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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
Rabavert (rabies virus vaccine-Rabavert)drugId:1628 BIOLOGICAL
rabeprazole delayed-release capsuledrugId:2882 - PA PROTON PUMP INHIBITORS
rabeprazole delayed-release tabletdrugId:1624 - PA PROTON PUMP INHIBITORS
rabies immune globulin IM, human-HyperrabdrugId:1625 BIOLOGICAL
rabies immune globulin IM, human-Imogam Rabies-HTdrugId:1626 BIOLOGICAL
rabies immune globulin IM, human-KedrabdrugId:6741 BIOLOGICAL
rabies virus vaccine-Imovax RabiesdrugId:1627 BIOLOGICAL
rabies virus vaccine-RabavertdrugId:1628 BIOLOGICAL
Radicava (edaravone)drugId:6288 - PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
radium Ra 223 dichloridedrugId:2853 ^ - PA CHEMOTHERAPY
raloxifenedrugId:1629 HORMONE REPLACEMENT THERAPY
raltegravirdrugId:2701 ANTIVIRALS
ramelteondrugId:1631 - PA SEDATIVES
ramiprildrugId:2588 CARDIOVASCULAR
ramucirumabdrugId:2955 - PA CHEMOTHERAPY
Ranexa (ranolazine)drugId:1639 - PA CARDIOVASCULAR
ranibizumab ^ OPHTHALMIC PREPARATIONS
ranitidine capsulesdrugId:1637 - PA H2 ANTAGONISTS
ranitidine injectiondrugId:2693 H2 ANTAGONISTS
ranitidine syrupdrugId:1638 H2 ANTAGONISTS
ranitidine tabletdrugId:1635 * H2 ANTAGONISTS
ranolazinedrugId:1639 - PA CARDIOVASCULAR
Rapaflo (silodosin)drugId:1849 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
RapamunedrugId:1857 # (sirolimus)drugId:1857 IMMUNOMODULATOR
rasagilinedrugId:1640 - PA ANTIPARKINSON
rasburicase ENZYMES
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633 - PA IMMUNOMODULATOR
Ravicti (glycerol phenylbutyrate)drugId:2789 - PA ENZYMES
Rayaldee (calcifediol)drugId:5765 - PA ELECTROLYTES AND NUTRIENTS
Rayos (prednisone delayed-release)drugId:2645 - PA GLUCOCORTICOIDS
RazadynedrugId:920 # (galantamine tablet)drugId:920 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
Razadyne ERdrugId:919 # (galantamine extended-release capsule)drugId:919 - PA < 18 years and PA > 30 units/month ALZHEIMER'S THERAPY
Rebetol (ribavirin 200 mg capsule)drugId:1652 - PA ANTIVIRALS
Rebetol (ribavirin solution)drugId:1653 - PA ≥ 19 years ANTIVIRALS
Rebif (interferon beta-1a-Rebif)drugId:826 MULTIPLE SCLEROSIS AGENTS
Reclast (zoledronic acid 5 mg)drugId:1927 - PA ELECTROLYTES AND NUTRIENTS
Recombinate (antihemophilic factor, recombinant-Recombinate) ANTI-HEMOPHILIA AGENTS
Recombivax HB (hepatitis B recombinant vaccine)drugId:708 1 BIOLOGICAL
Rectiv (nitroglycerin 0.4% ointment) GASTROINTESTINAL AGENT
Reese's Pinworm (pyrantel pamoate)drugId:6217 ANTIPARASITICS
Reglan # (metoclopramide) ANTIEMETICS
regorafenibdrugId:2646 - PA CHEMOTHERAPY
Regranex (becaplermin)drugId:129 - PA DERMATOLOGICAL
Relenza (zanamivir)drugId:1818 - PA all quantities (June 1st to September 30th); PA < 5 years of age and > 20 inhalations/season (October 1st to May 31st) ANTIVIRALS
Relistor (methylnaltrexone)drugId:953 - PA CONSTIPATION AGENTS
Relpax (eletriptan)drugId:593 - PA TRIPTAN
