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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
ibalizumab-uiykdrugId:6687 PA ANTIVIRALS
ibandronate injectiondrugId:769 PA ELECTROLYTES AND NUTRIENTS
ibandronate tabletdrugId:770 ELECTROLYTES AND NUTRIENTS M90, #
Ibrance (palbociclib)drugId:4940 PA CHEMOTHERAPY PD
ibrexafungerpdrugId:8019 PA FUNGICIDES
ibrutinibdrugId:2927 PA CHEMOTHERAPY
Ibsrela (tenapanor)drugId:8208 PA CONSTIPATION AGENTS
ibuprofen / famotidinedrugId:2363 PA < 60 years NONSTEROIDAL ANTI-INFLAMMATORY A90, #
icatibantdrugId:2364 PA ENZYMES
Iclusig (ponatinib)drugId:2724 PA CHEMOTHERAPY
icosapent ethyldrugId:2733 PA LIPID LOWERING AGENTS BP, M90
Idamycin PFS (idarubicin)drugId:2687 CHEMOTHERAPY MB
idarubicindrugId:2687 CHEMOTHERAPY MB
idecabtagene vicleuceldrugId:7877 PA CHEMOTHERAPY CO, MB
idelalisibdrugId:4644 PA CHEMOTHERAPY
Idelvion (factor IX recombinant, albumin fusion protein) ANTI-HEMOPHILIA AGENTS
Idhifa (enasidenib)drugId:6284 PA CHEMOTHERAPY
idursulfasedrugId:776 PA ENZYMES MB
Ifex (ifosfamide)drugId:2457 CHEMOTHERAPY MB
ifosfamidedrugId:2457 CHEMOTHERAPY MB
Igalmi (dexmedetomidine) ALPHA-2 ADRENERGIC AGONIST MB
Ihealth (COVID-19 antigen self-test)drugId:8171 - Non-Drug Product PA > 8 tests/28 days DIAGNOSTICS PHE
Ilaris (canakinumab)drugId:432 PA IMMUNOMODULATOR
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725 PA OPHTHALMIC PREPARATIONS
iloperidone; See Table 24drugId:777; See Table 71drugId:4265 PA ANTIPSYCHOTIC
iloprostdrugId:778 PA CARDIOVASCULAR
Ilumya (tildrakizumab-asmn)drugId:7004 PA IMMUNOMODULATOR
Iluvien (fluocinolone ophthalmic implant-Iluvien) OPHTHALMIC PREPARATIONS MB
imatinibdrugId:779 CHEMOTHERAPY A90, #
Imbruvica (ibrutinib)drugId:2927 PA CHEMOTHERAPY
Imcivree (setmelanotide)drugId:7724 PA BIOLOGICAL
imdevimab, administered with casirivimab COVID EUA - November 21, 2020 COVID - 19 related Treatments and Vaccines PHE
Imfinzi (durvalumab)drugId:6122 PA CHEMOTHERAPY MB
imiglucerasedrugId:780 PA ENZYMES MB
imipenem / cilastatindrugId:781 ANTIBIOTICS #
imipenem / cilastatin / relebactamdrugId:7376 PA ANTIBIOTICS
imipramine hydrochloride; See Table 17drugId:782; See Table 71drugId:4060 PA < 6 years ANTIDEPRESSANTS A90
imipramine pamoate; See Table 17drugId:2308; See Table 71drugId:4080 PA ANTIDEPRESSANTS A90
imiquimod 2.5%, 3.75% creamdrugId:1952 PA DERMATOLOGICAL BP, A90
imiquimod 5% creamdrugId:783 DERMATOLOGICAL A90, #
Imitrex (sumatriptan 5 mg, 20 mg nasal spray)drugId:1913 PA TRIPTAN BP, A90
Imitrex (sumatriptan injection-Imitrex)drugId:1914 PA TRIPTAN
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915 PA > 18 units/30 days TRIPTAN A90, #
Imlygic (talimogene laherparepvec)drugId:5440 PA CHEMOTHERAPY MB
immune globulin IM, human-Gamastan S/DdrugId:2683 PA BIOLOGICAL
immune globulin injection, human-GammagarddrugId:2198 PA BIOLOGICAL
immune globulin injection, human-GammakeddrugId:2641 PA BIOLOGICAL
immune globulin injection, human-Gamunex-CdrugId:2167 PA BIOLOGICAL
immune globulin IV, human-BivigamdrugId:2817 PA BIOLOGICAL
immune globulin IV, human-FlebogammadrugId:786 PA BIOLOGICAL
immune globulin IV, human-Gammagard S/DdrugId:787 PA BIOLOGICAL
immune globulin IV, human-GammaplexdrugId:2381 PA BIOLOGICAL
immune globulin IV, human-ifasdrugId:7104 PA BIOLOGICAL
