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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
Tabloid (thioguanine)drugId:1693 CHEMOTHERAPY
Taclonex (betamethasone / calcipotriene ointment, scalp suspension)drugId:421 - PA GLUCOCORTICOIDS
tacrolimus extended-release capsuledrugId:2838 IMMUNOMODULATOR
tacrolimus extended-release tabletdrugId:5249 IMMUNOMODULATOR
tacrolimus injectiondrugId:2741 ^ IMMUNOMODULATOR
tacrolimus oraldrugId:1918 IMMUNOMODULATOR
tacrolimus topicaldrugId:1919 BP DERMATOLOGICAL
tadalafil-AdcircadrugId:1920 BP - PA CARDIOVASCULAR
tadalafil-CialisdrugId:2373 - PA BENIGN PROSTATIC HYPERPLASIA AGENTS
Tafinlar (dabrafenib)drugId:2823 - PA CHEMOTHERAPY
tafluprostdrugId:2524 - PA OPHTHALMIC PREPARATIONS
Tagrisso (osimertinib)drugId:5301 - PA CHEMOTHERAPY
taliglucerase alfadrugId:2558 - PA ENZYMES
talimogene laherparepvecdrugId:5440 ^ - PA CHEMOTHERAPY
Taltz (ixekizumab)drugId:5399 - PA IMMUNOMODULATOR
Talwin (pentazocine)drugId:1502 OPIOID ANALGESICS
Tambocor # (flecainide) CARDIOVASCULAR
Tamiflu (oseltamivir 30mg)drugId:1303 BP - PA all quantities (June 1st to September 30th); PA > 20 capsules/season (October 1st to May 31st) ANTIVIRALS
Tamiflu (oseltamivir 45 mg and 75 mg)drugId:1305 BP - PA all quantities (June 1st to September 30th); PA > 10 capsules/season (October 1st to May 31st) ANTIVIRALS
Tamiflu (oseltamivir 6 mg/mL suspension)drugId:2314 BP - PA all quantities (June 1st to September 30th); PA > 180 mL/season (October 1st to May 31st) ANTIVIRALS
tamoxifen solutiondrugId:4980 - PA CHEMOTHERAPY
tamoxifen tabletdrugId:1921 CHEMOTHERAPY
tamsulosindrugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS
Tanzeum (albiglutide)drugId:2946 - PA DIABETIC AGENTS
Tapazole # (methimazole) THYROID PREPARATIONS
tapentadol extended-releasedrugId:2369 - PA OPIOID ANALGESICS
tapentadoldrugId:1923 - PA OPIOID ANALGESICS
Tarceva (erlotinib)drugId:619 - PA CHEMOTHERAPY
TargretindrugId:361 # (bexarotene)drugId:361 CHEMOTHERAPY
Tarka (trandolapril / verapamil)drugId:4812 - PA CARDIOVASCULAR
Tasigna (nilotinib)drugId:1216 CHEMOTHERAPY
tasimelteondrugId:2960 - PA SEDATIVE, NON-BARBITURATE
Tasmar (tolcapone)drugId:1722 - PA ANTIPARKINSON
tavaboroledrugId:4629 - PA ANTIBIOTICS
Tavalisse (fostamatinib)drugId:6823 - PA HEMATOLOGIC
TaxoteredrugId:553 # (docetaxel-Taxotere)drugId:553 CHEMOTHERAPY
Taytulla (ethinyl estradiol / norethindrone / ferrous fumarate) CONTRACEPTIVES
tazarotenedrugId:1657 BP - PA DERMATOLOGICAL
tazarotene foamdrugId:2841 - PA DERMATOLOGICAL
Tazorac (tazarotene)drugId:1657 BP - PA DERMATOLOGICAL
TBO-filgrastimdrugId:2889 HEMATINIC AGENT
Tecentriq (atezolizumab)drugId:5593 - PA CHEMOTHERAPY
Tecfidera (dimethyl fumarate)drugId:2793 - PA MULTIPLE SCLEROSIS AGENTS
