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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
obeticholic aciddrugId:5589 - PA BILE THERAPY
obinutuzumabdrugId:2887 - PA CHEMOTHERAPY
Obizur (antihemophilic factor, recombinant, porcine sequence-Obizur) ANTI-HEMOPHILIA AGENTS
Ocaliva (obeticholic acid)drugId:5589 - PA BILE THERAPY
ocrelizumabdrugId:6104 - PA MULTIPLE SCLEROSIS AGENTS
Ocrevus (ocrelizumab)drugId:6104 - PA MULTIPLE SCLEROSIS AGENTS
ocriplasmin ^ OPHTHALMIC PREPARATIONS
Octagam (immune globulin IV, human-Octagam)drugId:2684 - PA BIOLOGICAL
octreotidedrugId:1269 ENDOCRINE/METABOLIC AGENTS
octreotide injectable suspensiondrugId:2497 ENDOCRINE/METABOLIC AGENTS
OcufloxdrugId:1273 # (ofloxacin ophthalmic solution)drugId:1273 OPHTHALMIC PREPARATIONS
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389 PD ANTIVIRALS
Odomzo (sonidegib)drugId:5284 - PA CHEMOTHERAPY
ofatumumabdrugId:1270 - PA CHEMOTHERAPY
Ofev (nintedanib)drugId:4787 - PA PULMONARY FIBROSIS AGENTS
ofloxacin ophthalmic solutiondrugId:1273 OPHTHALMIC PREPARATIONS
ofloxacin otic solutiondrugId:1272 OTIC PREPARATIONS
ofloxacin tabletdrugId:1271 - PA ANTIBIOTICS
Ogen # (estropipate) HORMONE REPLACEMENT THERAPY
olanzapine / fluoxetine - PA; See Table 17drugId:2058; See Table 24drugId:1279; See Table 71drugId:4264 ANTIDEPRESSANTS
olanzapine 15 mg tablet - PA < 6 years and PA > 60 units/month; See Table 24drugId:2756; See Table 71drugId:4296 ANTIPSYCHOTIC
olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets - PA < 6 years and PA > 30 units/month; See Table 24drugId:1274; See Table 71drugId:4298 ANTIPSYCHOTIC
olanzapine 210 mg, 300 mg extended-release injection - PA < 6 years and PA > 2 injections/month; See Table 24drugId:1277; See Table 71drugId:4301 ANTIPSYCHOTIC
olanzapine 405 mg extended-release injection - PA < 6 years and PA > 1 injection/month; See Table 24drugId:1278; See Table 71drugId:4303 ANTIPSYCHOTIC
olanzapine injectiondrugId:1275 ANTIPSYCHOTIC
olanzapine orally disintegrating tablet - PA; See Table 24drugId:1276; See Table 71drugId:4299 ANTIPSYCHOTIC
olaparibdrugId:4783 - PA CHEMOTHERAPY
olaratumabdrugId:5764 - PA CHEMOTHERAPY
Oleptro (trazodone extended-release) - PA; See Table 17drugId:1964; See Table 71drugId:3860 ANTIDEPRESSANTS
olmesartan / hydrochlorothiazidedrugId:1282 - PA CARDIOVASCULAR
olmesartandrugId:1281 - PA CARDIOVASCULAR
olodateroldrugId:4641 - PA BRONCHODILATORS
olopatadine 0.1% eye dropsdrugId:1285 - PA ANTIHISTAMINES
olopatadine 0.2% eye dropsdrugId:1284 - PA ANTIHISTAMINES
olopatadine 0.7% eye dropsdrugId:4791 - PA ANTIHISTAMINES
olopatadine nasal spraydrugId:1283 - PA NASAL PREPARATIONS
olsalazinedrugId:1286 - PA GI ANTI-INFLAMMATORY
Olumiant (baricitinib)drugId:6803 - PA IMMUNOMODULATOR
Olux (clobetasol propionate foam)drugId:268 - PA GLUCOCORTICOIDS
Olux-E (clobetasol propionate foam / emollient)drugId:2532 - PA GLUCOCORTICOIDS
Olysio (simeprevir)drugId:2880 - PA ANTIVIRALS
omacetaxine mepesuccinatedrugId:2659 - PA CHEMOTHERAPY
omalizumabdrugId:1287 - PA BIOLOGICAL
ombitasvir / paritaprevir / ritonavir / dasabuvirdrugId:4740 - PA ANTIVIRALS
ombitasvir / paritaprevir / ritonavirdrugId:5114 - PA ANTIVIRALS
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582 - PA H. PYLORI AGENTS
omega-3 acid ethyl estersdrugId:1288 - PA LIPID LOWERING AGENTS
omeprazole / clarithromycin / amoxicillindrugId:2582 - PA H. PYLORI AGENTS
omeprazole / sodium bicarbonatedrugId:2988 - PA ANTI-ULCER PREPARATIONS
omeprazole 10 mgdrugId:2100 - PA > 30 units/month PROTON PUMP INHIBITORS
