Skip to Content

MassHealth Drug List A - Z

A    B    C    D    E    F    G    H    I    J    K    L    M    N    O    P    Q    R    S    T    U    V    W    X    Y    Z

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
macimorelindrugId:6920 OTHER HORMONES MB
macitentandrugId:2892 PA CARDIOVASCULAR
Macrilen (macimorelin)drugId:6920 OTHER HORMONES MB
MacrobiddrugId:1225 (nitrofurantoin monohydrate / macrocrystals)drugId:1225 ANTIBIOTICS A90, #
MacrodantindrugId:1224 (nitrofurantoin macrocrystals)drugId:1224 ANTIBIOTICS A90, #
mafenidedrugId:1113 ANTIBIOTICS A90, #
magnesium salts; See Table 6drugId:8367; See Table 61drugId:1114 ELECTROLYTES AND NUTRIENTS, GI AGENTS *, A90
Malarone (atovaquone / proguanil) ANTIMALARIALS A90, #
malathiondrugId:1117 PA ANTIPARASITICS A90
mannitol inhalation powderdrugId:7879 PA MUCOLYTICS
maralixibatdrugId:8193 PA BILE THERAPY
maraviroc solutiondrugId:7577 PA ANTIVIRALS
maraviroc tabletdrugId:1119 PA ANTIVIRALS BP, A90
Marcaine (bupivacaine) ANESTHETICS MB
Margenza (margetuximab-cmkb)drugId:7786 PA CHEMOTHERAPY MB
margetuximab-cmkbdrugId:7786 PA CHEMOTHERAPY MB
maribavirdrugId:8194 PA ANTIVIRALS
Marinol (dronabinol capsule)drugId:582 PA ANTIEMETICS
Marplan (isocarboxazid); See Table 17drugId:2619; See Table 71drugId:3600 PA ANTIDEPRESSANTS
Marqibo (vincristine liposome)drugId:2890 PA CHEMOTHERAPY MB
Matulane (procarbazine)drugId:1589 CHEMOTHERAPY
mavacamtendrugId:8252 PA CARDIOVASCULAR
Mavenclad (cladribine tablet)drugId:7224 PA MULTIPLE SCLEROSIS AGENTS
Mavyret (glecaprevir / pibrentasvir)drugId:6360 PA ANTIVIRALS PD
MaxaltdrugId:1451 (rizatriptan tablet)drugId:1451 PA > 18 units/30 days TRIPTAN A90, #
Maxalt MLTdrugId:1450 (rizatriptan orally disintegrating tablet)drugId:1450 PA > 18 units/30 days TRIPTAN A90, #
Maxidex (dexamethasone ophthalmic suspension)drugId:493 OPHTHALMIC PREPARATIONS
MaxitroldrugId:1191 (neomycin / polymyxin B / dexamethasone ophthalmic ointment, suspension)drugId:1191 OPHTHALMIC PREPARATIONS A90, #
MaxzidedrugId:1756 (hydrochlorothiazide / triamterene)drugId:1756 CARDIOVASCULAR M90, #
measles / mumps / rubella / varicella virus vaccinedrugId:1122 BIOLOGICAL 1
measles / mumps / rubella vaccinedrugId:8257 BIOLOGICAL
measles / mumps / rubella vaccinedrugId:1121 BIOLOGICAL 1
mebendazoledrugId:5394 PA ANTIPARASITICS A90
mecasermindrugId:1124 PA HORMONE AGENTS
mechlorethamine geldrugId:2893 CHEMOTHERAPY
meclizine ANTIEMETICS *, A90, #
MedroldrugId:967 (methylprednisolone)drugId:967 GLUCOCORTICOIDS A90, #
medroxyprogesterone / estrogens, conjugated-Premphase HORMONE REPLACEMENT THERAPY
medroxyprogesterone / estrogens, conjugated-Prempro HORMONE REPLACEMENT THERAPY
medroxyprogesterone injection CONTRACEPTIVES #
medroxyprogesterone tablet HORMONE REPLACEMENT THERAPY A90, #
mefenamic aciddrugId:1133 NONSTEROIDAL ANTI-INFLAMMATORY A90
mefloquine ANTIMALARIALS A90
