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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
Razadyne ERdrugId:919 (galantamine extended-release capsule)drugId:919 PA > 1 unit/day ALZHEIMER'S THERAPY #
rivastigmine capsuledrugId:2249 PA > 2 units/day ALZHEIMER'S THERAPY
rivastigmine patchdrugId:1449 PA > 1 unit/day ALZHEIMER'S THERAPY BP
Radicava (edaravone)drugId:6288 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
RilutekdrugId:1435 (riluzole tablet)drugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS #
riluzole filmdrugId:7881 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzole suspensiondrugId:7010 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzole tabletdrugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS #
Rimso-50 (dimethyl sulfoxide solution)drugId:2694 ANALGESICS
ropivacaine ANESTHETICS ^
ringers solution, lactated ANTIBACTERIALS AND ANTISEPTICS
Recarbrio (imipenem / cilastatin / relebactam)drugId:7376 PA ANTIBIOTICS
rifabutindrugId:1429 ANTIBIOTICS
Rifadin (rifampin); See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS #
rifampin; See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS #
rifaximin 200 mgdrugId:1433 ANTIBIOTICS
rifaximin 550 mgdrugId:7140 PA ANTIBIOTICS
rivaroxaban 10 mg, 15 mg, 20 mg, starter packdrugId:2371 ANTICOAGULANTS
rivaroxaban 2.5 mgdrugId:2384 PA ANTICOAGULANTS
rufinamide; See Table 20drugId:1826; See Table 71drugId:4462 PA ANTICONVULSANTS BP
Remeron (mirtazapine); See Table 17drugId:1366; See Table 71drugId:3621 PA < 6 years ANTIDEPRESSANTS #
Remeron Sol Tab (mirtazapine orally disintegrating tablet); See Table 17drugId:1367; See Table 71drugId:3620 PA ANTIDEPRESSANTS
Reglan (metoclopramide) ANTIEMETICS #
rolapitant injectiondrugId:6409 PA > 2 vials/28 days ANTIEMETICS
rolapitant tabletdrugId:5303 PA > 2 tablets/28 days ANTIEMETICS
Rebinyn (coagulation factor IX recombinant, glycopegylated-Rebinyn) ANTI-HEMOPHILIA AGENTS
Recombinate (antihemophilic factor, recombinant-Recombinate) ANTI-HEMOPHILIA AGENTS
Riastap (fibrinogen concentrate) ANTI-HEMOPHILIA AGENTS
Rixubis (coagulation factor IX, recombinant) ANTI-HEMOPHILIA AGENTS
Reese's Pinworm (pyrantel pamoate)drugId:6217 ANTIPARASITICS
rasagilinedrugId:1640 PA > 1 unit/day ANTIPARKINSON
RequipdrugId:1453 (ropinirole)drugId:1453 ANTIPARKINSON #
Requip XL (ropinirole extended-release)drugId:1454 PA ANTIPARKINSON
ropiniroledrugId:1453 ANTIPARKINSON #
ropinirole extended-releasedrugId:1454 PA ANTIPARKINSON
rotigotine transdermal systemdrugId:2643 PA > 1 unit/day ANTIPARKINSON BP
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 PA ANTIPARKINSON
Rexulti (brexpiprazole); See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
Risperdal (risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets); See Table 24drugId:1440; See Table 71drugId:4282 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
Risperdal (risperidone 4 mg tablet); See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 4 units/day ANTIPSYCHOTIC #
Risperdal (risperidone solution); See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 16 mL/day ANTIPSYCHOTIC #
