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MassHealth Drug List table

Drug - Brand Name (Generic Name)	Class
macimorelindrugId:6920 ^	OTHER HORMONES
macitentandrugId:2892 - PA	CARDIOVASCULAR
Macrilen (macimorelin)drugId:6920 ^	OTHER HORMONES
MacrobiddrugId:1225 # (nitrofurantoin monohydrate / macrocrystals)drugId:1225	ANTIBIOTICS
MacrodantindrugId:1224 # (nitrofurantoin macrocrystals)drugId:1224	ANTIBIOTICS
Macugen (pegaptanib) ^	OPHTHALMIC PREPARATIONS
mafenidedrugId:1113	ANTIBIOTICS
magaldrate *	GASTROINTESTINAL AGENT
magnesium saltsdrugId:1114 *	CONSTIPATION AGENTS
magnesium sulfate	LAXATIVES
Makena (hydroxyprogesterone caproate injection-Makena)drugId:2243 - PA	HORMONE REPLACEMENT THERAPY
Malarone # (atovaquone / proguanil)	ANTIMALARIALS
malathiondrugId:1117 - PA	ANTIPARASITICS
maprotiline - PA < 6 years; See Table 17drugId:1118; See Table 71drugId:4100	ANTIDEPRESSANTS
maravirocdrugId:1119 - PA	ANTIVIRALS
Marcaine # (bupivacaine)	ANESTHETICS
Marinol (dronabinol capsule)drugId:582 - PA	ANTIEMETICS
Marplan (isocarboxazid) - PA; See Table 17drugId:2619; See Table 71drugId:3600	ANTIDEPRESSANTS
Marqibo (vincristine liposome)drugId:2890 - PA	CHEMOTHERAPY
Matulane (procarbazine)drugId:1589	CHEMOTHERAPY
Mavenclad (cladribine tablet)drugId:7224 - PA	MULTIPLE SCLEROSIS AGENTS
Mavyret (glecaprevir / pibrentasvir)drugId:6360 PD - PA	ANTIVIRALS
MaxaltdrugId:1451 # (rizatriptan tablet)drugId:1451 - PA > 18 units/month	TRIPTAN
Maxalt MLTdrugId:1450 # (rizatriptan orally disintegrating tablet)drugId:1450 - PA > 18 units/month	TRIPTAN
Maxidex (dexamethasone ophthalmic suspension)drugId:493 - PA	OPHTHALMIC PREPARATIONS
MaxipimedrugId:195 # (cefepime)drugId:195	ANTIBIOTICS
MaxitroldrugId:1191 # (neomycin / polymyxin B / dexamethasone ophthalmic ointment, suspension)drugId:1191	OPHTHALMIC PREPARATIONS
MaxzidedrugId:1756 # (hydrochlorothiazide / triamterene)drugId:1756	CARDIOVASCULAR
Mayzent (siponimod)drugId:7184 - PA	MULTIPLE SCLEROSIS AGENTS
measles / mumps / rubella / varicella virus vaccinedrugId:1122 1	BIOLOGICAL
measles / mumps / rubella vaccinedrugId:1121 1	BIOLOGICAL
mebendazoledrugId:5394 - PA	ANTIPARASITICS
mecamylaminedrugId:2824 - PA	CARDIOVASCULAR
mecasermindrugId:1124 - PA	HORMONE AGENTS
mechlorethamine geldrugId:2893	CHEMOTHERAPY
mechlorethamine injectiondrugId:1125	CHEMOTHERAPY
meclizine *	ANTIEMETICS
meclofenamatedrugId:1127 - PA	NONSTEROIDAL ANTI-INFLAMMATORY
MedroldrugId:967 # (methylprednisolone)drugId:967	GLUCOCORTICOIDS
medroxyprogesterone / estrogens, conjugated-Premphase	HORMONE REPLACEMENT THERAPY
medroxyprogesterone / estrogens, conjugated-Prempro	HORMONE REPLACEMENT THERAPY
medroxyprogesterone syringe	CONTRACEPTIVES
medroxyprogesterone tablet	HORMONE REPLACEMENT THERAPY
medroxyprogesterone vial	CONTRACEPTIVES