megestrol 40 mg/mL suspensiondrugId:1135 APPETITE STIMULANTS A90
megestrol 625 mg/5 mL suspensiondrugId:1136 PA APPETITE STIMULANTS A90
megestrol tablet APPETITE STIMULANTS A90
Mekinist (trametinib)drugId:2845 PA CHEMOTHERAPY
Mektovi (binimetinib)drugId:6802 PA CHEMOTHERAPY
melatonin / pyridoxine tabletdrugId:6211 ELECTROLYTES AND NUTRIENTS A90
melatonin gummy, solution, tabletdrugId:6210 ELECTROLYTES AND NUTRIENTS *, A90
meloxicam capsuledrugId:5404 PA ANTIARTHRITICS A90
meloxicam tabletdrugId:1137 NONSTEROIDAL ANTI-INFLAMMATORY A90, #
melphalan hydrochloride injectiondrugId:1138 CHEMOTHERAPY MB
melphalan injectiondrugId:5385 CHEMOTHERAPY MB
melphalan tabletdrugId:5504 CHEMOTHERAPY A90, #
memantine / donepezil extended-release; See Table 56drugId:5127; See Table 71drugId:7448 PA < 6 years and PA > 1 unit/day ALZHEIMER'S THERAPY
memantine extended-release; See Table 56drugId:2821; See Table 71drugId:7447 PA < 6 years and PA > 1 unit/day ALZHEIMER'S THERAPY A90, #
memantine solution; See Table 56drugId:2252; See Table 71drugId:7405 PA ALZHEIMER'S THERAPY A90
memantine tablet; See Table 56drugId:1139; See Table 71drugId:7446 PA < 6 years and PA > 2 units/day ALZHEIMER'S THERAPY A90, #
memantine titration pack; See Table 56drugId:2253; See Table 71drugId:7404 PA < 6 years and PA > 49 units/28 days ALZHEIMER'S THERAPY A90
Menactra (quadrivalent meningococcal conjugate vaccine-Menactra)drugId:1140 BIOLOGICAL 1
Menest (estrogens,esterified) HORMONE REPLACEMENT THERAPY A90
meningococcal group B vaccine-BexserodrugId:4905 BIOLOGICAL 1
meningococcal group B vaccine-TrumenbadrugId:4815 BIOLOGICAL 1
Menostar (estradiol-menostar) HORMONE REPLACEMENT THERAPY
Menquadfi (quadrivalent meningococcal conjugate vaccine-Menquadfi)drugId:7468 BIOLOGICAL 1
Mentax (butenafine)drugId:412 FUNGICIDES
Menveo (quadrivalent meningococcal conjugate vaccine-Menveo)drugId:1141 BIOLOGICAL 1
meperidinedrugId:1144 PA OPIOID ANALGESICS
Mephyton (phytonadione) ELECTROLYTES AND NUTRIENTS A90, #
mepivacaine ANESTHETICS MB
mepolizumabdrugId:5282 PA BIOLOGICAL
meprobamate; See Table 69drugId:5727; See Table 71drugId:1146 PA ANTI-ANXIETY AGENT
MeprondrugId:106 (atovaquone)drugId:106 ANTIPARASITICS A90, #
Mepsevii (vestronidase alfa-vjbk)drugId:6521 PA ENZYMES MB
mercaptopurine oral suspensiondrugId:4632 PA CHEMOTHERAPY
mercaptopurine tabletdrugId:1147 CHEMOTHERAPY A90
meropenemdrugId:1148 ANTIBIOTICS
meropenem / vaborbactamdrugId:6363 PA OTHER ANTIBIOTICS
mesalamine capsuledrugId:2720 GI ANTI-INFLAMMATORY BP, A90
mesalamine controlled-releasedrugId:1154 GI ANTI-INFLAMMATORY BP, A90
mesalamine delayed-releasedrugId:1153 GI ANTI-INFLAMMATORY BP, A90
mesalamine enemadrugId:2937 GI ANTI-INFLAMMATORY A90, #
mesalamine extended-releasedrugId:1150 GI ANTI-INFLAMMATORY BP, A90
mesalamine high dose delayed-releasedrugId:1152 GI ANTI-INFLAMMATORY A90, #
mesalamine kitdrugId:1149 PA GI ANTI-INFLAMMATORY A90
