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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
Recombinate (antihemophilic factor, recombinant-Recombinate)drugId:75 ANTI-HEMOPHILIA AGENTS
Ridaura (auranofin) IMMUNOMODULATOR
Regranex (becaplermin)drugId:8413 PA DERMATOLOGICAL
Rezurock (belumosudil)drugId:8024 PA MISCELLANEOUS
Rexulti (brexpiprazole); See Table 24drugId:5110; See Table 71drugId:5111 PA ANTIPSYCHOTIC
Ruconest (c1 esterase inhibitor, recombinant-Ruconest)drugId:4794 PA ENZYMES
Rayaldee (calcifediol)drugId:5765 PA ELECTROLYTES AND NUTRIENTS
Rytary (carbidopa / levodopa extended-release capsule)drugId:4950 PA ANTIPARKINSON
Rebinyn (coagulation factor IX recombinant, glycopegylated-Rebinyn)drugId:6960 ANTI-HEMOPHILIA AGENTS
Rixubis (coagulation factor IX, recombinant)drugId:2848 ANTI-HEMOPHILIA AGENTS
Restasis Multidose (cyclosporine multidose 0.05% ophthalmic emulsion)drugId:7305 PA OPHTHALMIC PREPARATIONS
Rimso-50 (dimethyl sulfoxide solution)drugId:2694 ANALGESICS
Radicava (edaravone injection)drugId:6288 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Radicava ORS (edaravone suspension)drugId:8376 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Revcovi (elapegademase-lvlr)drugId:7044 PA ENZYMES
Rozlytrek (entrectinib)drugId:7266 PA CHEMOTHERAPY
Retacrit (epoetin alfa-epbx)drugId:6820 PA HEMATINIC AGENT
Repatha (evolocumab)drugId:5120 PA LIPID LOWERING AGENTS
Rebyota (fecal microbiota, live-jslm)drugId:8535 PA MISCELLANEOUS
Riastap (fibrinogen concentrate)drugId:855 ANTI-HEMOPHILIA AGENTS
Releuko (filgrastim-ayow)drugId:8301 HEMATINIC AGENT
Ravicti (glycerol phenylbutyrate)drugId:2789 PA ENZYMES
Recarbrio (imipenem / cilastatin / relebactam)drugId:7376 PA ANTIBIOTICS
Renflexis (infliximab-abda)drugId:6182 PA IMMUNOMODULATOR
Remicade (infliximab-Remicade)drugId:793 PA IMMUNOMODULATOR
Rezvoglar (insulin glargine-aglr)drugId:8646 PA DIABETIC AGENTS
Rebif (interferon beta-1a-Rebif)drugId:826 MULTIPLE SCLEROSIS AGENTS
Reyvow (lasmiditan)drugId:7377 PA SEROTONIN RECEPTOR AGENTS
Recorlev (levoketoconazole)drugId:8261 PA OTHER HORMONES
Riomet ER (metformin extended-release suspension)drugId:7457 PA DIABETIC AGENTS
Rasuvo (methotrexate subcutaneous injection-Rasuvo)drugId:4633 PA IMMUNOMODULATOR
Reditrex (methotrexate subcutaneous injection-Reditrex)drugId:7885 PA IMMUNOMODULATOR
Relistor (methylnaltrexone)drugId:953 PA CONSTIPATION AGENTS
Relexxii (methylphenidate extended-release-Relexxii); See Table 31drugId:8536; See Table 71drugId:8537 PA CNS STIMULANTS
Ritalin LA (methylphenidate-Ritalin LA); See Table 31drugId:2421; See Table 71drugId:3040 PA CEREBRAL STIMULANTS
Rydapt (midostaurin)drugId:6184 PA CHEMOTHERAPY
Relafen DS (nabumetone 1000 mg)drugId:7353 PA NONSTEROIDAL ANTI-INFLAMMATORY
Rhopressa (netarsudil)drugId:6743 PA OPHTHALMIC PREPARATIONS
Rocklatan (netarsudil / latanoprost)drugId:7275 PA OPHTHALMIC PREPARATIONS
Rectiv (nitroglycerin 0.4% ointment) GASTROINTESTINAL AGENT
Ryaltris (olopatadine / mometasone)drugId:8334 PA NASAL PREPARATIONS
