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
zafirlukastdrugId:1816 - PA	BRONCHODILATORS
zaleplon - PA < 6 years and PA > 30 units/month; See Table 15drugId:1817; See Table 71drugId:4354	SEDATIVES
Zaltrap (ziv-aflibercept)drugId:2637 - PA	CHEMOTHERAPY
Zanaflex (tizanidine capsule)drugId:1711 - PA	MUSCLE RELAXANT
ZanaflexdrugId:1712 # (tizanidine tablet)drugId:1712	MUSCLE RELAXANT
zanamivirdrugId:1818 - PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days	ANTIVIRALS
Zanosar (streptozocin)drugId:2700	CHEMOTHERAPY
ZantacdrugId:2693 # (ranitidine injection)drugId:2693	H2 ANTAGONISTS
Zarontin # (ethosuximide); See Table 20drugId:668; See Table 71drugId:3400	ANTICONVULSANTS
Zarxio (filgrastim-sndz)drugId:5116 - PA	HEMATINIC AGENT
Zavesca (miglustat)drugId:1357 BP - PA	ENZYMES
Zegerid (omeprazole / sodium bicarbonate)drugId:2988 - PA	ANTI-ULCER PREPARATIONS
Zejula (niraparib)drugId:6126 - PA	CHEMOTHERAPY
Zelapar (selegiline orally disintegrating tablet)drugId:1839 - PA	ANTIPARKINSON
Zelboraf (vemurafenib)drugId:2372 - PA	CHEMOTHERAPY
Zelnorm (tegaserod)drugId:7302 - PA	CONSTIPATION AGENTS
Zemaira (alpha-1-proteinase inhibitor, human-Zemaira)	ENZYMES
Zembrace (sumatriptan injection-Zembrace)drugId:5599 - PA	TRIPTAN
Zemdri (plazomicin)drugId:7014 - PA	ANTIBIOTICS
Zemplar (paricalcitol capsule)drugId:1481 - PA	ELECTROLYTES AND NUTRIENTS
Zemplar (paricalcitol injection)drugId:5781 ^	ELECTROLYTES AND NUTRIENTS
Zenpep DR (pancrelipase-Zenpep DR)drugId:1084	ENZYMES
Zepatier (elbasvir / grazoprevir)drugId:5321 - PA	ANTIVIRALS
Zerbaxa (ceftolozane / tazobactam)drugId:4842 - PA	ANTIBIOTICS
ZeritdrugId:1894 # (stavudine)drugId:1894	ANTIVIRALS
ZestoreticdrugId:1090 # (lisinopril / hydrochlorothiazide)drugId:1090	CARDIOVASCULAR
ZestrildrugId:1088 # (lisinopril)drugId:1088	CARDIOVASCULAR
ZetiadrugId:452 # (ezetimibe)drugId:452	LIPID LOWERING AGENTS
Zetonna (ciclesonide nasal aerosol, 37 mcg)drugId:2561 - PA	NASAL PREPARATIONS
ZiacdrugId:369 # (bisoprolol / hydrochlorothiazide)drugId:369	CARDIOVASCULAR
ZiagendrugId:137 # (abacavir)drugId:137	ANTIVIRALS
Ziana (clindamycin / tretinoin-Ziana)drugId:265 - PA	DERMATOLOGICAL
ziconotidedrugId:1819 - PA	ANALGESICS
zidovudinedrugId:1820	ANTIVIRALS
zileuton extended-releasedrugId:1821 - PA	BRONCHODILATORS
zileutondrugId:2337 - PA	BRONCHODILATORS
Zilretta (triamcinolone extended-release injectable suspension)drugId:6415 - PA	GLUCOCORTICOIDS
Zincate (zinc sulfate)	ELECTROLYTES AND NUTRIENTS
zinc oxide *	DERMATOLOGICAL
zinc sulfate	ELECTROLYTES AND NUTRIENTS
Zinecard # (dexrazoxane)	ANTIDOTES
Zingo (lidocaine powder intradermal injection system)drugId:5118 - PA	ANESTHETICS
Zinplava (bezlotoxumab)drugId:5771 - PA	BIOLOGICAL
Zioptan (tafluprost)drugId:2524 - PA	OPHTHALMIC PREPARATIONS
ziprasidone capsule - PA < 6 years and PA > 60 units/month; See Table 24drugId:1926; See Table 71drugId:4290	ANTIPSYCHOTIC
