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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
Fabior (tazarotene foam)drugId:2841 PA DERMATOLOGICAL
Fabrazyme (agalsidase beta)drugId:162 PA ENZYMES
factor ix complex human-Bebulin ANTI-HEMOPHILIA AGENTS
factor IX complex human-Profilnine SD ANTI-HEMOPHILIA AGENTS
factor IX human recombinant-Benefix ANTI-HEMOPHILIA AGENTS PD
factor IX human recombinant-Ixinity ANTI-HEMOPHILIA AGENTS
factor IX recombinant, albumin fusion protein ANTI-HEMOPHILIA AGENTS
factor IX recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, Fc fusion protein ANTI-HEMOPHILIA AGENTS
factor VIII recombinant, glycopegylated-exei ANTI-HEMOPHILIA AGENTS
factor XIII A-subunit recombinant ANTI-HEMOPHILIA AGENTS
factor XIII concentrate, human ANTI-HEMOPHILIA AGENTS
famciclovirdrugId:460 ANTIVIRALS
famotidine injectiondrugId:5603 H2 ANTAGONISTS
famotidine suspensiondrugId:5602 PA H2 ANTAGONISTS
famotidine tabletdrugId:461 H2 ANTAGONISTS * #
fam-trastuzumab deruxtecan-nxkidrugId:7390 PA CHEMOTHERAPY
Fanapt (iloperidone); See Table 24drugId:777; See Table 71drugId:4265 PA ANTIPSYCHOTIC
FarestondrugId:1731 (toremifene)drugId:1731 CHEMOTHERAPY #
Farxiga (dapagliflozin)drugId:2923 DIABETIC AGENTS
Farydak (panobinostat)drugId:5105 PA CHEMOTHERAPY
Fasenra (benralizumab)drugId:6520 PA BIOLOGICAL
Faslodex (fulvestrant)drugId:915 PA CHEMOTHERAPY
fat emulsions, intravenous- intralipid ELECTROLYTES AND NUTRIENTS
fat emulsions, intravenous-liposyn ELECTROLYTES AND NUTRIENTS #
febuxostatdrugId:464 PA GOUT AGENTS
fedratinibdrugId:7332 PA CHEMOTHERAPY
Feiba NF (anti-inhibitor coagulant complex-Feiba NF) ANTI-HEMOPHILIA AGENTS
Feiba VH Immuno (anti-inhibitor coagulant complex-Feiba VH) ANTI-HEMOPHILIA AGENTS
felbamatedrugId:465 ANTICONVULSANTS #
FelbatoldrugId:465 (felbamate)drugId:465 ANTICONVULSANTS #
FeldenedrugId:1540 (piroxicam)drugId:1540 NONSTEROIDAL ANTI-INFLAMMATORY #
felodipine extended-releasedrugId:466 CARDIOVASCULAR
FemaradrugId:1031 (letrozole)drugId:1031 CHEMOTHERAPY #
Femhrt (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt) HORMONE REPLACEMENT THERAPY #
Femring (estradiol-Femring) HORMONE REPLACEMENT THERAPY
fenfluraminedrugId:7464 PA ANTICONVULSANTS
fenofibrate 30 mg, 90 mg capsuledrugId:468 LIPID LOWERING AGENTS BP
fenofibrate 40 mg, 120 mg tabletdrugId:2986 PA LIPID LOWERING AGENTS
fenofibrate 43 mg, 67 mg, 130 mg, 134 mg, 200 mg capsuledrugId:5461 LIPID LOWERING AGENTS
fenofibrate 48 mg, 145 mg tabletdrugId:467 LIPID LOWERING AGENTS #
fenofibrate 50 mg, 150 mg capsuledrugId:5480 LIPID LOWERING AGENTS
fenofibrate 54 mg, 160 mg tabletdrugId:471 LIPID LOWERING AGENTS
fenofibric aciddrugId:473 LIPID LOWERING AGENTS #
Fenoglide (fenofibrate 40 mg, 120 mg tablet)drugId:2986 PA LIPID LOWERING AGENTS
fenoprofen capsuledrugId:839 PA NONSTEROIDAL ANTI-INFLAMMATORY
Fensolvi (leuprolide)drugId:7426 PA HORMONE AGENTS
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845 PA > 50 mcg/hr and PA > 10 patches/month OPIOID ANALGESICS #
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769 PA OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800 PA OPIOID ANALGESICS
fentanyl buccal tabletdrugId:840 PA OPIOID ANALGESICS
fentanyl injectiondrugId:842 OPIOID ANALGESICS
