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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
D.H.E. 45 (dihydroergotamine injection)drugId:526 - PA ANALGESICS
dabigatran etexilate mesylate 110 mgdrugId:5286 - PA > 70 capsules/365 days ANTICOAGULANTS
dabigatran etexilate mesylate 75 mg, 150 mgdrugId:2081 - PA ANTICOAGULANTS
dabrafenibdrugId:2823 - PA CHEMOTHERAPY
dacarbazinedrugId:319 CHEMOTHERAPY
daclatasvirdrugId:5103 - PA ANTIVIRALS
daclizumabdrugId:5600 - PA MULTIPLE SCLEROSIS AGENTS
DacogendrugId:332 # (decitabine)drugId:332 CHEMOTHERAPY
dactinomycindrugId:2674 CHEMOTHERAPY
Daklinza (daclatasvir)drugId:5103 - PA ANTIVIRALS
dalbavancindrugId:4623 - PA ANTIBIOTICS
dalfampridinedrugId:320 - PA MULTIPLE SCLEROSIS AGENTS
dalfopristin / quinupristindrugId:2037 - PA ANTIBIOTICS
Daliresp (roflumilast)drugId:2282 - PA IMMUNOMODULATOR
dalteparindrugId:321 ANTICOAGULANTS
Dalvance (dalbavancin)drugId:4623 - PA ANTIBIOTICS
danazol HORMONE AGENTS
Dantrium (dantrolene injection solution)drugId:4645 ^ MUSCLE RELAXANT
DantriumdrugId:323 # (dantrolene capsule)drugId:323 MUSCLE RELAXANT
dantrolene capsuledrugId:323 MUSCLE RELAXANT
dantrolene injection solutiondrugId:4645 ^ MUSCLE RELAXANT
dantrolene injection suspensiondrugId:4634 ^ MUSCLE RELAXANT
dapagliflozin / metformin extended-releasedrugId:4841 - PA DIABETIC AGENTS
dapagliflozin / saxagliptindrugId:6406 - PA DIABETIC AGENTS
dapagliflozindrugId:2923 - PA DIABETIC AGENTS
dapsone geldrugId:325 BP - PA DERMATOLOGICAL
dapsone tabletdrugId:324 ANTIBIOTICS
Daptacel (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:536 1 BIOLOGICAL
daptomycindrugId:326 - PA ANTIBIOTICS
Daraprim (pyrimethamine)drugId:1614 - PA ANTIMALARIALS
daratumumabdrugId:5244 - PA CHEMOTHERAPY
darbepoetin alfadrugId:327 - PA HEMATINIC AGENT
darifenacindrugId:328 - PA URINARY ANTISPASMODICS
darunavirdrugId:330 ANTIVIRALS
darunavir / cobicistatdrugId:4792 ANTIVIRALS
darunavir / cobicistat / emtricitabine / tenofovir alafenamidedrugId:6822 - PA ANTIVIRALS
Darzalex (daratumumab)drugId:5244 - PA CHEMOTHERAPY
dasabuvir / ombitasvir / paritaprevir / ritonavir extended-releasedrugId:5596 - PA ANTIVIRALS
dasatinibdrugId:331 CHEMOTHERAPY
daunorubicin, conventionaldrugId:2676 CHEMOTHERAPY
daunorubicin / cytarabinedrugId:6412 - PA CHEMOTHERAPY
Daypro (oxaprozin)drugId:1309 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Daytrana (methylphenidate transdermal) - PA; See Table 31drugId:955; See Table 71drugId:3060 CEREBRAL STIMULANTS
DDAVPdrugId:476 # (desmopressin-DDAVP)drugId:476 HORMONE AGENTS
DecadrondrugId:2491 # (dexamethasone solution, tablet)drugId:2491 GLUCOCORTICOIDS
decitabinedrugId:332 CHEMOTHERAPY
deferasirox 125 mg, 250 mg, 500 mgdrugId:333 ANTIDOTES
deferasirox 90 mg, 180 mg, 360 mgdrugId:4942 ANTIDOTES
deferipronedrugId:2483 - PA ANTIDOTES
deferoxaminedrugId:334 CHELATING AGENT