mefenamic aciddrugId:1133	NONSTEROIDAL ANTI-INFLAMMATORY
mefloquine	ANTIMALARIALS
MegacedrugId:1135 # (megestrol 40 mg/mL suspension)drugId:1135	APPETITE STIMULANTS
Megace ES (megestrol 625 mg/5 mL suspension)drugId:1136 - PA	APPETITE STIMULANTS
megestrol 40 mg/mL suspensiondrugId:1135	APPETITE STIMULANTS
megestrol 625 mg/5 mL suspensiondrugId:1136 - PA	APPETITE STIMULANTS
megestrol tablet	APPETITE STIMULANTS
Mekinist (trametinib)drugId:2845 - PA	CHEMOTHERAPY
Mektovi (binimetinib)drugId:6802 - PA	CHEMOTHERAPY
melatonin / pyridoxine tabletdrugId:6211*	ELECTROLYTES AND NUTRIENTS
melatonin powderdrugId:7111 - PA	ELECTROLYTES AND NUTRIENTS
melatonin tablet, solutiondrugId:6210 *	ELECTROLYTES AND NUTRIENTS
meloxicam capsuledrugId:5404 - PA	ANTIARTHRITICS
meloxicam suspensiondrugId:2052 - PA	NONSTEROIDAL ANTI-INFLAMMATORY
meloxicam tabletdrugId:1137	NONSTEROIDAL ANTI-INFLAMMATORY
melphalan hydrochloride injectiondrugId:1138	CHEMOTHERAPY
melphalan injectiondrugId:5385	CHEMOTHERAPY
melphalan tabletdrugId:5504	CHEMOTHERAPY
memantine / donepezil extended-releasedrugId:5127 - PA	ALZHEIMER'S THERAPY
memantine extended-releasedrugId:2821 BP - PA	ALZHEIMER'S THERAPY
memantine solutiondrugId:2252 - PA	ALZHEIMER'S THERAPY
memantine tabletdrugId:1139 - PA <18 years and PA > 60 units/month	ALZHEIMER'S THERAPY
memantine titration packdrugId:2253 - PA < 18 years and PA > 49 units/month	ALZHEIMER'S THERAPY
Menactra (meningococcal conjugate vaccine)drugId:1140 1	BIOLOGICAL
Menest (estrogens,esterified)	HORMONE REPLACEMENT THERAPY
meningococcal conjugate vaccinedrugId:1140 1	BIOLOGICAL
meningococcal group B vaccine-BexserodrugId:4905 1	BIOLOGICAL
meningococcal group B vaccine-TrumenbadrugId:4815 1	BIOLOGICAL
meningococcal quadrivalent vaccinedrugId:1141 1	BIOLOGICAL
Menostar (estradiol-menostar)	HORMONE REPLACEMENT THERAPY
Mentax (butenafine)drugId:412 - PA	FUNGICIDES
Menveo A/C/Y/W-135 (meningococcal quadrivalent vaccine)drugId:1141 1	BIOLOGICAL
mepenzolate	ANTISPASMODICS,ANTICHOLINERGIC
meperidinedrugId:1144 - PA	OPIOID ANALGESICS
Mephyton (phytonadione) BP	ELECTROLYTES AND NUTRIENTS
mepivacaine ^	ANESTHETICS
mepolizumabdrugId:5282 - PA	BIOLOGICAL
meprobamate - PA; See Table 69drugId:5727; See Table 71drugId:1146	ANTI-ANXIETY AGENT
MeprondrugId:106 # (atovaquone)drugId:106	ANTIPARASITICS
Mepsevii (vestronidase alfa-vjbk)drugId:6521 - PA	ENZYMES
mercaptopurine oral suspensiondrugId:4632 - PA	CHEMOTHERAPY
mercaptopurine tabletdrugId:1147	CHEMOTHERAPY
meropenemdrugId:1148	ANTIBIOTICS
meropenem / vaborbactamdrugId:6363 - PA	OTHER ANTIBIOTICS
MerremdrugId:1148 # (meropenem)drugId:1148	ANTIBIOTICS
mesalamine capsuledrugId:2720	GI ANTI-INFLAMMATORY
mesalamine controlled-releasedrugId:1154 - PA	GI ANTI-INFLAMMATORY
mesalamine delayed-releasedrugId:1153	GI ANTI-INFLAMMATORY
