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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
Bystolic (nebivolol)drugId:1179 CARDIOVASCULAR BP
Bynfezia (octreotide prefilled syringe)drugId:7658 ENDOCRINE/METABOLIC AGENTS
Byfavo (remimazolam)drugId:7718 PA BENZODIAZEPINES ^
Byetta (exenatide)drugId:451 DIABETIC AGENTS BP
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940 PA DIABETIC AGENTS
Bydureon (exenatide extended-release pen)drugId:2478 DIABETIC AGENTS
Butrans (buprenorphine transdermal)drugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
butorphanol nasal spraydrugId:414 PA OPIOID ANALGESICS
butorphanol injection OPIOID ANALGESICS
butoconazole ANTIBIOTICS
butenafinedrugId:412 FUNGICIDES
butalbital 50 mg / acetaminophen 325 mgdrugId:2621 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg solutiondrugId:6293 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsule, tabletdrugId:2118 PA < 18 years and PA > 20 units/month ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119 PA < 18 years and PA > 20 units/month OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 300 mgdrugId:2981 PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mgdrugId:2980 PA ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mg / codeine 30 mgdrugId:2982 PA ANALGESICS
butalbital 25 mg / acetaminophen 325 mg tabletdrugId:5583 PA ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292 PA < 18 years and PA > 20 units/month ANALGESICS
butalbital / aspirin / caffeine capsuledrugId:2797 PA ANALGESICS
butalbital / aspirin / caffeine / codeinedrugId:411 PA OPIOID ANALGESICS
BusulfexdrugId:2537 (busulfan injection)drugId:2537 CHEMOTHERAPY #
busulfan tabletdrugId:2536 CHEMOTHERAPY
busulfan injectiondrugId:2537 CHEMOTHERAPY #
buspirone powder; See Table 69drugId:7020; See Table 71drugId:7021 PA ANTI-ANXIETY AGENT
buspirone; See Table 69drugId:399; See Table 71drugId:4355 PA < 6 years ANTI-ANXIETY AGENT
burosumab-twzadrugId:6740 PA BIOLOGICAL
bupropion hydrochloride sustained-release-ZybandrugId:4560 PA < 6 years SMOKING CESSATION #
bupropion hydrochloride sustained-release-Wellbutrin SR; See Table 17drugId:397; See Table 71drugId:3682 PA < 6 years ANTIDEPRESSANTS #
bupropion hydrochloride; See Table 17drugId:396; See Table 71drugId:3660 PA < 6 years ANTIDEPRESSANTS #
bupropion hydrochloride extended-release 450 mg tablet; See Table 17drugId:2640; See Table 71drugId:3681 PA ANTIDEPRESSANTS BP
bupropion hydrochloride extended-release 150 mg, 300 mg tablets; See Table 17drugId:398; See Table 71drugId:3680 PA < 6 years and PA > 1 unit/day ANTIDEPRESSANTS #
bupropion hydrobromide extended-release; See Table 17drugId:395; See Table 71drugId:3640 PA < 6 years and PA > 1 unit/day ANTIDEPRESSANTS
buprenorphine transdermaldrugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
buprenorphine sublingual tabletdrugId:389 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine injectiondrugId:388 PA OPIOID ANALGESICS
buprenorphine implantdrugId:5591 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine extended-release injectiondrugId:6524 ALCOHOL AND DRUG CESSATION AGENT PD
