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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
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915 PA > 18 units/30 days TRIPTAN A90, #
ImitrexdrugId:1913 (sumatriptan 5 mg, 20 mg nasal spray)drugId:1913 PA > 18 units/30 days TRIPTAN A90, #
Imitrex (sumatriptan injection-Imitrex)drugId:1914 PA TRIPTAN
Infumorph (morphine infusion)drugId:1393 OPIOID ANALGESICS
Izervay (avacincaptad pegol)drugId:8781 PA OPHTHALMIC PREPARATIONS MB
Iyuzeh (latanoprost solution - Iyuzeh)drugId:8724 PA OPHTHALMIC PREPARATIONS
Istalol (timolol-Istalol)drugId:1703 OPHTHALMIC PREPARATIONS BP, M90
Isopto CarpinedrugId:2635 (pilocarpine 1%, 2%, 4% ophthalmic solution)drugId:2635 OPHTHALMIC PREPARATIONS M90, #
Isopto Atropine (atropine ophthalmic) OPHTHALMIC PREPARATIONS A90, #
IopidinedrugId:84 (apraclonidine)drugId:84 OPHTHALMIC PREPARATIONS M90, #
Inveltys (loteprednol 1% suspension)drugId:7285 PA OPHTHALMIC PREPARATIONS
Iluvien (fluocinolone ophthalmic implant-Iluvien) OPHTHALMIC PREPARATIONS MB
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725 PA OPHTHALMIC PREPARATIONS
Intuniv (guanfacine extended-release); See Table 31drugId:692; See Table 71drugId:3082 PA < 3 years NONSTIMULANT ADHD AGENTS A90, #
indomethacin suspensiondrugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suppositorydrugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin extended-releasedrugId:2066 NONSTEROIDAL ANTI-INFLAMMATORY A90
indomethacin 25 mg, 50 mgdrugId:2862 NONSTEROIDAL ANTI-INFLAMMATORY A90
Indocin (indomethacin suspension)drugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
ibuprofen / famotidinedrugId:2363 PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY A90, #
insulin continuous subcutaneous infusion pumpdrugId:8775 - Non-Drug Product PA NON-DRUG PRODUCT PND
insulin continuous subcutaneous infusion patchdrugId:8777 - Non-Drug Product PA NON-DRUG PRODUCT PND
insulin bolus delivery patchdrugId:8761 - Non-Drug Product PA NON-DRUG PRODUCT PND
Ingrezza (valbenazine)drugId:6123 PA NEUROLOGIC AGENT
ipratropium nasal spray NASAL PREPARATIONS A90, #
interferon beta-1b-ExtaviadrugId:828 PA MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-BetaserondrugId:827 MULTIPLE SCLEROSIS AGENTS
interferon beta-1a-RebifdrugId:826 MULTIPLE SCLEROSIS AGENTS
interferon beta-1a-AvonexdrugId:825 MULTIPLE SCLEROSIS AGENTS
inclisirandrugId:8192 PA LIPID LOWERING AGENTS
icosapent ethyldrugId:2733 PA LIPID LOWERING AGENTS BP, M90
ixekizumabdrugId:5399 PA IMMUNOMODULATOR PD
infliximab-RemicadedrugId:793 PA IMMUNOMODULATOR
infliximab-dyybdrugId:5763 PA IMMUNOMODULATOR
infliximab-axxqdrugId:7386 PA IMMUNOMODULATOR
infliximab-abdadrugId:6182 PA IMMUNOMODULATOR
infliximab, unbrandeddrugId:8216 PA IMMUNOMODULATOR
Inflectra (infliximab-dyyb)drugId:5763 PA IMMUNOMODULATOR
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111 IMMUNOMODULATOR A90, #
Ilumya (tildrakizumab-asmn)drugId:7004 PA IMMUNOMODULATOR
Ilaris (canakinumab)drugId:432 PA IMMUNOMODULATOR
Idacio (adalimumab-aacf)drugId:8710 PA IMMUNOMODULATOR
Increlex (mecasermin)drugId:1124 PA HORMONE AGENTS
iron sucrosedrugId:974 HEMATINIC AGENT MB
Injectafer (ferric carboxymaltose injection)drugId:2844 PA HEMATINIC AGENT MB
Infed (low molecular weight iron dextran)drugId:972 HEMATINIC AGENT
Impeklo (clobetasol propionate lotion pump)drugId:7920 PA GLUCOCORTICOIDS