deflazacortdrugId:6720 - PA GLUCOCORTICOIDS
degarelixdrugId:335 - PA CHEMOTHERAPY
Dekas Bariatric (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Bariatric)drugId:6605 - PA ELECTROLYTES AND NUTRIENTS
Dekas Essential (multivitamin-Dekas Essential)drugId:5623 - PA HEMATINIC AGENT
Dekas Plus (multivitamins / minerals / coenzyme Q10-Dekas Plus)drugId:5621 - PA HEMATINIC AGENT
Dekas Plus (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Plus)drugId:5622 - PA HEMATINIC AGENT
delafloxacin injectiondrugId:6480 - PA ANTIBIOTICS
delafloxacin tabletdrugId:6481 - PA ANTIBIOTICS
delavirdinedrugId:336 ANTIVIRALS
Delestrogen # (estradiol-Delestrogen) HORMONE REPLACEMENT THERAPY
Delzicol DR (mesalamine capsule)drugId:2720 GI ANTI-INFLAMMATORY
DemadexdrugId:1732 # (torsemide)drugId:1732 CARDIOVASCULAR
demeclocyclinedrugId:337 ANTIBIOTICS
Demerol (meperidine)drugId:1144 - PA OPIOID ANALGESICS
Demser (metyrosine) CARDIOVASCULAR
Denavir (penciclovir)drugId:1495 - PA ANTIVIRALS
denosumab-ProliadrugId:1967 - PA BIOLOGICAL
denosumab-XgevadrugId:2180 - PA BIOLOGICAL
DepacondrugId:1780 # (valproate)drugId:1780 ANTICONVULSANTS
Depakene # (valproic acid) - PA < 6 years; See Table 20drugId:1782; See Table 71drugId:4506 ANTICONVULSANTS
Depakote # (divalproex immediate-release) - PA < 6 years; See Table 20drugId:552; See Table 71drugId:3320 ANTICONVULSANTS
Depakote # (divalproex sprinkle capsule) - PA < 6 years; See Table 20drugId:2315; See Table 71drugId:3360 ANTICONVULSANTS
Depakote ER # (divalproex extended-release) - PA < 6 years; See Table 20drugId:550; See Table 71drugId:3340 ANTICONVULSANTS
Depen (penicillamine-Depen) CHELATING AGENT
Depo-estradiol (estradiol-Depo-estradiol) HORMONE REPLACEMENT THERAPY
Depo-MedroldrugId:966 # (methylprednisolone acetate)drugId:966 GLUCOCORTICOIDS
Depo-Provera # (medroxyprogesterone vial) CONTRACEPTIVES
Depo-SubQ Provera 104 (medroxyprogesterone syringe) CONTRACEPTIVES
Depo-Testosterone (testosterone cypionate)drugId:1680 - PA HORMONE REPLACEMENT THERAPY
Derma-Smoothe-FSdrugId:867 # (fluocinolone body oil, scalp oil)drugId:867 GLUCOCORTICOIDS
DermatopdrugId:1574 # (prednicarbate cream, ointment)drugId:1574 GLUCOCORTICOIDS
Dermotic # (fluocinolone oil, otic drops) OTIC PREPARATIONS
Descovy (emtricitabine / tenofovir alafenamide)drugId:5381 PD ANTIVIRALS
DesferaldrugId:334 # (deferoxamine)drugId:334 CHELATING AGENT
desipramine - PA; See Table 17drugId:2620; See Table 71drugId:4020 ANTIDEPRESSANTS
desirudindrugId:2989 - PA ANTICOAGULANTS
desloratadine / pseudoephedrinedrugId:474 - PA ANTIHISTAMINES
desloratadine orally disintegrating tabletdrugId:2749 - PA ANTIHISTAMINES
desloratadinedrugId:339 - PA ANTIHISTAMINES
desmopressin-DDAVPdrugId:476 HORMONE AGENTS
desmopressin-NoctivadrugId:6612 - PA HORMONE AGENTS
desmopressin-Stimate HORMONE AGENTS