mesalamine enemadrugId:2937	GI ANTI-INFLAMMATORY
mesalamine extended-releasedrugId:1150	GI ANTI-INFLAMMATORY
mesalamine high dose delayed-releasedrugId:1152 BP	GI ANTI-INFLAMMATORY
mesalamine kitdrugId:1149 - PA	GI ANTI-INFLAMMATORY
mesalamine suppositorydrugId:2095	GI ANTI-INFLAMMATORY
mesna injection	ANTIDOTES
mesna tablet	ANTIDOTES
Mesnex (mesna tablet)	ANTIDOTES
Mesnex # (mesna injection)	ANTIDOTES
MestinondrugId:1612 # (pyridostigmine bromide)drugId:1612	PARASYMPATHETIC AGENTS
Metadate CD (methylphenidate extended-release-Metadate CD) - PA; See Table 31drugId:957; See Table 71drugId:3043	CEREBRAL STIMULANTS
metaproterenol tablet, syrupdrugId:2196	BRONCHODILATORS
metaxalonedrugId:1156 - PA	MUSCLE RELAXANT
metformindrugId:1158	DIABETIC AGENTS
metformin extended-release-FortametdrugId:1157 - PA	DIABETIC AGENTS
metformin extended-release-Glucophage XRdrugId:1159	DIABETIC AGENTS
metformin extended-release-GlumetzadrugId:2987 - PA	DIABETIC AGENTS
metformin solutiondrugId:1161 BP - PA ≥ 13 years	DIABETIC AGENTS
methadone injectiondrugId:2738 - PA	OPIOID ANALGESICS
methadone oral-DolophinedrugId:1163 - PA	OPIOID ANALGESICS
methadone oral-MethadosedrugId:1164 - PA	OPIOID ANALGESICS
methadone powderdrugId:1162 - PA	OPIOID ANALGESICS
Methadose (methadone oral-Methadose)drugId:1164 - PA	OPIOID ANALGESICS
methamphetamine - PA; See Table 31drugId:1165; See Table 71drugId:3142	CEREBRAL STIMULANTS
methazolamide	CARDIOVASCULAR
methenaminedrugId:938	ANTIBACTERIAL
methimazole	THYROID PREPARATIONS
methocarbamoldrugId:942 - PA < 16 years	MUSCLE RELAXANT
methotrexate injectiondrugId:2935	CHEMOTHERAPY
methotrexate oral solutiondrugId:6125 - PA	IMMUNOMODULATOR
methotrexate subcutaneous injection-OtrexupdrugId:2929 - PA	IMMUNOMODULATOR
methotrexate subcutaneous injection-RasuvodrugId:4633 - PA	IMMUNOMODULATOR
methotrexate tablet; See Table 5drugId:5140; See Table 57drugId:943	CHEMOTHERAPY
methoxsalen capsules	DERMATOLOGICAL
methoxsalen topical	DERMATOLOGICAL
methoxy polyethylene glycol / epoetin betadrugId:4784 ^	HEMATINIC AGENT
methscopolamine	ANTISPASMODICS,ANTICHOLINERGIC
methsuximide; See Table 20drugId:948; See Table 71drugId:4441	ANTICONVULSANTS
methyclothiazidedrugId:949	CARDIOVASCULAR
methylcellulosedrugId:5920 *	CONSTIPATION AGENTS
methyldopadrugId:950	CARDIOVASCULAR
methyldopa / hydrochlorothiazidedrugId:951	CARDIOVASCULAR
methylergonovine	OXYTOCICS
Methylin oral solution # (methylphenidate oral solution) - PA < 3 years and PA > 900 mL/month; See Table 31drugId:960; See Table 71drugId:3161	CEREBRAL STIMULANTS
methylnaltrexonedrugId:953 - PA	CONSTIPATION AGENTS
methylphenidate chewable tablet - PA < 3 years and PA > 90 units/month; See Table 31drugId:959; See Table 71drugId:3181	CEREBRAL STIMULANTS
methylphenidate extended-release 72 mg tablet - PA; See Table 31drugId:6610; See Table 71drugId:6611	CEREBRAL STIMULANTS