Technivie (ombitasvir / paritaprevir / ritonavir)drugId:5114 - PA ANTIVIRALS
tedizolid injectiondrugId:4636 - PA ANTIBIOTICS
tedizolid tabletdrugId:4635 - PA ANTIBIOTICS
teduglutide injectiondrugId:2722 - PA GASTROINTESTINAL AGENT
Teflaro (ceftaroline)drugId:2179 - PA ANTIBIOTICS
Tegretol # (carbamazepine-Tegretol) - PA < 6 years; See Table 20drugId:170; See Table 71drugId:3280 ANTICONVULSANTS
Tegretol XR # (carbamazepine extended-release-Tegretol XR) - PA < 6 years; See Table 20drugId:2192; See Table 71drugId:3220 ANTICONVULSANTS
Tekturna (aliskiren)drugId:13 - PA CARDIOVASCULAR
Tekturna HCT (aliskiren / hydrochlorothiazide)drugId:14 - PA CARDIOVASCULAR
telavancindrugId:1949 - PA ANTIBIOTICS
telithromycindrugId:1659 - PA ANTIBIOTICS
telmisartan / hydrochlorothiazidedrugId:1663 - PA CARDIOVASCULAR
telmisartandrugId:1660 - PA CARDIOVASCULAR
telotristat ethyldrugId:6108 - PA ANTIDIARRHEALS
temazepam 15mg, 30mg - PA < 6 years and PA >30 units/month; See Table 69drugId:1665; See Table 71drugId:4352 BENZODIAZEPINES
temazepam 7.5mg, 22.5mg - PA; See Table 69drugId:1666; See Table 71drugId:4351 BENZODIAZEPINES
TemodardrugId:1667 # (temozolomide)drugId:1667 CHEMOTHERAPY
TemovatedrugId:269 # (clobetasol propionate cream, ointment)drugId:269 GLUCOCORTICOIDS
Temovate EdrugId:5035 # (clobetasol propionate / emollient)drugId:5035 GLUCOCORTICOIDS
temozolomidedrugId:1667 CHEMOTHERAPY
temsirolimusdrugId:1668 CHEMOTHERAPY
Tenex # (guanfacine) - PA < 3 years; See Table 18drugId:5162; See Table 71drugId:691 CARDIOVASCULAR
teniposidedrugId:2699 CHEMOTHERAPY
Tenivac (diphtheria / tetanus toxoid vaccine)drugId:1686 1 BIOLOGICAL
tenofovir alafenamidedrugId:5768 - PA ANTIVIRALS
tenofovir disoproxil fumarate powder - PA ≥ 13 years; See Table 38drugId:2489; See Table 44drugId:5821 ANTIVIRALS
tenofovir disoproxil fumarate tablet - PA > 30 units/month; See Table 38drugId:1669; See Table 44drugId:5820 ANTIVIRALS
TenoreticdrugId:103 # (atenolol / chlorthalidone)drugId:103 CARDIOVASCULAR
TenormindrugId:102 # (atenolol)drugId:102 CARDIOVASCULAR
Terazol # (terconazole) ANTIBIOTICS
terazosin; See Table 18drugId:1670; See Table 19drugId:5165 CARDIOVASCULAR
terbinafine tabletdrugId:1672 ANTIBIOTICS
terbutaline BRONCHODILATORS
terconazole ANTIBIOTICS
teriflunomidedrugId:2657 - PA MULTIPLE SCLEROSIS AGENTS
teriparatidedrugId:1678 - PA HORMONE AGENTS
tesamorelindrugId:5626 - PA OTHER HORMONES
Testim (testosterone 1% gel tube)drugId:1684 - PA HORMONE REPLACEMENT THERAPY
Testopel (testosterone intramuscular pellet)drugId:1685 - PA HORMONE REPLACEMENT THERAPY
testosterone 1.62% gel packet, pumpdrugId:2280 - PA HORMONE REPLACEMENT THERAPY
testosterone 1% gel packet, pumpdrugId:2248 - PA HORMONE REPLACEMENT THERAPY