buprenorphine buccal filmdrugId:5362 PA OPIOID ANALGESICS
buprenorphine / naloxone tablet-ZubsolvdrugId:2854 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone sublingual tabletdrugId:2057 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone filmdrugId:2050 PA > 90 days (> 24 mg/day and ≤ 32 mg/day) ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone filmdrugId:2049 PA > 32 mg/day ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone film ≤ 24 mg/daydrugId:2085 ALCOHOL AND DRUG CESSATION AGENT BP PD
buprenorphine / naloxone buccal filmdrugId:4622 PA ALCOHOL AND DRUG CESSATION AGENT
Buprenex (buprenorphine injection)drugId:388 PA OPIOID ANALGESICS
bupivacaine / meloxicam ANESTHETIC LOCAL TOPICAL ^
bupivacaine ANESTHETICS #
Buphenyl (sodium phenylbutyrate) ENZYMES BP
Bunavail (buprenorphine / naloxone buccal film)drugId:4622 PA ALCOHOL AND DRUG CESSATION AGENT
bumetanidedrugId:384 CARDIOVASCULAR
budesonide rectal foamdrugId:4817 PA GLUCOCORTICOIDS
budesonide OTC nasal spraydrugId:6240 PA > 1 inhaler/month NASAL PREPARATIONS
budesonide inhalation suspensiondrugId:381 PA ≥ 13 years BRONCHODILATORS #
budesonide inhalation powderdrugId:380 BRONCHODILATORS
budesonide extended-release tabletdrugId:2991 PA GLUCOCORTICOIDS
budesonide extended-release capsuledrugId:7493 PA GLUCOCORTICOIDS
budesonide delayed-release capsuledrugId:379 GLUCOCORTICOIDS #
budesonide / glycopyrrolate / formoteroldrugId:7487 PA BRONCHODILATORS
budesonide / formoteroldrugId:383 BRONCHODILATORS BP
Bryhali (halobetasol lotion)drugId:7001 PA GLUCOCORTICOIDS
Brukinsa (zanubrutinib)drugId:7345 PA CHEMOTHERAPY
Brovana (arformoterol)drugId:88 PA BRONCHODILATORS BP
Bronchitol (mannitol inhalation powder)drugId:7879 PA MUCOLYTICS
Bromsite (bromfenac 0.075%)drugId:5762 PA OPHTHALMIC PREPARATIONS
bromocriptine 2.5 mg, 5 mgdrugId:377 ANTIPARKINSON #
bromocriptine 0.8 mg tabletdrugId:2984 DIABETIC AGENTS
bromfenac 0.09%drugId:2084 PA OPHTHALMIC PREPARATIONS
bromfenac 0.075%drugId:5762 PA OPHTHALMIC PREPARATIONS
bromfenac 0.07%drugId:2788 OPHTHALMIC PREPARATIONS
brolucizumab-dbll OPHTHALMIC PREPARATIONS ^
brodalumabdrugId:6042 PA IMMUNOMODULATOR
Briviact (brivaracetam solution, tablet); See Table 20drugId:5581; See Table 71drugId:5582 PA ANTICONVULSANTS
brivaracetam solution, tablet; See Table 20drugId:5581; See Table 71drugId:5582 PA ANTICONVULSANTS
Brisdelle (paroxetine 7.5 mg capsule)drugId:2839 PA UNCLASSIFIED DRUG PRODUCTS
brinzolamidedrugId:375 OPHTHALMIC PREPARATIONS BP
brinzolamide / brimonidine tartrate ophthalmic suspensiondrugId:2849 PA OPHTHALMIC PREPARATIONS
brimonidine topical gel, 0.33%drugId:2891 PA DERMATOLOGICAL
brimonidine 0.2% eye dropsdrugId:2209 OPHTHALMIC PREPARATIONS
brimonidine 0.1%, 0.15% eye dropsdrugId:2505 OPHTHALMIC PREPARATIONS BP
brimonidine / timolol, ophthalmicdrugId:374 OPHTHALMIC PREPARATIONS BP
Brilinta (ticagrelor)drugId:2359 ANTIPLATELET AGENT
brigatinibdrugId:6180 PA CHEMOTHERAPY
Breztri (budesonide / glycopyrrolate / formoterol)drugId:7487 PA BRONCHODILATORS
Breyanzi (lisocabtagene maraleucel)drugId:7778 PA CHEMOTHERAPY CO ^