Rezlidhia (olutasidenib)drugId:8578 PA CHEMOTHERAPY
Rhofade (oxymetazoline cream)drugId:6105 PA DERMATOLOGICAL
Ryplazim (plasminogen, human-tvmh)drugId:8540 PA HEMOSTATICS
Rayos (prednisone delayed-release)drugId:2645 PA GLUCOCORTICOIDS
Reese's Pinworm (pyrantel pamoate)drugId:6217 ANTIPARASITICS
rabeprazole delayed-release capsuledrugId:2882 PA PROTON PUMP INHIBITORS
rabies immune globulin IM, human-HyperrabdrugId:1625 BIOLOGICAL
rabies immune globulin IM, human-KedrabdrugId:6741 BIOLOGICAL
rabies virus vaccine-Imovax RabiesdrugId:1627 BIOLOGICAL
rabies virus vaccine-RabavertdrugId:1628 BIOLOGICAL
Rabavert (rabies virus vaccine-Rabavert)drugId:1628 BIOLOGICAL
ranolazine extended-release granulesdrugId:8563 PA CARDIOVASCULAR
regorafenibdrugId:2646 PA CHEMOTHERAPY
relugolixdrugId:7792 PA HORMONE AGENTS
relugolix / estradiol / norethindronedrugId:7922 PA OTHER HORMONES
respiratory syncytial virus vaccinedrugId:8619 PA < 60 years BIOLOGICAL
respiratory syncytial virus vaccine, adjuvanteddrugId:8620 PA < 60 years BIOLOGICAL
revefenacindrugId:7051 PA BRONCHODILATORS
rezafungindrugId:8718 PA ANTIFUNGALS
Rezzayo (rezafungin)drugId:8718 PA ANTIFUNGALS
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
Rhogam (rho(d) immune globulin IM, human-Rhogam)drugId:2747 BIOLOGICAL
ribociclibdrugId:6102 PA CHEMOTHERAPY
ribociclib / letrozoledrugId:6103 PA CHEMOTHERAPY
rifamycindrugId:8339 PA ANTIBIOTICS
rifapentinedrugId:2501 TB PREPARATIONS
rifaximin 200 mgdrugId:1433 ANTIBIOTICS
rifaximin 550 mgdrugId:7140 PA ANTIBIOTICS
rilonaceptdrugId:1434 PA BIOLOGICAL
riluzole filmdrugId:7881 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
riluzole suspensiondrugId:7010 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
rimabotulinumtoxinBdrugId:1436 PA BIOLOGICAL
ringers solution, lactated ANTIBACTERIALS AND ANTISEPTICS
riociguatdrugId:2883 PA CARDIOVASCULAR
ripretinibdrugId:7469 PA CHEMOTHERAPY
risankizumab-rzaadrugId:7227 PA IMMUNOMODULATOR
risdiplamdrugId:7524 PA BIOLOGICAL
risperidone 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Rykindo; See Table 24drugId:8720; See Table 71drugId:8721 PA ANTIPSYCHOTIC
Rykindo (risperidone 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Rykindo); See Table 24drugId:8720; See Table 71drugId:8721 PA ANTIPSYCHOTIC
ritlecitinibdrugId:8712 PA IMMUNOMODULATOR
ritonavir packet, solutiondrugId:6640 ANTIVIRALS
rivaroxaban 10 mg, 15 mg, 20 mg tablet, starter packdrugId:2371 ANTICOAGULANTS
rivaroxaban 2.5 mg tabletdrugId:2384 PA > 2 units/day ANTICOAGULANTS
rivaroxaban suspensiondrugId:8641 PA ≥ 18 years ANTICOAGULANTS
roflumilast creamdrugId:8337 PA DERMATOLOGICAL
romosozumab-aqqgdrugId:7221 PA BIOLOGICAL
ropeginterferon alfa-2b-njftdrugId:8251 PA CHEMOTHERAPY
rosuvastatin sprinkle capsuledrugId:7222 PA LIPID LOWERING AGENTS
rucaparibdrugId:5980 PA CHEMOTHERAPY
Rubraca (rucaparib)drugId:5980 PA CHEMOTHERAPY
ruxolitinib creamdrugId:8123 PA DERMATOLOGICAL
ruxolitinib tabletdrugId:2418 PA CHEMOTHERAPY
Retevmo (selpercatinib)drugId:7456 PA CHEMOTHERAPY
Rybelsus (semaglutide tablet)drugId:7427 PA DIABETIC AGENTS