Desonate (desonide gel)drugId:485 - PA GLUCOCORTICOIDS
desonide creamdrugId:484 GLUCOCORTICOIDS
desonide geldrugId:485 - PA GLUCOCORTICOIDS
desonide lotion, ointmentdrugId:2528 GLUCOCORTICOIDS
DesowendrugId:484 # (desonide cream)drugId:484 GLUCOCORTICOIDS
desoximetasone 0.05% cream, ointmentdrugId:5021 - PA GLUCOCORTICOIDS
desoximetasone 0.25% cream, ointment, spray, 0.05% geldrugId:488 - PA GLUCOCORTICOIDS
Desoxyn (methamphetamine) - PA; See Table 31drugId:1165; See Table 71drugId:3142 CEREBRAL STIMULANTS
desvenlafaxine extended-release-Khedezla - PA; See Table 17drugId:2907; See Table 71drugId:3922 ANTIDEPRESSANTS
desvenlafaxine extended-release - PA; See Table 17drugId:2777; See Table 71drugId:3920 ANTIDEPRESSANTS
desvenlafaxine fumarate extended-release - PA; See Table 17drugId:2936; See Table 71drugId:3921 ANTIDEPRESSANTS
desvenlafaxine succinate extended-release - PA; See Table 17drugId:490; See Table 71drugId:3940 ANTIDEPRESSANTS
DetroldrugId:1726 # (tolterodine immediate-release)drugId:1726 URINARY ANTISPASMODICS
Detrol LAdrugId:1727 # (tolterodine extended-release 2 mg)drugId:1727 - PA > 30 units/month URINARY ANTISPASMODICS
Detrol LAdrugId:1725 # (tolterodine extended-release 4 mg)drugId:1725 URINARY ANTISPASMODICS
deutetrabenazinedrugId:6121 - PA NEUROLOGIC AGENT
dexamethasone injectiondrugId:5131 GLUCOCORTICOIDS
dexamethasone intravitreal implantdrugId:494 ^ OPHTHALMIC PREPARATIONS
dexamethasone ophthalmic suspensiondrugId:493 - PA OPHTHALMIC PREPARATIONS
dexamethasone sodium phosphate ophthalmic solutiondrugId:4919 OPHTHALMIC PREPARATIONS
dexamethasone solution, tabletdrugId:2491 GLUCOCORTICOIDS
dexamethasone tablet packdrugId:492 - PA GLUCOCORTICOIDS
Dexedrine # (dextroamphetamine 5 mg, 10 mg, 15 mg capsule) - PA < 3 years and PA > 90 units/month; See Table 31drugId:500; See Table 71drugId:3140 CEREBRAL STIMULANTS
Dexilant (dexlansoprazole)drugId:496 - PA PROTON PUMP INHIBITORS
dexlansoprazoledrugId:496 - PA PROTON PUMP INHIBITORS
dexmethylphenidate extended-release BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:498; See Table 71drugId:3020 CEREBRAL STIMULANTS
dexmethylphenidate - PA < 3 years and PA > 90 units/month; See Table 31drugId:497; See Table 71drugId:3101 CEREBRAL STIMULANTS
dexrazoxane ANTIDOTES
dextrindrugId:6205 * GASTROINTESTINAL AGENT
dextroamphetamine 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg tablet - PA; See Table 31drugId:2819; See Table 71drugId:3121 CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg, 15 mg capsule - PA < 3 years and PA > 90 units/month; See Table 31drugId:500; See Table 71drugId:3140 CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg tablet - PA < 3 years and PA > 90 units/month; See Table 31drugId:2968; See Table 71drugId:3120 CEREBRAL STIMULANTS
dextroamphetamine solution - PA < 3 years and PA > 900 mL/month; See Table 31drugId:501; See Table 71drugId:3141 CEREBRAL STIMULANTS
