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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
Oxytrol (oxybutynin transdermal system)drugId:1316 URINARY ANTISPASMODICS
oxybutynin transdermal systemdrugId:1316 URINARY ANTISPASMODICS
oxybutynin solutiondrugId:8583 PA URINARY ANTISPASMODICS A90
oxybutynin immediate-release 5 mg tablet, syrupdrugId:1313 URINARY ANTISPASMODICS A90
oxybutynin immediate-release 2.5 mg tabletdrugId:8574 PA URINARY ANTISPASMODICS A90
oxybutynin geldrugId:1315 URINARY ANTISPASMODICS BP
oxybutynin extended-release tabletdrugId:1314 URINARY ANTISPASMODICS A90, #
Omisirge (omidubicel-onlv)drugId:8660 PA UNCLASSIFIED DRUG PRODUCTS CO, MB
omidubicel-onlvdrugId:8660 PA UNCLASSIFIED DRUG PRODUCTS CO, MB
omaveloxolonedrugId:8579 PA UNCLASSIFIED DRUG PRODUCTS
ozanimod for ulcerative colitisdrugId:7959 PA SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
ozanimod for multiple sclerosisdrugId:7463 PA SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Oxlumo (lumasiran)drugId:7793 PA SMALL INTERFERING RNA AGENTS PD, MB
Onpattro (patisiran)drugId:6985 PA SMALL INTERFERING RNA AGENTS PD, MB
Ofev (nintedanib)drugId:4787 PA PULMONARY FIBROSIS AGENTS
omeprazole suspensiondrugId:2054 PA PROTON PUMP INHIBITORS
omeprazole suspension compounding kitdrugId:8402 PA PROTON PUMP INHIBITORS
omeprazole 40 mgdrugId:2055 PA > 2 units/day PROTON PUMP INHIBITORS M90
omeprazole 20 mg capsuledrugId:1289 PA > 4 units/day PROTON PUMP INHIBITORS M90
omeprazole 10 mgdrugId:2100 PA > 1 unit/day PROTON PUMP INHIBITORS M90
Otovel (ciprofloxacin / fluocinolone)drugId:5683 PA OTIC PREPARATIONS A90
ofloxacin otic solutiondrugId:1272 OTIC PREPARATIONS A90
Oriahnn (elagolix / estradiol / norethindrone)drugId:7923 PA OTHER HORMONES
oxymorphone immediate-release, oraldrugId:1463 PA OPIOID ANALGESICS
oxymorphone extended-release, oraldrugId:2912 PA OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319 PA OPIOID ANALGESICS BP
oxycodone immediate-releasedrugId:1320 PA > 80 mg/day OPIOID ANALGESICS #
oxycodone extended-release tabletdrugId:1319 PA OPIOID ANALGESICS BP
oxycodone extended-release capsuledrugId:5598 PA OPIOID ANALGESICS
oxycodone / aspirindrugId:1460 PA > 80 mg/day oxycodone and PA > 4 g/day aspirin OPIOID ANALGESICS
oxycodone / acetaminophen-PercocetdrugId:1323 PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen OPIOID ANALGESICS #
oxycodone / acetaminophendrugId:1321 PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen OPIOID ANALGESICS
oxycodone / acetaminophen 300 mgdrugId:5144 PA OPIOID ANALGESICS
Olinvyk (oliceridine)drugId:7790 PA OPIOID ANALGESICS MB
oliceridinedrugId:7790 PA OPIOID ANALGESICS MB
Ozurdex (dexamethasone intravitreal implant)drugId:494 OPHTHALMIC PREPARATIONS MB
Oxervate (cenegermin-bkbj)drugId:7103 PA OPHTHALMIC PREPARATIONS
Opcon-A (naphazoline / pheniramine)drugId:6213 OPHTHALMIC PREPARATIONS A90
Omidria (phenylephrine / ketorolac) OPHTHALMIC PREPARATIONS MB
ofloxacin ophthalmic solutiondrugId:1273 OPHTHALMIC PREPARATIONS A90, #
OcufloxdrugId:1273 (ofloxacin ophthalmic solution)drugId:1273 OPHTHALMIC PREPARATIONS A90, #
oxaprozindrugId:1309 NONSTEROIDAL ANTI-INFLAMMATORY A90, #