brexucabtagene autoleuceldrugId:7495 PA CHEMOTHERAPY CO ^
brexpiprazole; See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
brexanolonedrugId:7303 PA ANTIDEPRESSANTS ^
BreviblocdrugId:631 (esmolol)drugId:631 CARDIOVASCULAR #
Breo (fluticasone / vilanterol)drugId:2860 PA BRONCHODILATORS
brentuximabdrugId:2374 PA CHEMOTHERAPY
Braftovi (encorafenib)drugId:6800 PA CHEMOTHERAPY
Botox (onabotulinumtoxinA)drugId:1290 PA BIOLOGICAL
bosutinibdrugId:2639 PA CHEMOTHERAPY PD
Bosulif (bosutinib)drugId:2639 PA CHEMOTHERAPY PD
bosentandrugId:372 PA CARDIOVASCULAR BP
bortezomibdrugId:371 CHEMOTHERAPY
Boostrix (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:540 BIOLOGICAL 1
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680 PA ANTIEMETICS
BonivadrugId:770 (ibandronate tablet)drugId:770 ELECTROLYTES AND NUTRIENTS #
Boniva (ibandronate IV)drugId:769 PA ELECTROLYTES AND NUTRIENTS
Blincyto (blinatumomab)drugId:4763 PA CHEMOTHERAPY
blinatumomabdrugId:4763 PA CHEMOTHERAPY
Blephamide (sulfacetamide / prednisolone sodium acetate ophthalmic suspension)drugId:1877 OPHTHALMIC PREPARATIONS
Blephamide (sulfacetamide / prednisolone sodium acetate ophthalmic ointment)drugId:7962 PA OPHTHALMIC PREPARATIONS
Bleph-10drugId:1901 (sulfacetamide ophthalmic ointment, solution)drugId:1901 OPHTHALMIC PREPARATIONS #
bleomycindrugId:370 CHEMOTHERAPY
Blenrep (belantamab mafodotin-blmf)drugId:7657 PA CHEMOTHERAPY
Bivigam (immune globulin IV, human-Bivigam)drugId:2817 PA BIOLOGICAL
bisoprolol / hydrochlorothiazidedrugId:369 CARDIOVASCULAR #
bisoprololdrugId:368 CARDIOVASCULAR
bismuth subsalicylatedrugId:366 ANTIDIARRHEALS *
bismuth subsalicylate / metronidazole / tetracyclinedrugId:7364 PA H. PYLORI AGENTS
bismuth subcitrate / metronidazole / tetracyclinedrugId:367 H. PYLORI AGENTS
bisacodyldrugId:364 CONSTIPATION AGENTS *
biotin powderdrugId:7462 PA ELECTROLYTES AND NUTRIENTS
binimetinibdrugId:6802 PA CHEMOTHERAPY
bimatoprost implantdrugId:7489 PA OPHTHALMIC PREPARATIONS
bimatoprost 0.03% ophthalmic solutiondrugId:4906 PA OPHTHALMIC PREPARATIONS
bimatoprost 0.01% ophthalmic solutiondrugId:363 OPHTHALMIC PREPARATIONS
Biltricide (praziquantel)drugId:2358 ANTIPARASITICS BP
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603 ANTIVIRALS PD
Bijuva (estradiol / progesterone)drugId:7281 PA HORMONE REPLACEMENT THERAPY
bifidobacterium infantisdrugId:6200 PA ≥ 19 years GASTROINTESTINAL AGENT
Bidil (isosorbide dinitrate / hydralazine)drugId:982 PA CARDIOVASCULAR
bictegravir / emtricitabine / tenofovir alafenamidedrugId:6603 ANTIVIRALS PD
BicnudrugId:183 (carmustine)drugId:183 CHEMOTHERAPY #
Bicillin LA (penicillin G 0.6 million, 1.2 million, 2.4 million units)drugId:2625 ANTIBIOTICS
Bicillin CR (penicillin G benzathine / penicillin G procaine)drugId:2624 ANTIBIOTICS
bicalutamidedrugId:362 CHEMOTHERAPY #
BiaxindrugId:252 (clarithromycin)drugId:252 ANTIBIOTICS #
bezlotoxumabdrugId:5771 PA BIOLOGICAL
Beyaz (ethinyl estradiol / drospirenone / levomefolate-Beyaz) CONTRACEPTIVES #
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905 BIOLOGICAL 1
bexarotenedrugId:361 CHEMOTHERAPY BP