itraconazole solutiondrugId:7060 FUNGICIDES BP, A90
itraconazole 65 mg capsuledrugId:7011 PA FUNGICIDES
itraconazole 100 mg capsuledrugId:988 FUNGICIDES A90, #
isavuconazoniumdrugId:4909 PA FUNGICIDES
ibrexafungerpdrugId:8019 PA FUNGICIDES
imiglucerasedrugId:780 PA ENZYMES MB
idursulfasedrugId:776 PA ENZYMES MB
icatibantdrugId:2364 PA ENZYMES
Isturisa (osilodrostat)drugId:7466 PA ENDOCRINE/METABOLIC AGENTS
Intralipid (fat emulsions, intravenous- intralipid) ELECTROLYTES AND NUTRIENTS
ibandronate tabletdrugId:770 ELECTROLYTES AND NUTRIENTS M90, #
ibandronate injectiondrugId:769 PA ELECTROLYTES AND NUTRIENTS
Inteliswab (COVID-19 antigen self-test)drugId:8172 - Non-Drug Product PA > 2 tests/28 days DIAGNOSTICS
Ihealth (COVID-19 antigen self-test)drugId:8171 - Non-Drug Product PA > 2 tests/28 days DIAGNOSTICS
insulin lispro 100 units/mL prefilled syringe-Humalog TempodrugId:8528 PA DIABETIC THERAPY
Invokana (canagliflozin)drugId:2780 DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723 DIABETIC AGENTS
Invokamet (canagliflozin / metformin)drugId:4775 DIABETIC AGENTS
insulin regulardrugId:821 DIABETIC AGENTS
insulin NPHdrugId:1263 PA DIABETIC AGENTS
insulin NPH / regular insulin 70/30drugId:817 DIABETIC AGENTS
insulin NPHdrugId:1265 DIABETIC AGENTS
insulin lispro-AdmelogdrugId:6660 PA DIABETIC AGENTS
insulin lispro-aabcdrugId:7491 PA DIABETIC AGENTS
insulin lispro 75/25 vialdrugId:813 DIABETIC AGENTS
insulin lispro 75/25 prefilled syringe-HumalogdrugId:814 PA DIABETIC AGENTS
insulin lispro 75/25 prefilled syringedrugId:8102 DIABETIC AGENTS
insulin lispro 50/50drugId:811 DIABETIC AGENTS
insulin lispro 200 units/mLdrugId:8105 DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vial-HumalogdrugId:815 PA DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vialdrugId:8103 DIABETIC AGENTS
insulin lispro 100 units/mL cartridgedrugId:8104 DIABETIC AGENTS
insulin human inhalation powderdrugId:4900 PA DIABETIC AGENTS
insulin glulisinedrugId:810 DIABETIC AGENTS
insulin glargine-yfgndrugId:7470 PA DIABETIC AGENTS
insulin glargine-ToujeodrugId:4914 DIABETIC AGENTS BP
insulin glargine-LantusdrugId:807 DIABETIC AGENTS BP, PD
insulin glargine-BasaglardrugId:5761 PA DIABETIC AGENTS
insulin glargine-aglrdrugId:8646 PA DIABETIC AGENTS
insulin glargine / lixisenatidedrugId:5766 PA DIABETIC AGENTS
insulin detemirdrugId:805 DIABETIC AGENTS
insulin degludecdrugId:5302 DIABETIC AGENTS BP
insulin degludec / liraglutidedrugId:5769 PA DIABETIC AGENTS
insulin aspart-NovologdrugId:804 PA DIABETIC AGENTS
insulin aspart-FiaspdrugId:6400 PA DIABETIC AGENTS
insulin aspart 70/30-NovologdrugId:801 PA DIABETIC AGENTS
insulin aspart 70/30drugId:8107 DIABETIC AGENTS
insulin aspartdrugId:8106 DIABETIC AGENTS
Inpefa (sotagliflozin)drugId:8722 PA DIABETIC AGENTS
ivermectin creamdrugId:4813 PA DERMATOLOGICAL A90
isotretinoin micronizeddrugId:7368 PA DERMATOLOGICAL A90
isotretinoin-AbsoricadrugId:2881 PA DERMATOLOGICAL BP, A90
isotretinoindrugId:983 PA ≥ 22 years DERMATOLOGICAL A90
imiquimod 5% creamdrugId:783 DERMATOLOGICAL A90
imiquimod 2.5%, 3.75% creamdrugId:1952 PA DERMATOLOGICAL BP, A90
Ibsrela (tenapanor)drugId:8208 PA CONSTIPATION AGENTS
Ixempra (ixabepilone)drugId:990 CHEMOTHERAPY MB
ixazomibdrugId:5281 PA CHEMOTHERAPY
ixabepilonedrugId:990 CHEMOTHERAPY MB
ivosidenibdrugId:6925 PA CHEMOTHERAPY
Istodax (romidepsin lyophilized)drugId:1959 PA CHEMOTHERAPY MB
isatuximab-irfcdrugId:7395 PA CHEMOTHERAPY MB
