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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
bacitracindrugId:1989 ANTIBIOTICS *, A90
bacitracin / polymyxin B ophthalmic ointmentdrugId:123 OPHTHALMIC PREPARATIONS A90
bacitracin / polymyxin B topical ointmentdrugId:6260 ANTIBIOTICS *, A90
baclofen injectiondrugId:2166 MUSCLE RELAXANT #
baclofen intrathecal injectiondrugId:125 MUSCLE RELAXANT
baclofen tabletdrugId:124 MUSCLE RELAXANT A90
balsalazidedrugId:126 GI ANTI-INFLAMMATORY A90, #
baricitinib COVID EUA - November 19, 2020 for members 2 to 17 years of agedrugId:7510 COVID - 19 related Treatments and Vaccines MB
baricitinib for members ≥ 18 years of age COVIDdrugId:8214 COVID - 19 related Treatments and Vaccines MB
basiliximabdrugId:2382 BIOLOGICAL MB
BCG live vaccinedrugId:5180 BIOLOGICAL
BCG Vaccine (BCG live vaccine)drugId:5180 BIOLOGICAL
BCG live, intravesicaldrugId:127 CHEMOTHERAPY MB
benazeprildrugId:132 CARDIOVASCULAR M90, #
benazepril / hydrochlorothiazidedrugId:133 CARDIOVASCULAR M90, #
bendamustinedrugId:7130 CHEMOTHERAPY MB
Belrapzo (bendamustine)drugId:7130 CHEMOTHERAPY MB
Bendeka (bendamustine)drugId:5380 CHEMOTHERAPY MB
benznidazoledrugId:6502 ANTIPARASITICS
benzoyl peroxidedrugId:2106 DERMATOLOGICAL *, A90
benztropinedrugId:348 ANTIPARKINSON A90
bepotastinedrugId:350 ANTIHISTAMINES BP, A90
Bepreve (bepotastine)drugId:350 ANTIHISTAMINES BP, A90
besifloxacin ophthalmic suspensiondrugId:351 OPHTHALMIC PREPARATIONS
Besivance (besifloxacin ophthalmic suspension)drugId:351 OPHTHALMIC PREPARATIONS
betaine ELECTROLYTES AND NUTRIENTS BP
betamethasone / calcipotriene foamdrugId:5248 GLUCOCORTICOIDS
betamethasone augmented geldrugId:5034 GLUCOCORTICOIDS A90
betamethasone dipropionate creamdrugId:5023 GLUCOCORTICOIDS A90
betamethasone dipropionate lotion, ointmentdrugId:2992 GLUCOCORTICOIDS A90
betamethasone dipropionate, augmented cream, lotiondrugId:2204 GLUCOCORTICOIDS A90
betamethasone dipropionate, augmented ointmentdrugId:5022 GLUCOCORTICOIDS A90, #
betamethasone injectiondrugId:357 GLUCOCORTICOIDS #
betamethasone valerate creamdrugId:356 GLUCOCORTICOIDS A90
betamethasone valerate foamdrugId:355 GLUCOCORTICOIDS A90, #
betamethasone valerate lotiondrugId:5026 GLUCOCORTICOIDS A90
betamethasone valerate ointmentdrugId:5027 GLUCOCORTICOIDS A90
betaxolol 0.25%drugId:1981 OPHTHALMIC PREPARATIONS
Betoptic S (betaxolol 0.25%)drugId:1981 OPHTHALMIC PREPARATIONS
betaxolol 0.5%drugId:2506 OPHTHALMIC PREPARATIONS M90
betaxolol tabletdrugId:358 CARDIOVASCULAR M90
bethanecholdrugId:359 PARASYMPATHETIC AGENTS A90
bexarotenedrugId:361 CHEMOTHERAPY BP, A90
bicalutamidedrugId:362 CHEMOTHERAPY A90, #
bictegravir / emtricitabine / tenofovir alafenamidedrugId:6603 ANTIVIRALS PD
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603 ANTIVIRALS PD
bimatoprost 0.01% ophthalmic solutiondrugId:363 OPHTHALMIC PREPARATIONS
bisacodyl enema, suppositorydrugId:8222 CONSTIPATION AGENTS *, A90
bisacodyl tabletdrugId:364 CONSTIPATION AGENTS *, M90
bismuth subcitrate / metronidazole / tetracyclinedrugId:367 H. PYLORI AGENTS BP, A90
bismuth subsalicylatedrugId:366 ANTIDIARRHEALS *, A90
bisoprololdrugId:368 CARDIOVASCULAR M90
bisoprolol / hydrochlorothiazidedrugId:369 CARDIOVASCULAR M90, #