mesalamine suppositorydrugId:2095 GI ANTI-INFLAMMATORY A90, #
mesna injection ANTIDOTES MB
mesna tablet ANTIDOTES
Mesnex (mesna injection) ANTIDOTES MB
Mesnex (mesna tablet) ANTIDOTES
Mestinon (pyridostigmine bromide solution)drugId:8269 PARASYMPATHETIC AGENTS BP, A90
MestinondrugId:1612 (pyridostigmine bromide 60 mg tablet, 180 mg extended-release tablet)drugId:1612 PARASYMPATHETIC AGENTS A90, #
metaproterenol tablet, syrupdrugId:2196 BRONCHODILATORS A90
metaxalonedrugId:1156 PA MUSCLE RELAXANT A90
metformin extended-release, gastric tabletdrugId:2987 PA DIABETIC AGENTS M90
metformin extended-release, osmotic tabletdrugId:1157 PA DIABETIC AGENTS M90
metformin extended-release, XR tabletdrugId:1159 DIABETIC AGENTS M90
metformin extended-release suspensiondrugId:7457 PA DIABETIC AGENTS
metformin immediate-release 500 mg, 850 mg, 1,000 mg tabletdrugId:1158 DIABETIC AGENTS M90
metformin immediate-release 625 mg tabletdrugId:8618 PA DIABETIC THERAPY M90
metformin immediate-release solutiondrugId:1161 PA ≥ 13 years DIABETIC AGENTS M90, #
methadone injectiondrugId:2738 PA OPIOID ANALGESICS
methadone oral-DolophinedrugId:1163 PA OPIOID ANALGESICS
methadone oral-MethadosedrugId:1164 PA OPIOID ANALGESICS
Methadose (methadone oral-Methadose)drugId:1164 PA OPIOID ANALGESICS
methamphetamine; See Table 31drugId:1165; See Table 71drugId:3142 PA CEREBRAL STIMULANTS
methazolamide CARDIOVASCULAR A90, #
methenaminedrugId:938 ANTIBACTERIAL A90, #
methocarbamoldrugId:942 PA < 16 years MUSCLE RELAXANT A90, #
methotrexate injectiondrugId:2935 CHEMOTHERAPY
methotrexate oral solutiondrugId:6125 PA IMMUNOMODULATOR
methotrexate subcutaneous injection-OtrexupdrugId:2929 PA IMMUNOMODULATOR
methotrexate subcutaneous injection-RasuvodrugId:4633 PA IMMUNOMODULATOR
methotrexate subcutaneous injection-ReditrexdrugId:7885 PA IMMUNOMODULATOR
methotrexate tablet; See Table 5drugId:5140; See Table 57drugId:943 CHEMOTHERAPY A90
methoxsalen capsules DERMATOLOGICAL A90, #
methoxsalen topical DERMATOLOGICAL A90
methoxy polyethylene glycol / epoetin betadrugId:4784 HEMATINIC AGENT MB
methsuximidedrugId:948 ANTICONVULSANTS A90, #
methylcellulosedrugId:5920 CONSTIPATION AGENTS *, A90
methyldopa / hydrochlorothiazidedrugId:951 CARDIOVASCULAR M90
methyldopadrugId:950 CARDIOVASCULAR M90
methylergonovine OXYTOCICS
Methylin oral solution (methylphenidate oral solution); See Table 31drugId:960; See Table 71drugId:3161 PA < 3 years or ≥ 21 years and PA > 30 mL/day CEREBRAL STIMULANTS #
methylnaltrexonedrugId:953 PA CONSTIPATION AGENTS
methylphenidate chewable tablet; See Table 31drugId:959; See Table 71drugId:3181 PA < 3 years or ≥ 21 years and PA > 3 units/day CEREBRAL STIMULANTS
methylphenidate extended-release, CD; See Table 31drugId:957; See Table 71drugId:3043 PA CEREBRAL STIMULANTS
methylphenidate extended-release 72 mg tablet; See Table 31drugId:6610; See Table 71drugId:6611 PA CEREBRAL STIMULANTS