Risperdal Consta (risperidone extended-release intramuscular injection); See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg tablets; See Table 24drugId:1440; See Table 71drugId:4282 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg orally disintegrating tablet; See Table 24drugId:7122; See Table 71drugId:7123 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC
risperidone 3 mg, 4 mg orally disintegrating tablet; See Table 24drugId:1442; See Table 71drugId:4286 PA ANTIPSYCHOTIC
risperidone 4 mg tablet; See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 4 units/day ANTIPSYCHOTIC #
risperidone extended-release intramuscular injection; See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/month ANTIPSYCHOTIC
risperidone extended-release subcutaneous injection; See Table 24drugId:7007; See Table 71drugId:7009 PA ANTIPSYCHOTIC
risperidone solution; See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 16 mL/day ANTIPSYCHOTIC #
raltegravirdrugId:2701 ANTIVIRALS
Relenza (zanamivir)drugId:1818 PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days ANTIVIRALS
RetrovirdrugId:1820 (zidovudine)drugId:1820 ANTIVIRALS #
ReyatazdrugId:101 (atazanavir)drugId:101 ANTIVIRALS #
ribavirin 200 mg capsuledrugId:1652 PA ANTIVIRALS
ribavirin tabletdrugId:1651 ANTIVIRALS
rilpivirinedrugId:2284 ANTIVIRALS
rimantadine ANTIVIRALS
ritonavir packet, solutiondrugId:6640 ANTIVIRALS
ritonavir tabletdrugId:1446 ANTIVIRALS BP PD
Rukobia (fostemsavir)drugId:7494 PA ANTIVIRALS PD
Rapaflo (silodosin)drugId:1849 PA BENIGN PROSTATIC HYPERPLASIA AGENTS
remimazolamdrugId:7718 PA BENZODIAZEPINES ^
Restoril (temazepam 22.5 mg); See Table 69drugId:1666; See Table 71drugId:4351 PA BENZODIAZEPINES
Restoril (temazepam 7.5 mg, 15 mg, 30 mg); See Table 69drugId:1665; See Table 71drugId:4352 PA < 6 years and PA > 1 unit/day BENZODIAZEPINES #
Rabavert (rabies virus vaccine-Rabavert)drugId:1628 BIOLOGICAL
rabies immune globulin IM, human-HyperrabdrugId:1625 BIOLOGICAL
rabies immune globulin IM, human-Imogam Rabies-HTdrugId:1626 BIOLOGICAL
rabies immune globulin IM, human-KedrabdrugId:6741 BIOLOGICAL
rabies virus vaccine-Imovax RabiesdrugId:1627 BIOLOGICAL
rabies virus vaccine-RabavertdrugId:1628 BIOLOGICAL
ravulizumab-cwvzdrugId:7046 PA BIOLOGICAL
Recombivax HB (hepatitis B recombinant vaccine)drugId:708 BIOLOGICAL 1
reslizumabdrugId:5586 PA BIOLOGICAL
rho(d) immune globulin IM, human-HyperrhodrugId:1647 BIOLOGICAL
rho(d) immune globulin IM, human-MicrhogamdrugId:2746 BIOLOGICAL
rho(d) immune globulin IM, human-RhogamdrugId:2747 BIOLOGICAL
rho(d) immune globulin IV, human-RhophylacdrugId:1648 BIOLOGICAL
rho(d) immune globulin IV, human-Winrho SDFdrugId:1650 BIOLOGICAL
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747 BIOLOGICAL
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648 BIOLOGICAL
rilonaceptdrugId:1434 PA BIOLOGICAL
rimabotulinumtoxinBdrugId:1436 PA BIOLOGICAL
rimegepantdrugId:7394 PA BIOLOGICAL
risdiplamdrugId:7524 PA BIOLOGICAL
romosozumab-aqqgdrugId:7221 PA BIOLOGICAL
Rotarix (rotavirus vaccine, live, oral)drugId:1823 BIOLOGICAL 1
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824 BIOLOGICAL 1
rotavirus vaccine, live, oral, pentavalentdrugId:1824 BIOLOGICAL 1
rotavirus vaccine, live, oraldrugId:1823 BIOLOGICAL 1
revefenacindrugId:7051 PA BRONCHODILATORS
ramiprildrugId:2588 CARDIOVASCULAR #