irinotecandrugId:970 CHEMOTHERAPY MB
irinotecan liposomedrugId:5285 PA CHEMOTHERAPY MB
Iressa (gefitinib)drugId:924 PA CHEMOTHERAPY A90
ipilimumabdrugId:2296 PA CHEMOTHERAPY MB
iobenguane I 131drugId:6980 CHEMOTHERAPY MB
interferon gamma-1bdrugId:829 CHEMOTHERAPY
Inrebic (fedratinib)drugId:7332 PA CHEMOTHERAPY
Inqovi (decitabine / cedazuridine)drugId:7597 CHEMOTHERAPY
inotuzumab ozogamicindrugId:6341 PA CHEMOTHERAPY MB
Inlyta (axitinib)drugId:2484 PA CHEMOTHERAPY
Infugem (gemcitabine premixed infusion)drugId:7284 PA CHEMOTHERAPY MB
infigratinibdrugId:8026 PA CHEMOTHERAPY
Imlygic (talimogene laherparepvec)drugId:5440 PA CHEMOTHERAPY MB
Imfinzi (durvalumab)drugId:6122 PA CHEMOTHERAPY MB
Imbruvica (ibrutinib)drugId:2927 PA CHEMOTHERAPY
imatinibdrugId:779 CHEMOTHERAPY A90, #
ifosfamidedrugId:2457 CHEMOTHERAPY MB
Ifex (ifosfamide)drugId:2457 CHEMOTHERAPY MB
Idhifa (enasidenib)drugId:6284 PA CHEMOTHERAPY
idelalisibdrugId:4644 PA CHEMOTHERAPY
idecabtagene vicleuceldrugId:7877 PA CHEMOTHERAPY CO, MB
idarubicindrugId:2687 CHEMOTHERAPY MB
Idamycin PFS (idarubicin)drugId:2687 CHEMOTHERAPY MB
Iclusig (ponatinib)drugId:2724 PA CHEMOTHERAPY
ibrutinibdrugId:2927 PA CHEMOTHERAPY
Ibrance (palbociclib)drugId:4940 PA CHEMOTHERAPY PD
ivabradinedrugId:5124 PA CARDIOVASCULAR
isradipine immediate-releasedrugId:987 PA CARDIOVASCULAR M90
isosorbide mononitratedrugId:979 CARDIOVASCULAR M90
isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tabletdrugId:6290 CARDIOVASCULAR M90, #
isosorbide dinitrate 40 mg tabletdrugId:978 PA CARDIOVASCULAR BP, M90
isosorbide dinitrate / hydralazinedrugId:982 CARDIOVASCULAR M90, #
IsordildrugId:6290 (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId:6290 CARDIOVASCULAR M90, #
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978 PA CARDIOVASCULAR BP, M90
irbesartandrugId:968 CARDIOVASCULAR M90, #
irbesartan / hydrochlorothiazidedrugId:969 CARDIOVASCULAR M90, #
Innopran XL (propranolol long-acting capsule)drugId:1602 PA CARDIOVASCULAR
Inderal XL (propranolol long-acting capsule)drugId:6562 PA CARDIOVASCULAR
Inderal LAdrugId:1601 (propranolol extended-release)drugId:1601 CARDIOVASCULAR M90, #
indapamidedrugId:790 CARDIOVASCULAR M90
iloprostdrugId:778 PA CARDIOVASCULAR
ipratropium inhalation solution BRONCHODILATORS A90
ipratropium inhalation aerosoldrugId:833 BRONCHODILATORS
Incruse (umeclidinium)drugId:4774 BRONCHODILATORS
Ixchiq (chikungunya virus vaccine, live)drugId:8735 BIOLOGICALS
Ixiaro (japanese encephalitis vaccine)drugId:2044 BIOLOGICAL
Ipol (poliovirus vaccine, inactivated)drugId:1546 BIOLOGICAL 1
influenza virus vaccine-FluzonedrugId:797 BIOLOGICAL 1
influenza virus vaccine-FlumistdrugId:800 BIOLOGICAL 1
influenza virus vaccine-FlulavaldrugId:795 BIOLOGICAL 1
influenza virus vaccine-FlucelvaxdrugId:2652 BIOLOGICAL 1
influenza virus vaccine-FlublokdrugId:2863 BIOLOGICAL 1
influenza virus vaccine-FluarixdrugId:796 BIOLOGICAL 1
influenza virus vaccine-AfluriadrugId:2046 BIOLOGICAL 1
influenza virus vaccine, high dosedrugId:798 PA < 65 years  BIOLOGICAL 1
influenza virus vaccine, adjuvanteddrugId:5386 PA < 65 years BIOLOGICAL 1
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537 BIOLOGICAL 1
inebilizumab-cdondrugId:7570 PA BIOLOGICAL MB
incobotulinumtoxinAdrugId:2087 PA BIOLOGICAL
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627 BIOLOGICAL
immune globulin subcutaneous injection, human-klhwdrugId:7336 PA BIOLOGICAL
