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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
warfarindrugId:1812 ANTICOAGULANTS
Welchol (colesevelam) BP - PA; See Table 13drugId:288; See Table 26drugId:289 LIPID LOWERING AGENTS
Wellbutrin # (bupropion hydrochloride) - PA < 6 years; See Table 17drugId:396; See Table 71drugId:3660 ANTIDEPRESSANTS
Wellbutrin SR # (bupropion hydrochloride sustained-release-Wellbutrin SR) - PA < 6 years; See Table 17drugId:397; See Table 71drugId:3682 ANTIDEPRESSANTS
Wellbutrin XL # (bupropion hydrochloride extended-release 150 mg, 300 mg tablets) - PA < 6 years and PA > 30 units/month; See Table 17drugId:398; See Table 71drugId:3680 ANTIDEPRESSANTS
Wilate (von willebrand factor / coagulation factor VIII complex) ANTI-HEMOPHILIA AGENTS
Winrho SDF (rho(d) immune globulin IV, human-Winrho SDF)drugId:1650 BIOLOGICAL
witch hazel * DERMATOLOGICAL

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