immune globulin IV, human-OctagamdrugId:2684 PA BIOLOGICAL
immune globulin IV, human-PrivigendrugId:2197 PA BIOLOGICAL
immune globulin IV, human-slradrugId:7327 PA BIOLOGICAL
immune globulin subcutaneous injection, human / hyaluronidase human recombinantdrugId:4626 PA BIOLOGICAL
immune globulin subcutaneous injection, human-CuvitrudrugId:5720 PA BIOLOGICAL
immune globulin subcutaneous injection, human-hippdrugId:7131 PA BIOLOGICAL
immune globulin subcutaneous injection, human-HizentradrugId:1940 PA BIOLOGICAL
immune globulin subcutaneous injection, human-klhwdrugId:7336 PA BIOLOGICAL
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627 BIOLOGICAL
Impeklo (clobetasol propionate lotion pump)drugId:7920 PA GLUCOCORTICOIDS
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111 IMMUNOMODULATOR A90, #
Inbrija (levodopa)drugId:7237 PA ANTIPARKINSON
inclisirandrugId:8192 PA LIPID LOWERING AGENTS
incobotulinumtoxinAdrugId:2087 PA BIOLOGICAL
Increlex (mecasermin)drugId:1124 PA HORMONE AGENTS
Incruse (umeclidinium)drugId:4774 BRONCHODILATORS
indapamidedrugId:790 CARDIOVASCULAR M90
Inderal LAdrugId:1601 (propranolol extended-release)drugId:1601 CARDIOVASCULAR M90, #
Inderal XL (propranolol long-acting capsule)drugId:6562 PA CARDIOVASCULAR
Indocin (indomethacin suspension)drugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin 25 mg, 50 mgdrugId:2862 NONSTEROIDAL ANTI-INFLAMMATORY A90
indomethacin extended-releasedrugId:2066 NONSTEROIDAL ANTI-INFLAMMATORY A90
indomethacin suppositorydrugId:5130 NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin suspensiondrugId:792 PA NONSTEROIDAL ANTI-INFLAMMATORY
inebilizumab-cdondrugId:7570 PA BIOLOGICAL
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537 BIOLOGICAL 1
Infed (low molecular weight iron dextran)drugId:972 HEMATINIC AGENT
infigratinibdrugId:8026 PA CHEMOTHERAPY
Inflectra (infliximab-dyyb)drugId:5763 PA IMMUNOMODULATOR
infliximab, unbrandeddrugId:8216 PA IMMUNOMODULATOR
infliximab-abdadrugId:6182 PA IMMUNOMODULATOR
infliximab-axxqdrugId:7386 PA IMMUNOMODULATOR
infliximab-dyybdrugId:5763 PA IMMUNOMODULATOR
infliximab-RemicadedrugId:793 PA IMMUNOMODULATOR
influenza virus vaccine, adjuvanteddrugId:5386 PA < 65 years BIOLOGICAL 1
influenza virus vaccine, high dosedrugId:798 PA < 65 years  BIOLOGICAL 1
influenza virus vaccine-AfluriadrugId:2046 BIOLOGICAL 1
influenza virus vaccine-FluarixdrugId:796 BIOLOGICAL 1
influenza virus vaccine-FlublokdrugId:2863 BIOLOGICAL 1
influenza virus vaccine-FlucelvaxdrugId:2652 BIOLOGICAL 1
influenza virus vaccine-FlulavaldrugId:795 BIOLOGICAL 1
influenza virus vaccine-FlumistdrugId:800 BIOLOGICAL 1
influenza virus vaccine-FluzonedrugId:797 BIOLOGICAL 1
Infugem (gemcitabine premixed infusion)drugId:7284 PA CHEMOTHERAPY MB
Infumorph (morphine infusion)drugId:1393 OPIOID ANALGESICS
Ingrezza (valbenazine)drugId:6123 PA NEUROLOGIC AGENT
Injectafer (ferric carboxymaltose injection)drugId:2844 PA HEMATINIC AGENT MB
Inlyta (axitinib)drugId:2484 PA CHEMOTHERAPY
Innopran XL (propranolol long-acting capsule)drugId:1602 PA CARDIOVASCULAR
inotuzumab ozogamicindrugId:6341 PA CHEMOTHERAPY MB
Inqovi (decitabine / cedazuridine)drugId:7597 CHEMOTHERAPY
Inrebic (fedratinib)drugId:7332 PA CHEMOTHERAPY