Omnipod Go (insulin continuous subcutaneous infusion pump)drugId:8774 - Non-Drug Product PA NON-DRUG PRODUCT PND
Omnipod Dash (insulin continuous subcutaneous infusion pump)drugId:8773 - Non-Drug Product PA NON-DRUG PRODUCT PND
Omnipod Classic (insulin continuous subcutaneous infusion pump)drugId:8772 - Non-Drug Product PA NON-DRUG PRODUCT PND
Omnipod 5 (insulin continuous subcutaneous infusion pump)drugId:8775 - Non-Drug Product PA NON-DRUG PRODUCT PND
Omnaris (ciclesonide 50 mcg nasal spray)drugId:231 PA > 1 inhaler/30 days NASAL PREPARATIONS
olopatadine nasal spraydrugId:1283 PA NASAL PREPARATIONS A90
olopatadine / mometasonedrugId:8334 PA NASAL PREPARATIONS
orphenadrinedrugId:1301 PA < 18 years MUSCLE RELAXANT A90
orphenadrine / aspirin / caffeinedrugId:7164 PA MUSCLE RELAXANT A90
ofatumumab prefilled syringedrugId:7544 PA MULTIPLE SCLEROSIS AGENTS
Ocrevus (ocrelizumab)drugId:6104 PA MULTIPLE SCLEROSIS AGENTS
ocrelizumabdrugId:6104 PA MULTIPLE SCLEROSIS AGENTS
olipudase alfa-rpcpdrugId:8548 PA MISCELLANEOUS MB
omega-3 acid ethyl estersdrugId:1288 LIPID LOWERING AGENTS M90, #
Osmoprep (sodium phosphate)drugId:1873 LAXATIVES
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929 PA IMMUNOMODULATOR
Otezla (apremilast)drugId:2941 PA IMMUNOMODULATOR
Orencia (abatacept vial)drugId:140 PA IMMUNOMODULATOR MB
Orencia (abatacept auto-injection, prefilled syringe)drugId:8383 PA IMMUNOMODULATOR
Olumiant (baricitinib)drugId:6803 PA IMMUNOMODULATOR
Orthovisc (hyaluronan, high molecular weight)drugId:4808 PA HYALURONAN MB
Orilissa (elagolix)drugId:6921 PA HORMONE AGENTS
Orgovyx (relugolix)drugId:7792 PA HORMONE AGENTS
Omnitrope (somatropin-Omnitrope)drugId:1885 PA HORMONE AGENTS
Oxbryta (voxelotor)drugId:7350 PA HEMATOLOGIC
oprelvekindrugId:1297 HEMATINIC AGENT
omeprazole / clarithromycin / amoxicillindrugId:2582 PA H. PYLORI AGENTS
omeprazole / amoxicillin / rifabutindrugId:7380 PA H. PYLORI AGENTS
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582 PA H. PYLORI AGENTS
Ortikos (budesonide extended-release capsule)drugId:7493 PA GLUCOCORTICOIDS
Olux-E (clobetasol propionate foam / emollient)drugId:2532 PA GLUCOCORTICOIDS A90
OluxdrugId:268 (clobetasol propionate foam)drugId:268 GLUCOCORTICOIDS A90, #
olsalazinedrugId:1286 GI ANTI-INFLAMMATORY
onasemnogene abeparvovec-xioidrugId:7273 PA GENE THERAPY CO, PD, MB
Oxistat (oxiconazole lotion)drugId:8167 PA FUNGICIDES
Oxistat (oxiconazole cream)drugId:1312 PA FUNGICIDES A90
oxiconazole lotiondrugId:8167 PA FUNGICIDES
oxiconazole creamdrugId:1312 PA FUNGICIDES A90
oteseconazoledrugId:8307 PA FUNGICIDES
Oravig (miconazole buccal tablet)drugId:1966 PA FUNGICIDES
Orladeyo (berotralstat)drugId:7720 PA ENZYMES
Olpruva (sodium phenylbutyrate pellets for suspension)drugId:8659 PA ENZYMES
osilodrostatdrugId:7466 PA ENDOCRINE/METABOLIC AGENTS
Orfadin (nitisinone) ENDOCRINE/METABOLIC AGENTS A90, #
octreotide prefilled syringedrugId:7658 ENDOCRINE/METABOLIC AGENTS
octreotide injectiondrugId:1269 ENDOCRINE/METABOLIC AGENTS #
octreotide injectable suspensiondrugId:2497 ENDOCRINE/METABOLIC AGENTS
octreotide capsuledrugId:7788 PA ENDOCRINE/METABOLIC AGENTS
On-Go (COVID-19 antigen self-test)drugId:8175 - Non-Drug Product PA > 2 tests/28 days DIAGNOSTICS
