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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
ibalizumab-uiykdrugId:6687 PA ANTIVIRALS
ibandronate tabletdrugId:770 PA ELECTROLYTES AND NUTRIENTS
Ibrance (palbociclib)drugId:4940 PA CHEMOTHERAPY PD
ibrutinibdrugId:2927 PA CHEMOTHERAPY
ibuprofen / famotidinedrugId:2363 PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY
icatibantdrugId:2364 PA ENZYMES
Iclusig (ponatinib)drugId:2724 PA CHEMOTHERAPY
icosapent ethyldrugId:2733 PA LIPID LOWERING AGENTS
idarubicindrugId:2687 CHEMOTHERAPY
idelalisibdrugId:4644 PA CHEMOTHERAPY
Idelvion (factor IX recombinant, albumin fusion protein) ANTI-HEMOPHILIA AGENTS
Idhifa (enasidenib)drugId:6284 PA CHEMOTHERAPY
idursulfasedrugId:776 PA ENZYMES
IfexdrugId:2457 (ifosfamide)drugId:2457 CHEMOTHERAPY #
ifosfamidedrugId:2457 CHEMOTHERAPY #
Ilaris (canakinumab)drugId:432 PA IMMUNOMODULATOR
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725 PA OPHTHALMIC PREPARATIONS
iloperidone; See Table 24drugId:777; See Table 71drugId:4265 PA ANTIPSYCHOTIC
iloprostdrugId:778 PA CARDIOVASCULAR
Ilumya (tildrakizumab-asmn)drugId:7004 PA IMMUNOMODULATOR
Iluvien (fluocinolone ophthalmic implant-Iluvien) OPHTHALMIC PREPARATIONS ^
imatinibdrugId:779 CHEMOTHERAPY #
Imbruvica (ibrutinib)drugId:2927 PA CHEMOTHERAPY
Imfinzi (durvalumab)drugId:6122 PA CHEMOTHERAPY
imiglucerasedrugId:780 PA ENZYMES
imipenem / cilastatindrugId:781 ANTIBIOTICS #
imipenem / cilastatin / relebactamdrugId:7376 PA ANTIBIOTICS
imipramine hydrochloride; See Table 17drugId:782; See Table 71drugId:4060 PA < 6 years ANTIDEPRESSANTS #
imipramine pamoate; See Table 17drugId:2308; See Table 71drugId:4080 PA ANTIDEPRESSANTS
imiquimod 2.5%, 3.75% creamdrugId:1952 PA DERMATOLOGICAL
imiquimod 5% creamdrugId:783 PA DERMATOLOGICAL
Imitrex (sumatriptan 5 mg, 20 mg nasal spray)drugId:1913 PA TRIPTAN
Imitrex (sumatriptan injection-Imitrex)drugId:1914 PA TRIPTAN
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915 PA > 18 units/month TRIPTAN #
Imlygic (talimogene laherparepvec)drugId:5440 PA CHEMOTHERAPY ^
immune globulin IM, human-Gamastan S/DdrugId:2683 PA BIOLOGICAL
immune globulin injection, human-GammagarddrugId:2198 PA BIOLOGICAL
immune globulin injection, human-GammakeddrugId:2641 PA BIOLOGICAL
immune globulin injection, human-Gamunex-CdrugId:2167 PA BIOLOGICAL
immune globulin IV, human-BivigamdrugId:2817 PA BIOLOGICAL
immune globulin IV, human-FlebogammadrugId:786 PA BIOLOGICAL
immune globulin IV, human-Gammagard S/DdrugId:787 PA BIOLOGICAL
immune globulin IV, human-GammaplexdrugId:2381 PA BIOLOGICAL
immune globulin IV, human-ifasdrugId:7104 PA BIOLOGICAL
immune globulin IV, human-OctagamdrugId:2684 PA BIOLOGICAL
immune globulin IV, human-PrivigendrugId:2197 PA BIOLOGICAL
immune globulin IV, human-slradrugId:7327 PA BIOLOGICAL