methylphenidate extended-release-Aptensio XR - PA; See Table 31drugId:5100; See Table 71drugId:5101	CEREBRAL STIMULANTS
methylphenidate extended-release chewable tablet - PA; See Table 31drugId:5391; See Table 71drugId:5392	CEREBRAL STIMULANTS
methylphenidate extended-release-Concerta BP - PA < 3 years and PA > 60 units/month; See Table 31drugId:2662; See Table 71drugId:3041	CEREBRAL STIMULANTS
methylphenidate extended-release-Metadate CD - PA; See Table 31drugId:957; See Table 71drugId:3043	CEREBRAL STIMULANTS
methylphenidate extended-release orally disintegrating tablet - PA; See Table 31drugId:6281; See Table 71drugId:6282	CEREBRAL STIMULANTS
methylphenidate extended-release oral suspension - PA; See Table 31drugId:2731; See Table 71drugId:3042	CEREBRAL STIMULANTS
methylphenidate oral solution - PA < 3 years and PA > 900 mL/month; See Table 31drugId:960; See Table 71drugId:3161	CEREBRAL STIMULANTS
methylphenidate powder - PA; See Table 31drugId:954; See Table 71drugId:3180	CEREBRAL STIMULANTS
methylphenidate-Ritalin LA - PA; See Table 31drugId:2421; See Table 71drugId:3040	CEREBRAL STIMULANTS
methylphenidate-Ritalin - PA < 3 years and PA > 90 units/month; See Table 31drugId:961; See Table 71drugId:3201	CEREBRAL STIMULANTS
methylphenidate sustained-release tablet - PA < 3 years and PA > 90 units/month; See Table 31drugId:963; See Table 71drugId:3200	CEREBRAL STIMULANTS
methylphenidate transdermal - PA; See Table 31drugId:955; See Table 71drugId:3060	CEREBRAL STIMULANTS
methylprednisolonedrugId:967	GLUCOCORTICOIDS
methylprednisolone acetatedrugId:966	GLUCOCORTICOIDS
methylprednisolone sodium succinatedrugId:964	GLUCOCORTICOIDS
methyltestosterone	HORMONE REPLACEMENT THERAPY
metipranololdrugId:1331	OPHTHALMIC PREPARATIONS
metoclopramide	ANTIEMETICS
metoclopramide orally disintegrating tabletdrugId:1334 - PA	GASTROINTESTINAL AGENT
metolazonedrugId:1335	CARDIOVASCULAR
metoprololdrugId:1338	CARDIOVASCULAR
metoprolol / hydrochlorothiazidedrugId:1339	CARDIOVASCULAR
metoprolol extended-release capsuledrugId:7135 - PA	CARDIOVASCULAR
metoprolol extended-release tabletdrugId:1337	CARDIOVASCULAR
metreleptindrugId:2965 - PA	OTHER HORMONES
MetrodrugId:5640 # (metronidazole injection)drugId:5640	ANTIBIOTICS
MetrocreamdrugId:1344 # (metronidazole 0.75% cream)drugId:1344	DERMATOLOGICAL
Metrogel (metronidazole 1% gel)drugId:1345 - PA	DERMATOLOGICAL
Metrogel-VaginaldrugId:4882 # (metronidazole 0.75% vaginal gel-Metrogel-Vaginal)drugId:4882	ANTIBIOTICS
MetrolotiondrugId:1346 # (metronidazole lotion)drugId:1346	DERMATOLOGICAL
metronidazole 0.75% creamdrugId:1344	DERMATOLOGICAL
metronidazole 0.75% geldrugId:4883	DERMATOLOGICAL
metronidazole 0.75% vaginal gel-Metrogel-VaginaldrugId:4882	ANTIBIOTICS
