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
Vabomere (meropenem / vaborbactam)drugId:6363 - PA	OTHER ANTIBIOTICS
Vagifem # (estradiol-Vagifem)	HORMONE REPLACEMENT THERAPY
valacyclovirdrugId:1778	ANTIVIRALS
valbenazinedrugId:6123 - PA	NEUROLOGIC AGENT
Valchlor (mechlorethamine gel)drugId:2893	CHEMOTHERAPY
Valcyte # (valganciclovir solution)	ANTIVIRALS
Valcyte # (valganciclovir tablet)	ANTIVIRALS
valganciclovir solution	ANTIVIRALS
valganciclovir tablet	ANTIVIRALS
valproatedrugId:1780	ANTICONVULSANTS
valproic acid - PA < 6 years; See Table 20drugId:1782; See Table 71drugId:4506	ANTICONVULSANTS
valrubicindrugId:1784	CHEMOTHERAPY
valsartandrugId:1785	CARDIOVASCULAR
valsartan / hydrochlorothiazidedrugId:1786	CARDIOVASCULAR
Valstar (valrubicin)drugId:1784	CHEMOTHERAPY
ValtrexdrugId:1778 # (valacyclovir)drugId:1778	ANTIVIRALS
VancocindrugId:1787 # (vancomycin capsule)drugId:1787	ANTIBIOTICS
vancomycin capsuledrugId:1787	ANTIBIOTICS
vancomycin injectiondrugId:1788	ANTIBIOTICS
vancomycin oral solutiondrugId:6683	ANTIBIOTICS
Vandazole (metronidazole 0.75% vaginal gel-Vandazole)drugId:4887	ANTIBIOTICS
vandetanibdrugId:2281 - PA	CHEMOTHERAPY
Vanos (fluocinonide 0.1% cream)drugId:872 - PA	GLUCOCORTICOIDS
Vantas (histrelin-Vantas)drugId:711 - PA	HORMONE AGENTS
Vaqta (hepatitis A vaccine, inactivated-Vaqta)drugId:705 1	BIOLOGICAL
varenicline	SMOKING CESSATION
varicella virus vaccinedrugId:1790 1	BIOLOGICAL
varicella zoster immune globulin, humandrugId:2855	BIOLOGICAL
Varivax (varicella virus vaccine)drugId:1790 1	BIOLOGICAL
Varizig (varicella zoster immune globulin, human)drugId:2855	BIOLOGICAL
Varubi (rolapitant injection)drugId:6409 - PA > 2 vials/28 days	ANTIEMETICS
Varubi (rolapitant tablet)drugId:5303 - PA > 2 tablets/28 days	ANTIEMETICS
Vascepa (icosapent ethyl)drugId:2733 - PA	LIPID LOWERING AGENTS
VasereticdrugId:599 # (enalapril / hydrochlorothiazide)drugId:599	CARDIOVASCULAR
VasotecdrugId:598 # (enalapril)drugId:598	CARDIOVASCULAR
Vaxchora (cholera vaccine, live, oral)drugId:5594 1	BIOLOGICAL
Vecamyl (mecamylamine)drugId:2824 - PA	CARDIOVASCULAR
Vectibix (panitumumab)drugId:1475	CHEMOTHERAPY
Vectical (calcitriol ointment)drugId:424 - PA	DERMATOLOGICAL
vedolizumabdrugId:2957 - PA	UNCLASSIFIED DRUG PRODUCTS
velaglucerase alfadrugId:1950 - PA	ENZYMES
Velcade (bortezomib)drugId:371	CHEMOTHERAPY
Veletri (epoprostenol-Veletri)drugId:2098 - PA	CARDIOVASCULAR
Velphoro (sucroferric oxyhydroxide)	ELECTROLYTES AND NUTRIENTS
Veltassa (patiromer)drugId:5320 - PA > 30 units/month	CHELATING AGENT
Veltin (clindamycin / tretinoin-Veltin)drugId:1970 - PA	DERMATOLOGICAL
Vemlidy (tenofovir alafenamide)drugId:5768 - PA	ANTIVIRALS
vemurafenibdrugId:2372 - PA	CHEMOTHERAPY
Venclexta (venetoclax)drugId:5595 - PA	CHEMOTHERAPY
venetoclaxdrugId:5595 - PA	CHEMOTHERAPY
venlafaxine extended-release capsule - PA < 6 years; See Table 17drugId:1795; See Table 71drugId:3901	ANTIDEPRESSANTS
venlafaxine extended-release tablet - PA; See Table 17drugId:1794; See Table 71drugId:3902	ANTIDEPRESSANTS
venlafaxine - PA < 6 years; See Table 17drugId:1796; See Table 71drugId:3900	ANTIDEPRESSANTS
Venofer (iron sucrose)drugId:974 - PA	ELECTROLYTES AND NUTRIENTS