immune globulin subcutaneous injection, human / hyaluronidase human recombinantdrugId:4626 PA BIOLOGICAL
immune globulin subcutaneous injection, human-CuvitrudrugId:5720 PA BIOLOGICAL
immune globulin subcutaneous injection, human-hippdrugId:7131 PA BIOLOGICAL
immune globulin subcutaneous injection, human-HizentradrugId:1940 PA BIOLOGICAL
immune globulin subcutaneous injection, human-klhwdrugId:7336 PA BIOLOGICAL
Imogam Rabies-HT (rabies immune globulin IM, human-Imogam Rabies-HT)drugId:1626 BIOLOGICAL
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627 BIOLOGICAL
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111 IMMUNOMODULATOR #
Inbrija (levodopa)drugId:7237 PA ANTIPARKINSON
incobotulinumtoxinAdrugId:2087 PA BIOLOGICAL
Increlex (mecasermin)drugId:1124 PA HORMONE AGENTS
Incruse (umeclidinium)drugId:4774 PA > 1 inhaler/month BRONCHODILATORS
indacaterol / glycopyrrolatedrugId:5402 PA BRONCHODILATORS
indacateroldrugId:2357 PA BRONCHODILATORS
indapamidedrugId:790 CARDIOVASCULAR
Inderal LAdrugId:1601 (propranolol extended-release)drugId:1601 CARDIOVASCULAR #
Inderal XL (propranolol long-acting capsule)drugId:6562 PA CARDIOVASCULAR
indinavirdrugId:791 ANTIVIRALS
Indocin (indomethacin suppository)drugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
Indocin (indomethacin suspension)drugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin 25 mg, 50 mgdrugId:2862 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin extended-releasedrugId:2066 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suppositorydrugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suspensiondrugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537 BIOLOGICAL 1
Infed (low molecular weight iron dextran)drugId:972 PA ELECTROLYTES AND NUTRIENTS
Inflectra (infliximab-dyyb)drugId:5763 PA IMMUNOMODULATOR
infliximab-abdadrugId:6182 PA IMMUNOMODULATOR
infliximab-axxqdrugId:7386 PA IMMUNOMODULATOR
infliximab-dyybdrugId:5763 PA IMMUNOMODULATOR
infliximabdrugId:793 PA IMMUNOMODULATOR
influenza virus vaccine, adjuvanteddrugId:5386 PA < 65 years BIOLOGICAL 1
influenza virus vaccine, high dosedrugId:798 PA < 65 years  BIOLOGICAL 1
influenza virus vaccine-AfluriadrugId:2046 BIOLOGICAL 1
influenza virus vaccine-FluarixdrugId:796 BIOLOGICAL 1
influenza virus vaccine-FlublokdrugId:2863 BIOLOGICAL 1
influenza virus vaccine-FlucelvaxdrugId:2652 BIOLOGICAL 1
influenza virus vaccine-FlulavaldrugId:795 BIOLOGICAL 1
influenza virus vaccine-FlumistdrugId:800 BIOLOGICAL 1
influenza virus vaccine-FluzonedrugId:797 BIOLOGICAL 1
Infugem (gemcitabine-Infugem)drugId:7284 PA CHEMOTHERAPY
Infumorph (morphine infusion)drugId:1393 OPIOID ANALGESICS
ingenol geldrugId:2521 PA DERMATOLOGICAL
Ingrezza (valbenazine)drugId:6123 PA NEUROLOGIC AGENT
Injectafer (ferric carboxymaltose injection)drugId:2844 PA HEMATINIC AGENT
Inlyta (axitinib)drugId:2484 PA CHEMOTHERAPY PD
Innopran XL (propranolol long-acting capsule)drugId:1602 PA CARDIOVASCULAR