testosterone 1% gel tube, packet, pumpdrugId:2948 - PA HORMONE REPLACEMENT THERAPY
testosterone 1% gel tubedrugId:1684 - PA HORMONE REPLACEMENT THERAPY
testosterone 2% gel pumpdrugId:2241 - PA HORMONE REPLACEMENT THERAPY
testosterone 2% solutiondrugId:2237 - PA HORMONE REPLACEMENT THERAPY
testosterone buccal systemdrugId:2647 - PA HORMONE REPLACEMENT THERAPY
testosterone cypionatedrugId:1680 - PA HORMONE REPLACEMENT THERAPY
testosterone enanthatedrugId:1681 - PA HORMONE REPLACEMENT THERAPY
testosterone intramuscular pelletdrugId:1685 - PA HORMONE REPLACEMENT THERAPY
testosterone nasal geldrugId:4947 - PA HORMONE REPLACEMENT THERAPY
testosterone patchdrugId:1682 - PA HORMONE REPLACEMENT THERAPY
testosterone powderdrugId:2311 - PA HORMONE REPLACEMENT THERAPY
testosterone undecanoatedrugId:2954 ^ - PA HORMONE REPLACEMENT THERAPY
tetanus immune globulin IM, humandrugId:1687 BIOLOGICAL
tetrabenazinedrugId:1688 BP - PA NEUROLOGIC AGENT
tetracaine OPHTHALMIC PREPARATIONS
tetracyclinedrugId:1689 ANTIBIOTICS
tetradecyl sulfate injectiondrugId:2495 - PA CARDIOVASCULAR
tezacaftor / ivacaftordrugId:6540 - PA CYSTIC FIBROSIS AGENTS
thalidomidedrugId:1690 IMMUNOMODULATOR
Thalomid (thalidomide)drugId:1690 IMMUNOMODULATOR
theophyllinedrugId:1691 BRONCHODILATORS
Theracys (BCG live, intravesical)drugId:127 CHEMOTHERAPY
ThermazenedrugId:1852 # (silver sulfadiazine-Thermazene)drugId:1852 ANTIBIOTICS
thiaminedrugId:1692 * ELECTROLYTES AND NUTRIENTS
thioguaninedrugId:1693 CHEMOTHERAPY
Thiola (tiopronin) CHELATING AGENT
thioridazine - PA < 6 years; See Table 24drugId:6328; See Table 71drugId:1694 ANTIPSYCHOTIC
thiothixene - PA < 6 years; See Table 24drugId:6329; See Table 71drugId:1696 ANTIPSYCHOTIC
Thymoglobulin (antithymovyte globulin, rabbit)drugId:1111 BIOLOGICAL
thyroid THYROID PREPARATIONS
Thyrolar (liotrix) THYROID PREPARATIONS
tiagabine - PA; See Table 20drugId:2617; See Table 71drugId:4500 ANTICONVULSANTS
Tiazac ERdrugId:533 # (diltiazem-Tiazac ER)drugId:533 CARDIOVASCULAR
ticagrelordrugId:2359 - PA ANTIPLATELET AGENT
ticarcillin / clavulanatedrugId:1699 ANTIBIOTICS
ticlopidinedrugId:1700 ANTIPLATELET AGENT
Tigan # (trimethobenzamide) ANTIEMETICS
tigecyclinedrugId:1701 - PA ANTIBIOTICS
Tikosyn # (dofetilide) CARDIOVASCULAR
Timentin (ticarcillin / clavulanate)drugId:1699 ANTIBIOTICS
timolol-IstaloldrugId:1703 BP OPHTHALMIC PREPARATIONS
timolol ophthalmic gel forming solutiondrugId:2211 - PA OPHTHALMIC PREPARATIONS
timolol ophthalmic unit dose solutiondrugId:2210 - PA OPHTHALMIC PREPARATIONS
timolol tabletdrugId:5020 CARDIOVASCULAR
timolol-TimopticdrugId:1704 OPHTHALMIC PREPARATIONS
TimopticdrugId:1704 # (timolol-Timoptic)drugId:1704 OPHTHALMIC PREPARATIONS
Timoptic Ocudose (timolol ophthalmic unit dose solution)drugId:2210 - PA OPHTHALMIC PREPARATIONS
