crixivan (indinavir)drugId:791 ANTIVIRALS
crizotinibdrugId:2376 - PA CHEMOTHERAPY
crofelemerdrugId:5684 - PA ANTIDIARRHEALS
cromolyn inhalationdrugId:298 BRONCHODILATORS
cromolyn ophthalmicdrugId:299 OPHTHALMIC PREPARATIONS
cromolyn oral BRONCHODILATORS
crossed-linked hyaluronatedrugId:4802 - PA; Non-Drug Product NON-DRUG PRODUCT
crotamitondrugId:300 - PA ANTIPARASITICS
Crysvita (burosumab-twza)drugId:6740 - PA BIOLOGICAL
Cubicin (daptomycin)drugId:326 - PA ANTIBIOTICS
Culturelle (lactobacillus rhamnosus GG)drugId:6204 - PA ≥ 19 years GASTROINTESTINAL AGENT
Cuprimine (penicillamine-Cuprimine) CHELATING AGENT
Cutivate (fluticasone lotion)drugId:892 - PA GLUCOCORTICOIDS
CutivatedrugId:5065 # (fluticasone cream)drugId:5065 GLUCOCORTICOIDS
Cuvitru (immune globulin subcutaneous injection, human-Cuvitru)drugId:5720 - PA BIOLOGICAL
Cuvposa (glycopyrrolate oral solution)drugId:2163 - PA ANTISPASMODICS,ANTICHOLINERGIC
cyanocobalamin / folic aciddrugId:303 - PA ELECTROLYTES AND NUTRIENTS
cyanocobalamin-NascobaldrugId:301 - PA ELECTROLYTES AND NUTRIENTS
cyanocobalamindrugId:302 o ELECTROLYTES AND NUTRIENTS
Cyanokit (hydroxocobalamin) ANTIDOTES
Cyclessa # (ethinyl estradiol / desogestrel-Cyclessa) CONTRACEPTIVES
cyclobenzaprine 5 mg, 10 mgdrugId:305 - PA < 15 years MUSCLE RELAXANT
cyclobenzaprine 7.5 mgdrugId:306 - PA MUSCLE RELAXANT
cyclobenzaprine extended-releasedrugId:304 - PA MUSCLE RELAXANT
cyclopentolate OPHTHALMIC PREPARATIONS
cyclopentolate / phenylephrine OPHTHALMIC PREPARATIONS
cyclophosphamidedrugId:310 CHEMOTHERAPY
cycloserinedrugId:2498 TB PREPARATIONS
Cycloset (bromocriptine 0.8 mg tablet)drugId:2984 - PA DIABETIC AGENTS
cyclosporinedrugId:2092 IMMUNOMODULATOR
cyclosporine modifieddrugId:314 IMMUNOMODULATOR
cyclosporine ophthalmicdrugId:311 - PA OPHTHALMIC PREPARATIONS
Cymbalta # (duloxetine 20 mg, 30 mg, 60 mg) - PA < 6 years; See Table 17drugId:585; See Table 71drugId:3960 ANTIDEPRESSANTS
cyproheptadinedrugId:315 ANTIHISTAMINES
Cyramza (ramucirumab)drugId:2955 - PA CHEMOTHERAPY
Cystadane (betaine) ELECTROLYTES AND NUTRIENTS
Cystagon (cysteamine immediate-release capsule)drugId:316 ENZYMES
Cystaran (cysteamine ophthalmic)drugId:2818 - PA OPHTHALMIC PREPARATIONS
cysteamine delayed-release capsuledrugId:2861 - PA ENZYMES
cysteamine immediate-release capsuledrugId:316 ENZYMES
cysteamine ophthalmicdrugId:2818 - PA OPHTHALMIC PREPARATIONS
cytarabinedrugId:317 CHEMOTHERAPY
Cytogam (cytomegalovirus immune globulin IV, human)drugId:318 BIOLOGICAL
cytomegalovirus immune globulin IV, humandrugId:318 BIOLOGICAL
Cytomel # (liothyronine) THYROID PREPARATIONS
Cytotec # (misoprostol) ANTACIDS
CytovenedrugId:922 # (ganciclovir injection)drugId:922 ANTIVIRALS
Cytra-2 (sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-3 (potassium citrate / sodium citrate / citric acid) ELECTROLYTES AND NUTRIENTS
Cytra-K (potassium citrate / citric acid) ELECTROLYTES AND NUTRIENTS

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.
 
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 10/22/18