inotuzumab ozogamicindrugId:6341 PA CHEMOTHERAPY
Inrebic (fedratinib)drugId:7332 PA CHEMOTHERAPY
Inspra (eplerenone)drugId:609 PA ALDOSTERONE ANTAGONISTS
insulin aspart 70/30drugId:801 DIABETIC AGENTS BP
insulin aspart-FiaspdrugId:6400 PA DIABETIC AGENTS
insulin aspart-NovologdrugId:804 DIABETIC AGENTS BP
insulin degludecdrugId:5302 DIABETIC AGENTS
insulin degludec / liraglutidedrugId:5769 PA DIABETIC AGENTS
insulin detemirdrugId:805 DIABETIC AGENTS
insulin glargine / lixisenatidedrugId:5766 PA DIABETIC AGENTS
insulin glargine-BasaglardrugId:5761 PA DIABETIC AGENTS
insulin glargine-LantusdrugId:807 DIABETIC AGENTS
insulin glargine-ToujeodrugId:4914 DIABETIC AGENTS
insulin glulisinedrugId:810 DIABETIC AGENTS
insulin human inhalation powderdrugId:4900 PA DIABETIC AGENTS
insulin lispro 50/50drugId:811 DIABETIC AGENTS
insulin lispro 75/25drugId:813 DIABETIC AGENTS
insulin lispro-AdmelogdrugId:6660 PA DIABETIC AGENTS
insulin lispro-HumalogdrugId:815 DIABETIC AGENTS BP
insulin NPHdrugId:1263 DIABETIC AGENTS
insulin NPH / regular insulin 70/30drugId:817 DIABETIC AGENTS
insulin regulardrugId:821 DIABETIC AGENTS
Intelence (etravirine)drugId:447 ANTIVIRALS
interferon alfa-2b CHEMOTHERAPY
interferon beta-1a-AvonexdrugId:825 MULTIPLE SCLEROSIS AGENTS
interferon beta-1a-RebifdrugId:826 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-BetaserondrugId:827 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-ExtaviadrugId:828 PA MULTIPLE SCLEROSIS AGENTS
interferon gamma-1bdrugId:829 CHEMOTHERAPY
Intermezzo (zolpidem 1.75 mg, 3.5 mg sublingual tablet); See Table 15drugId:2518; See Table 71drugId:4341 PA SEDATIVES
Intralipid (fat emulsions, intravenous- intralipid) ELECTROLYTES AND NUTRIENTS
Intron A (interferon alfa-2b) CHEMOTHERAPY
Intuniv (guanfacine extended-release); See Table 31drugId:692; See Table 71drugId:3082 PA < 3 years NONSTIMULANT ADHD AGENTS #
InvanzdrugId:620 (ertapenem)drugId:620 ANTIBIOTICS #
Invega (paliperidone tablet); See Table 24drugId:1471; See Table 71drugId:4280 PA ANTIPSYCHOTIC
Invega Sustenna (paliperidone extended-release 1-month injection); See Table 24drugId:1470; See Table 71drugId:4281 PA < 6 years, PA > 2 injections/month within the first 30 days of therapy and PA > 1 injection/month after 30 days of therapy ANTIPSYCHOTIC
Invega Trinza (paliperidone extended-release 3-month injection); See Table 24drugId:5121; See Table 71drugId:5122 PA < 6 years and PA > 1 injection/3 months ANTIPSYCHOTIC PD
Inveltys (loteprednol 1% suspension)drugId:7285 PA OPHTHALMIC PREPARATIONS
Invirase (saquinavir)drugId:1832 ANTIVIRALS
Invokamet (canagliflozin / metformin)drugId:4775 DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723 PA DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780 DIABETIC AGENTS
iobenguane I 131drugId:6980 CHEMOTHERAPY ^
iodinedrugId:1992 ANTISEPTICS *
