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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
Fetroja (cefiderocol)drugId:7392 PA ANTIBIOTICS
fidaxomicindrugId:2283 PA ANTIBIOTICS
Firvanq (vancomycin oral solution)drugId:6683 ANTIBIOTICS BP, A90
Flagyl (metronidazole 375 mg capsule)drugId:1988 PA ANTIBIOTICS A90
flucytosinedrugId:861 ANTIBIOTICS BP, A90
fosfomycindrugId:911 ANTIBIOTICS A90, #
Furadantin (nitrofurantoin 25 mg/5 mL suspension)drugId:1223 PA ANTIBIOTICS A90
fondaparinuxdrugId:904 ANTICOAGULANTS #
Fragmin (dalteparin)drugId:321 ANTICOAGULANTS
felbamatedrugId:465 ANTICONVULSANTS A90, #
FelbatoldrugId:465 (felbamate)drugId:465 ANTICONVULSANTS A90, #
fenfluraminedrugId:7464 PA ANTICONVULSANTS
Fintepla (fenfluramine)drugId:7464 PA ANTICONVULSANTS
fosphenytoindrugId:2681 ANTICONVULSANTS #
Fycompa (perampanel)drugId:7566 PA ANTICONVULSANTS
Fetzima (levomilnacipran); See Table 17drugId:2886; See Table 71drugId:3980 PA ANTIDEPRESSANTS
fluoxetine 10 mg, 20 mg, 40 mg capsule, solution; See Table 17drugId:879; See Table 71drugId:3721 PA < 6 years ANTIDEPRESSANTS A90, #
fluoxetine 10 mg, 20 mg tablet for premenstrual dysphoric disorder; See Table 17drugId:881; See Table 71drugId:3740 PA < 6 years ANTIDEPRESSANTS A90
fluoxetine 60 mg tablet; See Table 17drugId:2458; See Table 71drugId:4580 PA ANTIDEPRESSANTS A90
fluoxetine 90 mg delayed-release capsule; See Table 17drugId:880; See Table 71drugId:3720 PA ANTIDEPRESSANTS A90
fluvoxamine extended-release; See Table 17drugId:901; See Table 71drugId:3780 PA ANTIDEPRESSANTS A90
fluvoxamine immediate-release; See Table 17drugId:900; See Table 71drugId:3781 PA < 6 years ANTIDEPRESSANTS A90
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet); See Table 17drugId:2640; See Table 71drugId:3681 PA ANTIDEPRESSANTS A90
Fusilev (levoleucovorin powder for injection)drugId:1047 PA ANTIDOTES
fosaprepitant injectiondrugId:909 PA > 2 units/28 days ANTIEMETICS #
fosnetupitant / palonosetron injectiondrugId:6620 PA > 2 units/28 days ANTIEMETICS
factor IX, humandrugId:454 ANTI-HEMOPHILIA AGENTS
factor IX complex human-Profilnine SDdrugId:457 ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-BenefixdrugId:458 ANTI-HEMOPHILIA AGENTS PD
factor IX human recombinant-IxinitydrugId:4941 ANTI-HEMOPHILIA AGENTS
factor IX recombinant, albumin fusion proteindrugId:5408 ANTI-HEMOPHILIA AGENTS
factor IX recombinant, Fc fusion proteindrugId:2922 ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, Fc fusion proteindrugId:4624 ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, glycopegylated-exeidrugId:7348 ANTI-HEMOPHILIA AGENTS
factor XIII A-subunit recombinantdrugId:2921 ANTI-HEMOPHILIA AGENTS
factor XIII concentrate, humandrugId:2675 ANTI-HEMOPHILIA AGENTS
Feiba NF (anti-inhibitor coagulant complex-Feiba NF)drugId:80 ANTI-HEMOPHILIA AGENTS
fibrinogendrugId:6401 ANTI-HEMOPHILIA AGENTS
fibrinogen concentratedrugId:855 ANTI-HEMOPHILIA AGENTS
Fibryga (fibrinogen)drugId:6401 ANTI-HEMOPHILIA AGENTS
