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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
Ubrelvy (ubrogepant)drugId:7383 PA BIOLOGICAL
ubrogepantdrugId:7383 PA BIOLOGICAL
Uceris (budesonide extended-release tablet)drugId:2991 PA GLUCOCORTICOIDS
Uceris (budesonide rectal foam)drugId:4817 PA GLUCOCORTICOIDS
Udenyca (pegfilgrastim-cbqv)drugId:7012 HEMATINIC AGENT
ulipristal acetate CONTRACEPTIVES
Uloric (febuxostat)drugId:464 PA GOUT AGENTS
Ultomiris (ravulizumab-cwvz)drugId:7046 PA BIOLOGICAL
Ultracet (tramadol / acetaminophen)drugId:1737 PA ANALGESICS
UltramdrugId:1735 (tramadol 50 mg)drugId:1735 PA < 12 years and PA > 400 mg/day ANALGESICS #
Ultram ER (tramadol extended-release tablet)drugId:1736 PA ANALGESICS
Ultravate (halobetasol lotion)drugId:5400 PA GLUCOCORTICOIDS
UltravatedrugId:2041 (halobetasol cream, ointment)drugId:2041 GLUCOCORTICOIDS #
Ultravate X (halobetasol / lactic acid)drugId:2585 PA GLUCOCORTICOIDS
umeclidinium / vilanteroldrugId:2952 PA BRONCHODILATORS
umeclidiniumdrugId:4774 PA > 1 inhaler/month BRONCHODILATORS
UnasyndrugId:64 (ampicillin / sulbactam)drugId:64 ANTIBIOTICS #
Unithroid (levothyroxine-Unithroid) THYROID PREPARATIONS #
upadacitinibdrugId:7274 PA IMMUNOMODULATOR
Uptravi (selexipag)drugId:5401 PA CARDIOVASCULAR
Urocit-K (potassium citrate) ELECTROLYTES AND NUTRIENTS #
UroxatraldrugId:10 (alfuzosin extended-release)drugId:10 URINARY ANTISPASMODICS #
UrsodrugId:1775 (ursodiol)drugId:1775 BILE THERAPY #
ursodioldrugId:1774 BILE THERAPY #
Urso FortedrugId:1776 (ursodiol)drugId:1776 BILE THERAPY #
ustekinumabdrugId:1777 PA IMMUNOMODULATOR
Utibron (indacaterol / glycopyrrolate)drugId:5402 PA BRONCHODILATORS

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


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Last updated 09/14/20

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