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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
Hadlima (adalimumab-bwwd)drugId:8707 PA IMMUNOMODULATOR
Haegarda (c1 esterase inhibitor, human-Haegarda)drugId:6283 PA ENZYMES
haemophilus B conjugate vaccine-ActhibdrugId:693 BIOLOGICAL 1
haemophilus B conjugate vaccine-HiberixdrugId:5624 BIOLOGICAL 1
haemophilus B conjugate vaccine-PedvaxhibdrugId:694 BIOLOGICAL 1
Halaven (eribulin)drugId:2168 PA CHEMOTHERAPY MB
halcinonide cream, solutiondrugId:695 PA GLUCOCORTICOIDS A90
halcinonide ointmentdrugId:7859 GLUCOCORTICOIDS
Halcion (triazolam); See Table 69drugId:1757; See Table 71drugId:4353 PA < 6 years and PA > 1 unit/day BENZODIAZEPINES #
Haldol (haloperidol); See Table 24drugId:6323; See Table 71drugId:696 PA < 6 years ANTIPSYCHOTIC A90, #
halobetasol / tazarotene lotiondrugId:7134 PA GLUCOCORTICOIDS
halobetasol cream, ointmentdrugId:2041 GLUCOCORTICOIDS A90
halobetasol foamdrugId:6983 PA GLUCOCORTICOIDS A90
halobetasol lotiondrugId:5400 PA GLUCOCORTICOIDS A90
halobetasol lotiondrugId:7001 PA GLUCOCORTICOIDS
Halog (halcinonide cream, solution)drugId:695 PA GLUCOCORTICOIDS A90
Halog (halcinonide ointment)drugId:7859 GLUCOCORTICOIDS
haloperidol; See Table 24drugId:6323; See Table 71drugId:696 PA < 6 years ANTIPSYCHOTIC A90, #
Harvoni (ledipasvir / sofosbuvir)drugId:4600 PA ANTIVIRALS PD
Havrix (hepatitis A vaccine, inactivated - Havrix)drugId:2578 BIOLOGICAL 1
Hectorol (doxercalciferol injection)drugId:5780 ELECTROLYTES AND NUTRIENTS MB
Helixate (antihemophilic factor, recombinant-Helixate)drugId:73 ANTI-HEMOPHILIA AGENTS
Hemady (dexamethasone 20 mg tablet)drugId:8023 PA GLUCOCORTICOIDS
Hemangeol (propranolol solution)drugId:2959 PA CARDIOVASCULAR M90
Hemgenix (etranacogene dezaparvovec-drlb)drugId:8656 PA ANTI-HEMOPHILIA AGENTS CO, MB
Hemlibra (emicizumab-kxwh)drugId:6485 ANTI-HEMOPHILIA AGENTS
Hemofil-M (antihemophilic factor, recombinant-Hemofil-M)drugId:77 ANTI-HEMOPHILIA AGENTS
Hepagam B (hepatitis B immune globulin IV, human-Hepagam B)drugId:2685 BIOLOGICAL
heparindrugId:704 ANTICOAGULANTS
heparin lock flushdrugId:703 ANTICOAGULANTS
hepatitis A, inactivated / hepatitis B recombinantdrugId:2627 BIOLOGICAL 1
hepatitis A vaccine, inactivated - HavrixdrugId:2578 BIOLOGICAL 1
hepatitis A vaccine, inactivated-VaqtadrugId:705 BIOLOGICAL 1
hepatitis B immune globulin IM, human-Hyperhep BdrugId:706 BIOLOGICAL
hepatitis B immune globulin IM, human-Nabi-HBdrugId:707 BIOLOGICAL
hepatitis B immune globulin IV, human-Hepagam BdrugId:2685 BIOLOGICAL
hepatitis B recombinant vaccine, adjuvanteddrugId:6403 BIOLOGICAL 1
hepatitis B recombinant vaccinedrugId:2579 BIOLOGICAL 1
Heplisav-B (hepatitis B recombinant vaccine, adjuvanted)drugId:6403 BIOLOGICAL 1
HepseradrugId:161 (adefovir)drugId:161 PA > 1 unit/day ANTIVIRALS A90, #
Herceptin (trastuzumab)drugId:1742 PA CHEMOTHERAPY MB
Herceptin Hylecta (trastuzumab / hyaluronidase-oysk)drugId:7782 PA CHEMOTHERAPY MB
Herzuma (trastuzumab-pkrb)drugId:7783 PA CHEMOTHERAPY MB
Hetlioz (tasimelteon)drugId:2960 PA SEDATIVE, NON-BARBITURATE BP, A90