Remeron # (mirtazapine) - PA < 6 years; See Table 17drugId:1366; See Table 71drugId:3621 ANTIDEPRESSANTS
Remeron Sol Tab (mirtazapine orally disintegrating tablet) - PA; See Table 17drugId:1367; See Table 71drugId:3620 ANTIDEPRESSANTS
Remicade (infliximab)drugId:793 - PA IMMUNOMODULATOR
Remodulin (treprostinil injection)drugId:1745 BP - PA CARDIOVASCULAR
Renagel (sevelamer hydrochloride) ELECTROLYTES AND NUTRIENTS
Renflexis (infliximab-abda)drugId:6182 - PA IMMUNOMODULATOR
Renvela (sevelamer carbonate) BP ELECTROLYTES AND NUTRIENTS
repaglinidedrugId:1642 DIABETIC AGENTS
repaglinide / metformindrugId:1643 - PA DIABETIC AGENTS
Repatha (evolocumab)drugId:5120 - PA LIPID LOWERING AGENTS
RequipdrugId:1453 # (ropinirole)drugId:1453 ANTIPARKINSON
Requip XL (ropinirole extended-release)drugId:1454 - PA ANTIPARKINSON
Rescriptor (delavirdine)drugId:336 ANTIVIRALS
reserpinedrugId:1645 CARDIOVASCULAR
reslizumabdrugId:5586 - PA BIOLOGICAL
Restasis (cyclosporine ophthalmic)drugId:311 - PA OPHTHALMIC PREPARATIONS
Restoril (temazepam 7.5mg, 22.5mg) - PA; See Table 69drugId:1666; See Table 71drugId:4351 BENZODIAZEPINES
Restoril # (temazepam 15mg, 30mg) - PA < 6 years and PA >30 units/month; See Table 69drugId:1665; See Table 71drugId:4352 BENZODIAZEPINES
Retacrit (epoetin alfa-epbx)drugId:6820 - PA HEMATINIC AGENT
Retin-A (tretinoin-Retin-A)drugId:1748 BP - PA ≥ 22 years DERMATOLOGICAL
Retin-A Micro (tretinoin microspheres)drugId:1749 - PA DERMATOLOGICAL
retinoldrugId:1806 * ELECTROLYTES AND NUTRIENTS
Retisert (fluocinolone ophthalmic implant-Retisert) ^ OPHTHALMIC PREPARATIONS
RetrovirdrugId:1820 # (zidovudine)drugId:1820 ANTIVIRALS
Revatio (sildenafil 20 mg tablet)drugId:1848 - PA CARDIOVASCULAR
Revatio (sildenafil oral suspension)drugId:4793 - PA CARDIOVASCULAR
Revlimid (lenalidomide)drugId:2298 - PA CHEMOTHERAPY
Rexulti (brexpiprazole) - PA; See Table 24drugId:5110; See Table 71drugId:5111 ANTIPSYCHOTIC
ReyatazdrugId:101 # (atazanavir)drugId:101 ANTIVIRALS
rho(d) immune globulin IM, human-HyperrhodrugId:1647 BIOLOGICAL
rho(d) immune globulin IM, human-MicrhogamdrugId:2746 BIOLOGICAL
rho(d) immune globulin IM, human-RhogamdrugId:2747 BIOLOGICAL
rho(d) immune globulin IV, human-RhophylacdrugId:1648 BIOLOGICAL
rho(d) immune globulin IV, human-Winrho SDFdrugId:1650 BIOLOGICAL
Rhofade (oxymetazoline cream)drugId:6105 - PA DERMATOLOGICAL
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747 BIOLOGICAL
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648 BIOLOGICAL
Rhopressa (netarsudil)drugId:6743 - PA OPHTHALMIC PREPARATIONS
Riastap (fibrinogen concentrate) ANTI-HEMOPHILIA AGENTS
ribavirin 200 mg capsuledrugId:1652 - PA ANTIVIRALS
ribavirin 400 mg and 600 mgdrugId:1655 - PA ANTIVIRALS
ribavirin dose packdrugId:1654 - PA ANTIVIRALS
ribavirin solutiondrugId:1653 - PA ≥ 19 years ANTIVIRALS
ribavirin tabletdrugId:1651 ANTIVIRALS
ribociclib / letrozoledrugId:6103 - PA CHEMOTHERAPY
ribociclibdrugId:6102 - PA CHEMOTHERAPY
riboflavindrugId:1428 * ELECTROLYTES AND NUTRIENTS