Inspra (eplerenone)drugId:609 ALDOSTERONE ANTAGONISTS BP, M90
insulin aspartdrugId:8106 DIABETIC AGENTS
insulin aspart 70/30drugId:8107 DIABETIC AGENTS
insulin aspart 70/30-NovologdrugId:801 PA DIABETIC AGENTS
insulin aspart-FiaspdrugId:6400 PA DIABETIC AGENTS
insulin aspart-NovologdrugId:804 PA DIABETIC AGENTS
insulin degludec / liraglutidedrugId:5769 PA DIABETIC AGENTS
insulin degludecdrugId:5302 DIABETIC AGENTS BP
insulin detemirdrugId:805 DIABETIC AGENTS
insulin glargine / lixisenatidedrugId:5766 PA DIABETIC AGENTS
insulin glargine-BasaglardrugId:5761 PA DIABETIC AGENTS
insulin glargine-LantusdrugId:807 DIABETIC AGENTS BP
insulin glargine-SemgleedrugId:7470 PA DIABETIC AGENTS
insulin glargine-ToujeodrugId:4914 DIABETIC AGENTS
insulin glulisinedrugId:810 DIABETIC AGENTS
insulin human inhalation powderdrugId:4900 PA DIABETIC AGENTS
insulin lispro 100 units/mL cartridgedrugId:8104 DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vialdrugId:8103 DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vial-HumalogdrugId:815 PA DIABETIC AGENTS
insulin lispro 200 units/mLdrugId:8105 DIABETIC AGENTS
insulin lispro 50/50drugId:811 DIABETIC AGENTS
insulin lispro 75/25 prefilled syringedrugId:8102 DIABETIC AGENTS
insulin lispro 75/25 prefilled syringe-HumalogdrugId:814 PA DIABETIC AGENTS
insulin lispro 75/25 vialdrugId:813 DIABETIC AGENTS
insulin lispro-aabcdrugId:7491 PA DIABETIC AGENTS
insulin lispro-AdmelogdrugId:6660 PA DIABETIC AGENTS
insulin NPHdrugId:1265 DIABETIC AGENTS
insulin NPH / regular insulin 70/30drugId:817 DIABETIC AGENTS
insulin NPHdrugId:1263 PA DIABETIC AGENTS
insulin regulardrugId:821 DIABETIC AGENTS
Intelence (etravirine)drugId:447 ANTIVIRALS BP
Inteliswab (COVID-19 antigen self-test)drugId:8172 - Non-Drug Product PA > 8 tests/28 days DIAGNOSTICS PHE
interferon alfa-2b CHEMOTHERAPY
interferon beta-1a-AvonexdrugId:825 MULTIPLE SCLEROSIS AGENTS
interferon beta-1a-RebifdrugId:826 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-BetaserondrugId:827 MULTIPLE SCLEROSIS AGENTS
interferon beta-1b-ExtaviadrugId:828 PA MULTIPLE SCLEROSIS AGENTS
interferon gamma-1bdrugId:829 CHEMOTHERAPY
Intermezzo (zolpidem 1.75 mg, 3.5 mg sublingual tablet); See Table 15drugId:2518; See Table 71drugId:4341 PA SEDATIVES
Intralipid (fat emulsions, intravenous- intralipid) ELECTROLYTES AND NUTRIENTS
Intron A (interferon alfa-2b) CHEMOTHERAPY
Intuniv (guanfacine extended-release); See Table 31drugId:692; See Table 71drugId:3082 PA < 3 years NONSTIMULANT ADHD AGENTS A90, #
InvanzdrugId:620 (ertapenem)drugId:620 ANTIBIOTICS #
Invega (paliperidone tablet); See Table 24drugId:1471; See Table 71drugId:4280 PA ANTIPSYCHOTIC BP, PD, A90
Invega Hafyera (paliperidone extended-release 6-month injection); See Table 24drugId:8113; See Table 71drugId:8114 PA < 6 years and PA > 1 injection/6 months ANTIPSYCHOTIC PD
Invega Sustenna (paliperidone extended-release 1-month injection); See Table 24drugId:1470; See Table 71drugId:4281 PA < 6 years, PA > 2 injections/month within the first 30 days of therapy and PA > 1 injection/month after 30 days of therapy ANTIPSYCHOTIC PD
Invega Trinza (paliperidone extended-release 3-month injection); See Table 24drugId:5121; See Table 71drugId:5122 PA < 6 years and PA > 1 injection/3 months ANTIPSYCHOTIC PD