metronidazole 0.75% vaginal gel-VandazoledrugId:4887	ANTIBIOTICS
metronidazole 1.3% vaginal geldrugId:4948 - PA	ANTIBIOTICS
metronidazole 1% creamdrugId:1348 - PA	DERMATOLOGICAL
metronidazole 1% geldrugId:1345 - PA	DERMATOLOGICAL
metronidazole 250 mg, 500 mg tabletdrugId:1341	ANTIBIOTICS
metronidazole 375 mg capsuledrugId:1988 - PA	ANTIBIOTICS
metronidazole injectiondrugId:5640	ANTIBIOTICS
metronidazole lotiondrugId:1346	DERMATOLOGICAL
metyrosine	CARDIOVASCULAR
mexiletine	CARDIOVASCULAR
Miacalcin (calcitonin salmon injection)drugId:4960 - PA	HORMONE AGENTS
MiacalcindrugId:423 # (calcitonin salmon nasal spray-Miacalcin)drugId:423	HORMONE AGENTS
micafungin	ANTIBIOTICS
Micardis (telmisartan)drugId:1660 - PA	CARDIOVASCULAR
Micardis HCT (telmisartan / hydrochlorothiazide)drugId:1663 - PA	CARDIOVASCULAR
miconazole / zinc oxide ointmentdrugId:1353 - PA	FUNGICIDES
miconazoledrugId:1352 *	FUNGICIDES
miconazole buccal tabletdrugId:1966 - PA	FUNGICIDES
miconazole nitrate powderdrugId:7163 - PA	FUNGICIDES
Micrhogam (rho(d) immune globulin IM, human-Micrhogam)drugId:2746	BIOLOGICAL
Micro-K # (potassium chloride-Micro-K)	ELECTROLYTES AND NUTRIENTS
MicrozidedrugId:716 # (hydrochlorothiazide)drugId:716	CARDIOVASCULAR
midazolam injectabledrugId:1354	BENZODIAZEPINES
midazolam powder - PA; See Table 69drugId:2507; See Table 71drugId:4422	BENZODIAZEPINES
midazolam syrup - PA < 6 years; See Table 69drugId:4421; See Table 71drugId:4420	BENZODIAZEPINES
midodrine	ADRENERGICS
midostaurindrugId:6184 - PA	CHEMOTHERAPY
mifepristonedrugId:2519 - PA	DIABETIC AGENTS
migalastatdrugId:6982 - PA	ENZYMES
miglitoldrugId:1356	DIABETIC AGENTS
miglustatdrugId:1357 BP - PA	ENZYMES
Migranal (dihydroergotamine nasal spray)drugId:527 - PA	ANALGESICS
milnaciprandrugId:1358 - PA	ANALGESICS
milrinone	CARDIOVASCULAR
Minastrin 24 Fe # (ethinyl estradiol / norethindrone / ferrous fumarate chewable-Minastrin 24 Fe)	CONTRACEPTIVES
mineral oildrugId:1360 *	CONSTIPATION AGENTS
Minipress # (prazosin); See Table 18drugId:1573; See Table 19drugId:5164	CARDIOVASCULAR
Minivelle (estradiol-Minivelle)	HORMONE REPLACEMENT THERAPY
Minocin (minocycline injection)drugId:5660	ANTIBIOTICS
minocycline capsuledrugId:2303	ANTIBIOTICS
minocycline extended-release 45 mg, 90 mg, 135 mg tabletdrugId:7165 - PA	ANTIBIOTICS
minocycline extended-release 55 mg, 65 mg, 80 mg, 105 mg, 115 mg tabletdrugId:1364 BP	ANTIBIOTICS
minocycline extended-release capsuledrugId:6413 - PA	ANTIBIOTICS
minocycline injectiondrugId:5660	ANTIBIOTICS
minocycline tabletdrugId:1361 - PA	ANTIBIOTICS
minoxidildrugId:1365	CARDIOVASCULAR
Miochol-E (acetylcholine chloride)drugId:1982	OPHTHALMIC PREPARATIONS
Miostat (carbachol 0.01%)drugId:1984	OPHTHALMIC PREPARATIONS
mirabegron extended-releasedrugId:2642	ADRENERGICS
MirapexdrugId:1569 # (pramipexole)drugId:1569	ANTIPARKINSON