fentanyl powderdrugId:843 PA OPIOID ANALGESICS
fentanyl sublingual tabletdrugId:2157 PA OPIOID ANALGESICS
fentanyl transmucosal systemdrugId:844 PA OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840 PA OPIOID ANALGESICS
Feraheme (ferumoxytol)drugId:849 PA HEMATINIC AGENT
ferric carboxymaltose injectiondrugId:2844 PA HEMATINIC AGENT
ferric citrate HEMATINIC AGENT
ferric derisomaltosedrugId:7599 PA HEMATINIC AGENT
ferric maltoldrugId:7918 PA HEMATINIC AGENT
ferric pyrophosphate citratedrugId:6021 HEMATINIC AGENT ^
Ferriprox (deferiprone)drugId:2483 PA CHELATING AGENT
Ferrlecit (sodium ferric gluconate complex)drugId:1865 PA HEMATINIC AGENT
ferrous fumaratedrugId:846 HEMATINIC AGENT *
ferrous gluconatedrugId:847 HEMATINIC AGENT *
ferrous sulfatedrugId:848 HEMATINIC AGENT *
ferumoxytoldrugId:849 PA HEMATINIC AGENT
fesoterodinedrugId:850 URINARY ANTISPASMODICS BP
Fetroja (cefiderocol)drugId:7392 PA ANTIBIOTICS
Fetzima (levomilnacipran); See Table 17drugId:2886; See Table 71drugId:3980 PA < 6 years and PA > 1 unit/day ANTIDEPRESSANTS
Fiasp (insulin aspart-Fiasp)drugId:6400 PA DIABETIC AGENTS
FibricordrugId:473 (fenofibric acid)drugId:473 LIPID LOWERING AGENTS #
fibrinogen concentrate ANTI-HEMOPHILIA AGENTS
Fibryga (fibrinogen) ANTI-HEMOPHILIA AGENTS
fidaxomicindrugId:2283 PA ANTIBIOTICS
filgrastimdrugId:856 HEMATINIC AGENT
filgrastim-aafidrugId:6922 PA HEMATINIC AGENT
filgrastim-sndzdrugId:5116 PA HEMATINIC AGENT
Finacea (azelaic acid foam)drugId:5106 PA DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113 PA DERMATOLOGICAL BP
Fintepla (fenfluramine)drugId:7464 PA ANTICONVULSANTS
Fiorinal / Codeine (butalbital / aspirin / caffeine / codeine)drugId:411 PA OPIOID ANALGESICS
Fiorinal (butalbital / aspirin / caffeine capsule)drugId:2797 PA ANALGESICS
Firazyr (icatibant)drugId:2364 PA ENZYMES
Firdapse (amifampridine)drugId:7041 PA POTASSIUM CHANNEL BLOCKER
Firmagon (degarelix)drugId:335 PA CHEMOTHERAPY
Firvanq (vancomycin oral solution)drugId:6683 ANTIBIOTICS BP
Flagyl (metronidazole 375 mg capsule)drugId:1988 PA ANTIBIOTICS
FlagyldrugId:1341 (metronidazole 250 mg, 500 mg tablet)drugId:1341 ANTIBIOTICS #
Flarex (fluorometholone acetate)drugId:873 OPHTHALMIC PREPARATIONS
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786 PA BIOLOGICAL
flecainidedrugId:859 CARDIOVASCULAR
Flector (diclofenac topical patch-Flector)drugId:509 PA NONSTEROIDAL ANTI-INFLAMMATORY
FlolandrugId:612 (epoprostenol-Flolan)drugId:612 CARDIOVASCULAR #
FlomaxdrugId:1922 (tamsulosin)drugId:1922 BENIGN PROSTATIC HYPERPLASIA AGENTS #
Florastor (saccharomyces boulardii)drugId:6207 PA ≥ 22 years GASTROINTESTINAL AGENT
Flovent (fluticasone propionate inhalation aerosol)drugId:7940 BRONCHODILATORS BP
Flovent (fluticasone propionate inhalation powder)drugId:893 BRONCHODILATORS
Flowflex (COVID-19 antigen self-test)drugId:8170 - Non-Drug Product PA > 8 tests/28 days DIAGNOSTICS COVID
floxuridinedrugId:2680 CHEMOTHERAPY
Fluad (influenza virus vaccine, adjuvanted)drugId:5386 PA < 65 years BIOLOGICAL 1
Fluarix (influenza virus vaccine-Fluarix)drugId:796 BIOLOGICAL 1
Flublok (influenza virus vaccine-Flublok)drugId:2863 BIOLOGICAL 1
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652 BIOLOGICAL 1
fluconazoledrugId:860 FUNGICIDES #
