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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
Qbrelis (lisinopril solution)drugId:5592 - PA CARDIOVASCULAR
Qbrexza (glycopyrronium cloth)drugId:6987 - PA DERMATOLOGICAL
Qmiiz (meloxicam orally disintegrating tablet)drugId:7265 - PA NONSTEROIDAL ANTI-INFLAMMATORY
Qnasl (beclomethasone nasal aerosol)drugId:2522 - PA NASAL PREPARATIONS
Qtern (dapagliflozin / saxagliptin)drugId:6406 - PA DIABETIC AGENTS
Quadramet (samarium Sm 153 lexidronam) ^ CHEMOTHERAPY
Qualaquin (quinine)drugId:1623 - PA ANTIMALARIALS
Quartette # (levonorgestrel / ethinyl estradiol-Quartette) CONTRACEPTIVES
Qudexy XR (topiramate extended-release capsule-Qudexy XR) - PA; See Table 20drugId:2943; See Table 71drugId:4502 ANTICONVULSANTS
QuestrandrugId:229 # (cholestyramine / sucrose)drugId:229 LIPID LOWERING AGENTS
Questran LightdrugId:2431 # (cholestyramine / aspartame-Questran Light)drugId:2431 LIPID LOWERING AGENTS
quetiapine extended-release 150 mg, 200 mg - PA < 6 years and PA > 30 units/month; See Table 24drugId:1617; See Table 71drugId:4294 ANTIPSYCHOTIC
quetiapine extended-release 50 mg, 300 mg and 400 mg - PA < 6 years and PA > 60 units/month; See Table 24drugId:1616; See Table 71drugId:4295 ANTIPSYCHOTIC
quetiapine - PA < 6 years and PA > 90 units/month; See Table 24drugId:1618; See Table 71drugId:4293 ANTIPSYCHOTIC
Quillichew ER (methylphenidate extended-release chewable tablet) - PA; See Table 31drugId:5391; See Table 71drugId:5392 CEREBRAL STIMULANTS
Quillivant XR (methylphenidate extended-release oral suspension) - PA; See Table 31drugId:2731; See Table 71drugId:3042 CEREBRAL STIMULANTS
quinaprildrugId:1620 CARDIOVASCULAR
quinapril / hydrochlorothiazidedrugId:1621 CARDIOVASCULAR
quininedrugId:1623 - PA ANTIMALARIALS
Qutenza (capsaicin high dose patch)drugId:1946 ^ - PA ANALGESICS
Qvar (beclomethasone MDI, non-breath actuated)drugId:130 BRONCHODILATORS
Qvar Redihaler (beclomethasone MDI, breath-actuated)drugId:6580 - PA BRONCHODILATORS

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 03/30/20