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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
Kadcyla (ado-trastuzumab)drugId:2781 - PA CHEMOTHERAPY
Kadian (morphine extended-release capsule)drugId:1385 - PA OPIOID ANALGESICS
Kalbitor (ecallantide)drugId:1941 ^ ENZYMES
Kaletra (lopinavir / ritonavir)drugId:1098 BP ANTIVIRALS
Kalydeco (ivacaftor)drugId:2487 - PA CYSTIC FIBROSIS AGENTS
Kanuma (sebelipase alfa)drugId:5388 - PA ENZYMES
Kaochlor (potassium chloride-Kaochlor) ELECTROLYTES AND NUTRIENTS
Kaon-CL (potassium chloride-Kaon-CL) ELECTROLYTES AND NUTRIENTS
Kapspargo (metoprolol extended-release capsule)drugId:7135 - PA CARDIOVASCULAR
Karbinal ER (carbinoxamine extended-release)drugId:2962 - PA ANTIHISTAMINES
Kazano (alogliptin / metformin)drugId:2782 - PA DIABETIC AGENTS
Kcentra (prothrombin complex concentrate, human) HEMOSTATICS
Kedrab (rabies immune globulin IM, human-Kedrab)drugId:6741 BIOLOGICAL
Keflex (cephalexin 750 mg capsule)drugId:209 - PA ANTIBIOTICS
KeflexdrugId:208 # (cephalexin 250 mg, 500 mg capsule, suspension)drugId:208 ANTIBIOTICS
Kenalog (triamcinolone spray)drugId:2526 - PA GLUCOCORTICOIDS
KenalogdrugId:6460 # (triamcinolone injection)drugId:6460 GLUCOCORTICOIDS
Kepivance (palifermin) ANTIDOTES
Keppra # (levetiracetam injection, solution, tablet); See Table 20drugId:1037; See Table 71drugId:4302 ANTICONVULSANTS
Keppra XR # (levetiracetam extended-release) - PA < 6 years; See Table 20drugId:1038; See Table 71drugId:4320 ANTICONVULSANTS
Kerydin (tavaborole)drugId:4629 - PA FUNGICIDES
Ketek (telithromycin)drugId:1659 - PA ANTIBIOTICS
ketoconazole creamdrugId:2047 FUNGICIDES
ketoconazole foamdrugId:994 - PA FUNGICIDES
ketoconazole shampoodrugId:995 FUNGICIDES
ketoconazole tabletdrugId:1996 FUNGICIDES
ketoprofendrugId:997 NONSTEROIDAL ANTI-INFLAMMATORY
ketoprofen extended-releasedrugId:2067 - PA NONSTEROIDAL ANTI-INFLAMMATORY
ketorolac 0.4% ophthalmic solutiondrugId:2271 OPHTHALMIC PREPARATIONS
ketorolac 0.45% ophthalmic solutiondrugId:999 - PA OPHTHALMIC PREPARATIONS
ketorolac 0.5% ophthalmic solutiondrugId:2270 OPHTHALMIC PREPARATIONS
ketorolac nasal spraydrugId:2289 - PA NONSTEROIDAL ANTI-INFLAMMATORY
ketorolac tablets and injectiondrugId:2189 - PA > 20 units/month NONSTEROIDAL ANTI-INFLAMMATORY
ketotifendrugId:6208 * ANTIHISTAMINES
ketotifen powderdrugId:7052 - PA ANTIHISTAMINES
Keveyis (dichlorphenamide)drugId:5260 - PA UNCLASSIFIED DRUG PRODUCTS
Kevzara (sarilumab)drugId:6181 - PA IMMUNOMODULATOR
Keytruda (pembrolizumab)drugId:4780 - PA CHEMOTHERAPY
Khedezla (desvenlafaxine extended-release-Khedezla) - PA; See Table 17drugId:2907; See Table 71drugId:3922 ANTIDEPRESSANTS
Kineret (anakinra)drugId:66 - PA IMMUNOMODULATOR
Kinrix (diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccine)drugId:535 1 BIOLOGICAL
Kisqali (ribociclib)drugId:6102 - PA CHEMOTHERAPY
Kisqali-Femara Co-Pack (ribociclib / letrozole)drugId:6103 - PA CHEMOTHERAPY
Kitabis PakdrugId:4781 # (tobramycin inhalation solution-Kitabis Pak)drugId:4781 ANTIBIOTICS
KlarondrugId:1899 # (sulfacetamide)drugId:1899 - PA ≥ 22 years DERMATOLOGICAL
Klonopin # (clonazepam tablet) - PA < 6 years; See Table 69drugId:274; See Table 71drugId:4363 BENZODIAZEPINES
Klor-Con # (potassium chloride-Klor-Con) ELECTROLYTES AND NUTRIENTS
Koate-DVI (antihemophilic factor, human-Koate-DVI) ANTI-HEMOPHILIA AGENTS
Kogenate (antihemophilic factor, recombinant-Kogenate) ANTI-HEMOPHILIA AGENTS
Kombiglyze XR (saxagliptin / metformin extended-release)drugId:2103 DIABETIC AGENTS
Korlym (mifepristone)drugId:2519 - PA DIABETIC AGENTS
Kovaltry (antihemophilic factor, recombinant-Kovaltry) ANTI-HEMOPHILIA AGENTS
K-phos M.F. (potassium phosphate / sodium phosphate) ELECTROLYTES AND NUTRIENTS
K-phos Neutral (potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate) ELECTROLYTES AND NUTRIENTS
K-phos No.2 (potassium phosphate / sodium phosphate / phosphorus) ELECTROLYTES AND NUTRIENTS
Krystexxa (pegloticase)drugId:6294 - PA GOUT AGENTS
K-Tab (potassium chloride-K-Tab) ELECTROLYTES AND NUTRIENTS
Kuvan (sapropterin)drugId:1831 - PA ENZYMES
Kyleena (levonorgestrel-releasing intrauterine system 19.5 mg) CONTRACEPTIVES
Kymriah (tisagenlecleucel)drugId:6404 CO ^ - PA CHEMOTHERAPY
Kyprolis (carfilzomib)drugId:2581 - PA CHEMOTHERAPY

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 08/20/19