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MassHealth Drug List A - Z


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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.



MassHealth Drug List table
Drug - Brand Name (Generic Name) PA Status Class Drug Notes
Rabavert (rabies virus vaccine-Rabavert)drugId:1628 BIOLOGICAL
rabeprazole delayed-release capsuledrugId:2882 PA PROTON PUMP INHIBITORS
rabeprazole delayed-release tabletdrugId:1624 PA > 30 units/month 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 > 1 unit/day SEDATIVES BP
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 BP
Rapamune (sirolimus solution)drugId:7080 IMMUNOMODULATOR BP
RapamunedrugId:1857 (sirolimus tablet)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
ravulizumab-cwvzdrugId:7046 PA BIOLOGICAL
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 > 2 units/day ALZHEIMER'S THERAPY #
Razadyne ERdrugId:919 (galantamine extended-release capsule)drugId:919 PA < 18 years and PA > 1 unit/day ALZHEIMER'S THERAPY #
Rebif (interferon beta-1a-Rebif)drugId:826 MULTIPLE SCLEROSIS AGENTS
Rebinyn (coagulation factor IX recombinant, glycopegylated-Rebinyn) ANTI-HEMOPHILIA AGENTS
Reblozyl (luspatercept-aamt)drugId:7334 PA HEMATOLOGIC
Recarbrio (imipenem / cilastatin / relebactam)drugId:7376 PA ANTIBIOTICS
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 BIOLOGICAL 1
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
Relafen DS (nabumetone 1000 mg)drugId:7353 PA NONSTEROIDAL ANTI-INFLAMMATORY
Relenza (zanamivir)drugId:1818 PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days ANTIVIRALS
Relistor (methylnaltrexone)drugId:953 PA CONSTIPATION AGENTS
Relpax (eletriptan)drugId:593 PA TRIPTAN
Remeron (mirtazapine); See Table 17drugId:1366; See Table 71drugId:3621 PA < 6 years ANTIDEPRESSANTS #
Remeron Sol Tab (mirtazapine orally disintegrating tablet); See Table 17drugId:1367; See Table 71drugId:3620 PA ANTIDEPRESSANTS
Remicade (infliximab)drugId:793 PA IMMUNOMODULATOR
Remodulin (treprostinil injection)drugId:1745 PA CARDIOVASCULAR BP
Renagel (sevelamer hydrochloride) ELECTROLYTES AND NUTRIENTS BP
Renflexis (infliximab-abda)drugId:6182 PA IMMUNOMODULATOR
Renvela (sevelamer carbonate) 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
reslizumabdrugId:5586 PA BIOLOGICAL
Restasis (cyclosporine 0.05% ophthalmic emulsion)drugId:311 OPHTHALMIC PREPARATIONS BP
Restasis Multidose (cyclosporine multidose 0.05% ophthalmic emulsion)drugId:7305 PA OPHTHALMIC PREPARATIONS
Restoril (temazepam 22.5 mg); See Table 69drugId:1666; See Table 71drugId:4351 PA BENZODIAZEPINES
Restoril (temazepam 7.5 mg, 15 mg, 30 mg); See Table 69drugId:1665; See Table 71drugId:4352 PA < 6 years and PA >30 units/month BENZODIAZEPINES #
Retacrit (epoetin alfa-epbx)drugId:6820 PA HEMATINIC AGENT
Retevmo (selpercatinib)drugId:7456 PA CHEMOTHERAPY
Retin-A (tretinoin-Retin-A)drugId:1748 PA ≥ 22 years DERMATOLOGICAL BP
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 BP
Revcovi (elapegademase-lvlr)drugId:7044 PA ENZYMES
revefenacindrugId:7051 PA BRONCHODILATORS
Revlimid (lenalidomide)drugId:2298 PA CHEMOTHERAPY
Rexulti (brexpiprazole); See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
ReyatazdrugId:101 (atazanavir)drugId:101 ANTIVIRALS #
Reyvow (lasmiditan)drugId:7377 PA SEROTONIN RECEPTOR AGENTS
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 600 mgdrugId:1655 PA ANTIVIRALS
ribavirin dose packdrugId:1654 PA 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
rifaximin 200 mgdrugId:1433 ANTIBIOTICS
rifaximin 550 mgdrugId:7140 PA ANTIBIOTICS
rilonaceptdrugId:1434 PA BIOLOGICAL
rilpivirinedrugId:2284 ANTIVIRALS
RilutekdrugId:1435 (riluzole tablet)drugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS #
riluzole suspensiondrugId:7010 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzole tabletdrugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS #
rimabotulinumtoxinBdrugId:1436 PA BIOLOGICAL
rimantadine ANTIVIRALS
rimegepantdrugId:7394 PA BIOLOGICAL
Rimso-50 (dimethyl sulfoxide solution)drugId:2694 ANALGESICS
ringers solution, lactated ANTIBACTERIALS AND ANTISEPTICS
Rinvoq (upadacitinib)drugId:7274 PA IMMUNOMODULATOR
riociguatdrugId:2883 PA CARDIOVASCULAR
Riomet (metformin solution)drugId:1161 PA ≥ 13 years DIABETIC AGENTS BP
Riomet ER (metformin extended-release solution)drugId:7457 PA DIABETIC AGENTS
ripretinibdrugId:7469 PA CHEMOTHERAPY
risankizumab-rzaadrugId:7227 PA IMMUNOMODULATOR
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); See Table 24drugId:1440; See Table 71drugId:4282 PA < 6 years and PA > 60 units/month ANTIPSYCHOTIC #