Mirapex ER (pramipexole extended-release)drugId:1943 - PA	ANTIPARKINSON
Mircera (methoxy polyethylene glycol / epoetin beta)drugId:4784 ^	HEMATINIC AGENT
Mirena (levonorgestrel-releasing intrauterine system 52 mg-Mirena)	CONTRACEPTIVES
mirtazapine orally disintegrating tablet - PA; See Table 17drugId:1367; See Table 71drugId:3620	ANTIDEPRESSANTS
mirtazapine - PA < 6 years; See Table 17drugId:1366; See Table 71drugId:3621	ANTIDEPRESSANTS
Mirvaso (brimonidine topical gel, 0.33%)drugId:2891 - PA	DERMATOLOGICAL
misoprostol	ANTACIDS
Mitigare (colchicine capsule)drugId:4765 - PA	GOUT AGENTS
mitomycin injectiondrugId:1370	CHEMOTHERAPY
mitotanedrugId:4881	CHEMOTHERAPY
mitoxantronedrugId:1372	CHEMOTHERAPY
M-M-R II Vaccine (measles / mumps / rubella vaccine)drugId:1121 1	BIOLOGICAL
MobicdrugId:1137 # (meloxicam tablet)drugId:1137	NONSTEROIDAL ANTI-INFLAMMATORY
modafinildrugId:1373 - PA	CEREBRAL STIMULANTS
moexiprildrugId:1375	CARDIOVASCULAR
moexipril / hydrochlorothiazidedrugId:1377	CARDIOVASCULAR
mogamulizumab-kpkcdrugId:6924 - PA	CHEMOTHERAPY
molindone - PA < 6 years; See Table 24drugId:6325; See Table 71drugId:1378	ANTIPSYCHOTIC
mometasone / formoteroldrugId:1958 - PA	BRONCHODILATORS
mometasone 110 mcg inhalation powderdrugId:2663 - PA ≥ 12 years	BRONCHODILATORS
mometasone 220 mcg inhalation powderdrugId:1379 - PA < 12 years	BRONCHODILATORS
mometasone cream, solutiondrugId:1382	GLUCOCORTICOIDS
mometasone inhalation aerosoldrugId:5102	BRONCHODILATORS
mometasone nasal spraydrugId:1381 - PA	NASAL PREPARATIONS
mometasone ointmentdrugId:5024	GLUCOCORTICOIDS
mometasone sinus implantdrugId:6684 - PA	NASAL PREPARATIONS
Monoclate-P (antihemophilic factor, human-Monoclate-P)	ANTI-HEMOPHILIA AGENTS
Mononine (factor IX)	ANTI-HEMOPHILIA AGENTS
Monovisc (hyaluronate-Monovisc)drugId:4805 - PA; Non-Drug Product	NON-DRUG PRODUCT
montelukast granulesdrugId:5129 - PA	BRONCHODILATORS
montelukast tablet, chewable tabletdrugId:1383	BRONCHODILATORS
Monurol (fosfomycin)drugId:911	ANTIBIOTICS
Morphabond ER (morphine extended-release tablet-Morphabond ER)drugId:6124 - PA	OPIOID ANALGESICS
morphine, injection-Astramorph-PFdrugId:1391 - PA > 120 mg/day	OPIOID ANALGESICS
morphine, injection-DuramorphdrugId:1392 - PA > 120 mg/day	OPIOID ANALGESICS
morphine / naltrexonedrugId:4766 - PA	OPIOID ANALGESICS
morphine controlled-release tabletdrugId:1389 - PA > 120 mg/day	OPIOID ANALGESICS
morphine extended-release capsuledrugId:1385 - PA	OPIOID ANALGESICS
morphine extended-release tablet-Arymo ERdrugId:6040 - PA	OPIOID ANALGESICS
morphine extended-release tablet-Morphabond ERdrugId:6124 - PA	OPIOID ANALGESICS
morphine immediate-releasedrugId:1386 - PA > 120 mg/day	OPIOID ANALGESICS
morphine infusiondrugId:1393	OPIOID ANALGESICS
morphine powderdrugId:1395 - PA	OPIOID ANALGESICS
