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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
Xadago (safinamide)drugId:6185 - PA ANTIPARKINSON
XalatandrugId:1027 # (latanoprost)drugId:1027 OPHTHALMIC PREPARATIONS
Xalkori (crizotinib)drugId:2376 - PA CHEMOTHERAPY
Xanax # (alprazolam) - PA < 6 years; See Table 69drugId:25; See Table 71drugId:4358 BENZODIAZEPINES
Xanax XR (alprazolam extended-release) - PA; See Table 69drugId:26; See Table 71drugId:4359 BENZODIAZEPINES
Xarelto (rivaroxaban 10 mg)drugId:2371 - PA > 10 mg/day and PA > 35 tablets/365 days ANTICOAGULANTS
Xarelto (rivaroxaban 15 mg, 20 mg)drugId:2384 - PA ANTICOAGULANTS
Xarelto (rivaroxaban starter pack)drugId:4643 - PA ANTICOAGULANTS
Xartemis XR (oxycodone / acetaminophen extended-release)drugId:2949 - PA ANALGESICS, NARCOTIC
Xatmep (methotrexate oral solution)drugId:6125 - PA IMMUNOMODULATOR
Xeljanz (tofacitinib)drugId:2660 - PA IMMUNOMODULATOR
Xeljanz XR (tofacitinib extended-release)drugId:5407 - PA IMMUNOMODULATOR
Xeloda (capecitabine)drugId:435 BP CHEMOTHERAPY
Xenazine (tetrabenazine)drugId:1688 BP - PA NEUROLOGIC AGENT
Xeomin (incobotulinumtoxinA)drugId:2087 - PA BIOLOGICAL
Xerese (acyclovir / hydrocortisone)drugId:1973 - PA DERMATOLOGICAL
Xermelo (telotristat ethyl)drugId:6108 - PA ANTIDIARRHEALS
Xgeva (denosumab-Xgeva)drugId:2180 - PA BIOLOGICAL
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488 - PA NASAL PREPARATIONS
Xiaflex (collagenase clostridium histolyticum)drugId:1951 - PA ENZYMES
Xifaxan (rifaximin)drugId:1433 - PA ANTIBIOTICS
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841 - PA DIABETIC AGENTS
Xiidra (lifitegrast)drugId:5681 - PA OPHTHALMIC PREPARATIONS
Ximino (minocycline extended-release capsule)drugId:6413 - PA ANTIBIOTICS
Xofigo (radium Ra 223 dichloride)drugId:2853 ^ - PA CHEMOTHERAPY
Xolair (omalizumab)drugId:1287 - PA BIOLOGICAL
Xopenex (levalbuterol)drugId:1036 - PA BRONCHODILATORS
Xtampza (oxycodone extended-release capsule)drugId:5598 - PA OPIOID ANALGESICS
Xtandi (enzalutamide)drugId:2651 - PA CHEMOTHERAPY
Xultophy (insulin degludec / liraglutide)drugId:5769 - PA DIABETIC AGENTS
Xylocaine-MPF # (lidocaine-Xylocaine-MPF) ANESTHETICS
Xyntha (antihemophilic factor, recombinant-Xyntha) ANTI-HEMOPHILIA AGENTS
Xyrem (sodium oxybate)drugId:1870 - PA SEDATIVES
Xyzal (levocetirizine solution)drugId:5960 - PA ANTIHISTAMINES
XyzaldrugId:1043 # (levocetirizine tablet)drugId:1043 ANTIHISTAMINES

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