fluconazole powderdrugId:7162 PA FUNGICIDES
flucytosinedrugId:861 ANTIBIOTICS BP
fludarabinedrugId:2538 CHEMOTHERAPY
fludrocortisonedrugId:863 GLUCOCORTICOIDS
Flulaval (influenza virus vaccine-Flulaval)drugId:795 BIOLOGICAL 1
Flumist (influenza virus vaccine-Flumist)drugId:800 BIOLOGICAL 1
flunisolide nasal spraydrugId:866 PA NASAL PREPARATIONS
fluocinolone 0.01% creamdrugId:2529 GLUCOCORTICOIDS
fluocinolone 0.025% creamdrugId:5060 GLUCOCORTICOIDS #
fluocinolone body oil, scalp oildrugId:867 GLUCOCORTICOIDS #
fluocinolone cream kitdrugId:5062 PA GLUCOCORTICOIDS
fluocinolone oil, otic dropsdrugId:870 OTIC PREPARATIONS #
fluocinolone ointmentdrugId:5061 GLUCOCORTICOIDS #
fluocinolone ointment kitdrugId:5063 PA GLUCOCORTICOIDS
fluocinolone ophthalmic implant-Iluvien OPHTHALMIC PREPARATIONS ^
fluocinolone ophthalmic implant-Retisert OPHTHALMIC PREPARATIONS ^
fluocinolone ophthalmic implant-Yutiq OPHTHALMIC PREPARATIONS ^
fluocinolone shampoodrugId:868 GLUCOCORTICOIDS
fluocinolone solutiondrugId:2632 GLUCOCORTICOIDS #
fluocinolone solution kitdrugId:5064 PA GLUCOCORTICOIDS
fluocinonide / emollientdrugId:2910 GLUCOCORTICOIDS
fluocinonide 0.1% creamdrugId:872 GLUCOCORTICOIDS #
fluocinonide cream, gel, ointment, solutiondrugId:2577 GLUCOCORTICOIDS
fluorescein / benoxinate OPHTHALMIC PREPARATIONS
fluorometholonedrugId:874 OPHTHALMIC PREPARATIONS #
fluorometholone acetatedrugId:873 OPHTHALMIC PREPARATIONS
fluorouracil 0.5% creamdrugId:876 CHEMOTHERAPY BP
fluorouracil 4% creamdrugId:5503 PA CHEMOTHERAPY
fluorouracil 5% creamdrugId:2260 CHEMOTHERAPY BP
fluorouracil injectiondrugId:875 CHEMOTHERAPY
fluorouracil solutiondrugId:877 CHEMOTHERAPY
fluoxetine 10 mg, 20 mg, 40 mg capsule, solution; See Table 17drugId:879; See Table 71drugId:3721 PA < 6 years ANTIDEPRESSANTS #
fluoxetine 10 mg, 20 mg tablet for premenstrual dysphoric disorder; See Table 17drugId:881; See Table 71drugId:3740 PA < 6 years ANTIDEPRESSANTS
fluoxetine 60 mg tablet; See Table 17drugId:2458; See Table 71drugId:4580 PA ANTIDEPRESSANTS
fluoxetine 90 mg delayed-release capsule; See Table 17drugId:880; See Table 71drugId:3720 PA ANTIDEPRESSANTS
fluoxymesterone ANABOLIC STEROID
fluphenazine; See Table 24drugId:6322; See Table 71drugId:883 PA < 6 years ANTIPSYCHOTIC
flurandrenolide cream, lotiondrugId:5520 PA GLUCOCORTICOIDS
flurandrenolide ointmentdrugId:5941 PA GLUCOCORTICOIDS
flurazepam; See Table 69drugId:885; See Table 71drugId:4349 PA < 6 years and PA > 1 unit/day BENZODIAZEPINES
flurbiprofen ophthalmic solutiondrugId:886 OPHTHALMIC PREPARATIONS
flutamidedrugId:888 CHEMOTHERAPY
fluticasone / salmeterol inhalation aerosoldrugId:897 BRONCHODILATORS
fluticasone / salmeterol inhalation powder-AdvairdrugId:896 BRONCHODILATORS BP
fluticasone / salmeterol inhalation powder-Airduo DigihalerdrugId:7485 PA BRONCHODILATORS
fluticasone / salmeterol inhalation powder-Airduo RespiclickdrugId:6120 PA BRONCHODILATORS
fluticasone / vilanteroldrugId:2860 PA BRONCHODILATORS
fluticasone creamdrugId:5065 GLUCOCORTICOIDS #
fluticasone furoate / umeclidinium / vilanteroldrugId:6408 PA BRONCHODILATORS
fluticasone furoate inhalation powderdrugId:4760 PA BRONCHODILATORS
fluticasone lotiondrugId:892 PA GLUCOCORTICOIDS
fluticasone ointmentdrugId:5066 GLUCOCORTICOIDS