bleomycindrugId:370 CHEMOTHERAPY MB
bortezomibdrugId:371 CHEMOTHERAPY MB
brimonidine 0.1%, 0.15% eye dropsdrugId:2505 OPHTHALMIC PREPARATIONS BP, M90
brimonidine 0.2% eye dropsdrugId:2209 OPHTHALMIC PREPARATIONS M90
brinzolamidedrugId:375 OPHTHALMIC PREPARATIONS BP, M90
brinzolamide / brimonidinedrugId:2849 OPHTHALMIC PREPARATIONS
brolucizumab-dbll OPHTHALMIC PREPARATIONS MB
Beovu (brolucizumab-dbll) OPHTHALMIC PREPARATIONS MB
bromfenac 0.07%drugId:2788 OPHTHALMIC PREPARATIONS BP, A90
bromocriptine 0.8 mg tabletdrugId:2984 DIABETIC AGENTS
bromocriptine 2.5 mg, 5 mgdrugId:377 ANTIPARKINSON A90, #
budesonide / formoteroldrugId:383 BRONCHODILATORS BP, A90
budesonide 3 mg delayed-release capsuledrugId:379 GLUCOCORTICOIDS A90
budesonide extended-release tabletdrugId:2991 GLUCOCORTICOIDS BP, A90
budesonide inhalation powderdrugId:380 BRONCHODILATORS
bumetanidedrugId:384 CARDIOVASCULAR M90
bupivacaine ANESTHETICS MB
bupivacaine / meloxicam ANESTHETIC LOCAL TOPICAL MB
buprenorphine / naloxone film ≤ 24 mg/daydrugId:2085 ALCOHOL AND DRUG CESSATION AGENT BP, PD
buprenorphine extended-release injection-SublocadedrugId:6524 ALCOHOL AND DRUG CESSATION AGENT PD
busulfan injectiondrugId:2537 CHEMOTHERAPY MB
Busulfex (busulfan injection)drugId:2537 CHEMOTHERAPY MB
busulfan tabletdrugId:2536 CHEMOTHERAPY
butenafinedrugId:412 FUNGICIDES
butoconazole ANTIBIOTICS A90
butorphanol injection OPIOID ANALGESICS
Bicnu (carmustine)drugId:183 CHEMOTHERAPY MB
BentyldrugId:516 (dicyclomine)drugId:516 ANTISPASMODICS,ANTICHOLINERGIC A90, #
BAL in Oil (dimercaprol) ANTIDOTES MB
Benadryl  drugId:541 (diphenhydramine)drugId:541 ANTIHISTAMINES *, A90, #
BreviblocdrugId:631 (esmolol)drugId:631 CARDIOVASCULAR #
Beyaz (ethinyl estradiol / drospirenone / levomefolate-Beyaz) CONTRACEPTIVES M90, #
Benefix (factor IX human recombinant-Benefix)drugId:458 ANTI-HEMOPHILIA AGENTS PD
Breo (fluticasone / vilanterol)drugId:2860 BRONCHODILATORS BP, A90
Baqsimi (glucagon nasal powder)drugId:7367 DIABETIC AGENTS PD
BonivadrugId:770 (ibandronate tablet)drugId:770 ELECTROLYTES AND NUTRIENTS M90, #
Betaseron (interferon beta-1b-Betaseron)drugId:827 MULTIPLE SCLEROSIS AGENTS
BidildrugId:982 (isosorbide dinitrate / hydralazine)drugId:982 CARDIOVASCULAR M90, #
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate) CONTRACEPTIVES M90
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905 BIOLOGICAL 1
Bystolic (nebivolol)drugId:1179 CARDIOVASCULAR BP, M90
Bynfezia (octreotide prefilled syringe)drugId:7658 ENDOCRINE/METABOLIC AGENTS
BenicardrugId:1281 (olmesartan)drugId:1281 CARDIOVASCULAR M90, #
Benicar HCTdrugId:1282 (olmesartan / hydrochlorothiazide)drugId:1282 CARDIOVASCULAR M90, #
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
Biltricide (praziquantel)drugId:2358 ANTIPARASITICS BP, A90
Balfaxar (prothrombin complex concentrate, human) HEMOSTATICS
Byooviz (ranibizumab-nuna) OPHTHALMIC PREPARATIONS MB
Buphenyl (sodium phenylbutyrate powder, tablet)drugId:1871 ENZYMES BP, A90
BetapacedrugId:1891 (sotalol tablet)drugId:1891 CARDIOVASCULAR M90, #
BactrimdrugId:1907 (sulfamethoxazole / trimethoprim tablet)drugId:1907 ANTIBIOTICS #
Boostrix (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:540 BIOLOGICAL 1