Ragwitek (short ragweed pollen allergen extract)drugId:8504 PA ALLERGENS
Relyvrio (sodium phenylbutyrate / sodium taurursodiol)drugId:8577 PA AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Restoril (temazepam 22.5 mg); See Table 69drugId:1666; See Table 71drugId:4351 PA BENZODIAZEPINES
Rinvoq (upadacitinib)drugId:7274 PA IMMUNOMODULATOR
Relenza (zanamivir)drugId:1818 PA < 5 years and PA > 20 inhalations/ claim and PA > 40 inhalations/ 365 days ANTIVIRALS
Relpax (eletriptan)drugId:593 PA TRIPTAN A90
Rowasa Kit (mesalamine kit)drugId:1149 PA GI ANTI-INFLAMMATORY A90
Remeron Sol Tab (mirtazapine orally disintegrating tablet); See Table 17drugId:1367; See Table 71drugId:3620 PA ANTIDEPRESSANTS A90
ranolazine extended-release tabletdrugId:1639 CARDIOVASCULAR A90
rasagilinedrugId:1640 PA > 1 unit/day ANTIPARKINSON A90
ribavirin 200 mg capsuledrugId:1652 PA ANTIVIRALS A90
ribavirin tabletdrugId:1651 ANTIVIRALS A90
rimantadine ANTIVIRALS A90
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 A90
risperidone 3 mg, 4 mg orally disintegrating tablet; See Table 24drugId:1442; See Table 71drugId:4286 PA ANTIPSYCHOTIC A90
rivastigmine capsuledrugId:2249 PA > 2 units/day ALZHEIMER'S THERAPY A90
ropiniroledrugId:1453 ANTIPARKINSON A90
ropinirole extended-releasedrugId:1454 ANTIPARKINSON A90
Revatio (sildenafil 20 mg tablet)drugId:1848 PA CARDIOVASCULAR A90
Retin-A Micro (tretinoin microspheres)drugId:1749 PA DERMATOLOGICAL A90
ReyatazdrugId:101 (atazanavir)drugId:101 ANTIVIRALS A90, #
Razadyne ERdrugId:919 (galantamine extended-release capsule)drugId:919 PA > 1 unit/day ALZHEIMER'S THERAPY A90, #
RowasadrugId:2937 (mesalamine enema)drugId:2937 GI ANTI-INFLAMMATORY A90, #
RobaxindrugId:942 (methocarbamol)drugId:942 PA < 16 years MUSCLE RELAXANT A90, #
Reglan (metoclopramide) ANTIEMETICS A90, #
Remeron (mirtazapine); See Table 17drugId:1366; See Table 71drugId:3621 PA < 6 years ANTIDEPRESSANTS A90, #
rifampin; See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS A90, #
Rifadin (rifampin); See Table 35drugId:1430; See Table 66drugId:5741 ANTIBIOTICS A90, #
riluzole tabletdrugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS A90, #
RilutekdrugId:1435 (riluzole tablet)drugId:1435 AMYOTROPHIC LATERAL SCLEROSIS AGENTS A90, #
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 A90, #
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 A90, #
risperidone 4 mg tablet; See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 4 units/day ANTIPSYCHOTIC A90, #
Risperdal (risperidone 4 mg tablet); See Table 24drugId:2755; See Table 71drugId:4283 PA < 6 years and PA > 4 units/day ANTIPSYCHOTIC A90, #
risperidone solution; See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 16 mL/day ANTIPSYCHOTIC A90, #
Risperdal (risperidone solution); See Table 24drugId:1441; See Table 71drugId:4287 PA < 6 years and PA > 16 mL/day ANTIPSYCHOTIC A90, #
rizatriptan orally disintegrating tabletdrugId:1450 PA > 18 units/30 days TRIPTAN A90, #
rizatriptan tabletdrugId:1451 PA > 18 units/30 days TRIPTAN A90, #