Ventavis (iloprost)drugId:778 - PA	CARDIOVASCULAR
Ventolin (albuterol inhaler-Ventolin)drugId:3 BP - PA	BRONCHODILATORS
verapamil capsuledrugId:1799	CARDIOVASCULAR
verapamil extended-releasedrugId:2743	CARDIOVASCULAR
verapamil sustained-releasedrugId:2742	CARDIOVASCULAR
verapamil tabletdrugId:1800	CARDIOVASCULAR
Veregen (sinecatechins)drugId:1856 - PA	ANTIVIRALS
VerelandrugId:1799 # (verapamil capsule)drugId:1799	CARDIOVASCULAR
Verelan PMdrugId:2743 # (verapamil extended-release)drugId:2743	CARDIOVASCULAR
Versacloz (clozapine suspension) - PA; See Table 24drugId:2930; See Table 71drugId:4263	ANTIPSYCHOTIC
verteporfin	OPHTHALMIC PREPARATIONS
Verzenio (abemaciclib)drugId:6410 - PA	CHEMOTHERAPY
Vesicare (solifenacin)drugId:1879 BP - PA	URINARY ANTISPASMODICS
vestronidase alfa-vjbkdrugId:6521 - PA	ENZYMES
Vexol (rimexolone)drugId:1438 - PA	OPHTHALMIC PREPARATIONS
Vfend (voriconazole suspension, tablet)drugId:1809 - PA	FUNGICIDES
VfenddrugId:1810 # (voriconazole injection)drugId:1810	FUNGICIDES
Vibativ (telavancin)drugId:1949 - PA	ANTIBIOTICS
Viberzi (eluxadoline)drugId:5403 - PA	GASTROINTESTINAL AGENT
Vibramycin (doxycycline calcium syrup)drugId:2903	ANTIBIOTICS
VibramycindrugId:575 # (doxycycline hyclate 100 mg capsule)drugId:575	ANTIBIOTICS
VibramycindrugId:2904 # (doxycycline monohydrate suspension)drugId:2904	ANTIBIOTICS
Victoza (liraglutide)drugId:1085 - PA	DIABETIC AGENTS
VidazadrugId:110 # (azacitidine)drugId:110	CHEMOTHERAPY
VidexdrugId:517 # (didanosine)drugId:517	ANTIVIRALS
Viekira Pak (ombitasvir / paritaprevir / ritonavir / dasabuvir)drugId:4740 - PA	ANTIVIRALS
Viekira XR (dasabuvir / ombitasvir / paritaprevir / ritonavir extended-release)drugId:5596 - PA	ANTIVIRALS
vigabatrin BP - PA; See Table 20drugId:1802; See Table 71drugId:4481	ANTICONVULSANTS
VigamoxdrugId:1397 # (moxifloxacin ophthalmic solution-Vigamox)drugId:1397	OPHTHALMIC PREPARATIONS
Viibryd (vilazodone) - PA; See Table 17drugId:2294; See Table 71drugId:3880	ANTIDEPRESSANTS
vilazodone - PA; See Table 17drugId:2294; See Table 71drugId:3880	ANTIDEPRESSANTS
Vimizim (elosulfase alfa)drugId:2931 - PA	ENZYMES
Vimovo (naproxen / esomeprazole)drugId:1971 - PA <60 years	NONSTEROIDAL ANTI-INFLAMMATORY
Vimpat (lacosamide injection)drugId:1002	ANTICONVULSANTS
Vimpat (lacosamide solution) - PA; See Table 20drugId:1972; See Table 71drugId:3500	ANTICONVULSANTS
Vimpat (lacosamide tablet) - PA; See Table 20drugId:1003; See Table 71drugId:3520	ANTICONVULSANTS
vinblastinedrugId:1803	CHEMOTHERAPY
vincristinedrugId:1804	CHEMOTHERAPY
vincristine liposomedrugId:2890 - PA	CHEMOTHERAPY
vinorelbinedrugId:1805	CHEMOTHERAPY
Viokace (pancrelipase-Viokace)drugId:2597	ENZYMES
Viracept (nelfinavir)drugId:1183	ANTIVIRALS
ViramunedrugId:1199 # (nevirapine)drugId:1199	ANTIVIRALS
Viramune XR (nevirapine extended-release)drugId:2295 - PA	ANTIVIRALS
Viread (tenofovir disoproxil fumarate powder) - PA ≥ 13 years; See Table 38drugId:2489; See Table 44drugId:5821	ANTIVIRALS
Viread # (tenofovir disoproxil fumarate tablet) - PA > 30 units/month; See Table 38drugId:1669; See Table 44drugId:5820	ANTIVIRALS
Viroptic # (trifluridine)	OPHTHALMIC PREPARATIONS
Visco-3 (hyaluronate-Visco-3)drugId:6411 - PA; Non-Drug Product	NON-DRUG PRODUCT