fexofenadine / pseudoephedrinedrugId:854 ANTIHISTAMINES *, A90
fexofenadine tabletdrugId:853 ANTIHISTAMINES *, M90
fruquintinibdrugId:8794 PA ANTINEOPLASTICS
Fruzaqla (fruquintinib)drugId:8794 PA ANTINEOPLASTICS
futibatinibdrugId:8531 PA ANTINEOPLASTICS
Fanapt (iloperidone); See Table 24drugId:777; See Table 71drugId:4265 PA ANTIPSYCHOTIC
fluphenazine; See Table 24drugId:6322; See Table 71drugId:883 PA < 6 years ANTIPSYCHOTIC A90
famciclovirdrugId:460 ANTIVIRALS A90
fosamprenavirdrugId:908 ANTIVIRALS BP, A90
foscarnetdrugId:910 ANTIVIRALS MB
fostemsavirdrugId:7494 PA ANTIVIRALS PD
Fuzeon (enfuvirtide)drugId:600 ANTIVIRALS
finasteride / tadalafildrugId:8296 PA BENIGN PROSTATIC HYPERPLASIA AGENTS
FlomaxdrugId:1922 (tamsulosin)drugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS M90, #
flurazepam; See Table 69drugId:885; See Table 71drugId:4349 PA < 6 years and PA > 1 unit/day BENZODIAZEPINES
Fasenra (benralizumab)drugId:6520 PA BIOLOGICAL
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786 PA BIOLOGICAL
Fluad (influenza virus vaccine, adjuvanted)drugId:5386 PA < 65 years BIOLOGICAL 1
Fluarix (influenza virus vaccine-Fluarix)drugId:796 BIOLOGICAL 1
Flublok (influenza virus vaccine-Flublok)drugId:2863 BIOLOGICAL 1
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652 BIOLOGICAL 1
Flulaval (influenza virus vaccine-Flulaval)drugId:795 BIOLOGICAL 1
Flumist (influenza virus vaccine-Flumist)drugId:800 BIOLOGICAL 1
Fluzone (influenza virus vaccine, high dose)drugId:798 PA < 65 years  BIOLOGICAL 1
Fluzone (influenza virus vaccine-Fluzone)drugId:797 BIOLOGICAL 1
fluticasone / salmeterol inhalation-AdvairdrugId:896 BRONCHODILATORS BP, A90
fluticasone / salmeterol inhalation powder-Airduo DigihalerdrugId:7485 PA BRONCHODILATORS
fluticasone / salmeterol inhalation powder-Airduo RespiclickdrugId:6120 PA BRONCHODILATORS BP, A90
fluticasone / vilanteroldrugId:2860 BRONCHODILATORS BP, A90
fluticasone furoate / umeclidinium / vilanteroldrugId:6408 PA BRONCHODILATORS
fluticasone furoate inhalation powderdrugId:4760 BRONCHODILATORS
fluticasone propionate inhalation aerosoldrugId:7940 PA ≥ 12 years BRONCHODILATORS A90
fluticasone propionate inhalation powderdrugId:8642 PA BRONCHODILATORS A90
fluticasone propionate inhalation powder-Armonair DigihalerdrugId:7486 PA BRONCHODILATORS
formoteroldrugId:906 PA BRONCHODILATORS
fremanezumab-vfrm for migraine prophylaxisdrugId:7000 PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD
felodipine extended-releasedrugId:466 CARDIOVASCULAR M90
flecainidedrugId:859 CARDIOVASCULAR M90
FlolandrugId:612 (epoprostenol-Flolan)drugId:612 CARDIOVASCULAR #
fosinopril / hydrochlorothiazidedrugId:913 CARDIOVASCULAR M90
fosinoprildrugId:912 CARDIOVASCULAR M90
Furoscix (furosemide on-body infusor)drugId:8568 PA CARDIOVASCULAR
furosemide on-body infusordrugId:8568 PA CARDIOVASCULAR
furosemide tablet, solution, injectiondrugId:916 CARDIOVASCULAR M90, #