Timoptic-XE (timolol ophthalmic gel forming solution)drugId:2211 - PA OPHTHALMIC PREPARATIONS
Tindamax (tinidazole)drugId:1706 - PA ANTIPARASITICS
tinidazoledrugId:1706 - PA ANTIPARASITICS
tiopronin CHELATING AGENT
tiotropium / olodateroldrugId:5112 - PA BRONCHODILATORS
tiotropium inhalation powderdrugId:1708 - PA > 30 units/month BRONCHODILATORS
tiotropium inhalation solutiondrugId:4640 - PA > 1 inhaler/month BRONCHODILATORS
tipranavirdrugId:1709 ANTIVIRALS
Tirosint (levothyroxine-Tirosint) THYROID PREPARATIONS
tisagenlecleuceldrugId:6404 ^ - PA CHEMOTHERAPY
Tivicay (dolutegravir)drugId:2852 - PA > 30 units/month ANTIVIRALS
Tivorbex (indomethacin 20 mg, 40 mg)drugId:5115 - PA NONSTEROIDAL ANTI-INFLAMMATORY
tizanidine capsuledrugId:1711 - PA MUSCLE RELAXANT
tizanidine tabletdrugId:1712 MUSCLE RELAXANT
TobidrugId:1713 # (tobramycin inhalation solution-Tobi)drugId:1713 ANTIBIOTICS
Tobi Podhaler (tobramycin inhalation powder)drugId:2794 - PA ANTIBIOTICS
Tobradex (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointment)drugId:2275 - PA OPHTHALMIC PREPARATIONS
TobradexdrugId:1717 # (tobramycin 0.3% / dexamethasone 0.1%, ophthalmic suspension)drugId:1717 OPHTHALMIC PREPARATIONS
Tobradex ST (tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspension)drugId:2088 - PA OPHTHALMIC PREPARATIONS
tobramycin / loteprednol ophthalmic suspensiondrugId:1718 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.05%, ophthalmic suspensiondrugId:2088 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.1%, ophthalmic ointmentdrugId:2275 - PA OPHTHALMIC PREPARATIONS
tobramycin 0.3% / dexamethasone 0.1%, ophthalmic suspensiondrugId:1717 OPHTHALMIC PREPARATIONS
tobramycin inhalation powderdrugId:2794 - PA ANTIBIOTICS
tobramycin inhalation solution-BethkisdrugId:2884 - PA ANTIBIOTICS
tobramycin inhalation solution-Kitabis PakdrugId:4781 ANTIBIOTICS
tobramycin inhalation solution-TobidrugId:1713 ANTIBIOTICS
tobramycin injectiondrugId:2630 ANTIBIOTICS
tobramycin ophthalmic ointmentdrugId:1716 - PA OPHTHALMIC PREPARATIONS
tobramycin ophthalmic solutiondrugId:1715 OPHTHALMIC PREPARATIONS
Tobrex (tobramycin ophthalmic ointment)drugId:1716 - PA OPHTHALMIC PREPARATIONS
TobrexdrugId:1715 # (tobramycin ophthalmic solution)drugId:1715 OPHTHALMIC PREPARATIONS
tocilizumabdrugId:1719 - PA IMMUNOMODULATOR
tofacitinib extended-releasedrugId:5407 - PA IMMUNOMODULATOR
tofacitinibdrugId:2660 - PA IMMUNOMODULATOR
Tofranil # (imipramine hydrochloride) - PA < 6 years; See Table 17drugId:782; See Table 71drugId:4060 ANTIDEPRESSANTS
Tofranil-PM (imipramine pamoate) - PA; See Table 17drugId:2308; See Table 71drugId:4080 ANTIDEPRESSANTS
Tolak (fluorouracil 4% cream)drugId:5503 - PA CHEMOTHERAPY
tolazamidedrugId:1720 DIABETIC AGENTS