Ranexa (ranolazine)drugId:1639 PA CARDIOVASCULAR
ranolazinedrugId:1639 PA CARDIOVASCULAR
Remodulin (treprostinil injection)drugId:1745 PA CARDIOVASCULAR BP
Revatio (sildenafil 20 mg tablet)drugId:1848 PA CARDIOVASCULAR
Revatio (sildenafil oral suspension)drugId:4793 PA CARDIOVASCULAR
riociguatdrugId:2883 PA CARDIOVASCULAR
Rythmol SRdrugId:7637 (propafenone extended-release)drugId:7637 CARDIOVASCULAR #
Ritalin (methylphenidate-Ritalin); See Table 31drugId:961; See Table 71drugId:3201 PA < 3 years and PA > 3 units/day CEREBRAL STIMULANTS #
Ritalin LA (methylphenidate-Ritalin LA); See Table 31drugId:2421; See Table 71drugId:3040 PA CEREBRAL STIMULANTS
radium Ra 223 dichloridedrugId:2853 PA CHEMOTHERAPY ^
ramucirumabdrugId:2955 PA CHEMOTHERAPY
regorafenibdrugId:2646 PA CHEMOTHERAPY
Retevmo (selpercatinib)drugId:7456 PA CHEMOTHERAPY
Revlimid (lenalidomide)drugId:2298 PA CHEMOTHERAPY BP
Riabni (rituximab-arrx)drugId:7726 PA CHEMOTHERAPY
ribociclib / letrozoledrugId:6103 PA CHEMOTHERAPY
ribociclibdrugId:6102 PA CHEMOTHERAPY
ripretinibdrugId:7469 PA CHEMOTHERAPY
Rituxan (rituximab)drugId:1447 PA CHEMOTHERAPY
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183 PA CHEMOTHERAPY
rituximab / hyaluronidase humandrugId:6183 PA CHEMOTHERAPY
rituximab-abbsdrugId:7382 PA CHEMOTHERAPY
rituximab-arrxdrugId:7726 PA CHEMOTHERAPY
rituximabdrugId:1447 PA CHEMOTHERAPY
rituximab-pvvrdrugId:7379 PA CHEMOTHERAPY
romidepsindrugId:1959 PA CHEMOTHERAPY
Rozlytrek (entrectinib)drugId:7266 PA CHEMOTHERAPY
Rubraca (rucaparib)drugId:5980 PA CHEMOTHERAPY
rucaparibdrugId:5980 PA CHEMOTHERAPY
Ruxience (rituximab-pvvr)drugId:7379 PA CHEMOTHERAPY
ruxolitinibdrugId:2418 PA CHEMOTHERAPY
Rybrevant (amivantamab-vmjw)drugId:7982 PA CHEMOTHERAPY
Rydapt (midostaurin)drugId:6184 PA CHEMOTHERAPY
Rylaze (asparaginase erwinia chrysanthemi-rywn)drugId:7981 PA CHEMOTHERAPY ^
Relistor (methylnaltrexone)drugId:953 PA CONSTIPATION AGENTS
remdesivir COVID - 19 related Treatments and Vaccines COVID H
Retin-A (tretinoin-Retin-A)drugId:1748 PA ≥ 22 years DERMATOLOGICAL BP
Retin-A Micro (tretinoin microspheres)drugId:1749 PA DERMATOLOGICAL
Rhofade (oxymetazoline cream)drugId:6105 PA DERMATOLOGICAL
repaglinidedrugId:1642 DIABETIC AGENTS
repaglinide / metformindrugId:1643 PA DIABETIC AGENTS
RiometdrugId:1161 (metformin immediate-release solution)drugId:1161 PA ≥ 13 years DIABETIC AGENTS #
Riomet ER (metformin extended-release suspension)drugId:7457 PA DIABETIC AGENTS
rosiglitazonedrugId:1456 DIABETIC AGENTS
Rybelsus (semaglutide tablet)drugId:7427 PA DIABETIC AGENTS
Rayaldee (calcifediol)drugId:5765 PA ELECTROLYTES AND NUTRIENTS
Reclast (zoledronic acid 5 mg)drugId:1927 PA ELECTROLYTES AND NUTRIENTS
Renagel (sevelamer hydrochloride) ELECTROLYTES AND NUTRIENTS BP
Renvela (sevelamer carbonate) ELECTROLYTES AND NUTRIENTS #
retinoldrugId:1806 ELECTROLYTES AND NUTRIENTS *
riboflavindrugId:1428 ELECTROLYTES AND NUTRIENTS *
risedronate delayed-releasedrugId:2101 PA ELECTROLYTES AND NUTRIENTS
risedronatedrugId:1439 PA ELECTROLYTES AND NUTRIENTS
RocaltroldrugId:426 (calcitriol)drugId:426 ELECTROLYTES AND NUTRIENTS #
rasburicase ENZYMES
Ravicti (glycerol phenylbutyrate)drugId:2789 PA ENZYMES
Revcovi (elapegademase-lvlr)drugId:7044 PA ENZYMES