Hiberix (haemophilus B conjugate vaccine-Hiberix)drugId:5624 BIOLOGICAL 1
HiprexdrugId:938 (methenamine)drugId:938 ANTIBACTERIAL A90, #
histrelindrugId:710 PA HORMONE AGENTS
Hizentra (immune globulin subcutaneous injection, human-Hizentra)drugId:1940 PA BIOLOGICAL
Horizant (gabapentin enacarbil); See Table 71drugId:8584; See Table 72drugId:2285 PA GABA ANALOGS
house dust mite allergen extractdrugId:8503 PA ALLERGENS
Hulio (adalimumab-fkjp)drugId:8708 PA IMMUNOMODULATOR
Humalog (insulin lispro 100 units/mL cartridge)drugId:8104 DIABETIC AGENTS
Humalog (insulin lispro 100 units/mL prefilled syringe, vial-Humalog)drugId:815 PA DIABETIC AGENTS
Humalog (insulin lispro 200 units/mL)drugId:8105 DIABETIC AGENTS
Humalog (insulin lispro 50/50)drugId:811 DIABETIC AGENTS
Humalog (insulin lispro 75/25 prefilled syringe-Humalog)drugId:814 PA DIABETIC AGENTS
Humalog (insulin lispro 75/25 vial)drugId:813 DIABETIC AGENTS
Humalog Tempo (insulin lispro 100 units/mL prefilled syringe-Humalog Tempo)drugId:8528 PA DIABETIC THERAPY
human papillomavirus 9-valent vaccinedrugId:4770 PA < 9 years and PA ≥ 46 years BIOLOGICAL 1
Humate-P (antihemophilic factor, human-Humate-P)drugId:164 ANTI-HEMOPHILIA AGENTS
Humatrope (somatropin-Humatrope)drugId:1881 PA HORMONE AGENTS
Humira (adalimumab)drugId:158 PA IMMUNOMODULATOR BP, PD
Humulin (insulin NPH / regular insulin 70/30)drugId:817 DIABETIC AGENTS
Humulin N (insulin NPH)drugId:1263 PA DIABETIC AGENTS
Humulin R (insulin regular)drugId:821 DIABETIC AGENTS
Hyalgan (hyaluronate-Hyalgan)drugId:4803 PA HYALURONAN MB
hyaluronan, high molecular weightdrugId:4808 PA HYALURONAN MB
hyaluronate, crossed-linkeddrugId:4802 PA HYALURONAN MB
hyaluronate, modifieddrugId:5500 PA HYALURONAN MB
hyaluronate, stabilizeddrugId:6381 PA HYALURONAN MB
hyaluronate-EuflexxadrugId:4801 PA HYALURONAN MB
hyaluronate-GelsyndrugId:5620 PA HYALURONAN MB
hyaluronate-GenviscdrugId:5340 PA HYALURONAN MB
hyaluronate-HyalgandrugId:4803 PA HYALURONAN MB
hyaluronate-MonoviscdrugId:4805 PA HYALURONAN MB
hyaluronate-SupartzdrugId:4809 PA HYALURONAN MB
hyaluronate-SynojoyntdrugId:8196 PA HYALURONAN MB
hyaluronate-TrilurondrugId:7268 PA HYALURONAN MB
hyaluronate-TriviscdrugId:6926 PA HYALURONAN MB
hyaluronate-Visco-3drugId:6411 PA HYALURONAN MB
hyaluronidase, human recombinant ENZYMES MB
hyaluronidase, ovine ENZYMES MB
hyaluronidase ENZYMES MB
Hycamtin (topotecan capsule)drugId:1730 CHEMOTHERAPY
Hycamtin (topotecan injection)drugId:8366 CHEMOTHERAPY MB
hydralazinedrugId:715 CARDIOVASCULAR M90
HydreadrugId:761 (hydroxyurea capsule)drugId:761 CHEMOTHERAPY A90, #
hydrochlorothiazide / triamterenedrugId:1756 CARDIOVASCULAR M90, #
hydrochlorothiazidedrugId:716 CARDIOVASCULAR M90
hydrocodone / acetaminophen 300 mgdrugId:5143 PA OPIOID ANALGESICS
hydrocodone / acetaminophendrugId:723 PA > 80 mg/day hydrocodone and PA > 4 g/day acetaminophen OPIOID ANALGESICS
hydrocodone 5 mg, 10 mg / ibuprofendrugId:726 PA OPIOID ANALGESICS
hydrocodone 7.5 mg / ibuprofendrugId:728 PA > 80 mg/day hydrocodone and PA > 3.2 g/day ibuprofen OPIOID ANALGESICS