immune globulin subcutaneous injection, human-HizentradrugId:1940 PA BIOLOGICAL
immune globulin subcutaneous injection, human-hippdrugId:7131 PA BIOLOGICAL
immune globulin subcutaneous injection, human-CuvitrudrugId:5720 PA BIOLOGICAL
immune globulin subcutaneous injection, human / hyaluronidase human recombinantdrugId:4626 PA BIOLOGICAL
immune globulin IV, human-slradrugId:7327 PA BIOLOGICAL
immune globulin IV, human-PrivigendrugId:2197 PA BIOLOGICAL
immune globulin IV, human-OctagamdrugId:2684 PA BIOLOGICAL
immune globulin IV, human-ifasdrugId:7104 PA BIOLOGICAL
immune globulin IV, human-GammaplexdrugId:2381 PA BIOLOGICAL
immune globulin IV, human-Gammagard S/DdrugId:787 PA BIOLOGICAL
immune globulin IV, human-FlebogammadrugId:786 PA BIOLOGICAL
immune globulin IV, human-BivigamdrugId:2817 PA BIOLOGICAL
immune globulin injection, human-Gamunex-CdrugId:2167 PA BIOLOGICAL
immune globulin injection, human-GammakeddrugId:2641 PA BIOLOGICAL
immune globulin injection, human-GammagarddrugId:2198 PA BIOLOGICAL
immune globulin IM, human-Gamastan S/DdrugId:2683 PA BIOLOGICAL
Imcivree (setmelanotide)drugId:7724 PA BIOLOGICAL
Isentress (raltegravir)drugId:2701 ANTIVIRALS BP
Invirase (saquinavir)drugId:1832 ANTIVIRALS
Intelence (etravirine)drugId:447 ANTIVIRALS BP, A90
ibalizumab-uiykdrugId:6687 PA ANTIVIRALS
isopropyl alcoholdrugId:976 ANTISEPTICS *, A90
iodinedrugId:1992 ANTISEPTICS *, A90
Invega Trinza (paliperidone extended-release 3-month injection); See Table 24drugId:5121; See Table 71drugId:5122 PA < 6 years and PA > 1 injection/84 days ANTIPSYCHOTIC PD
Invega Sustenna (paliperidone extended-release 1-month injection); See Table 24drugId:1470; See Table 71drugId:4281 PA < 6 years, PA > 2 injections/28 days within the first 28 days of therapy and PA > 1 injection/28 days after 28 days of therapy ANTIPSYCHOTIC PD
Invega Hafyera (paliperidone extended-release 6-month injection); See Table 24drugId:8113; See Table 71drugId:8114 PA < 6 years and PA > 1 injection/168 days ANTIPSYCHOTIC PD
Invega (paliperidone tablet); See Table 24drugId:1471; See Table 71drugId:4280 PA ANTIPSYCHOTIC A90
iloperidone; See Table 24drugId:777; See Table 71drugId:4265 PA ANTIPSYCHOTIC
istradefyllinedrugId:7349 PA ANTIPARKINSON A90
Inbrija (levodopa)drugId:7237 PA ANTIPARKINSON
ivermectin tabletdrugId:989 ANTIPARASITICS #
Imjudo (tremelimumab-actl)drugId:8529 PA ANTINEOPLASTICS MB
Ixinity (factor IX human recombinant-Ixinity)drugId:4941 ANTI-HEMOPHILIA AGENTS
Idelvion (factor IX recombinant, albumin fusion protein)drugId:5408 ANTI-HEMOPHILIA AGENTS
isocarboxazid; See Table 17drugId:2619; See Table 71drugId:3600 PA ANTIDEPRESSANTS
imipramine pamoate; See Table 17drugId:2308; See Table 71drugId:4080 PA ANTIDEPRESSANTS A90
imipramine hydrochloride; See Table 17drugId:782; See Table 71drugId:4060 PA < 6 years ANTIDEPRESSANTS A90
isoniazid; See Table 35drugId:975; See Table 66drugId:5740 ANTIBIOTICS A90
InvanzdrugId:620 (ertapenem)drugId:620 ANTIBIOTICS #
imipenem / cilastatin / relebactamdrugId:7376 PA ANTIBIOTICS
imipenem / cilastatindrugId:781 ANTIBIOTICS #
Iheezo (chloroprocaine ophthalmic gel)drugId:8719 PA ANESTHETICS
Igalmi (dexmedetomidine) ALPHA-2 ADRENERGIC AGONIST MB
Inspra (eplerenone)drugId:609 ALDOSTERONE ANTAGONISTS BP, M90

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

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Last updated 06/24/24