dextromethorphan / quinidinedrugId:2177 - PA MULTIPLE SCLEROSIS AGENTS
dextrose ELECTROLYTES AND NUTRIENTS
DiamoxdrugId:147 # (acetazolamide)drugId:147 CARDIOVASCULAR
Diastat (diazepam rectal gel)drugId:503 - PA > 5 kits (10 syringes) /month BENZODIAZEPINES
diazepam powder - PA; See Table 69drugId:506; See Table 71drugId:4382 BENZODIAZEPINES
diazepam rectal geldrugId:503 - PA > 5 kits (10 syringes) /month BENZODIAZEPINES
diazepam solution, tablet - PA < 6 years; See Table 69drugId:504; See Table 71drugId:4381 BENZODIAZEPINES
diazoxide DIABETIC AGENTS
Dibenzyline (phenoxybenzamine)drugId:5123 - PA CARDIOVASCULAR
dichlorphenamidedrugId:5260 - PA UNCLASSIFIED DRUG PRODUCTS
Diclegis (doxylamine / pyridoxine delayed-release)drugId:2778 - PA ANTIEMETICS
diclofenac / misoprostoldrugId:514 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 1% geldrugId:512 BP NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 18 mg, 35 mg capsuledrugId:2894 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 25 mg capsuledrugId:511 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac 3% geldrugId:508 - PA CHEMOTHERAPY
diclofenac enteric coateddrugId:2117 NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac extended-releasedrugId:513 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac eye dropsdrugId:2269 OPHTHALMIC PREPARATIONS
diclofenac injectiondrugId:5382 - PA ANTIARTHRITICS
diclofenac potassiumdrugId:510 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac powder for solutiondrugId:1953 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac topical patchdrugId:509 - PA NONSTEROIDAL ANTI-INFLAMMATORY
diclofenac topical solutiondrugId:1944 - PA NONSTEROIDAL ANTI-INFLAMMATORY
dicloxacillindrugId:515 ANTIBIOTICS
dicyclominedrugId:516 ANTISPASMODICS,ANTICHOLINERGIC
didanosinedrugId:517 ANTIVIRALS
dienestrol HORMONE REPLACEMENT THERAPY
difenoxin / atropinedrugId:6111 - PA ANTIDIARRHEALS
Differin (adapalene)drugId:159 BP - PA DERMATOLOGICAL
Dificid (fidaxomicin)drugId:2283 - PA ANTIBIOTICS
diflorasone cream / emollientdrugId:520 - PA GLUCOCORTICOIDS
diflorasone creamdrugId:4918 - PA GLUCOCORTICOIDS
diflorasone ointmentdrugId:2207 - PA GLUCOCORTICOIDS
DiflucandrugId:860 # (fluconazole)drugId:860 ANTIBIOTICS
diflunisaldrugId:521 - PA NONSTEROIDAL ANTI-INFLAMMATORY
difluprednatedrugId:522 - PA OPHTHALMIC PREPARATIONS
digoxin CARDIOVASCULAR
dihydrocodeine / acetaminophen / caffeinedrugId:5142 - PA OPIOID ANALGESICS
dihydrocodeine / aspirin / caffeinedrugId:525 - PA OPIOID ANALGESICS
dihydroergotamine injectiondrugId:526 - PA ANALGESICS
dihydroergotamine nasal spraydrugId:527 - PA ANALGESICS
Dilantin # (phenytoin extended 30 mg and 100 mg capsule); See Table 20drugId:1525; See Table 71drugId:4523 ANTICONVULSANTS