Inveltys (loteprednol 1% suspension)drugId:7285 PA OPHTHALMIC PREPARATIONS
Invirase (saquinavir)drugId:1832 ANTIVIRALS
Invokamet (canagliflozin / metformin)drugId:4775 DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723 DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780 DIABETIC AGENTS
iobenguane I 131drugId:6980 CHEMOTHERAPY MB
iodinedrugId:1992 ANTISEPTICS *, A90
IopidinedrugId:84 (apraclonidine)drugId:84 OPHTHALMIC PREPARATIONS M90, #
ipilimumabdrugId:2296 PA CHEMOTHERAPY MB
Ipol (poliovirus vaccine, inactivated)drugId:1546 BIOLOGICAL 1
ipratropium inhalation aerosoldrugId:833 BRONCHODILATORS
ipratropium inhalation solution BRONCHODILATORS A90
ipratropium nasal spray NASAL PREPARATIONS A90, #
irbesartan / hydrochlorothiazidedrugId:969 CARDIOVASCULAR M90, #
irbesartandrugId:968 CARDIOVASCULAR M90, #
Iressa (gefitinib)drugId:924 PA CHEMOTHERAPY
irinotecan liposomedrugId:5285 PA CHEMOTHERAPY MB
irinotecandrugId:970 CHEMOTHERAPY MB
iron sucrosedrugId:974 HEMATINIC AGENT MB
isatuximab-irfcdrugId:7395 PA CHEMOTHERAPY
isavuconazoniumdrugId:4909 PA FUNGICIDES
Isentress (raltegravir)drugId:2701 ANTIVIRALS
isocarboxazid; See Table 17drugId:2619; See Table 71drugId:3600 PA ANTIDEPRESSANTS
isoniazid ANTIBIOTICS A90
isopropyl alcoholdrugId:976 ANTISEPTICS *, A90
Isopto Atropine (atropine ophthalmic) OPHTHALMIC PREPARATIONS A90, #
Isopto CarpinedrugId:2635 (pilocarpine 1%, 2%, 4% ophthalmic solution)drugId:2635 OPHTHALMIC PREPARATIONS M90, #
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978 PA CARDIOVASCULAR BP, M90
IsordildrugId:6290 (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId:6290 CARDIOVASCULAR M90, #
isosorbide dinitrate / hydralazinedrugId:982 CARDIOVASCULAR M90, #
isosorbide dinitrate 40 mg tabletdrugId:978 PA CARDIOVASCULAR BP, M90
isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tabletdrugId:6290 CARDIOVASCULAR M90, #
isosorbide mononitratedrugId:979 CARDIOVASCULAR M90
isotretinoindrugId:983 PA ≥ 22 years DERMATOLOGICAL A90
isotretinoin-AbsoricadrugId:2881 PA DERMATOLOGICAL BP, A90
isotretinoin micronizeddrugId:7368 PA DERMATOLOGICAL A90
isradipine immediate-releasedrugId:987 PA CARDIOVASCULAR M90
Istalol (timolol-Istalol)drugId:1703 OPHTHALMIC PREPARATIONS BP, M90
Istodax (romidepsin)drugId:1959 PA CHEMOTHERAPY MB
istradefyllinedrugId:7349 PA ANTIPARKINSON A90
Isturisa (osilodrostat)drugId:7466 PA ENDOCRINE/METABOLIC AGENTS
itraconazole 100 mg capsuledrugId:988 FUNGICIDES A90, #
itraconazole 65 mg capsuledrugId:7011 PA FUNGICIDES
itraconazole powderdrugId:7741 PA FUNGICIDES
itraconazole solutiondrugId:7060 FUNGICIDES BP, A90
ivabradinedrugId:5124 PA CARDIOVASCULAR
ivermectin creamdrugId:4813 PA DERMATOLOGICAL A90
ivermectin lotiondrugId:2584 PA ANTIPARASITICS A90
ivermectin tabletdrugId:989 PA > 20 units/90 days ANTIPARASITICS #
ivosidenibdrugId:6925 PA CHEMOTHERAPY
ixabepilonedrugId:990 CHEMOTHERAPY MB
ixazomibdrugId:5281 PA CHEMOTHERAPY
ixekizumabdrugId:5399 PA IMMUNOMODULATOR PD
Ixempra (ixabepilone)drugId:990 CHEMOTHERAPY MB
Ixiaro (japanese encephalitis vaccine)drugId:2044 BIOLOGICAL
Ixinity (factor IX human recombinant-Ixinity) ANTI-HEMOPHILIA AGENTS

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

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Last updated 04/13/23