Ozempic (semaglutide injection-Ozempic)drugId:6613 PA DIABETIC AGENTS
Oseni (alogliptin / pioglitazone)drugId:2783 PA DIABETIC AGENTS M90
Onglyza (saxagliptin)drugId:1834 DIABETIC AGENTS BP, M90
oxymetazoline creamdrugId:6105 PA DERMATOLOGICAL
Oxsoralen-Ultra (methoxsalen capsules) DERMATOLOGICAL A90, #
Oxsoralen (methoxsalen topical) DERMATOLOGICAL A90
Opzelura (ruxolitinib cream)drugId:8123 PA DERMATOLOGICAL
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788 PA DERMATOLOGICAL A90
Orkambi (lumacaftor / ivacaftor)drugId:5126 PA CYSTIC FIBROSIS AGENTS PD
Olumiant (baricitinib for members ≥ 18 years of age COVID)drugId:8214 COVID - 19 related Treatments and Vaccines MB
Olumiant (baricitinib COVID EUA - November 19, 2020 for members 2 to 17 years of age)drugId:7510 COVID - 19 related Treatments and Vaccines MB
Ortho Tri-Cyclen (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen) CONTRACEPTIVES M90, #
Ortho-Novum (ethinyl estradiol / norethindrone-Ortho-Novum) CONTRACEPTIVES M90, #
Ortho Micronor (norethindrone 0.35 mg) CONTRACEPTIVES M90, #
Ora-Sweet-SF oral syrupdrugId:1300 COMPOUNDING AGENT *
Ora-Sweet oral syrupdrugId:1299 COMPOUNDING AGENT *
Ora-Plus suspending vehicledrugId:1298 COMPOUNDING AGENT *
oxaliplatindrugId:1307 CHEMOTHERAPY MB
osimertinibdrugId:5301 PA CHEMOTHERAPY
Opdualag (nivolumab / relatlimab-rmbw)drugId:8256 PA CHEMOTHERAPY MB
Opdivo (nivolumab)drugId:5108 PA CHEMOTHERAPY MB
Onureg (azacitidine tablet)drugId:7565 PA CHEMOTHERAPY
Ontruzant (trastuzumab-dttb)drugId:7791 PA CHEMOTHERAPY MB
Onivyde (irinotecan liposome)drugId:5285 PA CHEMOTHERAPY MB
Oncaspar (pegaspargase)drugId:2430 CHEMOTHERAPY MB
omacetaxine mepesuccinatedrugId:2659 PA CHEMOTHERAPY
olutasidenibdrugId:8578 PA CHEMOTHERAPY
olaparibdrugId:4783 PA CHEMOTHERAPY
Ogivri (trastuzumab-dkst)drugId:7789 PA CHEMOTHERAPY MB
ofatumumab vialdrugId:1270 PA CHEMOTHERAPY MB
Odomzo (sonidegib)drugId:5284 PA CHEMOTHERAPY
obinutuzumabdrugId:2887 PA CHEMOTHERAPY MB
Orenitram (treprostinil tablet)drugId:2940 PA CARDIOVASCULAR
Opsumit (macitentan)drugId:2892 PA CARDIOVASCULAR
olmesartandrugId:1281 CARDIOVASCULAR M90, #
olmesartan / hydrochlorothiazidedrugId:1282 CARDIOVASCULAR M90, #
olodateroldrugId:4641 PA BRONCHODILATORS
onabotulinumtoxinAdrugId:1290 PA BIOLOGICAL
omalizumabdrugId:1287 PA BIOLOGICAL
Octagam (immune globulin IV, human-Octagam)drugId:2684 PA BIOLOGICAL
odevixibatdrugId:8020 PA BILE THERAPY
Ocaliva (obeticholic acid)drugId:5589 PA BILE THERAPY
obeticholic aciddrugId:5589 PA BILE THERAPY
oxazepam; See Table 69drugId:1310; See Table 71drugId:4440 PA BENZODIAZEPINES
oseltamivir suspensiondrugId:2314 PA > 180 mL/ claim and PA > 360 mL/ 365 days ANTIVIRALS #
oseltamivir 45 mg and 75 mgdrugId:1305 PA > 10 units/ claim and PA > 20 units/ 365 days ANTIVIRALS #
oseltamivir 30mgdrugId:1303 PA > 20 units/ claim and PA > 40 units/ 365 days ANTIVIRALS #
ombitasvir / paritaprevir / ritonavir / dasabuvirdrugId:4740 PA ANTIVIRALS
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389 ANTIVIRALS PD
omeprazole / sodium bicarbonate suspensiondrugId:8570 PA ANTI-ULCER PREPARATIONS
omeprazole / sodium bicarbonate powder for oral suspensiondrugId:8108 PA ANTI-ULCER PREPARATIONS M90