Renvela (sevelamer carbonate) ELECTROLYTES AND NUTRIENTS A90, #
Renagel (sevelamer hydrochloride) ELECTROLYTES AND NUTRIENTS A90, #
RapamunedrugId:1857 (sirolimus solution, tablet)drugId:1857 IMMUNOMODULATOR A90, #
RetrovirdrugId:1820 (zidovudine)drugId:1820 ANTIVIRALS A90, #
repaglinidedrugId:1642 DIABETIC AGENTS M90
repaglinide / metformindrugId:1643 PA DIABETIC AGENTS M90
risedronatedrugId:1439 PA ELECTROLYTES AND NUTRIENTS M90
roflumilast tabletdrugId:2282 PA UNCLASSIFIED DRUG PRODUCTS M90
Rapaflo (silodosin)drugId:1849 PA BENIGN PROSTATIC HYPERPLASIA AGENTS M90
RocaltroldrugId:426 (calcitriol capsule, solution)drugId:426 ELECTROLYTES AND NUTRIENTS M90, #
RiometdrugId:1161 (metformin immediate-release solution)drugId:1161 PA ≥ 13 years DIABETIC AGENTS M90, #
Rythmol SRdrugId:7637 (propafenone extended-release)drugId:7637 CARDIOVASCULAR M90, #
rabeprazole delayed-release tabletdrugId:1624 PA > 1 unit/day PROTON PUMP INHIBITORS M90, #
raloxifenedrugId:1629 HORMONE REPLACEMENT THERAPY M90, #
ramiprildrugId:2588 CARDIOVASCULAR M90, #
rosuvastatin 40 mgdrugId:5601 PA > 1 unit/day LIPID LOWERING AGENTS M90, #
rosuvastatin 5 mg, 10 mg, 20 mgdrugId:1459 PA > 1.5 units/day LIPID LOWERING AGENTS M90, #
Roctavian (valoctocogene roxaparvovec-rvox)drugId:8653 PA ANTI-HEMOPHILIA AGENTS CO, MB
Rukobia (fostemsavir)drugId:7494 PA ANTIVIRALS PD
rimegepantdrugId:7394 PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD
risperidone 150 mg, 200 mg, 250 mg extended-release subcutaneous injection; See Table 24drugId:8610; See Table 71drugId:8611 PA < 6 years and PA > 1 injection/56 days ANTIPSYCHOTIC PD
risperidone 50 mg, 75 mg, 100 mg, 125 mg extended-release subcutaneous injection; See Table 24drugId:8608; See Table 71drugId:8609 PA < 6 years and PA > 1 injection/28 days ANTIPSYCHOTIC PD
risperidone 90 mg, 120 mg extended-release subcutaneous injection; See Table 24drugId:7007; See Table 71drugId:7009 PA < 6 years and > 1 injection/28 days ANTIPSYCHOTIC PD
raltegravirdrugId:2701 ANTIVIRALS BP
rilpivirinedrugId:2284 ANTIVIRALS BP
risperidone 12.5 mg, 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Risperdal Consta; See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/28 days ANTIPSYCHOTIC BP
Risperdal Consta (risperidone 12.5 mg, 25 mg, 37.5 mg, 50 mg extended-release intramuscular injection-Risperdal Consta); See Table 24drugId:1444; See Table 71drugId:4285 PA < 6 years and PA > 2 injections/28 days ANTIPSYCHOTIC BP
rotigotine transdermal systemdrugId:2643 PA > 1 unit/day ANTIPARKINSON BP
Remodulin (treprostinil injection)drugId:1745 PA CARDIOVASCULAR BP
Restasis (cyclosporine 0.05% ophthalmic emulsion)drugId:311 OPHTHALMIC PREPARATIONS BP, A90
Revlimid (lenalidomide)drugId:2298 PA CHEMOTHERAPY BP, A90
ramelteondrugId:1631 PA > 1 unit/day SEDATIVES BP, A90
Rozerem (ramelteon)drugId:1631 PA > 1 unit/day SEDATIVES BP, A90
rifabutindrugId:1429 ANTIBIOTICS BP, A90
rivastigmine patchdrugId:1449 PA > 1 unit/day ALZHEIMER'S THERAPY BP, A90
rufinamidedrugId:1826 PA ANTICONVULSANTS BP, A90
