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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
Fabior (tazarotene foam)drugId:2841 - PA DERMATOLOGICAL
Fabrazyme (agalsidase beta)drugId:162 - PA ENZYMES
factor ix complex human-Bebulin ANTI-HEMOPHILIA AGENTS
factor IX complex human-Profilnine SD ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-Benefix ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-Ixinity ANTI-HEMOPHILIA AGENTS
factor IX recombinant, albumin fusion protein ANTI-HEMOPHILIA AGENTS
factor IX recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor XIII A-subunit recombinant ANTI-HEMOPHILIA AGENTS
factor XIII concentrate, human ANTI-HEMOPHILIA AGENTS
famciclovirdrugId:460 ANTIVIRALS
famotidine injectiondrugId:5603 H2 ANTAGONISTS
famotidine suspensiondrugId:5602 - PA H2 ANTAGONISTS
famotidine tabletdrugId:461 * H2 ANTAGONISTS
FamvirdrugId:460 # (famciclovir)drugId:460 ANTIVIRALS
Fanapt (iloperidone) - PA; See Table 24drugId:777; See Table 71drugId:4265 ANTIPSYCHOTIC
Fareston (toremifene)drugId:1731 CHEMOTHERAPY
Farxiga (dapagliflozin)drugId:2923 DIABETIC AGENTS
Farydak (panobinostat)drugId:5105 - PA CHEMOTHERAPY
Fasenra (benralizumab)drugId:6520 - PA BIOLOGICAL
Faslodex (fulvestrant)drugId:915 - PA CHEMOTHERAPY
fat emulsions, intravenous- intralipid ELECTROLYTES AND NUTRIENTS
fat emulsions, intravenous-liposyn ELECTROLYTES AND NUTRIENTS
Fazaclo (clozapine orally disintegrating tablet) - PA; See Table 24drugId:282; See Table 71drugId:4262 ANTIPSYCHOTIC
febuxostatdrugId:464 - PA GOUT AGENTS
Feiba NF (anti-inhibitor coagulant complex-Feiba NF) ANTI-HEMOPHILIA AGENTS
Feiba VH Immuno (anti-inhibitor coagulant complex-Feiba VH) ANTI-HEMOPHILIA AGENTS
felbamate; See Table 20drugId:465; See Table 71drugId:3460 ANTICONVULSANTS
Felbatol # (felbamate); See Table 20drugId:465; See Table 71drugId:3460 ANTICONVULSANTS
Feldene (piroxicam)drugId:1540 - PA NONSTEROIDAL ANTI-INFLAMMATORY
felodipine extended-releasedrugId:466 CARDIOVASCULAR
FemaradrugId:1031 # (letrozole)drugId:1031 CHEMOTHERAPY
Femhrt # (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt) HORMONE REPLACEMENT THERAPY
Femring (estradiol-Femring) HORMONE REPLACEMENT THERAPY
fenofibrate capsule 130 mgdrugId:5461 - PA LIPID LOWERING AGENTS
fenofibrate capsule 150 mgdrugId:470 - PA LIPID LOWERING AGENTS
fenofibrate capsule 30 mg, 90 mgdrugId:468 - PA LIPID LOWERING AGENTS
fenofibrate capsule 43 mgdrugId:5460 LIPID LOWERING AGENTS
fenofibrate capsule 50 mgdrugId:5480 LIPID LOWERING AGENTS
fenofibrate capsule 67 mg, 134 mg, 200 mg, and tablet 54 mg, 160 mgdrugId:471 LIPID LOWERING AGENTS
fenofibrate tablet 145 mgdrugId:2734 - PA LIPID LOWERING AGENTS
fenofibrate tablet 160 mgdrugId:472 - PA LIPID LOWERING AGENTS
fenofibrate tablet 40 mg and 120 mgdrugId:2986 - PA LIPID LOWERING AGENTS
fenofibrate tablet 48 mgdrugId:467 LIPID LOWERING AGENTS
fenofibric acid capsule 45 mg and 135 mgdrugId:837 LIPID LOWERING AGENTS
fenofibric acid tablet 35 mg and 105 mgdrugId:473 LIPID LOWERING AGENTS
Fenoglide (fenofibrate tablet 40 mg and 120 mg)drugId:2986 - PA LIPID LOWERING AGENTS
fenoprofen capsuledrugId:839 - PA NONSTEROIDAL ANTI-INFLAMMATORY
fenoprofen tabletdrugId:838 - PA NONSTEROIDAL ANTI-INFLAMMATORY
