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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
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
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
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
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 orally disintegrating tabletdrugId:7265 - PA NONSTEROIDAL ANTI-INFLAMMATORY
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
meperidinedrugId:1144 - PA OPIOID ANALGESICS
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
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
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-Adhansia XR - PA; See Table 31drugId:7232; See Table 71drugId:7233 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-Jornay PM - PA; See Table 31drugId:7238; See Table 71drugId:7239 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
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
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
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
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 105 mg, 135 mg tabletdrugId:7262 - PA 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
Minolira (minocycline extended-release 105 mg, 135 mg tablet)drugId:7262 - 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 NARCOLEPSY AGENTS
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
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

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 11/25/19