omeprazole 20 mg capsuledrugId:1289 - PA > 120 units/month PROTON PUMP INHIBITORS
omeprazole 40 mgdrugId:2055 - PA > 60 units/month PROTON PUMP INHIBITORS
omeprazole suspensiondrugId:2054 - PA PROTON PUMP INHIBITORS
Omidria (phenylephrine / ketorolac) ^ OPHTHALMIC PREPARATIONS
Omnaris (ciclesonide nasal spray, 50 mcg)drugId:231 - PA NASAL PREPARATIONS
OmnipreddrugId:2633 # (prednisolone acetate 1% ophthalmic suspension-Omnipred)drugId:2633 OPHTHALMIC PREPARATIONS
Omnitrope (somatropin-Omnitrope)drugId:1885 - PA HORMONE AGENTS
onabotulinumtoxinAdrugId:1290 - PA BIOLOGICAL
Oncaspar (pegaspargase)drugId:2430 ^ CHEMOTHERAPY
ondansetron 24 mg tabletdrugId:6375 - PA ANTIEMETICS
ondansetron 4 mg, 8 mg tabletdrugId:1292 ANTIEMETICS
ondansetron filmdrugId:1975 - PA ANTIEMETICS
ondansetron injectiondrugId:1295 ANTIEMETICS
ondansetron orally disintegrating tabletdrugId:1294 ANTIEMETICS
ondansetron solutiondrugId:1293 - PA ANTIEMETICS
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788 - PA DERMATOLOGICAL
Onfi (clobazam) - PA; See Table 20drugId:2419; See Table 71drugId:3300 ANTICONVULSANTS
Onglyza (saxagliptin)drugId:1834 - PA DIABETIC AGENTS
Onivyde (irinotecan liposome)drugId:5285 - PA CHEMOTHERAPY
Onmel (itraconazole 200 mg tablet)drugId:2728 - PA FUNGICIDES
Onzetra (sumatriptan nasal powder)drugId:5590 - PA TRIPTAN
Opana (oxymorphone injection)drugId:2739 - PA OPIOID ANALGESICS
Opana ER (oxymorphone extended-release, oral-Opana ER)drugId:1464 - PA OPIOID ANALGESICS
Opana IR (oxymorphone immediate-release, oral)drugId:1463 - PA OPIOID ANALGESICS
Opcon-A (naphazoline / pheniramine)drugId:6213 OPHTHALMIC PREPARATIONS
Opdivo (nivolumab)drugId:5108 - PA CHEMOTHERAPY
opium tincturedrugId:2423 - PA ANTIDIARRHEALS
oprelvekindrugId:1297 HEMATINIC AGENT
Opsumit (macitentan)drugId:2892 - PA CARDIOVASCULAR
Oracea (doxycycline monohydrate 40 mg capsule)drugId:579 - PA ANTIBIOTICS
Oralair (grass pollen allergen extract)drugId:4789 - PA ALLERGENS
Oralone # (triamcinolone paste) GLUCOCORTICOIDS
Orap # (pimozide) - PA < 6 years; See Table 24drugId:6327; See Table 71drugId:1532 ANTIPSYCHOTIC
Ora-Plus suspending vehicle * COMPOUNDING AGENT
Orapred ODT (prednisolone orally disintegrating tablet)drugId:1577 - PA GLUCOCORTICOIDS
Ora-Sweet oral syrup * COMPOUNDING AGENT
Ora-Sweet-SF oral syrup * COMPOUNDING AGENT
Oravig (miconazole buccal tablet)drugId:1966 - PA ANTIBIOTICS
Orbactiv (oritavancin)drugId:4790 - PA ANTIBIOTICS
Orencia (abatacept)drugId:140 - PA IMMUNOMODULATOR
Orenitram (treprostinil tablet)drugId:2940 - PA CARDIOVASCULAR
Orfadin (nitisinone) ENDOCRINE/METABOLIC AGENTS
oritavancindrugId:4790 - PA ANTIBIOTICS
Orkambi (lumacaftor / ivacaftor)drugId:5126 - PA CYSTIC FIBROSIS AGENTS
orphenadrinedrugId:1301 - PA < 18 years MUSCLE RELAXANT
Ortho-Cyclen # (ethinyl estradiol / norgestimate-Ortho-Cyclen) CONTRACEPTIVES
Ortho Micronor # (norethindrone 0.35 mg) CONTRACEPTIVES
Ortho-Novum # (ethinyl estradiol / norethindrone-Ortho-Novum) CONTRACEPTIVES
Ortho Tri-Cyclen # (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen) CONTRACEPTIVES
Ortho Tri-Cyclen Lo # (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen Lo) CONTRACEPTIVES
Orthovisc (high molecular weight hyaluronan)drugId:4808 - PA; Non-Drug Product NON-DRUG PRODUCT
oseltamivir 30mgdrugId:1303 BP - PA all quantities (June 1st to September 30th); PA > 20 capsules/season (October 1st to May 31st) ANTIVIRALS
oseltamivir 45 mg and 75 mgdrugId:1305 BP - PA all quantities (June 1st to September 30th); PA > 10 capsules/season (October 1st to May 31st) ANTIVIRALS
