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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
vibegrondrugId:7781 PA ADRENERGICS
Vivitrol (naltrexone injection)drugId:1426 ALCOHOL AND DRUG CESSATION AGENT PD
Vivlodex (meloxicam capsule)drugId:5404 PA ANTIARTHRITICS A90
VancocindrugId:1787 (vancomycin capsule)drugId:1787 ANTIBIOTICS A90, #
vancomycin capsuledrugId:1787 ANTIBIOTICS A90, #
vancomycin injectiondrugId:1788 ANTIBIOTICS
vancomycin oral solutiondrugId:6683 ANTIBIOTICS BP, A90
Vandazole (metronidazole 0.75% vaginal gel)drugId:4887 ANTIBIOTICS A90
Vibativ (telavancin)drugId:1949 PA ANTIBIOTICS
Vibramycin (doxycycline calcium syrup)drugId:2903 ANTIBIOTICS
VibramycindrugId:575 (doxycycline hyclate 100 mg capsule)drugId:575 ANTIBIOTICS A90, #
VibramycindrugId:2904 (doxycycline monohydrate suspension)drugId:2904 ANTIBIOTICS A90, #
valproatedrugId:1780 ANTICONVULSANTS
valproic acid; See Table 20drugId:1782; See Table 71drugId:4506 PA < 6 years ANTICONVULSANTS A90, #
vigabatrindrugId:1802 PA ANTICONVULSANTS BP, A90
VimpatdrugId:1972 (lacosamide tablet, solution, vial)drugId:1972 ANTICONVULSANTS A90, #
venlafaxine; See Table 17drugId:1796; See Table 71drugId:3900 PA < 6 years ANTIDEPRESSANTS A90
venlafaxine besylate extended-release tablet; See Table 17drugId:8305; See Table 71drugId:8306 PA ANTIDEPRESSANTS A90
venlafaxine extended-release capsule; See Table 17drugId:1795; See Table 71drugId:3901 PA < 6 years ANTIDEPRESSANTS A90, #
venlafaxine hydrochloride extended-release tablet; See Table 17drugId:1794; See Table 71drugId:3902 PA ANTIDEPRESSANTS A90
Viibryd (vilazodone); See Table 17drugId:2294; See Table 71drugId:3880 PA ANTIDEPRESSANTS A90
vilazodone; See Table 17drugId:2294; See Table 71drugId:3880 PA ANTIDEPRESSANTS A90
vortioxetine; See Table 17drugId:2885; See Table 71drugId:3881 PA ANTIDEPRESSANTS
valoctocogene roxaparvovec-rvoxdrugId:8653 PA ANTI-HEMOPHILIA AGENTS CO, MB
Vonvendi (von willebrand factor, recombinant)drugId:5597 ANTI-HEMOPHILIA AGENTS
von willebrand factor, recombinantdrugId:5597 ANTI-HEMOPHILIA AGENTS
von willebrand factor / coagulation factor VIII complexdrugId:165 ANTI-HEMOPHILIA AGENTS
VistarildrugId:762 (hydroxyzine pamoate)drugId:762 ANTIHISTAMINES A90, #
Vanflyta (quizartinib)drugId:8793 PA ANTINEOPLASTICS
Vegzelma (bevacizumab-adcd)drugId:8545 PA ANTINEOPLASTICS MB
vorapaxardrugId:2950 PA ANTIPLATELET AGENT
Versacloz (clozapine suspension); See Table 24drugId:2930; See Table 71drugId:4263 PA ANTIPSYCHOTIC A90
Vraylar (cariprazine); See Table 24drugId:5405; See Table 71drugId:5406 PA ANTIPSYCHOTIC PD
Vesicare LS (solifenacin suspension)drugId:7887 PA ANTISPASMODIC AND ANTICHOLINERGIC AGENTS
valacyclovirdrugId:1778 ANTIVIRALS A90, #
ValcytedrugId:1779 (valganciclovir)drugId:1779 ANTIVIRALS A90, #
valganciclovirdrugId:1779 ANTIVIRALS A90, #
ValtrexdrugId:1778 (valacyclovir)drugId:1778 ANTIVIRALS A90, #
Vemlidy (tenofovir alafenamide)drugId:5768 ANTIVIRALS PD
Veregen (sinecatechins)drugId:1856 PA ANTIVIRALS