ziprasidone injectiondrugId:1925	ANTIPSYCHOTIC
Zipsor (diclofenac 25 mg capsule)drugId:511 - PA	NONSTEROIDAL ANTI-INFLAMMATORY
Zirgan (ganciclovir ophthalmic gel)	OPHTHALMIC PREPARATIONS
Zithromax # (azithromycin); See Table 35drugId:117; See Table 66drugId:2622	ANTIBIOTICS
ziv-afliberceptdrugId:2637 - PA	CHEMOTHERAPY
ZocordrugId:2737 # (simvastatin 5 mg, 10 mg, 20 mg, 40 mg)drugId:2737 - PA > 45 units/month	LIPID LOWERING AGENTS
ZocordrugId:1855 # (simvastatin 80 mg)drugId:1855 - PA > 30 units/month	LIPID LOWERING AGENTS
Zofran (ondansetron solution)drugId:1293 - PA	ANTIEMETICS
ZofrandrugId:1292 # (ondansetron 4 mg, 8 mg tablet)drugId:1292	ANTIEMETICS
ZofrandrugId:1295 # (ondansetron injection)drugId:1295	ANTIEMETICS
Zofran ODTdrugId:1294 # (ondansetron orally disintegrating tablet)drugId:1294	ANTIEMETICS
Zohydro ER (hydrocodone extended-release capsule)drugId:2924 - PA	OPIOID ANALGESICS
Zoladex (goserelin)drugId:682 - PA	CHEMOTHERAPY
zoledronic acid 4 mgdrugId:1928	ELECTROLYTES AND NUTRIENTS
zoledronic acid 5 mgdrugId:1927 - PA	ELECTROLYTES AND NUTRIENTS
Zolgensma (onasemnogene abeparvovec-xioi) CO ^ - PA	GENE THERAPY
Zolinza (vorinostat)drugId:1811	CHEMOTHERAPY
zolmitriptan nasal spraydrugId:1930 - PA	TRIPTAN
zolmitriptan orally disintegrating tabletdrugId:1931 - PA	TRIPTAN
zolmitriptan tabletdrugId:1929 - PA	TRIPTAN
Zoloft # (sertraline) - PA < 6 years; See Table 17drugId:1845; See Table 71drugId:3820	ANTIDEPRESSANTS
zolpidem 1.75 mg, 3.5 mg sublingual tablet - PA; See Table 15drugId:2518; See Table 71drugId:4341	SEDATIVES
zolpidem 10 mg tablet - PA < 6 years and PA > 30 units/month; See Table 15drugId:1932; See Table 71drugId:4342	SEDATIVES
zolpidem 5 mg, 10 mg sublingual tablet - PA; See Table 15drugId:1935; See Table 71drugId:4340	SEDATIVES
zolpidem 5 mg tablet - PA < 6 years and PA > 45 units/month; See Table 15drugId:1933; See Table 71drugId:4344	SEDATIVES
zolpidem extended-release tablet - PA < 6 years and PA > 30 units/month; See Table 15drugId:1934; See Table 71drugId:4345	SEDATIVES
zolpidem oral spray - PA; See Table 15drugId:2181; See Table 71drugId:4343	SEDATIVES
Zolpimist (zolpidem oral spray) - PA; See Table 15drugId:2181; See Table 71drugId:4343	SEDATIVES
Zomacton (somatropin-Zomacton)drugId:5002 - PA	HORMONE AGENTS
ZometadrugId:1928 # (zoledronic acid 4 mg)drugId:1928	ELECTROLYTES AND NUTRIENTS
Zomig (zolmitriptan nasal spray)drugId:1930 - PA	TRIPTAN
Zomig (zolmitriptan tablet)drugId:1929 - PA	TRIPTAN
Zomig ZMT (zolmitriptan orally disintegrating tablet)drugId:1931 - PA	TRIPTAN
Zonalon (doxepin cream-Zonalon)drugId:569 - PA	DERMATOLOGICAL
zonisamide; See Table 20drugId:1936; See Table 71drugId:4480	ANTICONVULSANTS
Zontivity (vorapaxar)drugId:2950 - PA	ANTIPLATELET AGENT
Zorbtive (somatropin-Zorbtive)drugId:1889 - PA	HORMONE AGENTS
Zortress (everolimus-Zortress)drugId:1974	IMMUNOMODULATOR