tolbutamidedrugId:1721 DIABETIC AGENTS
tolcaponedrugId:1722 - PA ANTIPARKINSON
tolmetindrugId:1723 - PA NONSTEROIDAL ANTI-INFLAMMATORY
tolnaftatedrugId:1724 * ANTIBIOTICS
tolterodine extended-release 2 mgdrugId:1727 - PA > 30 units/month URINARY ANTISPASMODICS
tolterodine extended-release 4 mgdrugId:1725 URINARY ANTISPASMODICS
tolterodine immediate-releasedrugId:1726 URINARY ANTISPASMODICS
tolvaptan-JynarquedrugId:6801 - PA VASOPRESSIN ANTAGONISTS
tolvaptan-SamscadrugId:1728 - PA VASOPRESSIN ANTAGONISTS
Topamax # (topiramate) - PA < 6 years; See Table 20drugId:1729; See Table 71drugId:4503 ANTICONVULSANTS
Topamax # (topiramate sprinkle capsule) - PA < 6 years; See Table 20drugId:2316; See Table 71drugId:4504 ANTICONVULSANTS
Topicort (desoximetasone 0.05% cream, ointment)drugId:5021 - PA GLUCOCORTICOIDS
Topicort (desoximetasone 0.25% cream, ointment, spray, 0.05% gel)drugId:488 - PA GLUCOCORTICOIDS
topiramate extended-release capsule-Qudexy XR - PA; See Table 20drugId:2943; See Table 71drugId:4502 ANTICONVULSANTS
topiramate extended-release capsule-Trokendi XR - PA; See Table 20drugId:2859; See Table 71drugId:4505 ANTICONVULSANTS
topiramate - PA < 6 years; See Table 20drugId:1729; See Table 71drugId:4503 ANTICONVULSANTS
topiramate sprinkle capsule - PA < 6 years; See Table 20drugId:2316; See Table 71drugId:4504 ANTICONVULSANTS
topotecandrugId:1730 CHEMOTHERAPY
Toprol XLdrugId:1337 # (metoprolol extended-release)drugId:1337 CARDIOVASCULAR
toremifenedrugId:1731 CHEMOTHERAPY
ToriseldrugId:1668 # (temsirolimus)drugId:1668 CHEMOTHERAPY
torsemidedrugId:1732 CARDIOVASCULAR
Totect (dexrazoxane) ANTIDOTES
Toujeo (insulin glargine-Toujeo)drugId:4914 DIABETIC AGENTS
Toviaz (fesoterodine)drugId:850 - PA URINARY ANTISPASMODICS
Tracleer (bosentan)drugId:372 - PA CARDIOVASCULAR
Tradjenta (linagliptin)drugId:2293 - PA DIABETIC AGENTS
tramadol / acetaminophendrugId:1737 - PA ANALGESICS
tramadol extended-release capsuledrugId:2362 - PA ANALGESICS
tramadol extended-release tabletdrugId:1736 - PA ANALGESICS
tramadoldrugId:1735 - PA < 12 years ANALGESICS
trametinibdrugId:2845 - PA CHEMOTHERAPY
trandolaprildrugId:1738 CARDIOVASCULAR
trandolapril / verapamildrugId:4812 - PA CARDIOVASCULAR
tranexamic acid tablet HEMOSTATICS
Transderm-Scop (scopolamine transdermal patch)drugId:1835 BP - PA ANTIEMETICS
Tranxene # (clorazepate) - PA < 6 years; See Table 69drugId:278; See Table 71drugId:4380 BENZODIAZEPINES
tranylcypromine - PA < 6 years; See Table 17drugId:1741; See Table 71drugId:3540 ANTIDEPRESSANTS
trastuzumabdrugId:1742 CHEMOTHERAPY
Travasol (amino acid and electrolyte IV infusion) ELECTROLYTES AND NUTRIENTS
Travatan Z (travoprost 0.004% eye drop)drugId:1743 OPHTHALMIC PREPARATIONS
travoprost 0.004% eye dropdrugId:1743 OPHTHALMIC PREPARATIONS