Dilantin-125 # (phenytoin suspension); See Table 20drugId:2938; See Table 71drugId:4522 ANTICONVULSANTS
Dilantin Infatab # (phenytoin chewable tablet); See Table 20drugId:1523; See Table 71drugId:4520 ANTICONVULSANTS
Dilatrate-SR (isosorbide dinitrate extended-release capsule)drugId:977 CARDIOVASCULAR
DilaudiddrugId:754 # (hydromorphone)drugId:754 - PA > 32 mg/day OPIOID ANALGESICS
diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CDdrugId:531 CARDIOVASCULAR
diltiazem 360 mg-Cardizem CDdrugId:2299 - PA CARDIOVASCULAR
diltiazem-CardizemdrugId:528 CARDIOVASCULAR
diltiazem extended-release tabletdrugId:529 CARDIOVASCULAR
diltiazem-Tiazac ERdrugId:533 CARDIOVASCULAR
dimenhydrinate injectiondrugId:2677 ANTIHISTAMINES
dimercaprol ^ ANTIDOTES
dimethyl fumaratedrugId:2793 - PA MULTIPLE SCLEROSIS AGENTS
dimethyl sulfoxide ANALGESICS
DiovandrugId:1785 # (valsartan)drugId:1785 CARDIOVASCULAR
Diovan HCTdrugId:1786 # (valsartan / hydrochlorothiazide)drugId:1786 CARDIOVASCULAR
Dipentum (olsalazine)drugId:1286 - PA GI ANTI-INFLAMMATORY
diphenhydraminedrugId:541 * ANTIHISTAMINES
diphenoxylate / atropinedrugId:542 ANTIDIARRHEALS
diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate vaccinedrugId:581 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis / hepatitis B, recombinant / poliovirus, inactivated vaccinedrugId:700 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccinedrugId:535 1 BIOLOGICAL
diphtheria / tetanus toxoids / acellular pertussis vaccinedrugId:539 1 BIOLOGICAL
diphtheria / tetanus toxoid vaccinedrugId:1686 1 BIOLOGICAL
DiprolenedrugId:353 # (betamethasone dipropionate, augmented lotion)drugId:353 GLUCOCORTICOIDS
DiprolenedrugId:5022 # (betamethasone dipropionate, augmented ointment)drugId:5022 GLUCOCORTICOIDS
Diprolene AFdrugId:2204 # (betamethasone dipropionate, augmented cream)drugId:2204 GLUCOCORTICOIDS
dipyridamoledrugId:545 ANTIPLATELET AGENT
disopyramide controlled-release CARDIOVASCULAR
disopyramide immediate-release CARDIOVASCULAR
disulfiramdrugId:549 ALCOHOL AND DRUG CESSATION AGENT
Ditropan XLdrugId:1314 # (oxybutynin extended-release tablet)drugId:1314 URINARY ANTISPASMODICS
DiurildrugId:221 # (chlorothiazide)drugId:221 CARDIOVASCULAR
divalproex extended-release - PA < 6 years; See Table 20drugId:550; See Table 71drugId:3340 ANTICONVULSANTS
divalproex immediate-release - PA < 6 years; See Table 20drugId:552; See Table 71drugId:3320 ANTICONVULSANTS
divalproex sprinkle capsule - PA < 6 years; See Table 20drugId:2315; See Table 71drugId:3360 ANTICONVULSANTS
Divigel (estradiol-Divigel) HORMONE REPLACEMENT THERAPY
Docefrez (docetaxel-Docefrez)drugId:2985 CHEMOTHERAPY
docetaxel-DocefrezdrugId:2985 CHEMOTHERAPY
docetaxel-TaxoteredrugId:553 CHEMOTHERAPY
docusate enemadrugId:555 CONSTIPATION AGENTS
docusate sodiumdrugId:554 * CONSTIPATION AGENTS
dofetilide CARDIOVASCULAR