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845 - PA > 50 mcg/hr and PA > 10 patches/month OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769 - PA OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800 - PA OPIOID ANALGESICS
fentanyl buccal tabletdrugId:840 - PA OPIOID ANALGESICS
fentanyl injectiondrugId:842 OPIOID ANALGESICS
fentanyl nasal spraydrugId:2963 - PA OPIOID ANALGESICS
fentanyl powderdrugId:843 - PA OPIOID ANALGESICS
fentanyl sublingual spraydrugId:2523 - PA OPIOID ANALGESICS
fentanyl sublingual tabletdrugId:2157 - PA OPIOID ANALGESICS
fentanyl transmucosal systemdrugId:844 - PA OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840 - PA OPIOID ANALGESICS
Feraheme (ferumoxytol)drugId:849 - PA ELECTROLYTES AND NUTRIENTS
ferric carboxymaltose injectiondrugId:2844 - PA HEMATINIC AGENT
ferric pyrophosphate citratedrugId:6021 ^ ELECTROLYTES AND NUTRIENTS
Ferriprox (deferiprone)drugId:2483 - PA ANTIDOTES
Ferrlecit (sodium ferric gluconate complex)drugId:1865 - PA ELECTROLYTES AND NUTRIENTS
ferrous fumaratedrugId:846 * ELECTROLYTES AND NUTRIENTS
ferrous gluconatedrugId:847 * ELECTROLYTES AND NUTRIENTS
ferrous sulfatedrugId:848 * ELECTROLYTES AND NUTRIENTS
fesoterodinedrugId:850 - PA URINARY ANTISPASMODICS
Fetzima (levomilnacipran) - PA; See Table 17drugId:2886; See Table 71drugId:3980 ANTIDEPRESSANTS
Fiasp (insulin aspart-Fiasp)drugId:6400 - PA DIABETIC AGENTS
FibricordrugId:473 # (fenofibric acid tablet 35 mg and 105 mg)drugId:473 LIPID LOWERING AGENTS
fibrinogen concentrate ANTI-HEMOPHILIA AGENTS
Fibryga (fibrinogen) ANTI-HEMOPHILIA AGENTS
fidaxomicindrugId:2283 - PA ANTIBIOTICS
filgrastimdrugId:856 HEMATINIC AGENT
filgrastim-aafidrugId:6922 - PA HEMATINIC AGENT
filgrastim-sndzdrugId:5116 - PA HEMATINIC AGENT
Finacea (azelaic acid foam)drugId:5106 - PA DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113 BP - PA DERMATOLOGICAL
Fiorinal / Codeine (butalbital / aspirin / caffeine / codeine)drugId:411 - PA OPIOID ANALGESICS
Fiorinal (butalbital / aspirin / caffeine capsule)drugId:2797 - PA ANALGESICS
Firazyr (icatibant)drugId:2364 - PA ENZYMES
Firmagon (degarelix)drugId:335 - PA CHEMOTHERAPY
Firvanq (vancomycin oral solution)drugId:6683 ANTIBIOTICS
Flagyl (metronidazole 375 mg capsule)drugId:1988 - PA ANTIBIOTICS
FlagyldrugId:1341 # (metronidazole 250 mg, 500 mg tablet)drugId:1341 ANTIBIOTICS
Flarex (fluorometholone acetate)drugId:873 OPHTHALMIC PREPARATIONS
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786 - PA BIOLOGICAL
Flector (diclofenac topical patch)drugId:509 - PA NONSTEROIDAL ANTI-INFLAMMATORY
FlolandrugId:612 # (epoprostenol-Flolan)drugId:612 CARDIOVASCULAR
FlomaxdrugId:1922 # (tamsulosin)drugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS
Florastor (saccharomyces boulardii)drugId:6207 - PA ≥ 19 years GASTROINTESTINAL AGENT
Flovent (fluticasone propionate inhalation aerosol, powder)drugId:893 BRONCHODILATORS
floxuridinedrugId:2680 CHEMOTHERAPY
Fluad (influenza virus vaccine, adjuvanted)drugId:5386 1 - PA < 65 years BIOLOGICAL
Fluarix (influenza virus vaccine-Fluarix)drugId:796 1 BIOLOGICAL
Flublok (influenza virus vaccine-Flublok)drugId:2863 1 BIOLOGICAL
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652 1 BIOLOGICAL