vismodegibdrugId:2481 - PA	CHEMOTHERAPY
VistarildrugId:762 # (hydroxyzine pamoate)drugId:762	ANTIHISTAMINES
Vistide # (cidofovir)	ANTIVIRALS
Visudyne (verteporfin)	OPHTHALMIC PREPARATIONS
vitamin A (retinol)drugId:1806 *	ELECTROLYTES AND NUTRIENTS
vitamin A and D ointment *	DERMATOLOGICAL
vitamin B-1 (thiamine)drugId:1692 *	ELECTROLYTES AND NUTRIENTS
vitamin B-12 (cyanocobalamin)drugId:302 o	ELECTROLYTES AND NUTRIENTS
vitamin B-2 (riboflavin)drugId:1428 *	ELECTROLYTES AND NUTRIENTS
vitamin B-3 (niacin) *; See Table 6drugId:1202; See Table 13drugId:1203	ELECTROLYTES AND NUTRIENTS
vitamin B-6 (pyridoxine)drugId:1613 *	ELECTROLYTES AND NUTRIENTS
vitamin B complexdrugId:1807 *	ELECTROLYTES AND NUTRIENTS
vitamin C (ascorbic acid)drugId:96 *	ELECTROLYTES AND NUTRIENTS
vitamin DdrugId:227 *	ELECTROLYTES AND NUTRIENTS
vitamin E, oraldrugId:1808 *	ELECTROLYTES AND NUTRIENTS
vitamins, multiple / mineralsdrugId:1402 *	ELECTROLYTES AND NUTRIENTS
vitamins, multipledrugId:1400 *	ELECTROLYTES AND NUTRIENTS
vitamins, pediatricdrugId:1403 *	ELECTROLYTES AND NUTRIENTS
vitamins, prenataldrugId:2061 *	ELECTROLYTES AND NUTRIENTS
Vitekta (elvitegravir)drugId:4840	ANTIVIRALS
Vitrakvi (larotrectinib)drugId:7047 - PA	CHEMOTHERAPY
Vitrase (hyaluronidase, ovine)	ENZYMES
Vivelle-Dot # (estradiol-Vivelle-Dot)	HORMONE REPLACEMENT THERAPY
Vivitrol (naltrexone injection)drugId:1426	ALCOHOL AND DRUG CESSATION AGENT
Vivlodex (meloxicam capsule)drugId:5404 - PA	ANTIARTHRITICS
Vivotif Berna (typhoid vaccine capsule)drugId:2628	BIOLOGICAL
Vizimpro (dacomitinib)drugId:7048 - PA	CHEMOTHERAPY
Vogelxo (testosterone 1% gel tube, packet, pump)drugId:2948 - PA	HORMONE REPLACEMENT THERAPY
Voltaren Gel (diclofenac 1% gel)drugId:512 BP	NONSTEROIDAL ANTI-INFLAMMATORY
Voltaren-XRdrugId:513 # (diclofenac extended-release)drugId:513	NONSTEROIDAL ANTI-INFLAMMATORY
Vonvendi (von willebrand factor, recombinant)	ANTI-HEMOPHILIA AGENTS
von willebrand factor, recombinant	ANTI-HEMOPHILIA AGENTS
von willebrand factor / coagulation factor VIII complex	ANTI-HEMOPHILIA AGENTS
vorapaxardrugId:2950 - PA	ANTIPLATELET AGENT
voriconazole injectiondrugId:1810	FUNGICIDES
voriconazole suspension, tabletdrugId:1809 - PA	FUNGICIDES
vorinostatdrugId:1811	CHEMOTHERAPY
vortioxetine - PA; See Table 17drugId:2885; See Table 71drugId:3881	ANTIDEPRESSANTS
Vosevi (sofosbuvir / velpatasvir / voxilaprevir)drugId:6364 PD - PA	ANTIVIRALS
Votrient (pazopanib)drugId:1486 - PA	CHEMOTHERAPY
Vpriv (velaglucerase alfa)drugId:1950 - PA	ENZYMES
Vraylar (cariprazine) - PA; See Table 24drugId:5405; See Table 71drugId:5406	ANTIPSYCHOTIC
Vumon (teniposide)drugId:2699	CHEMOTHERAPY
Vusion (miconazole / zinc oxide ointment)drugId:1353 - PA	FUNGICIDES
Vytorin (ezetimibe / simvastatin)drugId:453 BP - PA > 30 units/month	LIPID LOWERING AGENTS
Vyvanse (lisdexamfetamine) PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:1086; See Table 71drugId:3021	CEREBRAL STIMULANTS
Vyxeos (daunorubicin / cytarabine)drugId:6412 - PA	CHEMOTHERAPY
Vyzulta (latanoprostene)drugId:6487 - PA	OPHTHALMIC PREPARATIONS

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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 08/20/19