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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
Xartemis XR (oxycodone / acetaminophen extended-release)drugId:2949 PA ANALGESICS, NARCOTIC
Xylocaine (lidocaine vial) ANESTHETICS #
Xylocaine-MPF (lidocaine vial, preservative free) ANESTHETICS #
Xenleta (lefamulin injection)drugId:7357 PA ANTIBIOTICS
Xenleta (lefamulin tablet)drugId:7358 PA ANTIBIOTICS
Xepi (ozenoxacin)drugId:7917 PA ANTIBIOTICS
Xerava (eravacycline)drugId:7049 PA ANTIBIOTICS
Xifaxan (rifaximin 200 mg)drugId:1433 ANTIBIOTICS
Xifaxan (rifaximin 550 mg)drugId:7140 PA ANTIBIOTICS
Ximino (minocycline extended-release capsule)drugId:6413 PA ANTIBIOTICS
Xarelto (rivaroxaban 10 mg, 15 mg, 20 mg, starter pack)drugId:2371 ANTICOAGULANTS
Xarelto (rivaroxaban 2.5 mg)drugId:2384 PA ANTICOAGULANTS
Xcopri (cenobamate); See Table 20drugId:7406; See Table 71drugId:7407 PA ANTICONVULSANTS
Xermelo (telotristat ethyl)drugId:6108 PA ANTIDIARRHEALS
Xyntha (antihemophilic factor, recombinant-Xyntha) ANTI-HEMOPHILIA AGENTS PD
Xadago (safinamide)drugId:6185 PA ANTIPARKINSON
Xofluza (baloxavir)drugId:6989 PA ANTIVIRALS
Xanax (alprazolam); See Table 69drugId:25; See Table 71drugId:4358 PA < 6 years BENZODIAZEPINES #
Xanax XR (alprazolam extended-release); See Table 69drugId:26; See Table 71drugId:4359 PA < 6 years and PA > 2 units/day BENZODIAZEPINES #
Xembify (immune globulin subcutaneous injection, human-klhw)drugId:7336 PA BIOLOGICAL
Xeomin (incobotulinumtoxinA)drugId:2087 PA BIOLOGICAL
Xgeva (denosumab-Xgeva)drugId:2180 PA BIOLOGICAL
Xolair (omalizumab)drugId:1287 PA BIOLOGICAL
Xopenex (levalbuterol inhalation solution)drugId:1036 PA BRONCHODILATORS
Xopenex HFA (levalbuterol inhaler)drugId:1035 BRONCHODILATORS BP
Xalkori (crizotinib)drugId:2376 PA CHEMOTHERAPY
XelodadrugId:435 (capecitabine)drugId:435 CHEMOTHERAPY #
Xofigo (radium Ra 223 dichloride)drugId:2853 PA CHEMOTHERAPY ^
Xospata (gilteritinib)drugId:7108 PA CHEMOTHERAPY
Xpovio (selinexor)drugId:7300 PA CHEMOTHERAPY
Xtandi (enzalutamide)drugId:2651 PA CHEMOTHERAPY
Xerese (acyclovir / hydrocortisone)drugId:1973 DERMATOLOGICAL
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841 DIABETIC AGENTS
Xultophy (insulin degludec / liraglutide)drugId:5769 PA DIABETIC AGENTS
Xiaflex (collagenase clostridium histolyticum)drugId:1951 PA ENZYMES
Xyosted (testosterone enanthate)drugId:7050 PA HORMONE REPLACEMENT THERAPY
Xatmep (methotrexate oral solution)drugId:6125 PA IMMUNOMODULATOR
Xeljanz (tofacitinib)drugId:2660 PA IMMUNOMODULATOR PD
Xeljanz XR (tofacitinib extended-release)drugId:5407 PA IMMUNOMODULATOR PD
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488 PA NASAL PREPARATIONS
Xenazine (tetrabenazine)drugId:1688 PA NEUROLOGIC AGENT
XalatandrugId:1027 (latanoprost solution)drugId:1027 OPHTHALMIC PREPARATIONS #
Xelpros (latanoprost emulsion)drugId:7013 PA OPHTHALMIC PREPARATIONS
Xiidra (lifitegrast)drugId:5681 PA OPHTHALMIC PREPARATIONS
Xtampza (oxycodone extended-release capsule)drugId:5598 PA OPIOID ANALGESICS
Xyrem (sodium oxybate)drugId:1870 PA SEDATIVES
Xywav (calcium oxybate / magnesium oxybate / potassium oxybate / sodium oxybate)drugId:7603 PA SEDATIVES

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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