fluconazoledrugId:860 ANTIBIOTICS
flucytosinedrugId:861 ANTIBIOTICS
fludarabinedrugId:2538 CHEMOTHERAPY
fludrocortisone GLUCOCORTICOIDS
Flulaval (influenza virus vaccine-Flulaval)drugId:795 1 BIOLOGICAL
Flumist (influenza virus vaccine-Flumist)drugId:800 1 BIOLOGICAL
flunisolide inhalation aerosoldrugId:2920 - PA BRONCHODILATORS
flunisolide nasal spraydrugId:866 - PA NASAL PREPARATIONS
fluocinolone 0.01% creamdrugId:2529 GLUCOCORTICOIDS
fluocinolone 0.025% creamdrugId:5060 GLUCOCORTICOIDS
fluocinolone body oil, scalp oildrugId:867 GLUCOCORTICOIDS
fluocinolone cream kitdrugId:5062 - PA GLUCOCORTICOIDS
fluocinolone oil, otic drops OTIC PREPARATIONS
fluocinolone ointmentdrugId:5061 GLUCOCORTICOIDS
fluocinolone ointment kitdrugId:5063 - PA GLUCOCORTICOIDS
fluocinolone ophthalmic implant-Iluvien ^ OPHTHALMIC PREPARATIONS
fluocinolone ophthalmic implant-Retisert ^ OPHTHALMIC PREPARATIONS
fluocinolone shampoodrugId:868 - PA GLUCOCORTICOIDS
fluocinolone solutiondrugId:2632 GLUCOCORTICOIDS
fluocinolone solution kitdrugId:5064 - PA GLUCOCORTICOIDS
fluocinonide / emollientdrugId:2910 GLUCOCORTICOIDS
fluocinonide 0.1% creamdrugId:872 - PA GLUCOCORTICOIDS
fluocinonide cream, gel, ointment, solutiondrugId:2577 GLUCOCORTICOIDS
fluorometholonedrugId:874 OPHTHALMIC PREPARATIONS
fluorometholone acetatedrugId:873 OPHTHALMIC PREPARATIONS
fluorouracil 0.5% creamdrugId:876 - PA CHEMOTHERAPY
fluorouracil 4% creamdrugId:5503 - PA CHEMOTHERAPY
fluorouracil 5% creamdrugId:2260 BP - PA CHEMOTHERAPY
fluorouracil injectiondrugId:875 CHEMOTHERAPY
fluorouracil solutiondrugId:877 CHEMOTHERAPY
fluoxetine 10 mg, 20 mg, 40 mg capsule, solution - PA < 6 years; See Table 17drugId:879; See Table 71drugId:3721 ANTIDEPRESSANTS
fluoxetine 10 mg tablet for premenstrual dysphoric disorder - PA < 6 years; See Table 17drugId:881; See Table 71drugId:3740 ANTIDEPRESSANTS
fluoxetine 20 mg tablet for premenstrual dysphoric disorder - PA; See Table 17drugId:2589; See Table 71drugId:3741 ANTIDEPRESSANTS
fluoxetine 60 mg tablet - PA; See Table 17drugId:2458; See Table 71drugId:4580 ANTIDEPRESSANTS
fluoxetine 90 mg delayed-release capsule - PA; See Table 17drugId:880; See Table 71drugId:3720 ANTIDEPRESSANTS
fluoxymesterone ANABOLIC STEROID
fluphenazine - PA < 6 years; See Table 24drugId:6322; See Table 71drugId:883 ANTIPSYCHOTIC
flurandrenolide cream, lotiondrugId:5520 - PA GLUCOCORTICOIDS
flurandrenolide ointmentdrugId:5941 - PA GLUCOCORTICOIDS
flurandrenolide tapedrugId:884 - PA GLUCOCORTICOIDS
flurazepam - PA < 6 years and PA > 30 units/month; See Table 69drugId:885; See Table 71drugId:4349 BENZODIAZEPINES
flurbiprofen ophthalmic solutiondrugId:886 OPHTHALMIC PREPARATIONS
flutamidedrugId:888 CHEMOTHERAPY
fluticasone / salmeterol inhalation aerosol, powderdrugId:896 BP - PA BRONCHODILATORS
fluticasone / salmeterol inhalation powderdrugId:6120 - PA BRONCHODILATORS
fluticasone / vilanteroldrugId:2860 - PA BRONCHODILATORS
fluticasone creamdrugId:5065 GLUCOCORTICOIDS
fluticasone furoate / umeclidinium / vilanteroldrugId:6408 - PA BRONCHODILATORS
fluticasone furoate inhalation powderdrugId:4760 - PA BRONCHODILATORS
fluticasone lotiondrugId:892 - PA GLUCOCORTICOIDS
fluticasone ointmentdrugId:5066 GLUCOCORTICOIDS