trazodone 300 mg tablet - PA; See Table 17drugId:2062; See Table 71drugId:3862 ANTIDEPRESSANTS
trazodone 50 mg, 100 mg, 150 mg - PA < 6 years; See Table 17drugId:1744; See Table 71drugId:3861 ANTIDEPRESSANTS
trazodone extended-release - PA; See Table 17drugId:1964; See Table 71drugId:3860 ANTIDEPRESSANTS
Treanda (bendamustine)drugId:134 CHEMOTHERAPY
Trecator (ethionamide)drugId:2499 TB PREPARATIONS
Trelegy (fluticasone furoate / umeclidinium / vilanterol)drugId:6408 - PA BRONCHODILATORS
Trelstar (triptorelin)drugId:1766 - PA CHEMOTHERAPY
Tremfya (guselkumab)drugId:6289 - PA IMMUNOMODULATOR
treprostinil inhalation solutiondrugId:1746 - PA CARDIOVASCULAR
treprostinil injectiondrugId:1745 BP - PA CARDIOVASCULAR
treprostinil tabletdrugId:2940 - PA CARDIOVASCULAR
Tresiba (insulin degludec)drugId:5302 DIABETIC AGENTS
tretinoin 0.05% geldrugId:2432 - PA DERMATOLOGICAL
tretinoin-AvitadrugId:1747 - PA ≥ 22 years DERMATOLOGICAL
tretinoin capsuledrugId:5135 CHEMOTHERAPY
tretinoin microspheresdrugId:1749 - PA DERMATOLOGICAL
tretinoin-Retin-AdrugId:1748 BP - PA ≥ 22 years DERMATOLOGICAL
Tretten (factor XIII A-subunit recombinant) ANTI-HEMOPHILIA AGENTS
Treximet (sumatriptan / naproxen)drugId:1916 BP - PA TRIPTAN/NON STEROIDAL ANTI-INFLAMMATORY
triamcinolone, oral GLUCOCORTICOIDS
triamcinolone 0.025% cream, lotiondrugId:1753 GLUCOCORTICOIDS
triamcinolone 0.05% ointmentdrugId:2527 - PA GLUCOCORTICOIDS
triamcinolone 0.1% creamdrugId:5029 GLUCOCORTICOIDS
triamcinolone 0.1% lotion, 0.025% ointmentdrugId:5028 GLUCOCORTICOIDS
triamcinolone 0.1% ointment, 0.5% creamdrugId:5030 GLUCOCORTICOIDS
triamcinolone 0.5% ointmentdrugId:5032 GLUCOCORTICOIDS
triamcinolone extended-release injectable suspensiondrugId:6415 - PA GLUCOCORTICOIDS
triamcinolone injectiondrugId:1750 GLUCOCORTICOIDS
triamcinolone ophthalmic suspension ^ OPHTHALMIC PREPARATIONS
triamcinolone OTC nasal spraydrugId:6241 - PA > 1 inhaler/month NASAL PREPARATIONS
triamcinolone paste GLUCOCORTICOIDS
triamcinolone spraydrugId:2526 - PA GLUCOCORTICOIDS
triamterenedrugId:5247 - PA CARDIOVASCULAR
triazolam - PA < 6 years and PA > 30 units/month; See Table 69drugId:1757; See Table 71drugId:4353 BENZODIAZEPINES
Tribenzor (amlodipine / olmesartan / hydrochlorothiazide)drugId:1969 - PA CARDIOVASCULAR
Tricor (fenofibrate tablet 145 mg)drugId:2734 - PA LIPID LOWERING AGENTS
TricordrugId:467 # (fenofibrate tablet 48 mg)drugId:467 LIPID LOWERING AGENTS
trientine BP CHELATING AGENT
Triesence (triamcinolone ophthalmic suspension) ^ OPHTHALMIC PREPARATIONS
Triferic (ferric pyrophosphate citrate)drugId:6021 ^ ELECTROLYTES AND NUTRIENTS
trifluoperazine - PA < 6 years; See Table 24drugId:6330; See Table 71drugId:1760 ANTIPSYCHOTIC
trifluridine OPHTHALMIC PREPARATIONS