Revatio (sildenafil oral suspension-Revatio)drugId:4793 PA CARDIOVASCULAR BP, A90
Retin-A (tretinoin-Retin-A)drugId:1748 PA ≥ 22 years DERMATOLOGICAL BP, A90
risedronate delayed-releasedrugId:2101 PA ELECTROLYTES AND NUTRIENTS BP, M90
ritonavir tabletdrugId:1446 ANTIVIRALS BP, PD, A90
Ritalin (methylphenidate-Ritalin); See Table 31drugId:961; See Table 71drugId:3201 PA < 3 years or ≥ 21 years and PA > 3 units/day CEREBRAL STIMULANTS #
RoxicodonedrugId:1320 (oxycodone immediate-release)drugId:1320 PA > 80 mg/day OPIOID ANALGESICS #
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 #
Rybrevant (amivantamab-vmjw)drugId:7982 PA CHEMOTHERAPY MB
Rylaze (asparaginase erwinia chrysanthemi-rywn)drugId:7981 PA CHEMOTHERAPY MB
Ryanodex (dantrolene injection suspension)drugId:4634 MUSCLE RELAXANT MB
Rolvedon (eflapegrastim-xnst)drugId:8539 HEMATINICS & BLOOD CELL STIMULATORS MB
Retisert (fluocinolone ophthalmic implant-Retisert) OPHTHALMIC PREPARATIONS MB
Reblozyl (luspatercept-aamt)drugId:7334 PA HEMATOLOGIC MB
ramucirumabdrugId:2955 PA CHEMOTHERAPY MB
ranibizumab OPHTHALMIC PREPARATIONS MB
ranibizumab-eqrn OPHTHALMIC PREPARATIONS MB
ranibizumab-nuna OPHTHALMIC PREPARATIONS MB
rasburicase ENZYMES MB
ravulizumab-cwvzdrugId:7046 PA BIOLOGICAL MB
remdesivirdrugId:7509 COVID - 19 related Treatments and Vaccines MB
remimazolamdrugId:7718 PA BENZODIAZEPINES MB
reslizumabdrugId:5586 PA BIOLOGICAL MB
retifanlimab-dlwrdrugId:8651 PA CHEMOTHERAPY MB
rho(d) immune globulin IV, human-RhophylacdrugId:1648 BIOLOGICAL MB
Rhophylac (rho(d) immune globulin IV, human-Rhophylac)drugId:1648 BIOLOGICAL MB
rho(d) immune globulin IV, human-Winrho SDFdrugId:1650 BIOLOGICAL MB
rituximabdrugId:1447 PA CHEMOTHERAPY MB
Rituxan (rituximab)drugId:1447 PA CHEMOTHERAPY MB
rituximab / hyaluronidase humandrugId:6183 PA CHEMOTHERAPY MB
Rituxan Hycela (rituximab / hyaluronidase human)drugId:6183 PA CHEMOTHERAPY MB
rituximab-abbsdrugId:7382 PA CHEMOTHERAPY MB
rituximab-arrxdrugId:7726 PA CHEMOTHERAPY MB
Riabni (rituximab-arrx)drugId:7726 PA CHEMOTHERAPY MB
rituximab-pvvrdrugId:7379 PA CHEMOTHERAPY MB
Ruxience (rituximab-pvvr)drugId:7379 PA CHEMOTHERAPY MB
romidepsin lyophilizeddrugId:1959 PA CHEMOTHERAPY MB
romidepsin non-lyophilizeddrugId:7378 PA CHEMOTHERAPY MB
romiplostimdrugId:1452 PA HEMATINIC AGENT MB
ropivacaine ANESTHETICS MB
rozanolixizumab-nolidrugId:8723 PA MULTIPLE SCLEROSIS AGENTS MB
Rystiggo (rozanolixizumab-noli)drugId:8723 PA MULTIPLE SCLEROSIS AGENTS MB
Reclast (zoledronic acid 5 mg)drugId:1927 ELECTROLYTES AND NUTRIENTS MB
Recombivax HB (hepatitis B recombinant vaccine)drugId:708 BIOLOGICAL 1
rotavirus vaccine, live, oraldrugId:1823 BIOLOGICAL 1
Rotarix (rotavirus vaccine, live, oral)drugId:1823 BIOLOGICAL 1
rotavirus vaccine, live, oral, pentavalentdrugId:1824 BIOLOGICAL 1
Rotateq (rotavirus vaccine, live, oral, pentavalent)drugId:1824 BIOLOGICAL 1
retinoldrugId:1806 ELECTROLYTES AND NUTRIENTS *, M90
riboflavindrugId:1428 ELECTROLYTES AND NUTRIENTS *, M90

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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