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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
Ultracet (tramadol / acetaminophen)drugId:1737 PA ANALGESICS
UltramdrugId:1735 (tramadol 50 mg)drugId:1735 PA < 12 years and PA > 400 mg/day ANALGESICS #
UnasyndrugId:64 (ampicillin / sulbactam)drugId:64 ANTIBIOTICS #
Uzedy (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
Uzedy (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
UrsodrugId:1775 (ursodiol 250 mg tablet)drugId:1775 BILE THERAPY A90, #
ursodiol 200 mg, 400 mg capsuledrugId:7886 PA BILE THERAPY A90
ursodiol 250 mg tabletdrugId:1775 BILE THERAPY A90, #
ursodiol 300 mg capsuledrugId:1774 BILE THERAPY A90
ursodiol 500 mg tabletdrugId:1776 BILE THERAPY A90, #
Urso FortedrugId:1776 (ursodiol 500 mg tablet)drugId:1776 BILE THERAPY A90, #
Ultomiris (ravulizumab-cwvz)drugId:7046 PA BIOLOGICAL MB
Uplizna (inebilizumab-cdon)drugId:7570 PA BIOLOGICAL MB
umeclidiniumdrugId:4774 BRONCHODILATORS
umeclidinium / vilanteroldrugId:2952 BRONCHODILATORS
Ubrelvy (ubrogepant)drugId:7383 PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD
ubrogepantdrugId:7383 PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD
Uptravi (selexipag)drugId:5401 PA CARDIOVASCULAR
ulipristal acetate CONTRACEPTIVES
Urocit-K (potassium citrate) ELECTROLYTES AND NUTRIENTS A90, #
Uceris (budesonide extended-release tablet)drugId:2991 GLUCOCORTICOIDS BP, A90
Uceris (budesonide rectal foam)drugId:4817 PA GLUCOCORTICOIDS A90
Ultravate (halobetasol lotion)drugId:5400 PA GLUCOCORTICOIDS A90
Uloric (febuxostat)drugId:464 PA GOUT AGENTS M90
Udenyca (pegfilgrastim-cbqv)drugId:7012 HEMATINIC AGENT
upadacitinibdrugId:7274 PA IMMUNOMODULATOR
ustekinumab 130 mg/26 mL vialdrugId:8384 PA IMMUNOMODULATOR MB
ustekinumab 45 mg/0.5 mL prefilled syringe, 90 mg/mL prefilled syringe, 45 mg/0.5 mL vialdrugId:1777 PA IMMUNOMODULATOR PD
ublituximab-xiiydrugId:8565 PA MULTIPLE SCLEROSIS AGENTS
Unithroid (levothyroxine-Unithroid) THYROID PREPARATIONS M90, #
uridine triacetatedrugId:8410 PA UNCLASSIFIED DRUG PRODUCTS

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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