Brilinta (ticagrelor)drugId:2359 ANTIPLATELET AGENT
brivaracetam solution, tabletdrugId:5581 PA ANTICONVULSANTS
Briviact (brivaracetam solution, tablet)drugId:5581 PA ANTICONVULSANTS
Banzel (rufinamide)drugId:1826 PA ANTICONVULSANTS BP, A90
bempedoic aciddrugId:7372 PA LIPID LOWERING AGENTS
bempedoic acid / ezetimibedrugId:7393 PA LIPID LOWERING AGENTS
berotralstatdrugId:7720 PA ENZYMES
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938 PA ENZYMES
benzhydrocodone / acetaminophendrugId:7234 PA OPIOID ANALGESICS
buprenorphine buccal filmdrugId:5362 PA OPIOID ANALGESICS
Belbuca (buprenorphine buccal film)drugId:5362 PA OPIOID ANALGESICS
butorphanol nasal spraydrugId:414 PA OPIOID ANALGESICS
buprenorphine transdermaldrugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
Butrans (buprenorphine transdermal)drugId:2160 PA > 20 mcg/hr and PA > 4 patches/28 days OPIOID ANALGESICS BP
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680 PA ANTIEMETICS
benralizumabdrugId:6520 PA BIOLOGICAL
Baxdela (delafloxacin tablet)drugId:6481 PA ANTIBIOTICS
buprenorphine / naloxone sublingual tabletdrugId:2057 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone sublingual tablet-ZubsolvdrugId:2854 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine extended-release injection-BrixadidrugId:8645 PA ALCOHOL AND DRUG CESSATION AGENT
Brixadi (buprenorphine extended-release injection-Brixadi)drugId:8645 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine sublingual tabletdrugId:389 PA ALCOHOL AND DRUG CESSATION AGENT
buprenorphine / naloxone filmdrugId:2049 PA > 32 mg/day ALCOHOL AND DRUG CESSATION AGENT BP, PD
buprenorphine / naloxone filmdrugId:2050 PA > 90 days (> 24 mg/day and ≤ 32 mg/day) ALCOHOL AND DRUG CESSATION AGENT BP, PD
beclomethasone nasal aerosoldrugId:2522 PA NASAL PREPARATIONS
beclomethasone nasal spraydrugId:131 PA > 1 inhaler/30 days NASAL PREPARATIONS
Beconase AQ (beclomethasone nasal spray)drugId:131 PA > 1 inhaler/30 days NASAL PREPARATIONS
butalbital / aspirin / caffeine / codeinedrugId:411 PA OPIOID ANALGESICS
butalbital / aspirin / caffeine capsuledrugId:2797 PA ANALGESICS
butalbital 25 mg / acetaminophen 325 mg tabletdrugId:5583 PA 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 50 mg / acetaminophen 325 mgdrugId:2621 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsuledrugId:8215 PA ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg solutiondrugId:6293 PA ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292 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 325 mg / caffeine 40 mg tabletdrugId:2118 PA < 18 years and PA > 20 units/month ANALGESICS
bosentandrugId:372 PA CARDIOVASCULAR BP, A90
baricitinibdrugId:6803 PA IMMUNOMODULATOR
brodalumabdrugId:6042 PA IMMUNOMODULATOR
brexanolonedrugId:7303 PA ANTIDEPRESSANTS MB
bupropion hydrochloride extended-release 450 mg tablet; See Table 17drugId:2640; See Table 71drugId:3681 PA ANTIDEPRESSANTS A90
bupropion hydrobromide extended-release; See Table 17drugId:395; See Table 71drugId:3640 PA < 6 years and PA > 1 unit/day ANTIDEPRESSANTS
bupropion hydrochloride extended-release 150 mg, 300 mg tablet; See Table 17drugId:398; See Table 71drugId:3680 PA < 6 years and PA > 1 unit/day ANTIDEPRESSANTS A90, #