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794 PA ENZYMES
Rectiv (nitroglycerin 0.4% ointment) GASTROINTESTINAL AGENT
RowasadrugId:2937 (mesalamine enema)drugId:2937 GI ANTI-INFLAMMATORY #
Rowasa Kit (mesalamine kit)drugId:1149 PA GI ANTI-INFLAMMATORY
Rayos (prednisone delayed-release)drugId:2645 PA GLUCOCORTICOIDS
ranitidine capsulesdrugId:1637 PA H2 ANTAGONISTS
ranitidine injectiondrugId:2693 H2 ANTAGONISTS #
ranitidine syrupdrugId:1638 H2 ANTAGONISTS
ranitidine tabletdrugId:1635 H2 ANTAGONISTS *
Retacrit (epoetin alfa-epbx)drugId:6820 PA HEMATINIC AGENT
romiplostimdrugId:1452 PA HEMATINIC AGENT
Reblozyl (luspatercept-aamt)drugId:7334 PA HEMATOLOGIC
relugolixdrugId:7792 PA HORMONE AGENTS
raloxifenedrugId:1629 HORMONE REPLACEMENT THERAPY #
Rapamune (sirolimus solution)drugId:7080 IMMUNOMODULATOR BP
RapamunedrugId:1857 (sirolimus tablet)drugId:1857 IMMUNOMODULATOR #
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633 PA IMMUNOMODULATOR
Reditrex (methotrexate subcutaneous injection-Reditrex)drugId:7885 PA IMMUNOMODULATOR
Remicade (infliximab)drugId:793 PA IMMUNOMODULATOR
Renflexis (infliximab-abda)drugId:6182 PA IMMUNOMODULATOR
Ridaura (auranofin) IMMUNOMODULATOR
Rinvoq (upadacitinib)drugId:7274 PA IMMUNOMODULATOR
risankizumab-rzaadrugId:7227 PA IMMUNOMODULATOR
roflumilastdrugId:2282 PA IMMUNOMODULATOR BP
Repatha (evolocumab)drugId:5120 PA LIPID LOWERING AGENTS
rosuvastatin 40 mgdrugId:5601 PA > 1 unit/day LIPID LOWERING AGENTS #
rosuvastatin 5 mg, 10 mg, 20 mgdrugId:1459 PA > 1.5 units/day LIPID LOWERING AGENTS #
rosuvastatin sprinkle capsuledrugId:7222 PA LIPID LOWERING AGENTS
Rebif (interferon beta-1a-Rebif)drugId:826 MULTIPLE SCLEROSIS AGENTS
RobaxindrugId:942 (methocarbamol)drugId:942 PA < 16 years MUSCLE RELAXANT #
Ryanodex (dantrolene injection suspension)drugId:4634 MUSCLE RELAXANT ^
Relafen DS (nabumetone 1000 mg)drugId:7353 PA NONSTEROIDAL ANTI-INFLAMMATORY
ranibizumab OPHTHALMIC PREPARATIONS ^
Restasis (cyclosporine 0.05% ophthalmic emulsion)drugId:311 OPHTHALMIC PREPARATIONS BP
Restasis Multidose (cyclosporine multidose 0.05% ophthalmic emulsion)drugId:7305 PA OPHTHALMIC PREPARATIONS
Retisert (fluocinolone ophthalmic implant-Retisert) OPHTHALMIC PREPARATIONS ^
Rhopressa (netarsudil)drugId:6743 PA OPHTHALMIC PREPARATIONS
Rocklatan (netarsudil / latanoprost)drugId:7275 PA OPHTHALMIC PREPARATIONS
RoxicodonedrugId:1320 (oxycodone immediate-release-Roxicodone)drugId:1320 PA > 80 mg/day OPIOID ANALGESICS #
relugolix / estradiol / norethindronedrugId:7922 PA OTHER HORMONES
Ruzurgi (amifampridine)drugId:7185 PA POTASSIUM CHANNEL BLOCKER
rabeprazole delayed-release capsuledrugId:2882 PA PROTON PUMP INHIBITORS
rabeprazole delayed-release tabletdrugId:1624 PA > 1 unit/day PROTON PUMP INHIBITORS #
ramelteondrugId:1631 PA > 1 unit/day SEDATIVES BP
Rozerem (ramelteon)drugId:1631 PA > 1 unit/day SEDATIVES BP
Reyvow (lasmiditan)drugId:7377 PA SEROTONIN RECEPTOR AGENTS
rifapentinedrugId:2501 TB PREPARATIONS
Relpax (eletriptan)drugId:593 PA TRIPTAN
rizatriptan orally disintegrating tabletdrugId:1450 PA > 18 units/month TRIPTAN #
rizatriptan tabletdrugId:1451 PA > 18 units/month TRIPTAN #

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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