hydrocodone extended-release capsuledrugId:2924 PA OPIOID ANALGESICS
hydrocodone extended-release tabletdrugId:4772 PA OPIOID ANALGESICS
hydrocortisone / pramoxine foamdrugId:2310 ANESTHETICS A90
hydrocortisone butyrate / emollientdrugId:5031 PA GLUCOCORTICOIDS A90
hydrocortisone butyrate cream, ointment, solutiondrugId:2531 GLUCOCORTICOIDS A90
hydrocortisone butyrate lotiondrugId:6561 PA GLUCOCORTICOIDS A90
hydrocortisone cream, lotion, ointmentdrugId:2530 GLUCOCORTICOIDS *, A90
hydrocortisone enemadrugId:2983 GLUCOCORTICOIDS A90, #
hydrocortisone foamdrugId:731 GLUCOCORTICOIDS
hydrocortisone hemorrhoidal creamdrugId:740 GLUCOCORTICOIDS A90, #
hydrocortisone injectiondrugId:729 GLUCOCORTICOIDS
hydrocortisone probutate creamdrugId:732 GLUCOCORTICOIDS
hydrocortisone solutiondrugId:739 PA GLUCOCORTICOIDS A90
hydrocortisone sprinkle capsuledrugId:7639 PA GLUCOCORTICOIDS
hydrocortisone tabletdrugId:736 GLUCOCORTICOIDS A90, #
hydrocortisone valerate creamdrugId:2048 GLUCOCORTICOIDS A90
hydrocortisone valerate ointmentdrugId:5025 PA GLUCOCORTICOIDS A90
hydrogen peroxidedrugId:753 ANTISEPTICS *, A90
hydromorphone extended-releasedrugId:1939 PA OPIOID ANALGESICS
hydromorphonedrugId:754 PA > 24 mg/day OPIOID ANALGESICS #
hydrophilic ointmentdrugId:756 DERMATOLOGICAL *, A90
hydroxocobalamin ANTIDOTES
hydroxychloroquine ANTIMALARIALS A90
hydroxyprogesterone caproate injection - DelalutindrugId:759 PA HORMONE REPLACEMENT THERAPY
hydroxypropyl cellulose ophthalmic insertdrugId:2172 OPHTHALMIC PREPARATIONS
hydroxyurea capsuledrugId:760 HEMATOLOGIC
hydroxyurea capsuledrugId:761 CHEMOTHERAPY A90, #
hydroxyurea tabletdrugId:6821 PA HEMATOLOGIC
hydroxyzine hydrochloridedrugId:6000 ANTIHISTAMINES A90
hydroxyzine pamoatedrugId:762 ANTIHISTAMINES A90, #
Hyftor (sirolimus gel)drugId:8333 PA IMMUNOMODULATOR
hylan G-F20-SynviscdrugId:4810 PA HYALURONAN MB
hylan G-F20-Synvisc-OnedrugId:4811 PA HYALURONAN MB
Hylenex (hyaluronidase, human recombinant) ENZYMES MB
Hymovis (hyaluronate, modified)drugId:5500 PA HYALURONAN MB
hyoscyamine oraldrugId:768 ANTISPASMODICS,ANTICHOLINERGIC A90
Hyperhep B (hepatitis B immune globulin IM, human-Hyperhep B)drugId:706 BIOLOGICAL
Hyperrab (rabies immune globulin IM, human-Hyperrab)drugId:1625 BIOLOGICAL
Hyperrho (rho(d) immune globulin IM, human-Hyperrho)drugId:1647 BIOLOGICAL
Hyper-Sal (sodium chloride 3.5%, 7% for inhalation) - Non-Drug Product NON-DRUG PRODUCT
Hypertet (tetanus immune globulin IM, human)drugId:1687 BIOLOGICAL
Hyqvia (immune globulin subcutaneous injection, human / hyaluronidase human recombinant)drugId:4626 PA BIOLOGICAL
Hyrimoz (adalimumab-adaz)drugId:8709 PA IMMUNOMODULATOR
Hysingla ER (hydrocodone extended-release tablet)drugId:4772 PA OPIOID ANALGESICS
HyzaardrugId:1104 (losartan / hydrochlorothiazide)drugId:1104 CARDIOVASCULAR M90, #

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


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Last updated 03/04/24

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