Bafiertam (monomethyl fumarate)drugId:7717 PA MULTIPLE SCLEROSIS AGENTS
Briumvi (ublituximab-xiiy)drugId:8565 PA MULTIPLE SCLEROSIS AGENTS
Brexafemme (ibrexafungerp)drugId:8019 PA FUNGICIDES
bacitracin ophthalmic ointmentdrugId:122 PA OPHTHALMIC PREPARATIONS A90
baclofen granulesdrugId:8315 PA MUSCLE RELAXANT
baclofen oral solutiondrugId:7857 PA MUSCLE RELAXANT A90
baclofen suspensiondrugId:8297 PA MUSCLE RELAXANT A90
baloxavirdrugId:6989 PA ANTIVIRALS
becaplermindrugId:8413 PA DERMATOLOGICAL
bedaquilinedrugId:2851 PA TB PREPARATIONS
belataceptdrugId:2286 PA IMMUNOMODULATOR
belimumab auto-injection, prefilled syringedrugId:8382 PA BIOLOGICAL
Benlysta (belimumab auto-injection, prefilled syringe)drugId:8382 PA BIOLOGICAL
belimumab vialdrugId:2238 PA BIOLOGICAL MB
Benlysta (belimumab vial)drugId:2238 PA BIOLOGICAL MB
benzoyl peroxide / erythromycindrugId:627 PA ANTIBIOTICS A90
Benzamycin (benzoyl peroxide / erythromycin)drugId:627 PA ANTIBIOTICS A90
benzoyl peroxide 9.8% foamdrugId:2182 PA DERMATOLOGICAL A90
beremagene geperpavec-svdtdrugId:8727 PA DERMATOLOGICAL
bezlotoxumabdrugId:5771 PA BIOLOGICAL
brimonidine topical gel, 0.33%drugId:2891 PA DERMATOLOGICAL A90
budesonide 4 mg delayed-release capsuledrugId:8262 PA GLUCOCORTICOIDS
budesonide extended-release capsuledrugId:7493 PA GLUCOCORTICOIDS
budesonide rectal foamdrugId:4817 PA GLUCOCORTICOIDS A90
buprenorphine injectiondrugId:388 PA OPIOID ANALGESICS
Buprenex (buprenorphine injection)drugId:388 PA OPIOID ANALGESICS
burosumab-twzadrugId:6740 PA BIOLOGICAL
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263 PA DERMATOLOGICAL A90
Bijuva (estradiol / progesterone)drugId:7281 PA HORMONE REPLACEMENT THERAPY
Bylvay (odevixibat)drugId:8020 PA BILE THERAPY
Botox (onabotulinumtoxinA)drugId:1290 PA BIOLOGICAL
bifidobacterium infantisdrugId:6200 PA ≥ 22 years GASTROINTESTINAL AGENT
Beyfortus (nirsevimab-alip)drugId:8621 PA ≥ 8 months of age ANTIVIRALS
budesonide OTC nasal spraydrugId:6240 PA > 1 inhaler/30 days NASAL PREPARATIONS M90
BaracludedrugId:603 (entecavir tablet)drugId:603 PA > 1 unit/day ANTIVIRALS A90, #
Baraclude (entecavir solution)drugId:604 PA > 20 mL/day ANTIVIRALS
Binaxnow (COVID-19 antigen self-test)drugId:8169 - Non-Drug Product PA > 2 tests/28 days DIAGNOSTICS
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940 PA DIABETIC AGENTS
Basaglar (insulin glargine-Basaglar)drugId:5761 PA DIABETIC AGENTS
Basaglar Tempo (insulin glargine-Basaglar)drugId:8521 PA DIABETIC THERAPY
Byetta (exenatide 5 mcg injection)drugId:451 PA > 1.2 mL/30 days DIABETIC AGENTS BP
Byetta (exenatide 10 mcg injection)drugId:8661 PA > 2.4 mL/30 days DIABETIC AGENTS BP
bimatoprost 0.03% ophthalmic solutiondrugId:4906 PA OPHTHALMIC PREPARATIONS M90
bimatoprost implantdrugId:7489 PA OPHTHALMIC PREPARATIONS MB
brimonidine / timolol, ophthalmicdrugId:374 PA OPHTHALMIC PREPARATIONS M90
Betimol (timolol-Betimol)drugId:8180 PA OPHTHALMIC PREPARATIONS
bupropion hydrochloride; See Table 17drugId:396; See Table 71drugId:3660 PA < 6 years ANTIDEPRESSANTS A90
bupropion hydrochloride sustained-release-Wellbutrin SR; See Table 17drugId:397; See Table 71drugId:3682 PA < 6 years ANTIDEPRESSANTS A90, #