dolasetron injectiondrugId:558 ANTIEMETICS
dolasetron tabletdrugId:557 - PA ANTIEMETICS
Dolophine (methadone oral-Dolophine)drugId:1163 - PA OPIOID ANALGESICS
dolutegravir / rilpivirinedrugId:6781 - PA ANTIVIRALS
dolutegravirdrugId:2852 - PA > 30 units/month ANTIVIRALS
donepezil 10 mg tabletdrugId:2422 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
donepezil 23 mg tabletdrugId:2247 - PA ALZHEIMER'S THERAPY
donepezil 5 mg tabletdrugId:559 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
donepezil orally disintegrating tabletdrugId:560 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
DoribaxdrugId:561 # (doripenem)drugId:561 ANTIBIOTICS
doripenemdrugId:561 ANTIBIOTICS
dornase alfa ENZYMES
Doryx (doxycycline hyclate delayed-release 50 mg, 120 mg, 200 mg tablet)drugId:2900 - PA ANTIBIOTICS
dorzolamidedrugId:563 OPHTHALMIC PREPARATIONS
dorzolamide / timololdrugId:564 OPHTHALMIC PREPARATIONS
dorzolamide / timolol, preservative freedrugId:2517 - PA OPHTHALMIC PREPARATIONS
double antibiotic ointment (bacitracin / polymyxin B topical ointment)drugId:6260 * ANTIBIOTICS
DovonexdrugId:420 # (calcipotriene cream)drugId:420 - PA > 60 grams/month DERMATOLOGICAL
doxazosin extended-releasedrugId:566 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
doxazosin immediate-release; See Table 18drugId:565; See Table 19drugId:5163 CARDIOVASCULAR
doxepin capsule, oral concentrate - PA < 6 years; See Table 17drugId:2040; See Table 71drugId:4040 ANTIDEPRESSANTS
doxepin cream-PrudoxindrugId:568 - PA DERMATOLOGICAL
doxepin cream-ZonalondrugId:569 - PA DERMATOLOGICAL
doxepin tablet-Silenor - PA; See Table 15drugId:2082; See Table 71drugId:4346 SEDATIVES
doxercalciferol capsuledrugId:570 - PA ELECTROLYTES AND NUTRIENTS
doxercalciferol injectiondrugId:5780 ^ ELECTROLYTES AND NUTRIENTS
DoxildrugId:2689 # (doxorubicin liposomal injection)drugId:2689 CHEMOTHERAPY
doxorubicindrugId:571 CHEMOTHERAPY
doxorubicin liposomal injectiondrugId:2689 CHEMOTHERAPY
doxycycline calcium syrupdrugId:2903 ANTIBIOTICS
doxycycline hyclate 100 mg capsuledrugId:575 ANTIBIOTICS
doxycycline hyclate 20 mg, 100 mg tabletdrugId:2902 ANTIBIOTICS
doxycycline hyclate 50 mg capsuledrugId:2901 ANTIBIOTICS
doxycycline hyclate 75 mg, 150 mg tabletdrugId:6141 - PA ANTIBIOTICS
doxycycline hyclate delayed-release 50 mg, 120 mg, 200 mg tabletdrugId:2900 - PA ANTIBIOTICS
doxycycline hyclate delayed-release 75 mg, 100 mg, 150 mg tabletdrugId:574 - PA ANTIBIOTICS
doxycycline hyclate injectiondrugId:2301 ANTIBIOTICS
doxycycline monohydrate 150 mg capsuledrugId:576 - PA ANTIBIOTICS
doxycycline monohydrate 150 mg tabletdrugId:2905 - PA ANTIBIOTICS
doxycycline monohydrate 40 mg capsuledrugId:579 - PA ANTIBIOTICS
doxycycline monohydrate 50 mg, 100 mg capsuledrugId:2899 ANTIBIOTICS
doxycycline monohydrate 50 mg, 75 mg, 100 mg tabletdrugId:2300 ANTIBIOTICS