Viekira Pak (ombitasvir / paritaprevir / ritonavir / dasabuvir)drugId:4740 PA ANTIVIRALS
Viracept (nelfinavir)drugId:1183 ANTIVIRALS
Viread (tenofovir disoproxil fumarate powder); See Table 38drugId:2489; See Table 44drugId:5821 PA ≥ 13 years ANTIVIRALS A90
Viread (tenofovir disoproxil fumarate tablet); See Table 38drugId:1669; See Table 44drugId:5820 PA > 1 unit/day ANTIVIRALS A90, #
Vocabria (cabotegravir tablet)drugId:7722 ANTIVIRALS
Vosevi (sofosbuvir / velpatasvir / voxilaprevir)drugId:6364 PA ANTIVIRALS
Valium (diazepam solution, tablet); See Table 69drugId:504; See Table 71drugId:4381 PA < 6 years BENZODIAZEPINES #
Valtoco (diazepam nasal spray)drugId:7384 PA > 10 units/30 days BENZODIAZEPINES
Vaqta (hepatitis A vaccine, inactivated-Vaqta)drugId:705 BIOLOGICAL 1
varicella virus vaccinedrugId:1790 BIOLOGICAL 1
varicella zoster immune globulin, humandrugId:2855 BIOLOGICAL
Varivax (varicella virus vaccine)drugId:1790 BIOLOGICAL 1
Varizig (varicella zoster immune globulin, human)drugId:2855 BIOLOGICAL
Vaxchora (cholera vaccine, live, oral)drugId:5594 BIOLOGICAL
Vaxelis (diphtheria / tetanus / acellular pertussis / poliovirus inactivated / haemophilus B conjugate / hepatitis B vaccine)drugId:7571 BIOLOGICAL
Vaxneuvance (pneumococcal 15-valent conjugate vaccine)drugId:7983 BIOLOGICAL
Viltepso (viltolarsen)drugId:7602 PA BIOLOGICAL
viltolarsendrugId:7602 PA BIOLOGICAL
Vivotif Berna (typhoid vaccine capsule)drugId:2628 BIOLOGICAL
Vyondys 53 (golodirsen)drugId:7496 PA BIOLOGICAL
Vyvgart (efgartigimod alfa-fcab)drugId:8213 PA BIOLOGICAL MB
Vyvgart Hytrulo (efgartigimod alfa-fcab and hyaluronidase-qvfc)drugId:8728 PA BIOLOGICAL MB
Ventolin (albuterol inhaler-Ventolin)drugId:3 BRONCHODILATORS BP, A90
valsartan / hydrochlorothiazidedrugId:1786 CARDIOVASCULAR M90, #
valsartan tabletdrugId:1785 CARDIOVASCULAR M90, #
VasereticdrugId:599 (enalapril / hydrochlorothiazide)drugId:599 CARDIOVASCULAR M90, #
VasotecdrugId:598 (enalapril)drugId:598 CARDIOVASCULAR M90, #
Veletri (epoprostenol-Veletri)drugId:2098 PA CARDIOVASCULAR
Ventavis (iloprost)drugId:778 PA CARDIOVASCULAR
verapamil extended-releasedrugId:2743 CARDIOVASCULAR M90, #
verapamildrugId:1800 CARDIOVASCULAR M90
verapamil sustained-releasedrugId:2742 CARDIOVASCULAR M90, #
Verelan PMdrugId:2743 (verapamil extended-release)drugId:2743 CARDIOVASCULAR M90, #
vericiguatdrugId:7800 PA CARDIOVASCULAR
Verquvo (vericiguat)drugId:7800 PA CARDIOVASCULAR
Vyvanse (lisdexamfetamine capsule); See Table 31drugId:1086; See Table 71drugId:3021 PA < 3 years or ≥ 21 years and PA > 2 units/day CEREBRAL STIMULANTS BP
Vyvanse (lisdexamfetamine chewable tablet); See Table 31drugId:8178; See Table 71drugId:8179 PA CEREBRAL STIMULANTS BP
Veltassa (patiromer)drugId:5320 PA > 1 unit/day CHELATING AGENT
Valchlor (mechlorethamine gel)drugId:2893 CHEMOTHERAPY
valrubicindrugId:1784 CHEMOTHERAPY MB
Valstar (valrubicin)drugId:1784 CHEMOTHERAPY MB
vandetanibdrugId:2281 PA CHEMOTHERAPY
Vectibix (panitumumab)drugId:1475 CHEMOTHERAPY MB
Velcade (bortezomib)drugId:371 CHEMOTHERAPY MB