omeprazole / sodium bicarbonate capsuledrugId:2988 ANTI-ULCER PREPARATIONS M90, #
Orap (pimozide); See Table 24drugId:6327; See Table 71drugId:1532 PA < 6 years ANTIPSYCHOTIC A90, #
olanzapine tablet; See Table 24drugId:2756; See Table 71drugId:4296 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC A90, #
olanzapine injectiondrugId:1275 ANTIPSYCHOTIC #
olanzapine 5 mg, 10 mg, 20 mg orally disintegrating tablet; See Table 24drugId:1276; See Table 71drugId:4299 PA < 6 years and PA > 1 unit/day ANTIPSYCHOTIC A90, #
olanzapine 405 mg extended-release injection; See Table 24drugId:1278; See Table 71drugId:4303 PA < 6 years and PA > 1 injection/28 days ANTIPSYCHOTIC
olanzapine 210 mg, 300 mg extended-release injection; See Table 24drugId:1277; See Table 71drugId:4301 PA < 6 years and PA > 2 injections/28 days ANTIPSYCHOTIC
olanzapine 15 mg orally disintegrating tablet; See Table 24drugId:7126; See Table 71drugId:7127 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC A90, #
olanzapine / samidorphan; See Table 24drugId:8120; See Table 71drugId:8121 PA ANTIPSYCHOTIC
Osmolex ER (amantadine extended-release tablet)drugId:7006 PA ANTIPARKINSON
opicaponedrugId:7564 PA ANTIPARKINSON
Ongentys (opicapone)drugId:7564 PA ANTIPARKINSON
Ovide (malathion)drugId:1117 PA ANTIPARASITICS A90
orlistatdrugId:8672 PA ANTI-OBESITY AGENTS BP, A90
Orserdu (elacestrant)drugId:8534 PA ANTINEOPLASTICS
olopatadine ophthalmic solutiondrugId:1284 ANTIHISTAMINES A90
Obizur (antihemophilic factor, recombinant, porcine sequence-Obizur)drugId:4786 ANTI-HEMOPHILIA AGENTS
ondansetron tabletdrugId:1292 ANTIEMETICS A90, #
ondansetron solutiondrugId:1293 PA ANTIEMETICS A90
ondansetron orally disintegrating tabletdrugId:1294 ANTIEMETICS A90
ondansetron injectiondrugId:1295 ANTIEMETICS
opium tincturedrugId:2423 PA ANTIDIARRHEALS
olanzapine / fluoxetine; See Table 17drugId:2058; See Table 24drugId:1279; See Table 71drugId:4264 PA ANTIDEPRESSANTS A90
Oxtellar XR (oxcarbazepine extended-release); See Table 20drugId:2729; See Table 71drugId:4443 PA ANTICONVULSANTS
oxcarbazepine tablet; See Table 20drugId:1311; See Table 71drugId:4442 PA < 6 years ANTICONVULSANTS A90, #
oxcarbazepine suspension; See Table 20drugId:8201; See Table 71drugId:8202 PA < 6 years ANTICONVULSANTS BP, A90
oxcarbazepine extended-release; See Table 20drugId:2729; See Table 71drugId:4443 PA ANTICONVULSANTS
OnfidrugId:2419 (clobazam suspension, tablet)drugId:2419 ANTICONVULSANTS #
ozenoxacindrugId:7917 PA ANTIBIOTICS
oxacillindrugId:1306 ANTIBIOTICS
oritavancindrugId:8191 PA ANTIBIOTICS
Orbactiv (oritavancin)drugId:4790 PA ANTIBIOTICS
omadacycline tabletdrugId:7102 PA ANTIBIOTICS
omadacycline injectiondrugId:7101 PA ANTIBIOTICS
ofloxacin tabletdrugId:1271 PA ANTIBIOTICS A90
oxandrolonedrugId:1308 PA ANABOLIC STEROID
Oralair (grass pollen allergen extract)drugId:4789 PA ALLERGENS
Odactra (house dust mite allergen extract)drugId:8503 PA ALLERGENS
Opvee (nalmefene)drugId:8716 PA ALCOHOL AND DRUG CESSATION AGENT

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


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Last updated 06/24/24

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