Risperdal (risperidone 4 mg tablet); See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 120 units/month ANTIPSYCHOTIC #
Risperdal (risperidone solution); See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 480 mL/month ANTIPSYCHOTIC #
Risperdal Consta (risperidone extended-release intramuscular injection); See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
Risperdal M-Tab (risperidone 0.25 mg, 4 mg orally disintegrating tablet); See Table 24drugId:1442; See Table 71drugId:4286 PA ANTIPSYCHOTIC
Risperdal M-Tab (risperidone 0.5 mg, 1 mg, 3 mg orally disintegrating tablet); See Table 24drugId:7122; See Table 71drugId:7123 PA < 6 years and PA > 60 units/month ANTIPSYCHOTIC #
Risperdal M-Tab (risperidone 2 mg orally disintegrating tablet); See Table 24drugId:7124; See Table 71drugId:7125 PA < 6 years and PA > 240 units/month ANTIPSYCHOTIC #
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets; See Table 24drugId:1440; See Table 71drugId:4282 PA < 6 years and PA > 60 units/month ANTIPSYCHOTIC #
risperidone 0.25 mg, 4 mg orally disintegrating tablet; See Table 24drugId:1442; See Table 71drugId:4286 PA ANTIPSYCHOTIC
risperidone 0.5 mg, 1 mg, 3 mg orally disintegrating tablet; See Table 24drugId:7122; See Table 71drugId:7123 PA < 6 years and PA > 60 units/month ANTIPSYCHOTIC #
risperidone 2 mg orally disintegrating tablet; See Table 24drugId:7124; See Table 71drugId:7125 PA < 6 years and PA > 240 units/month ANTIPSYCHOTIC #
risperidone 4 mg tablet; See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 120 units/month ANTIPSYCHOTIC #
risperidone extended-release intramuscular injection; See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
risperidone extended-release subcutaneous injection; See Table 24drugId:7007; See Table 71drugId:7009 PA ANTIPSYCHOTIC
risperidone solution; See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 480 mL/month ANTIPSYCHOTIC #
Ritalin (methylphenidate-Ritalin); See Table 31drugId:961; See Table 71drugId:3201 PA < 3 years and PA > 3 units/day CEREBRAL STIMULANTS #
Ritalin LA (methylphenidate-Ritalin LA); See Table 31drugId:2421; See Table 71drugId:3040 PA CEREBRAL STIMULANTS
ritonavir capsule, packet, solutiondrugId:6640 ANTIVIRALS
ritonavir tabletdrugId:1446 ANTIVIRALS BP PD
Rituxan (rituximab)drugId:1447 PA CHEMOTHERAPY
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183 PA CHEMOTHERAPY
rituximab / hyaluronidase humandrugId:6183 PA CHEMOTHERAPY
rituximab-abbsdrugId:7382 PA CHEMOTHERAPY
rituximabdrugId:1447 PA CHEMOTHERAPY
rituximab-pvvrdrugId:7379 PA CHEMOTHERAPY
rivaroxaban 10 mg, 15 mg, 20 mg, starter packdrugId:2371 ANTICOAGULANTS
rivaroxaban 2.5 mgdrugId:2384 PA ANTICOAGULANTS
rivastigmine capsuledrugId:2249 PA < 18 years and PA > 2 units/day 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 #
RocaltroldrugId:426 (calcitriol)drugId:426 ELECTROLYTES AND NUTRIENTS #
Rocklatan (netarsudil / latanoprost)drugId:7275 PA OPHTHALMIC PREPARATIONS
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
romosozumab-aqqgdrugId:7221 PA BIOLOGICAL
ropiniroledrugId:1453 ANTIPARKINSON #
ropinirole extended-releasedrugId:1454 PA ANTIPARKINSON
ropivacaine ANESTHETICS ^
rosiglitazonedrugId:1456 DIABETIC AGENTS
rosuvastatin 40 mgdrugId:5601 PA > 1 unit/day LIPID LOWERING AGENTS #
rosuvastatin 5 mg, 10 mg, 20 mgdrugId:1459 PA > 1.5 units/day LIPID LOWERING AGENTS #
rosuvastatin sprinkle capsuledrugId:7222 PA LIPID LOWERING AGENTS
Rotarix (rotavirus vaccine, live, oral)drugId:1823 BIOLOGICAL 1
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824 BIOLOGICAL 1
rotavirus vaccine, live, oral, pentavalentdrugId:1824 BIOLOGICAL 1
rotavirus vaccine, live, oraldrugId:1823 BIOLOGICAL 1
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 > 1 unit/day SEDATIVES BP
Rozlytrek (entrectinib)drugId:7266 PA CHEMOTHERAPY
Rubraca (rucaparib)drugId:5980 PA CHEMOTHERAPY
rucaparibdrugId:5980 PA CHEMOTHERAPY
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794 PA ENZYMES
rufinamide; See Table 20drugId:1826; See Table 71drugId:4462 PA ANTICONVULSANTS
Ruxience (rituximab-pvvr)drugId:7379 PA CHEMOTHERAPY
ruxolitinibdrugId:2418 PA CHEMOTHERAPY
Ruzurgi (amifampridine)drugId:7185 PA POTASSIUM CHANNEL BLOCKER
Ryanodex (dantrolene injection suspension)drugId:4634 MUSCLE RELAXANT ^
Rybelsus (semaglutide tablet)drugId:7427 PA DIABETIC AGENTS
Rydapt (midostaurin)drugId:6184 PA CHEMOTHERAPY
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 PA ANTIPARKINSON
Rythmol (propafenone) CARDIOVASCULAR #

Note: Any drug that does not appear on the List requires prior authorization.


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Last updated 11/02/20

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