fluticasone propionate 50 mcg nasal spraydrugId:889 - PA > 1 inhaler/month NASAL PREPARATIONS
fluticasone propionate 93 mcg nasal spraydrugId:6488 - PA NASAL PREPARATIONS
fluticasone propionate inhalation aerosol, powderdrugId:893 BRONCHODILATORS
fluticasone propionate inhalation powder-ArmonairdrugId:6340 - PA BRONCHODILATORS
fluvastatin extended-releasedrugId:898 - PA LIPID LOWERING AGENTS
fluvastatindrugId:899 - PA LIPID LOWERING AGENTS
Fluvirin (influenza virus vaccine-Fluvirin)drugId:799 1 BIOLOGICAL
fluvoxamine extended-release - PA; See Table 17drugId:901; See Table 71drugId:3780 ANTIDEPRESSANTS
fluvoxamine immediate-release - PA < 6 years; See Table 17drugId:900; See Table 71drugId:3781 ANTIDEPRESSANTS
Fluzone (influenza virus vaccine, high dose)drugId:798 1 - PA < 65 years  BIOLOGICAL
Fluzone (influenza virus vaccine-Fluzone)drugId:797 1 BIOLOGICAL
FMLdrugId:874 # (fluorometholone)drugId:874 OPHTHALMIC PREPARATIONS
Focalin # (dexmethylphenidate) - PA < 3 years and PA > 90 units/month; See Table 31drugId:497; See Table 71drugId:3101 CEREBRAL STIMULANTS
Focalin XR (dexmethylphenidate extended-release) BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:498; See Table 71drugId:3020 CEREBRAL STIMULANTS
Folotyn (pralatrexate)drugId:1568 CHEMOTHERAPY
Foltrate (cyanocobalamin / folic acid)drugId:303 - PA ELECTROLYTES AND NUTRIENTS
fondaparinuxdrugId:904 ANTICOAGULANTS
Foradil (formoterol inhalation powder)drugId:907 - PA BRONCHODILATORS
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet) BP - PA; See Table 17drugId:2640; See Table 71drugId:3681 ANTIDEPRESSANTS
formoterol inhalation powderdrugId:907 - PA BRONCHODILATORS
formoterol inhalation solutiondrugId:906 - PA BRONCHODILATORS
Fortamet (metformin extended-release-Fortamet)drugId:1157 - PA DIABETIC AGENTS
FortazdrugId:202 # (ceftazidime)drugId:202 ANTIBIOTICS
Forteo (teriparatide)drugId:1678 - PA HORMONE AGENTS
Fortesta (testosterone 2% gel pump)drugId:2241 - PA HORMONE REPLACEMENT THERAPY
Fortical (calcitonin salmon nasal spray-Fortical)drugId:422 HORMONE AGENTS
FosamaxdrugId:7 # (alendronate tablet)drugId:7 ELECTROLYTES AND NUTRIENTS
Fosamax Plus D (alendronate / cholecalciferol)drugId:9 - PA ELECTROLYTES AND NUTRIENTS
fosamprenavirdrugId:908 BP ANTIVIRALS
fosaprepitant injectiondrugId:909 ANTIEMETICS
foscarnet ANTIVIRALS
fosfomycindrugId:911 ANTIBIOTICS
fosinoprildrugId:912 CARDIOVASCULAR
fosinopril / hydrochlorothiazidedrugId:913 CARDIOVASCULAR
fosnetupitant / palonosetron injectiondrugId:6620 - PA > 2 vials/28 days ANTIEMETICS
fosphenytoindrugId:2681 ANTICONVULSANTS
fostamatinibdrugId:6823 - PA HEMATOLOGIC
Fragmin (dalteparin)drugId:321 ANTICOAGULANTS
fremanezumab-vfrmdrugId:7000 - PA BIOLOGICAL
Frova (frovatriptan)drugId:914 - PA TRIPTAN
frovatriptandrugId:914 - PA TRIPTAN
Fulphila (pegfilgrastim-jmdb)drugId:6903 - PA HEMATINIC AGENT
fulvestrantdrugId:915 - PA CHEMOTHERAPY
FuradantindrugId:1223 # (nitrofurantoin)drugId:1223 ANTIBIOTICS
furosemidedrugId:916 CARDIOVASCULAR
Fusilev (levoleucovorin powder for injection)drugId:1047 - PA ANTIDOTES
Fuzeon (enfuvirtide)drugId:600 ANTIVIRALS
Fycompa (perampanel) - PA; See Table 20drugId:2926; See Table 71drugId:4444 ANTICONVULSANTS

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 03/11/19