fluticasone propionate 50 mcg nasal spraydrugId:889 PA > 1 inhaler/month NASAL PREPARATIONS
fluticasone propionate 93 mcg nasal spraydrugId:6488 PA NASAL PREPARATIONS
fluticasone propionate inhalation aerosoldrugId:7940 BRONCHODILATORS BP
fluticasone propionate inhalation powderdrugId:893 BRONCHODILATORS
fluticasone propionate inhalation powder-Armonair DigihalerdrugId:7486 PA BRONCHODILATORS
fluvastatin extended-releasedrugId:898 PA LIPID LOWERING AGENTS
fluvastatindrugId:899 PA LIPID LOWERING AGENTS
fluvoxamine extended-release; See Table 17drugId:901; See Table 71drugId:3780 PA ANTIDEPRESSANTS
fluvoxamine immediate-release; See Table 17drugId:900; See Table 71drugId:3781 PA < 6 years ANTIDEPRESSANTS
Fluzone (influenza virus vaccine, high dose)drugId:798 PA < 65 years  BIOLOGICAL 1
Fluzone (influenza virus vaccine-Fluzone)drugId:797 BIOLOGICAL 1
FMLdrugId:874 (fluorometholone)drugId:874 OPHTHALMIC PREPARATIONS #
Focalin (dexmethylphenidate); See Table 31drugId:497; See Table 71drugId:3101 PA < 3 years and PA > 3 units/day CEREBRAL STIMULANTS #
Focalin XR (dexmethylphenidate extended-release); See Table 31drugId:498; See Table 71drugId:3020 PA < 3 years and PA > 2 units/day CEREBRAL STIMULANTS BP PD
Folotyn (pralatrexate)drugId:1568 CHEMOTHERAPY
Foltrate (cyanocobalamin / folic acid)drugId:303 PA ELECTROLYTES AND NUTRIENTS
fondaparinuxdrugId:904 ANTICOAGULANTS #
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet); See Table 17drugId:2640; See Table 71drugId:3681 PA ANTIDEPRESSANTS BP
formoteroldrugId:906 PA BRONCHODILATORS BP
Fortamet (metformin extended-release, osmotic tablet)drugId:1157 PA DIABETIC AGENTS
FortazdrugId:202 (ceftazidime)drugId:202 ANTIBIOTICS #
Forteo (teriparatide-Forteo)drugId:1678 PA HORMONE AGENTS BP
Fortesta (testosterone 2% gel pump)drugId:2241 PA HORMONE REPLACEMENT THERAPY BP
FosamaxdrugId:7 (alendronate tablet)drugId:7 ELECTROLYTES AND NUTRIENTS #
Fosamax Plus D (alendronate / cholecalciferol)drugId:9 PA ELECTROLYTES AND NUTRIENTS
fosamprenavirdrugId:908 ANTIVIRALS BP
fosaprepitant injectiondrugId:909 PA > 2 vials/28 days ANTIEMETICS #
foscarnetdrugId:910 ANTIVIRALS
fosdenopterindrugId:7883 PA ENZYMES
fosfomycindrugId:911 ANTIBIOTICS BP
fosinoprildrugId:912 CARDIOVASCULAR
fosinopril / hydrochlorothiazidedrugId:913 CARDIOVASCULAR
fosnetupitant / palonosetron injectiondrugId:6620 PA > 2 vials/28 days ANTIEMETICS
fosphenytoindrugId:2681 ANTICONVULSANTS #
fostamatinibdrugId:6823 PA HEMATOLOGIC
fostemsavirdrugId:7494 PA ANTIVIRALS PD
Fotivda (tivozanib)drugId:7882 PA CHEMOTHERAPY
Fragmin (dalteparin)drugId:321 ANTICOAGULANTS
fremanezumab-vfrm for migraine prophylaxisdrugId:7000 PA CALCITONIN GENE-RELATED PEPTIDE INHIBITOR PD
Frova (frovatriptan)drugId:914 PA TRIPTAN BP
frovatriptandrugId:914 PA TRIPTAN BP
Fulphila (pegfilgrastim-jmdb)drugId:6903 HEMATINIC AGENT
fulvestrantdrugId:915 PA CHEMOTHERAPY
Furadantin (nitrofurantoin suspension)drugId:1223 PA ANTIBIOTICS
furosemidedrugId:916 CARDIOVASCULAR #
Fusilev (levoleucovorin powder for injection)drugId:1047 PA ANTIDOTES
Fuzeon (enfuvirtide)drugId:600 ANTIVIRALS
Fycompa (perampanel)drugId:7566 PA ANTICONVULSANTS

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

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Last updated 05/09/22