Ridaura (auranofin) IMMUNOMODULATOR
rifabutindrugId:1429 ANTIBIOTICS
Rifadin # (rifampin); See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS
rifampin; See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS
rifampin / isoniaziddrugId:1432 ANTIBIOTICS
rifampin / isoniazid / pyrazinamidedrugId:2502 TB PREPARATIONS
rifapentinedrugId:2501 TB PREPARATIONS
Rifater (rifampin / isoniazid / pyrazinamide)drugId:2502 TB PREPARATIONS
rifaximindrugId:1433 - PA ANTIBIOTICS
rilonaceptdrugId:1434 - PA BIOLOGICAL
rilpivirinedrugId:2284 ANTIVIRALS
RilutekdrugId:1435 # (riluzole)drugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzoledrugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS
rimabotulinumtoxinBdrugId:1436 - PA BIOLOGICAL
rimantadine ANTIVIRALS
rimexolonedrugId:1438 - PA OPHTHALMIC PREPARATIONS
Rimso-50 (dimethyl sulfoxide) ANALGESICS
ringers solution, lactated ANTIBACTERIALS AND ANTISEPTICS
riociguatdrugId:2883 - PA CARDIOVASCULAR
Riomet (metformin solution)drugId:1161 BP - PA ≥ 13 years DIABETIC AGENTS
risedronate delayed-releasedrugId:2101 - PA ELECTROLYTES AND NUTRIENTS
risedronatedrugId:1439 - PA ELECTROLYTES AND NUTRIENTS
Risperdal # (risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets) - PA < 6 years and PA > 60 units/month; See Table 24drugId:1440; See Table 71drugId:4282 ANTIPSYCHOTIC
Risperdal # (risperidone 4 mg tablet) - PA < 6 years and PA > 120 units/month; See Table 24drugId:2755; See Table 71drugId:4283 ANTIPSYCHOTIC
Risperdal # (risperidone solution) - PA < 6 years and PA > 480 mL/month; See Table 24drugId:1441; See Table 71drugId:4287 ANTIPSYCHOTIC
Risperdal Consta (risperidone extended-release injection) - PA < 6 years and PA > 2 units (2 syringes)/month; See Table 24drugId:1444; See Table 71drugId:4285 ANTIPSYCHOTIC
Risperdal M-Tab (risperidone orally disintegrating tablet) - PA; See Table 24drugId:1442; See Table 71drugId:4286 ANTIPSYCHOTIC
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets - PA < 6 years and PA > 60 units/month; See Table 24drugId:1440; See Table 71drugId:4282 ANTIPSYCHOTIC
risperidone 4 mg tablet - PA < 6 years and PA > 120 units/month; See Table 24drugId:2755; See Table 71drugId:4283 ANTIPSYCHOTIC
risperidone extended-release injection - PA < 6 years and PA > 2 units (2 syringes)/month; See Table 24drugId:1444; See Table 71drugId:4285 ANTIPSYCHOTIC
risperidone orally disintegrating tablet - PA; See Table 24drugId:1442; See Table 71drugId:4286 ANTIPSYCHOTIC
risperidone solution - PA < 6 years and PA > 480 mL/month; See Table 24drugId:1441; See Table 71drugId:4287 ANTIPSYCHOTIC
Ritalin # (methylphenidate-Ritalin) - PA < 3 years and PA > 90 units/month; See Table 31drugId:961; See Table 71drugId:3201 CEREBRAL STIMULANTS
Ritalin LA (methylphenidate-Ritalin LA) - PA; See Table 31drugId:2421; See Table 71drugId:3040 CEREBRAL STIMULANTS
ritonavir capsule, packet, solutiondrugId:6640 ANTIVIRALS
ritonavir tabletdrugId:1446 BP PD ANTIVIRALS