Focalin (dexmethylphenidate); See Table 31drugId:497; See Table 71drugId:3101 PA < 3 years or ≥ 21 years and PA > 3 units/day CEREBRAL STIMULANTS #
Focalin XR (dexmethylphenidate extended-release); See Table 31drugId:498; See Table 71drugId:3020 PA < 3 years or ≥ 21 years and PA > 2 units/day CEREBRAL STIMULANTS BP
Ferriprox (deferiprone)drugId:2483 PA CHELATING AGENT A90
fam-trastuzumab deruxtecan-nxkidrugId:7390 PA CHEMOTHERAPY MB
FarestondrugId:1731 (toremifene)drugId:1731 CHEMOTHERAPY A90, #
Faslodex (fulvestrant)drugId:915 PA CHEMOTHERAPY MB
fedratinibdrugId:7332 PA CHEMOTHERAPY
FemaradrugId:1031 (letrozole)drugId:1031 CHEMOTHERAPY A90, #
Firmagon (degarelix)drugId:335 PA CHEMOTHERAPY
floxuridinedrugId:2680 CHEMOTHERAPY MB
fludarabinedrugId:2538 CHEMOTHERAPY
fluorouracil 0.5% creamdrugId:876 CHEMOTHERAPY BP, A90
fluorouracil 5% creamdrugId:2260 CHEMOTHERAPY BP, A90
fluorouracil injectiondrugId:875 CHEMOTHERAPY MB
fluorouracil solutiondrugId:877 CHEMOTHERAPY A90
flutamidedrugId:888 CHEMOTHERAPY A90
Folotyn (pralatrexate)drugId:1568 CHEMOTHERAPY MB
Fotivda (tivozanib)drugId:7882 PA CHEMOTHERAPY
fulvestrantdrugId:915 PA CHEMOTHERAPY MB
Fabior (tazarotene foam)drugId:2841 PA DERMATOLOGICAL
Finacea (azelaic acid foam)drugId:5106 PA DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113 PA DERMATOLOGICAL A90
Farxiga (dapagliflozin)drugId:2923 DIABETIC AGENTS BP, M90
Fiasp (insulin aspart-Fiasp)drugId:6400 PA DIABETIC AGENTS
Flowflex (COVID-19 antigen self-test)drugId:8170 - Non-Drug Product PA > 2 tests/28 days DIAGNOSTICS
fat emulsions, intravenous- intralipid ELECTROLYTES AND NUTRIENTS
fat emulsions, intravenous-liposyn ELECTROLYTES AND NUTRIENTS #
folic aciddrugId:902 ELECTROLYTES AND NUTRIENTS *, M90
Foltrate (cyanocobalamin / folic acid)drugId:303 PA ELECTROLYTES AND NUTRIENTS
FosamaxdrugId:7 (alendronate tablet)drugId:7 ELECTROLYTES AND NUTRIENTS M90, #
Fosamax Plus D (alendronate / cholecalciferol)drugId:9 PA ELECTROLYTES AND NUTRIENTS
Fosrenol (lanthanum) ELECTROLYTES AND NUTRIENTS A90, #
Fabrazyme (agalsidase beta)drugId:162 PA ENZYMES
Firazyr (icatibant)drugId:2364 PA ENZYMES
fosdenopterindrugId:7883 PA ENZYMES MB
fluconazoledrugId:860 FUNGICIDES A90, #
fecal microbiota spores, live-brpkdrugId:8622 PA GASTROINTESTINAL AGENT
Florastor (saccharomyces boulardii)drugId:6207 PA ≥ 22 years GASTROINTESTINAL AGENT
fludrocortisonedrugId:863 GLUCOCORTICOIDS A90
fluocinolone 0.01% creamdrugId:2529 GLUCOCORTICOIDS A90
fluocinolone 0.025% creamdrugId:5060 GLUCOCORTICOIDS A90, #
fluocinolone body oil, scalp oildrugId:867 GLUCOCORTICOIDS A90, #
fluocinolone cream kitdrugId:5062 PA GLUCOCORTICOIDS
fluocinolone ointmentdrugId:5061 GLUCOCORTICOIDS A90, #
fluocinolone ointment kitdrugId:5063 PA GLUCOCORTICOIDS
fluocinolone solutiondrugId:2632 GLUCOCORTICOIDS A90, #
fluocinolone solution kitdrugId:5064 PA GLUCOCORTICOIDS
fluocinonide / emollientdrugId:2910 GLUCOCORTICOIDS A90
fluocinonide 0.1% creamdrugId:872 GLUCOCORTICOIDS A90, #
fluocinonide cream, gel, ointment, solutiondrugId:2577 GLUCOCORTICOIDS A90