vemurafenibdrugId:2372 PA CHEMOTHERAPY
Venclexta (venetoclax)drugId:5595 PA CHEMOTHERAPY
venetoclaxdrugId:5595 PA CHEMOTHERAPY
Verzenio (abemaciclib)drugId:6410 PA CHEMOTHERAPY
Vidaza (azacitidine vial)drugId:110 CHEMOTHERAPY MB
vinblastinedrugId:1803 CHEMOTHERAPY MB
vincristine liposomedrugId:2890 PA CHEMOTHERAPY MB
vincristinedrugId:1804 CHEMOTHERAPY MB
vinorelbinedrugId:1805 CHEMOTHERAPY
vismodegibdrugId:2481 PA CHEMOTHERAPY
Vitrakvi (larotrectinib)drugId:7047 PA CHEMOTHERAPY
Vivimusta (bendamustine)drugId:8566 CHEMOTHERAPY MB
Vizimpro (dacomitinib)drugId:7048 PA CHEMOTHERAPY
Vonjo (pacritinib)drugId:8308 PA CHEMOTHERAPY
vorinostatdrugId:1811 CHEMOTHERAPY
Votrient (pazopanib)drugId:1486 PA CHEMOTHERAPY BP, A90
Vyxeos (daunorubicin / cytarabine)drugId:6412 PA CHEMOTHERAPY MB
varenicline nasal spraydrugId:8198 PA CHOLINERGIC AGONIST
Veklury (remdesivir)drugId:7509 COVID - 19 related Treatments and Vaccines MB
vilobelimab COVID EUA - April 4, 2023drugId:8569 COVID - 19 related Treatments and Vaccines MB
Veltin (clindamycin / tretinoin-Veltin)drugId:1970 PA DERMATOLOGICAL A90
vitamin A and D ointment DERMATOLOGICAL *
Vtama (tapinarof)drugId:8309 PA DERMATOLOGICAL
Vyjuvek (beremagene geperpavec-svdt)drugId:8727 PA DERMATOLOGICAL
Victoza (liraglutide-Victoza)drugId:1085 PA >9 mL/30 days DIABETIC AGENTS BP
Velphoro (sucroferric oxyhydroxide) ELECTROLYTES AND NUTRIENTS
vitamin A (retinol)drugId:1806 ELECTROLYTES AND NUTRIENTS *, M90
vitamin B-1 (thiamine)drugId:1692 ELECTROLYTES AND NUTRIENTS *, M90
vitamin B-12 (cyanocobalamin)drugId:302 ELECTROLYTES AND NUTRIENTS o, M90
vitamin B-2 (riboflavin)drugId:1428 ELECTROLYTES AND NUTRIENTS *, M90
vitamin B-3 (niacin); See Table 6drugId:1202; See Table 13drugId:1203 ELECTROLYTES AND NUTRIENTS *, M90
vitamin B-6 (pyridoxine)drugId:1613 ELECTROLYTES AND NUTRIENTS *, M90
vitamin B complexdrugId:1807 ELECTROLYTES AND NUTRIENTS *, M90
vitamin C (ascorbic acid)drugId:96 ELECTROLYTES AND NUTRIENTS *, M90
vitamin E, oraldrugId:1808 ELECTROLYTES AND NUTRIENTS *, M90
vitamins, multiple / mineralsdrugId:1402 ELECTROLYTES AND NUTRIENTS *, M90
vitamins, multipledrugId:1400 ELECTROLYTES AND NUTRIENTS *, M90
vitamins, pediatricdrugId:1403 ELECTROLYTES AND NUTRIENTS *, M90
vitamins, prenataldrugId:2061 ELECTROLYTES AND NUTRIENTS *, M90
velaglucerase alfadrugId:1950 PA ENZYMES MB
velmanase alfa-tycvdrugId:8571 PA ENZYMES MB
vestronidase alfa-vjbkdrugId:6521 PA ENZYMES MB
Vimizim (elosulfase alfa)drugId:2931 PA ENZYMES MB
Viokace (pancrelipase-Viokace)drugId:2597 ENZYMES
Vitrase (hyaluronidase, ovine) ENZYMES MB
Vpriv (velaglucerase alfa)drugId:1950 PA ENZYMES MB
Vfend (voriconazole suspension, 50 mg tablet)drugId:1809 PA FUNGICIDES A90
VfenddrugId:1810 (voriconazole injection, 200 mg tablet)drugId:1810 FUNGICIDES #
Vivjoa (oteseconazole)drugId:8307 PA FUNGICIDES
voriconazole injection, 200 mg tabletdrugId:1810 FUNGICIDES #
voriconazole suspension, 50 mg tabletdrugId:1809 PA FUNGICIDES A90
Vusion (miconazole / zinc oxide ointment)drugId:1353 FUNGICIDES BP, A90