Zorvolex (diclofenac 18 mg, 35 mg capsule)drugId:2894 - PA	NONSTEROIDAL ANTI-INFLAMMATORY
Zostavax (herpes zoster vaccine)drugId:1791 - PA < 50 years	BIOLOGICAL
zoster vaccine recombinant, adjuvanteddrugId:6407 - PA < 50 years	BIOLOGICAL
ZosyndrugId:1537 # (piperacillin / tazobactam)drugId:1537	ANTIBIOTICS
Zovirax (acyclovir cream)drugId:157 BP - PA	ANTIVIRALS
Zovirax (acyclovir ointment)drugId:156 - PA	ANTIVIRALS
ZoviraxdrugId:155 # (acyclovir capsule, suspension, tablet)drugId:155	ANTIVIRALS
Ztlido (lidocaine 1.8% patch)drugId:7015 - PA	ANESTHETICS
Zubsolv (buprenorphine / naloxone tablet-Zubsolv)drugId:2854 - PA	ALCOHOL AND DRUG CESSATION AGENT
Zulresso (brexanolone)drugId:7303 ^ - PA	ANTIDEPRESSANTS
Zuplenz (ondansetron film)drugId:1975 - PA	ANTIEMETICS
Zurampic (lesinurad)drugId:5680 - PA	GOUT AGENTS
ZybandrugId:4560 # (bupropion hydrochloride sustained-release-Zyban)drugId:4560 - PA < 6 years	SMOKING CESSATION
Zyclara (imiquimod 2.5%, 3.75% cream)drugId:1952 - PA	DERMATOLOGICAL
Zydelig (idelalisib)drugId:4644 - PA	CHEMOTHERAPY
Zyflo (zileuton)drugId:2337 - PA	BRONCHODILATORS
Zykadia (ceritinib)drugId:2951 - PA	CHEMOTHERAPY
Zylet (tobramycin / loteprednol ophthalmic suspension)drugId:1718 - PA	OPHTHALMIC PREPARATIONS
ZyloprimdrugId:17 # (allopurinol)drugId:17	GOUT AGENTS
Zymaxid (gatifloxacin ophthalmic solution)drugId:1976 - PA	OPHTHALMIC PREPARATIONS
Zypitamag (pitavastatin magnesium)drugId:7109 - PA	LIPID LOWERING AGENTS
Zyprexa # (olanzapine 15 mg tablet) - PA < 6 years and PA > 60 units/month; See Table 24drugId:2756; See Table 71drugId:4296	ANTIPSYCHOTIC
Zyprexa # (olanzapine 2.5 mg, 5 mg, 7.5 mg, 10 mg, 20 mg tablets) - PA < 6 years and PA > 30 units/month; See Table 24drugId:1274; See Table 71drugId:4298	ANTIPSYCHOTIC
ZyprexadrugId:1275 # (olanzapine injection)drugId:1275	ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 210 mg, 300 mg extended-release injection) - PA < 6 years and PA > 2 injections/month; See Table 24drugId:1277; See Table 71drugId:4301	ANTIPSYCHOTIC
Zyprexa Relprevv (olanzapine 405 mg extended-release injection) - PA < 6 years and PA > 1 injection/month; See Table 24drugId:1278; See Table 71drugId:4303	ANTIPSYCHOTIC
Zyprexa Zydis # (olanzapine 15 mg orally disintegrating tablet) - PA < 6 years and PA > 60 units/month; See Table 24drugId:7126; See Table 71drugId:7127	ANTIPSYCHOTIC
Zyprexa Zydis # (olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet) - PA < 6 years and PA > 30 units/month; See Table 24drugId:1276; See Table 71drugId:4299	ANTIPSYCHOTIC
Zytiga (abiraterone 250 mg, 500 mg)drugId:2297 BP - PA	CHEMOTHERAPY
Zyvox (linezolid injection)drugId:1079 - PA	ANTIBIOTICS
Zyvox (linezolid suspension, tablet)drugId:1078 - PA	ANTIBIOTICS

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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 02/21/20