flurandrenolide cream, lotiondrugId:5520 PA GLUCOCORTICOIDS A90
flurandrenolide ointmentdrugId:5941 PA GLUCOCORTICOIDS A90
fluticasone creamdrugId:5065 GLUCOCORTICOIDS A90
fluticasone lotiondrugId:892 PA GLUCOCORTICOIDS A90
fluticasone ointmentdrugId:5066 GLUCOCORTICOIDS A90
febuxostatdrugId:464 PA GOUT AGENTS M90
famotidine injectiondrugId:5603 H2 ANTAGONISTS
famotidine suspensiondrugId:5602 H2 ANTAGONISTS A90
famotidine tabletdrugId:461 H2 ANTAGONISTS *, M90, #
Feraheme (ferumoxytol)drugId:849 PA HEMATINIC AGENT
ferric carboxymaltose injectiondrugId:2844 PA HEMATINIC AGENT MB
ferric citratedrugId:4762 PA HEMATINIC AGENT
ferric derisomaltosedrugId:7599 PA HEMATINIC AGENT
ferric maltoldrugId:7918 PA HEMATINIC AGENT
ferric pyrophosphate citratedrugId:6021 HEMATINIC AGENT MB
FerrlecitdrugId:1865 (sodium ferric gluconate complex)drugId:1865 HEMATINIC AGENT #
ferrous fumaratedrugId:846 HEMATINIC AGENT *, M90
ferrous gluconatedrugId:847 HEMATINIC AGENT *, M90
ferrous sulfatedrugId:848 HEMATINIC AGENT *, M90
ferumoxytoldrugId:849 PA HEMATINIC AGENT
filgrastimdrugId:856 HEMATINIC AGENT
filgrastim-aafidrugId:6922 HEMATINIC AGENT
filgrastim-ayowdrugId:8301 HEMATINIC AGENT
filgrastim-sndzdrugId:5116 HEMATINIC AGENT
Fulphila (pegfilgrastim-jmdb)drugId:6903 HEMATINIC AGENT
Fylnetra (pegfilgrastim-pbbk)drugId:8527 HEMATINICS & BLOOD CELL STIMULATORS
fostamatinibdrugId:6823 PA HEMATOLOGIC
Fensolvi (leuprolide)drugId:7426 PA HORMONE AGENTS
Forteo (teriparatide 600 mcg/2.4 mL)drugId:1678 PA HORMONE AGENTS BP
Femhrt (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt) HORMONE REPLACEMENT THERAPY M90, #
Femring (estradiol-Femring) HORMONE REPLACEMENT THERAPY
Fortesta (testosterone 2% gel pump)drugId:2241 PA HORMONE REPLACEMENT THERAPY
Fyarro (sirolimus injection)drugId:8298 PA IMMUNOMODULATOR
fenofibrate 30 mg, 90 mg capsuledrugId:468 LIPID LOWERING AGENTS M90
fenofibrate 40 mg, 120 mg tabletdrugId:2986 PA LIPID LOWERING AGENTS M90
fenofibrate 43 mg, 67 mg, 130 mg, 134 mg, 200 mg capsuledrugId:5461 LIPID LOWERING AGENTS M90
fenofibrate 48 mg, 145 mg tabletdrugId:467 LIPID LOWERING AGENTS M90, #
fenofibrate 50 mg, 150 mg capsuledrugId:5480 LIPID LOWERING AGENTS M90
fenofibrate 54 mg, 160 mg tabletdrugId:471 LIPID LOWERING AGENTS M90
fenofibric aciddrugId:837 LIPID LOWERING AGENTS M90, #
fenofibric acid tabletdrugId:473 LIPID LOWERING AGENTS M90
Fenoglide (fenofibrate 40 mg, 120 mg tablet)drugId:2986 PA LIPID LOWERING AGENTS M90
fluvastatin extended-releasedrugId:898 PA LIPID LOWERING AGENTS M90
fluvastatindrugId:899 PA LIPID LOWERING AGENTS M90
fecal microbiota, live-jslmdrugId:8535 PA MISCELLANEOUS
Fleqsuvy (baclofen suspension)drugId:8297 PA MUSCLE RELAXANT A90
flunisolide nasal spraydrugId:866 PA NASAL PREPARATIONS M90
fluticasone propionate 50 mcg nasal spraydrugId:889 PA > 1 inhaler/30 days NASAL PREPARATIONS M90
fluticasone propionate 93 mcg nasal spraydrugId:6488 PA NASAL PREPARATIONS