bupropion hydrochloride sustained-release-ZybandrugId:4560 PA < 6 years SMOKING CESSATION A90, #
buspirone; See Table 69drugId:399; See Table 71drugId:4355 PA < 6 years ANTI-ANXIETY AGENT A90
betamethasone / calcipotriene ointmentdrugId:7889 PA GLUCOCORTICOIDS A90
betamethasone / calcipotriene scalp suspensiondrugId:421 PA GLUCOCORTICOIDS BP, A90
betamethasone dipropionate spraydrugId:5396 PA GLUCOCORTICOIDS
Bryhali (halobetasol lotion)drugId:7001 PA GLUCOCORTICOIDS
brexpiprazole; See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
Bronchitol (mannitol inhalation powder)drugId:7879 PA MUCOLYTICS
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884 PA ANTIBIOTICS BP, A90
bromfenac 0.075%drugId:5762 PA OPHTHALMIC PREPARATIONS A90
Bromsite (bromfenac 0.075%)drugId:5762 PA OPHTHALMIC PREPARATIONS A90
bromfenac 0.09%drugId:2084 PA OPHTHALMIC PREPARATIONS A90
Byfavo (remimazolam)drugId:7718 PA BENZODIAZEPINES MB
brexucabtagene autoleuceldrugId:7495 PA CHEMOTHERAPY CO, MB
Breyanzi (lisocabtagene maraleucel)drugId:7778 PA CHEMOTHERAPY CO, MB
Bavencio (avelumab)drugId:6100 PA CHEMOTHERAPY MB
belinostatdrugId:4621 PA CHEMOTHERAPY MB
Beleodaq (belinostat)drugId:4621 PA CHEMOTHERAPY MB
belumosudildrugId:8024 PA MISCELLANEOUS
belzutifandrugId:8165 PA CHEMOTHERAPY
bevacizumabdrugId:360 PA CHEMOTHERAPY MB
bevacizumab-adcddrugId:8545 PA ANTINEOPLASTICS MB
bevacizumab-awwbdrugId:7787 PA CHEMOTHERAPY MB
bevacizumab-bvzrdrugId:7801 PA CHEMOTHERAPY MB
bevacizumab-malydrugId:8331 PA CHEMOTHERAPY MB
binimetinibdrugId:6802 PA CHEMOTHERAPY
blinatumomabdrugId:4763 PA CHEMOTHERAPY MB
Blincyto (blinatumomab)drugId:4763 PA CHEMOTHERAPY MB
bosutinibdrugId:2639 PA CHEMOTHERAPY
Bosulif (bosutinib)drugId:2639 PA CHEMOTHERAPY
brentuximabdrugId:2374 PA CHEMOTHERAPY MB
Braftovi (encorafenib)drugId:6800 PA CHEMOTHERAPY
Balversa (erdafitinib)drugId:7129 PA CHEMOTHERAPY
Besponsa (inotuzumab ozogamicin)drugId:6341 PA CHEMOTHERAPY MB
Besremi (ropeginterferon alfa-2b-njft)drugId:8251 PA CHEMOTHERAPY
Brukinsa (zanubrutinib)drugId:7345 PA CHEMOTHERAPY
betibeglogene autotemceldrugId:8551 PA HEMATINICS & BLOOD CELL STIMULATORS CO, PD, MB
Binosto (alendronate effervescent tablet)drugId:8757 PA ELECTROLYTES AND NUTRIENTS
belantamab mafodotin-blmfdrugId:7657 PA CHEMOTHERAPY
Blenrep (belantamab mafodotin-blmf)drugId:7657 PA CHEMOTHERAPY
brigatinibdrugId:6180 PA CHEMOTHERAPY
benzphetaminedrugId:8663 PA ANTI-OBESITY AGENTS
Belsomra (suvorexant); See Table 15drugId:4903; See Table 71drugId:4904 PA SEDATIVE, NON-BARBITURATE
Baxdela (delafloxacin injection)drugId:6480 PA ANTIBIOTICS
Brovana (arformoterol)drugId:88 PA BRONCHODILATORS A90
beclomethasone inhalerdrugId:6580 PA BRONCHODILATORS
budesonide / glycopyrrolate / formoteroldrugId:7487 PA BRONCHODILATORS
Breztri (budesonide / glycopyrrolate / formoterol)drugId:7487 PA BRONCHODILATORS
Bevespi (glycopyrrolate / formoterol)drugId:5700 PA BRONCHODILATORS
budesonide inhalation suspensiondrugId:381 PA ≥ 13 years BRONCHODILATORS A90, #
Bivigam (immune globulin IV, human-Bivigam)drugId:2817 PA BIOLOGICAL

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


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Last updated 05/16/24

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