oseltamivir 6 mg/mL suspensiondrugId:2314 BP - PA all quantities (June 1st to September 30th); PA > 180 mL/season (October 1st to May 31st) ANTIVIRALS
Oseni (alogliptin / pioglitazone)drugId:2783 - PA DIABETIC AGENTS
osimertinibdrugId:5301 - PA CHEMOTHERAPY
Osmoprep (sodium phosphate)drugId:1873 - PA LAXATIVES
Otezla (apremilast)drugId:2941 - PA IMMUNOMODULATOR
Otiprio (ciprofloxacin otic suspension)drugId:5390 ^ OTIC PREPARATIONS
Otovel (ciprofloxacin / fluocinolone)drugId:5683 - PA OTIC PREPARATIONS
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929 - PA IMMUNOMODULATOR
Ovide (malathion)drugId:1117 - PA ANTIPARASITICS
oxacillindrugId:1306 ANTIBIOTICS
oxaliplatindrugId:1307 CHEMOTHERAPY
oxandrolonedrugId:1308 - PA ANABOLIC STEROID
oxaprozindrugId:1309 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Oxaydo (oxycodone-immediate-release-Oxaydo)drugId:6081 - PA OPIOID ANALGESICS
oxazepam - PA < 6 years; See Table 69drugId:1310; See Table 71drugId:4440 BENZODIAZEPINES
oxcarbazepine extended-release - PA; See Table 20drugId:2729; See Table 71drugId:4443 ANTICONVULSANTS
oxcarbazepine - PA < 6 years; See Table 20drugId:1311; See Table 71drugId:4442 ANTICONVULSANTS
oxiconazoledrugId:1312 - PA ANTIBIOTICS
Oxistat (oxiconazole)drugId:1312 - PA ANTIBIOTICS
Oxsoralen (methoxsalen topical) DERMATOLOGICAL
Oxsoralen-Ultra # (methoxsalen capsules) DERMATOLOGICAL
Oxtellar XR (oxcarbazepine extended-release) - PA; See Table 20drugId:2729; See Table 71drugId:4443 ANTICONVULSANTS
oxybutynin extended-release tabletdrugId:1314 URINARY ANTISPASMODICS
oxybutynin geldrugId:1315 - PA URINARY ANTISPASMODICS
oxybutynin immediate-release tablet, syrupdrugId:1313 URINARY ANTISPASMODICS
oxybutynin transdermal system-Oxytrol for WomendrugId:6214 URINARY ANTISPASMODICS
oxybutynin transdermal systemdrugId:1316 - PA URINARY ANTISPASMODICS
oxycodone / acetaminophen 300 mgdrugId:5144 - PA OPIOID ANALGESICS
oxycodone / acetaminophen extended-releasedrugId:2949 - PA ANALGESICS, NARCOTIC
oxycodone / acetaminophendrugId:1321 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone / acetaminophen-PercocetdrugId:1323 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone / aspirindrugId:1460 - PA > 4 g/day aspirin OPIOID ANALGESICS
oxycodone / ibuprofendrugId:774 - PA OPIOID ANALGESICS
oxycodone extended-release capsuledrugId:5598 - PA OPIOID ANALGESICS
oxycodone extended-release tabletdrugId:1319 BP - PA OPIOID ANALGESICS
oxycodone-immediate-release-OxaydodrugId:6081 - PA OPIOID ANALGESICS
oxycodone immediate-release-RoxicodonedrugId:1320 - PA > 80 mg/day OPIOID ANALGESICS
oxycodone powderdrugId:1317 - PA OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319 BP - PA OPIOID ANALGESICS
oxymetazoline creamdrugId:6105 - PA DERMATOLOGICAL
oxymetholone ANABOLIC STEROID
oxymorphone extended-release, oral-Opana ERdrugId:1464 - PA OPIOID ANALGESICS
oxymorphone extended-release, oraldrugId:2912 - PA OPIOID ANALGESICS
oxymorphone immediate-release, oraldrugId:1463 - PA OPIOID ANALGESICS
oxymorphone injectiondrugId:2739 - PA OPIOID ANALGESICS
Oxytrol (oxybutynin transdermal system)drugId:1316 - PA URINARY ANTISPASMODICS
Oxytrol for Women (oxybutynin transdermal system-Oxytrol for Women)drugId:6214 URINARY ANTISPASMODICS
Ozempic (semaglutide)drugId:6613 - PA DIABETIC AGENTS
Ozurdex (dexamethasone intravitreal implant)drugId:494 ^ OPHTHALMIC PREPARATIONS

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.
 
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 10/22/18