IopidinedrugId:84 (apraclonidine)drugId:84 OPHTHALMIC PREPARATIONS #
ipilimumabdrugId:2296 CHEMOTHERAPY
Ipol (poliovirus vaccine, inactivated)drugId:1546 BIOLOGICAL 1
ipratropium inhalation aerosoldrugId:833 BRONCHODILATORS
ipratropium inhalation solution BRONCHODILATORS
ipratropium nasal spray NASAL PREPARATIONS #
Iprivask (desirudin)drugId:2989 PA ANTICOAGULANTS
irbesartandrugId:968 CARDIOVASCULAR #
irbesartan / hydrochlorothiazidedrugId:969 CARDIOVASCULAR #
Iressa (gefitinib)drugId:924 PA CHEMOTHERAPY
irinotecandrugId:970 CHEMOTHERAPY #
irinotecan liposomedrugId:5285 PA CHEMOTHERAPY
isatuximab-irfcdrugId:7395 PA CHEMOTHERAPY
isavuconazoniumdrugId:4909 PA FUNGICIDES
Isentress (raltegravir)drugId:2701 ANTIVIRALS
isocarboxazid; See Table 17drugId:2619; See Table 71drugId:3600 PA ANTIDEPRESSANTS
isoniaziddrugId:5740 ANTIBIOTICS
isopropyl alcoholdrugId:976 ANTISEPTICS *
Isopto Atropine (atropine ophthalmic) OPHTHALMIC PREPARATIONS #
Isopto CarpinedrugId:2635 (pilocarpine eye drops)drugId:2635 OPHTHALMIC PREPARATIONS #
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978 PA CARDIOVASCULAR BP
IsordildrugId:6290 (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId:6290 CARDIOVASCULAR #
isosorbide dinitrate / hydralazinedrugId:982 PA CARDIOVASCULAR
isosorbide dinitrate 40 mg tabletdrugId:978 PA CARDIOVASCULAR BP
isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tabletdrugId:6290 CARDIOVASCULAR #
isosorbide dinitrate extended-release capsuledrugId:977 CARDIOVASCULAR
isosorbide dinitrate extended-release tabletdrugId:6760 CARDIOVASCULAR
isosorbide mononitratedrugId:979 CARDIOVASCULAR
isotretinoin-AbsoricadrugId:2881 PA DERMATOLOGICAL
isotretinoin micronizeddrugId:7368 PA DERMATOLOGICAL
isotretinoindrugId:983 PA ≥ 22 years DERMATOLOGICAL
isradipine immediate-releasedrugId:987 CARDIOVASCULAR
Istalol (timolol-Istalol)drugId:1703 OPHTHALMIC PREPARATIONS BP
Istodax (romidepsin)drugId:1959 PA CHEMOTHERAPY
istradefyllinedrugId:7349 PA ANTIPARKINSON
itraconazole 100 mg capsuledrugId:988 FUNGICIDES #
itraconazole 200 mg tabletdrugId:2728 PA FUNGICIDES
itraconazole 65 mg capsuledrugId:7011 PA FUNGICIDES
itraconazole solutiondrugId:7060 FUNGICIDES BP
ivabradinedrugId:5124 PA CARDIOVASCULAR
ivacaftordrugId:2487 PA CYSTIC FIBROSIS AGENTS
ivermectin creamdrugId:4813 PA DERMATOLOGICAL
ivermectin lotiondrugId:2584 PA ANTIPARASITICS
ivermectin tabletdrugId:989 ANTIPARASITICS #
ivosidenibdrugId:6925 PA CHEMOTHERAPY
ixabepilonedrugId:990 CHEMOTHERAPY
ixazomibdrugId:5281 PA CHEMOTHERAPY
ixekizumabdrugId:5399 PA IMMUNOMODULATOR PD
Ixempra (ixabepilone)drugId:990 CHEMOTHERAPY
Ixiaro (japanese encephalitis vaccine)drugId:2044 BIOLOGICAL
Ixinity (factor IX human recombinant-Ixinity) ANTI-HEMOPHILIA AGENTS

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

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Last updated 09/14/20