Freestyle (test strips, blood glucose, preferred)drugId:8765 - Non-Drug Product PA > 100 units/30 days NON-DRUG PRODUCT PND
Freestyle Insulinx (test strips, blood glucose, preferred)drugId:8766 - Non-Drug Product PA > 100 units/30 days NON-DRUG PRODUCT PND
Freestyle Libre 14 day (continuous glucose monitoring system)drugId:8768 - Non-Drug Product PA NON-DRUG PRODUCT PND
Freestyle Libre 2 (continuous glucose monitoring system)drugId:8769 - Non-Drug Product PA NON-DRUG PRODUCT PND
Freestyle Libre 3 (continuous glucose monitoring system)drugId:8770 - Non-Drug Product PA NON-DRUG PRODUCT PND
Freestyle Lite (test strips, blood glucose, preferred)drugId:8771 - Non-Drug Product PA > 100 units/30 days NON-DRUG PRODUCT PND
Freestyle Neo (test strips, blood glucose, preferred)drugId:8754 - Non-Drug Product PA NON-DRUG PRODUCT PND
FeldenedrugId:1540 (piroxicam)drugId:1540 NONSTEROIDAL ANTI-INFLAMMATORY A90, #
fenoprofen capsuledrugId:839 PA NONSTEROIDAL ANTI-INFLAMMATORY A90
fenoprofen tabletdrugId:838 PA NONSTEROIDAL ANTI-INFLAMMATORY A90
Flector (diclofenac topical patch-Flector)drugId:509 PA NONSTEROIDAL ANTI-INFLAMMATORY A90
Flarex (fluorometholone acetate)drugId:873 OPHTHALMIC PREPARATIONS
fluocinolone ophthalmic implant-Iluvien OPHTHALMIC PREPARATIONS MB
fluocinolone ophthalmic implant-Retisert OPHTHALMIC PREPARATIONS MB
fluocinolone ophthalmic implant-Yutiq OPHTHALMIC PREPARATIONS MB
fluorescein / benoxinatedrugId:7780 OPHTHALMIC PREPARATIONS A90
fluorometholonedrugId:874 OPHTHALMIC PREPARATIONS A90, #
fluorometholone acetatedrugId:873 OPHTHALMIC PREPARATIONS
flurbiprofen ophthalmic solutiondrugId:886 OPHTHALMIC PREPARATIONS A90
FMLdrugId:874 (fluorometholone)drugId:874 OPHTHALMIC PREPARATIONS A90, #
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845 PA > 50 mcg/hr and PA > 10 patches/30 days OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769 PA OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800 PA OPIOID ANALGESICS
fentanyl buccal tabletdrugId:840 PA OPIOID ANALGESICS
fentanyl injectiondrugId:842 OPIOID ANALGESICS
fentanyl transmucosal systemdrugId:844 PA OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840 PA OPIOID ANALGESICS
Filspari (sparsentan)drugId:8706 PA OTHER ANTIHYPERTENSIVES
fluocinolone oil, otic dropsdrugId:870 OTIC PREPARATIONS BP, A90
Firdapse (amifampridine)drugId:7041 PA POTASSIUM CHANNEL BLOCKER
First-Omeprazole (omeprazole suspension compounding kit)drugId:8402 PA PROTON PUMP INHIBITORS
fingolimod capsuledrugId:2102 PA > 1 unit/day SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR A90, #
fingolimod orally disintegrating tabletdrugId:8335 PA SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
Frova (frovatriptan)drugId:914 PA TRIPTAN BP, A90
frovatriptandrugId:914 PA TRIPTAN BP, A90
fesoterodinedrugId:850 URINARY ANTISPASMODICS BP, A90
flavoxatedrugId:858 URINARY ANTISPASMODICS A90

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

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Last updated 06/24/24