doxycycline monohydrate 75 mg capsuledrugId:2906 - PA ANTIBIOTICS
doxycycline monohydrate suspensiondrugId:2904 ANTIBIOTICS
doxylamine / pyridoxine delayed-releasedrugId:2778 - PA ANTIEMETICS
doxylamine / pyridoxine extended-releasedrugId:6680 - PA ANTIEMETICS
doxylamine * SEDATIVE, NON-BARBITURATE
dronabinol capsuledrugId:582 - PA ANTIEMETICS
dronabinol solutiondrugId:6361 - PA ANTIEMETICS
dronedarone CARDIOVASCULAR
droperidol ANTIPSYCHOTIC
Droxia (hydroxyurea)drugId:760 HEMATOLOGIC
droxidopadrugId:4630 - PA ADRENERGICS
Duac (clindamycin / benzoyl peroxide-Duac)drugId:264 - PA DERMATOLOGICAL
Duavee (estrogens, conjugated/bazedoxifene) ESTROGENS
Duetact (glimepiride / pioglitazone)drugId:1535 - PA DIABETIC AGENTS
Duexis (ibuprofen / famotidine)drugId:2363 - PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
dulaglutidedrugId:4814 - PA DIABETIC AGENTS
Dulera (mometasone / formoterol)drugId:1958 - PA BRONCHODILATORS
duloxetine 20 mg, 30 mg, 60 mg - PA < 6 years; See Table 17drugId:585; See Table 71drugId:3960 ANTIDEPRESSANTS
duloxetine 40 mg - PA; See Table 17drugId:4910; See Table 71drugId:4911 PSYCHOSTIMULANTS-ANTIDEPRESSAN
Duopa (carbidopa / levodopa enteral suspension)drugId:5104 - PA ANTIPARKINSON
dupilumabdrugId:6101 - PA IMMUNOMODULATOR
Dupixent (dupilumab)drugId:6101 - PA IMMUNOMODULATOR
DuraclondrugId:2750 # (clonidine injection)drugId:2750 ANALGESICS
Duragesic (fentanyl 75, 100 mcg/hr transdermal system)drugId:4800 - PA OPIOID ANALGESICS
DuragesicdrugId:845 # (fentanyl 12, 25, 50 mcg/hr transdermal system)drugId:845 - PA > 50 mcg/hr and PA > 10 patches/month OPIOID ANALGESICS
Duramorph (morphine, injection-Duramorph)drugId:1392 - PA > 120 mg/day OPIOID ANALGESICS
Durezol (difluprednate)drugId:522 - PA OPHTHALMIC PREPARATIONS
Durlaza (aspirin extended-release)drugId:5245 - PA ANTIPLATELET AGENT
Durolane (hyaluronate-Durolane)drugId:6381 - PA; Non-Drug Product NON-DRUG PRODUCT
durvalumabdrugId:6122 - PA CHEMOTHERAPY
dutasteride / tamsulosindrugId:1960 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
dutasteridedrugId:586 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
Dutoprol (metoprolol extended-release / hydrochlorothiazide)drugId:2479 - PA CARDIOVASCULAR
Duzallo (lesinurad / allopurinol)drugId:6382 - PA GOUT AGENTS
Dyanavel XR (amphetamine extended-release oral suspension) - PA; See Table 31drugId:5383; See Table 71drugId:5384 CEREBRAL STIMULANTS
DyazidedrugId:1755 # (hydrochlorothiazide / triamterene)drugId:1755 CARDIOVASCULAR
Dyloject (diclofenac injection)drugId:5382 - PA ANTIARTHRITICS
Dymista (azelastine/fluticasone propionate)drugId:2580 - PA NASAL PREPARATIONS
Dyrenium (triamterene)drugId:5247 - PA CARDIOVASCULAR
Dysport (abobotulinumtoxinA)drugId:141 - PA 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.
 
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