trifluridine / tipiracildrugId:5261 - PA CHEMOTHERAPY
Triglide (fenofibrate tablet 160 mg)drugId:472 - PA LIPID LOWERING AGENTS
trihexyphenidyldrugId:1762 ANTIPARKINSON
Trileptal # (oxcarbazepine) - PA < 6 years; See Table 20drugId:1311; See Table 71drugId:4442 ANTICONVULSANTS
TrilipixdrugId:837 # (fenofibric acid capsule 45 mg and 135 mg)drugId:837 LIPID LOWERING AGENTS
trimethobenzamide ANTIEMETICS
trimethoprim / polymyxin B ophthalmic solutiondrugId:2060 OPHTHALMIC PREPARATIONS
trimethoprim tabletdrugId:4886 ANTIBIOTICS
trimipramine - PA < 6 years; See Table 17drugId:1765; See Table 71drugId:4160 ANTIDEPRESSANTS
Tri-Norinyl # (ethinyl estradiol / norethindrone-Tri-Norinyl) CONTRACEPTIVES
Trintellix (vortioxetine) - PA; See Table 17drugId:2885; See Table 71drugId:3881 ANTIDEPRESSANTS
triple antibiotic ointment (neomycin / bacitracin / polymyxin B topical ointment)drugId:1994 * ANTIBIOTICS
Triptodur (triptorelin)drugId:6486 - PA HORMONE AGENTS
triptorelindrugId:1766 - PA CHEMOTHERAPY
Trisenox (arsenic trioxide)drugId:2697 CHEMOTHERAPY
Triumeq (abacavir / dolutegravir / lamivudine)drugId:4642 ANTIVIRALS
TrizivirdrugId:139 # (abacavir / lamivudine / zidovudine)drugId:139 ANTIVIRALS
Trogarzo (ibalizumab-uiyk)drugId:6687 - PA ANTIVIRALS
Trokendi XR (topiramate extended-release capsule-Trokendi XR) - PA; See Table 20drugId:2859; See Table 71drugId:4505 ANTICONVULSANTS
tropicamide OPHTHALMIC PREPARATIONS
trospium extended-releasedrugId:1769 URINARY ANTISPASMODICS
trospium immediate-releasedrugId:1770 URINARY ANTISPASMODICS
Trulance (plecanatide)drugId:6043 - PA CONSTIPATION AGENTS
Trulicity (dulaglutide)drugId:4814 - PA DIABETIC AGENTS
Trumenba (meningococcal group B vaccine-Trumenba)drugId:4815 1 BIOLOGICAL
TrusoptdrugId:563 # (dorzolamide)drugId:563 OPHTHALMIC PREPARATIONS
Truvada (emtricitabine / tenofovir disoproxil fumarate)drugId:597 ANTIVIRALS
Tudorza (aclidinium)drugId:2649 - PA > 1 inhaler/month BRONCHODILATORS
Twinrix (hepatitis A, inactivated / hepatitis B recombinant)drugId:2627 1 BIOLOGICAL
Twynsta (amlodipine / telmisartan)drugId:1661 - PA CARDIOVASCULAR
Tybost (cobicistat)drugId:4816 ANTIVIRALS
Tygacil (tigecycline)drugId:1701 - PA ANTIBIOTICS
Tykerb (lapatinib)drugId:1025 CHEMOTHERAPY
Tylenol / CodeinedrugId:146 # (acetaminophen / codeine)drugId:146 - PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine OPIOID ANALGESICS
Tymlos (abaloparatide)drugId:6362 - PA HORMONE AGENTS
Typhim VI (typhoid vaccine injection)drugId:1771 BIOLOGICAL
typhoid vaccine capsuledrugId:2628 BIOLOGICAL
typhoid vaccine injectiondrugId:1771 BIOLOGICAL
Tysabri (natalizumab)drugId:1177 MULTIPLE SCLEROSIS AGENTS
Tyvaso (treprostinil inhalation solution)drugId:1746 - PA 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