Bevespi (glycopyrrolate / formoterol)drugId:5700 PA BRONCHODILATORS
bevacizumabdrugId:360 PA CHEMOTHERAPY
bevacizumab-bvzrdrugId:7801 PA CHEMOTHERAPY
bevacizumab-awwbdrugId:7787 PA CHEMOTHERAPY
Betoptic S (betaxolol 0.25%)drugId:1981 OPHTHALMIC PREPARATIONS
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884 PA ANTIBIOTICS BP
bethanecholdrugId:359 PARASYMPATHETIC AGENTS
betaxolol tabletdrugId:358 CARDIOVASCULAR
betaxolol 0.5%drugId:2506 OPHTHALMIC PREPARATIONS
betaxolol 0.25%drugId:1981 OPHTHALMIC PREPARATIONS
Betaseron (interferon beta-1b-Betaseron)drugId:827 MULTIPLE SCLEROSIS AGENTS
BetapacedrugId:1891 (sotalol tablet)drugId:1891 CARDIOVASCULAR #
betamethasone valerate ointmentdrugId:5027 GLUCOCORTICOIDS
betamethasone valerate lotiondrugId:5026 GLUCOCORTICOIDS
betamethasone valerate foamdrugId:355 GLUCOCORTICOIDS #
betamethasone valerate creamdrugId:356 GLUCOCORTICOIDS
betamethasone injectiondrugId:357 GLUCOCORTICOIDS #
betamethasone dipropionate spraydrugId:5396 PA GLUCOCORTICOIDS
betamethasone dipropionate powderdrugId:7270 PA GLUCOCORTICOIDS
betamethasone dipropionate lotion, ointmentdrugId:2992 GLUCOCORTICOIDS
betamethasone dipropionate creamdrugId:5023 GLUCOCORTICOIDS
betamethasone dipropionate, augmented ointmentdrugId:5022 GLUCOCORTICOIDS #
betamethasone dipropionate, augmented cream, lotiondrugId:2204 GLUCOCORTICOIDS
betamethasone augmented geldrugId:5034 GLUCOCORTICOIDS
betamethasone / calcipotriene scalp suspensiondrugId:421 PA GLUCOCORTICOIDS BP
betamethasone / calcipotriene ointmentdrugId:7889 PA GLUCOCORTICOIDS
betamethasone / calcipotriene foamdrugId:5248 PA GLUCOCORTICOIDS
betaine ELECTROLYTES AND NUTRIENTS
BetagandrugId:1040 (levobunolol)drugId:1040 OPHTHALMIC PREPARATIONS #
Besponsa (inotuzumab ozogamicin)drugId:6341 PA CHEMOTHERAPY
Besivance (besifloxacin ophthalmic suspension)drugId:351 OPHTHALMIC PREPARATIONS
besifloxacin ophthalmic suspensiondrugId:351 OPHTHALMIC PREPARATIONS
berotralstatdrugId:7720 PA ENZYMES
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938 PA ENZYMES
Bepreve (bepotastine)drugId:350 ANTIHISTAMINES BP
bepotastinedrugId:350 ANTIHISTAMINES BP
Beovu (brolucizumab-dbll) OPHTHALMIC PREPARATIONS ^
benztropinedrugId:348 ANTIPARKINSON
benzoyl peroxide 9.8% foamdrugId:2182 PA DERMATOLOGICAL
benzoyl peroxidedrugId:2106 PA ≥ 22 years DERMATOLOGICAL *
benzoyl peroxide / erythromycindrugId:627 PA ANTIBIOTICS
benznidazoledrugId:6502 ANTIPARASITICS
benzhydrocodone / acetaminophendrugId:7234 PA OPIOID ANALGESICS
Benzamycin (benzoyl peroxide / erythromycin)drugId:627 PA ANTIBIOTICS
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263 PA DERMATOLOGICAL
BentyldrugId:516 (dicyclomine)drugId:516 ANTISPASMODICS,ANTICHOLINERGIC #
benralizumabdrugId:6520 PA BIOLOGICAL
Benlysta (belimumab)drugId:2238 PA BIOLOGICAL
Benicar HCTdrugId:1282 (olmesartan / hydrochlorothiazide)drugId:1282 CARDIOVASCULAR #
BenicardrugId:1281 (olmesartan)drugId:1281 CARDIOVASCULAR #
Benefix (factor IX human recombinant-Benefix) ANTI-HEMOPHILIA AGENTS PD
Bendeka (bendamustine)drugId:5380 CHEMOTHERAPY
bendamustinedrugId:7130 CHEMOTHERAPY
benazepril / hydrochlorothiazidedrugId:133 CARDIOVASCULAR #