Rituxan (rituximab)drugId:1447 - PA CHEMOTHERAPY
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183 - PA CHEMOTHERAPY
rituximab / hyaluronidase humandrugId:6183 - PA CHEMOTHERAPY
rituximabdrugId:1447 - PA CHEMOTHERAPY
rivaroxaban 10 mgdrugId:2371 - PA > 10 mg/day and PA > 35 tablets/365 days ANTICOAGULANTS
rivaroxaban 15 mg, 20 mgdrugId:2384 - PA ANTICOAGULANTS
rivaroxaban starter packdrugId:4643 - PA ANTICOAGULANTS
rivastigmine capsuledrugId:2249 - PA < 18 years and PA > 60 units/month ALZHEIMER'S THERAPY
rivastigmine patchdrugId:1449 - PA ALZHEIMER'S THERAPY
Rixubis (coagulation factor IX, recombinant) ANTI-HEMOPHILIA AGENTS
rizatriptan orally disintegrating tabletdrugId:1450 - PA > 18 units/month TRIPTAN
rizatriptan tabletdrugId:1451 - PA > 18 units/month TRIPTAN
RobaxindrugId:942 # (methocarbamol)drugId:942 - PA < 16 years MUSCLE RELAXANT
Robinul (glycopyrrolate injection)drugId:5940 - PA ANTISPASMODICS,ANTICHOLINERGIC
RobinuldrugId:679 # (glycopyrrolate 1 mg tablet)drugId:679 ANTISPASMODICS,ANTICHOLINERGIC
Robinul FortedrugId:2908 # (glycopyrrolate 2 mg tablet)drugId:2908 ANTISPASMODICS,ANTICHOLINERGIC
RocaltroldrugId:426 # (calcitriol)drugId:426 ELECTROLYTES AND NUTRIENTS
roflumilastdrugId:2282 - PA IMMUNOMODULATOR
rolapitant injectiondrugId:6409 - PA > 2 vials/28 days ANTIEMETICS
rolapitant tabletdrugId:5303 - PA > 2 tablets/28 days ANTIEMETICS
romidepsindrugId:1959 - PA CHEMOTHERAPY
romiplostimdrugId:1452 - PA HEMATINIC AGENT
ropiniroledrugId:1453 ANTIPARKINSON
ropinirole extended-releasedrugId:1454 - PA ANTIPARKINSON
ropivacaine ^ ANESTHETICS
rosiglitazonedrugId:1456 - PA DIABETIC AGENTS
rosuvastatin 40 mgdrugId:5601 - PA > 30 units/month LIPID LOWERING AGENTS
rosuvastatin 5 mg, 10 mg, 20 mgdrugId:1459 - PA > 45 units/month LIPID LOWERING AGENTS
Rotarix (rotavirus vaccine, live, oral)drugId:1823 1 BIOLOGICAL
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824 1 BIOLOGICAL
rotavirus vaccine, live, oral, pentavalentdrugId:1824 1 BIOLOGICAL
rotavirus vaccine, live, oraldrugId:1823 1 BIOLOGICAL
rotigotine transdermal systemdrugId:2643 - PA ANTIPARKINSON
RowasadrugId:2937 # (mesalamine enema)drugId:2937 GI ANTI-INFLAMMATORY
Rowasa Kit (mesalamine kit)drugId:1149 - PA GI ANTI-INFLAMMATORY
RoxicodonedrugId:1320 # (oxycodone immediate-release-Roxicodone)drugId:1320 - PA > 80 mg/day OPIOID ANALGESICS
Rozerem (ramelteon)drugId:1631 - PA SEDATIVES
Rubraca (rucaparib)drugId:5980 - PA CHEMOTHERAPY
rucaparibdrugId:5980 - PA CHEMOTHERAPY
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794 - PA ENZYMES
rufinamide - PA; See Table 20drugId:1826; See Table 71drugId:4462 ANTICONVULSANTS
ruxolitinibdrugId:2418 - PA CHEMOTHERAPY
Ryanodex (dantrolene injection suspension)drugId:4634 ^ MUSCLE RELAXANT
Rydapt (midostaurin)drugId:6184 - PA CHEMOTHERAPY
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 - PA ANTIPARKINSON
Rythmol # (propafenone) CARDIOVASCULAR

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