morphine suppositoriesdrugId:1387	OPIOID ANALGESICS
Motegrity (prucalopride)drugId:7136 - PA	CONSTIPATION AGENTS
Motofen (difenoxin / atropine)drugId:6111 - PA	ANTIDIARRHEALS
Movantik (naloxegol)drugId:4946 - PA	LAXATIVES
Moviprep (polyethylene glycol-electrolyte solution-Moviprep)drugId:1551	LAXATIVES
moxetumomab pasudotox-tdfkdrugId:7043 - PA	CHEMOTHERAPY
Moxeza (moxifloxacin ophthalmic solution-Moxeza)drugId:2175 - PA	OPHTHALMIC PREPARATIONS
moxifloxacin injectiondrugId:2748	ANTIBIOTICS
moxifloxacin ophthalmic solution-MoxezadrugId:2175 - PA	OPHTHALMIC PREPARATIONS
moxifloxacin ophthalmic solution-VigamoxdrugId:1397	OPHTHALMIC PREPARATIONS
moxifloxacin tabletdrugId:1398 - PA	ANTIBIOTICS
Mozobil (plerixafor)	HEMATINIC AGENT
MS ContindrugId:1389 # (morphine controlled-release tablet)drugId:1389 - PA > 120 mg/day	OPIOID ANALGESICS
Mulpleta (lusutrombopag)drugId:6991 - PA	HEMATOLOGIC
Multaq (dronedarone)	CARDIOVASCULAR
multivitamin-Dekas EssentialdrugId:5623 - PA	HEMATINIC AGENT
multivitamins / minerals / coenzyme Q10-AquadeksdrugId:2380 - PA	HEMATINIC AGENT
multivitamins / minerals / coenzyme Q10-Dekas PlusdrugId:5621 - PA	HEMATINIC AGENT
multivitamins / minerals / folic acid / coenzyme Q10-AquadeksdrugId:2385 - PA	HEMATINIC AGENT
multivitamins / minerals / folic acid / coenzyme Q10-Dekas BariatricdrugId:6605 - PA	ELECTROLYTES AND NUTRIENTS
multivitamins / minerals / folic acid / coenzyme Q10-Dekas PlusdrugId:5622 - PA	HEMATINIC AGENT
multivitaminsdrugId:1399 *	ELECTROLYTES AND NUTRIENTS
mupirocin creamdrugId:1406 - PA	ANTIBIOTICS
mupirocin nasal ointmentdrugId:1405 - PA	ANTIBIOTICS
mupirocin ointmentdrugId:2564	ANTIBIOTICS
mupirocin powderdrugId:7054 - PA	ANTIBIOTICS
Mustargen (mechlorethamine injection)drugId:1125	CHEMOTHERAPY
Myalept (metreleptin)drugId:2965 - PA	OTHER HORMONES
MyambutoldrugId:665 # (ethambutol)drugId:665	ANTIBIOTICS
Mycamine (micafungin)	ANTIBIOTICS
Mycobutin (rifabutin)drugId:1429	ANTIBIOTICS
mycophenolate mofetildrugId:1410	IMMUNOMODULATOR
mycophenolic aciddrugId:1409 - PA	IMMUNOMODULATOR
Mydayis (amphetamine salts extended-release-Mydayis) - PA; See Table 31drugId:6285; See Table 71drugId:6286	CEREBRAL STIMULANTS
Mydriacyl # (tropicamide)	OPHTHALMIC PREPARATIONS
Myfortic (mycophenolic acid)drugId:1409 - PA	IMMUNOMODULATOR
Myleran (busulfan tablet)drugId:2536	CHEMOTHERAPY
Mylotarg (gemtuzumab ozogamicin)drugId:6342 - PA	CHEMOTHERAPY
Myobloc (rimabotulinumtoxinB)drugId:1436 - PA	BIOLOGICAL
Myrbetriq (mirabegron extended-release)drugId:2642	ADRENERGICS
Mysoline # (primidone); See Table 20drugId:1586; See Table 71drugId:4461	ANTICONVULSANTS
Mytesi (crofelemer)drugId:5684 - PA	ANTIDIARRHEALS

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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 10/09/19