Viberzi (eluxadoline)drugId:5403 PA GASTROINTESTINAL AGENT
Vowst (fecal microbiota spores, live-brpk)drugId:8622 PA GASTROINTESTINAL AGENT
vamorolonedrugId:8779 PA GLUCOCORTICOIDS
VanosdrugId:872 (fluocinonide 0.1% cream)drugId:872 GLUCOCORTICOIDS A90, #
vonoprazan / amoxicillin / clarithromycindrugId:8759 PA H. PYLORI AGENTS
vonoprazan / amoxicillindrugId:8758 PA H. PYLORI AGENTS
Voquezna Dual Pak (vonoprazan / amoxicillin)drugId:8758 PA H. PYLORI AGENTS
Voquezna Triple Pak (vonoprazan / amoxicillin / clarithromycin)drugId:8759 PA H. PYLORI AGENTS
Venofer (iron sucrose)drugId:974 HEMATINIC AGENT MB
voxelotordrugId:7350 PA HEMATOLOGIC
Vantas (histrelin)drugId:711 PA HORMONE AGENTS
Vagifem (estradiol-Vagifem) HORMONE REPLACEMENT THERAPY M90, #
Vivelle-Dot (estradiol-Vivelle-Dot) HORMONE REPLACEMENT THERAPY M90, #
Vogelxo (testosterone 1% gel tube, packet, pump)drugId:2948 PA HORMONE REPLACEMENT THERAPY
Visco-3 (hyaluronate-Visco-3)drugId:6411 PA HYALURONAN MB
voclosporindrugId:7785 PA IMMUNOMODULATOR
Vascepa (icosapent ethyl)drugId:2733 PA LIPID LOWERING AGENTS BP, M90
VytorindrugId:453 (ezetimibe / simvastatin)drugId:453 PA > 1 unit/day LIPID LOWERING AGENTS M90, #
Veopoz (pozelimab-bbfg)drugId:8788 PA MISCELLANEOUS MB
Vumerity (diroximel fumarate)drugId:7572 PA MULTIPLE SCLEROSIS AGENTS
valbenazinedrugId:6123 PA NEUROLOGIC AGENT
V-Go (insulin continuous subcutaneous infusion patch)drugId:8777 - Non-Drug Product PA NON-DRUG PRODUCT PND
VimovodrugId:1971 (naproxen / esomeprazole)drugId:1971 PA <60 years NONSTEROIDAL ANTI-INFLAMMATORY A90, #
viloxazine; See Table 31drugId:7795; See Table 71drugId:7796 PA NONSTIMULANT ADHD AGENTS
Vabysmo (faricimab-svoa) OPHTHALMIC PREPARATIONS MB
Verkazia (cyclosporine 0.1% ophthalmic emulsion)drugId:8336 PA OPHTHALMIC PREPARATIONS
Vevye (cyclosporine 0.1% ophthalmic solution)drugId:8789 PA OPHTHALMIC PREPARATIONS
VigamoxdrugId:1397 (moxifloxacin ophthalmic solution-Vigamox)drugId:1397 OPHTHALMIC PREPARATIONS A90, #
Viroptic (trifluridine) OPHTHALMIC PREPARATIONS A90, #
Visudyne (verteporfin) OPHTHALMIC PREPARATIONS
voretigene neparvovecdrugId:7497 PA OPHTHALMIC PREPARATIONS CO, MB
Vuity (pilocarpine 1.2% ophthalmic solution)drugId:8164 PA OPHTHALMIC PREPARATIONS
Vyzulta (latanoprostene)drugId:6487 PA OPHTHALMIC PREPARATIONS
Vabomere (meropenem / vaborbactam)drugId:6363 PA OTHER ANTIBIOTICS
valsartan solutiondrugId:8623 PA OTHER ANTIHYPERTENSIVES M90
varenicline tablet SMOKING CESSATION A90, #
Vyndamax (tafamidis)drugId:7269 PA TRANSTHYRETIN STABILIZER
Vyndaqel (tafamidis)drugId:7228 PA TRANSTHYRETIN STABILIZER
Veozah (fezolinetant)drugId:8726 PA UNCLASSIFIED DRUG PRODUCTS
Vijoice (alpelisib-Vijoice)drugId:8264 PA UNCLASSIFIED DRUG PRODUCTS
Voxzogo (vosoritide)drugId:8265 PA UNCLASSIFIED DRUG PRODUCTS
VesicaredrugId:1879 (solifenacin tablet)drugId:1879 URINARY ANTISPASMODICS A90, #

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

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Last updated 05/16/24