benazeprildrugId:132 CARDIOVASCULAR #
Benadryl  drugId:541 (diphenhydramine)drugId:541 ANTIHISTAMINES * #
bempedoic aciddrugId:7372 PA LIPID LOWERING AGENTS
bempedoic acid / ezetimibedrugId:7393 PA LIPID LOWERING AGENTS
Belsomra (suvorexant); See Table 15drugId:4903; See Table 71drugId:4904 PA SEDATIVE, NON-BARBITURATE
Belrapzo (bendamustine)drugId:7130 CHEMOTHERAPY
belinostatdrugId:4621 PA CHEMOTHERAPY
belimumabdrugId:2238 PA BIOLOGICAL
Beleodaq (belinostat)drugId:4621 PA CHEMOTHERAPY
Belbuca (buprenorphine buccal film)drugId:5362 PA OPIOID ANALGESICS
belataceptdrugId:2286 PA IMMUNOMODULATOR
belantamab mafodotin-blmfdrugId:7657 PA CHEMOTHERAPY
bedaquilinedrugId:2851 PA TB PREPARATIONS
Beconase AQ (beclomethasone nasal spray)drugId:131 PA > 1 inhaler/month NASAL PREPARATIONS
beclomethasone nasal spraydrugId:131 PA > 1 inhaler/month NASAL PREPARATIONS
beclomethasone nasal aerosoldrugId:2522 PA NASAL PREPARATIONS
beclomethasone inhalerdrugId:6580 PA BRONCHODILATORS
Bebulin VH Immuno (factor ix complex human-Bebulin) ANTI-HEMOPHILIA AGENTS
BCG Vaccine (BCG live vaccine)drugId:5180 BIOLOGICAL
BCG live vaccinedrugId:5180 BIOLOGICAL
BCG live, intravesicaldrugId:127 CHEMOTHERAPY
Baxdela (delafloxacin tablet)drugId:6481 PA ANTIBIOTICS
Baxdela (delafloxacin injection)drugId:6480 PA ANTIBIOTICS
Bavencio (avelumab)drugId:6100 PA CHEMOTHERAPY
basiliximabdrugId:2382 BIOLOGICAL
Basaglar (insulin glargine-Basaglar)drugId:5761 PA DIABETIC AGENTS
baricitinibdrugId:6803 PA IMMUNOMODULATOR
baricitinib COVID EUA - November 19, 2020 COVID - 19 related Treatments and Vaccines COVID H
BaracludedrugId:603 (entecavir tablet)drugId:603 PA > 1 unit/day ANTIVIRALS #
Baraclude (entecavir solution)drugId:604 PA > 20 mL/day ANTIVIRALS
Baqsimi (glucagon nasal powder)drugId:7367 DIABETIC AGENTS PD
Banzel (rufinamide); See Table 20drugId:1826; See Table 71drugId:4462 PA ANTICONVULSANTS BP
bamlanivimab, administered with etesevimab (COVID EUA – February 9, 2021) COVID - 19 related Treatments and Vaccines COVID
Balversa (erdafitinib)drugId:7129 PA CHEMOTHERAPY
balsalazidedrugId:126 GI ANTI-INFLAMMATORY #
baloxavirdrugId:6989 PA ANTIVIRALS
BAL in Oil (dimercaprol) ANTIDOTES ^
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate) CONTRACEPTIVES
Bafiertam (monomethyl fumarate)drugId:7717 PA MULTIPLE SCLEROSIS AGENTS
BactrimdrugId:1907 (sulfamethoxazole / trimethoprim tablet)drugId:1907 ANTIBIOTICS #
baclofen tabletdrugId:124 MUSCLE RELAXANT
baclofen powderdrugId:6688 PA MUSCLE RELAXANT
baclofen oral solutiondrugId:7857 PA MUSCLE RELAXANT
baclofen intrathecal injectiondrugId:125 MUSCLE RELAXANT
baclofen injectiondrugId:2166 MUSCLE RELAXANT #
bacitracin ophthalmic ointmentdrugId:122 PA OPHTHALMIC PREPARATIONS
bacitracindrugId:1989 ANTIBIOTICS *
bacitracin / polymyxin B topical ointmentdrugId:6260 ANTIBIOTICS *
bacitracin / polymyxin B ophthalmic ointmentdrugId:123 OPHTHALMIC PREPARATIONS

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


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Last updated 11/19/21

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