methylphenidate extended-release-Aptensio XR; See Table 31drugId:5100; See Table 71drugId:5101 PA CEREBRAL STIMULANTS
methylphenidate extended-release chewable tablet; See Table 31drugId:5391; See Table 71drugId:5392 PA CEREBRAL STIMULANTS
methylphenidate extended-release-Concerta; See Table 31drugId:2662; See Table 71drugId:3041 PA < 3 years or ≥ 21 years and PA > 2 units/day CEREBRAL STIMULANTS BP
methylphenidate extended-release-Jornay PM; See Table 31drugId:7238; See Table 71drugId:7239 PA CEREBRAL STIMULANTS
methylphenidate extended-release orally disintegrating tablet; See Table 31drugId:6281; See Table 71drugId:6282 PA CEREBRAL STIMULANTS
methylphenidate extended-release oral suspension; See Table 31drugId:2731; See Table 71drugId:3042 PA CEREBRAL STIMULANTS
methylphenidate extended-release-Relexxii; See Table 31drugId:8536; See Table 71drugId:8537 PA CNS STIMULANTS
methylphenidate oral solution; See Table 31drugId:960; See Table 71drugId:3161 PA < 3 years or ≥ 21 years and PA > 30 mL/day CEREBRAL STIMULANTS #
methylphenidate-Ritalin LA; See Table 31drugId:2421; See Table 71drugId:3040 PA CEREBRAL STIMULANTS
methylphenidate-Ritalin; See Table 31drugId:961; See Table 71drugId:3201 PA < 3 years or ≥ 21 years and PA > 3 units/day CEREBRAL STIMULANTS #
methylphenidate sustained-release tablet; See Table 31drugId:963; See Table 71drugId:3200 PA < 3 years or ≥ 21 years and PA > 3 units/day CEREBRAL STIMULANTS
methylphenidate transdermal; See Table 31drugId:955; See Table 71drugId:3060 PA < 3 years or ≥ 21 years and PA > 1 unit/day CEREBRAL STIMULANTS BP
methylprednisolonedrugId:967 GLUCOCORTICOIDS A90, #
methylprednisolone acetatedrugId:966 GLUCOCORTICOIDS #
methylprednisolone sodium succinatedrugId:964 GLUCOCORTICOIDS #
methyltestosteronedrugId:1329 PA HORMONE REPLACEMENT THERAPY
metoclopramide ANTIEMETICS A90, #
metoclopramide nasal spraydrugId:8112 PA GASTROINTESTINAL AGENT
metolazonedrugId:1335 CARDIOVASCULAR M90
metoprolol extended-release capsuledrugId:7135 PA CARDIOVASCULAR
metoprolol extended-release tabletdrugId:1337 CARDIOVASCULAR M90, #
metoprololdrugId:1338 CARDIOVASCULAR M90, #
metreleptindrugId:2965 PA OTHER HORMONES
MetrodrugId:5640 (metronidazole injection)drugId:5640 ANTIBIOTICS #
metronidazole 0.75% creamdrugId:1344 DERMATOLOGICAL A90
metronidazole 0.75% geldrugId:4883 DERMATOLOGICAL A90
metronidazole 0.75% vaginal geldrugId:4887 ANTIBIOTICS A90
metronidazole 1.3% vaginal geldrugId:4948 PA ANTIBIOTICS
metronidazole 1% creamdrugId:1348 DERMATOLOGICAL
metronidazole 1% geldrugId:1345 PA DERMATOLOGICAL A90
metronidazole 250 mg, 500 mg tabletdrugId:1341 ANTIBIOTICS A90
metronidazole 375 mg capsuledrugId:1988 PA ANTIBIOTICS A90
metronidazole injectiondrugId:5640 ANTIBIOTICS #
metronidazole lotiondrugId:1346 PA DERMATOLOGICAL A90
metyrosinedrugId:1349 CARDIOVASCULAR BP
mexiletinedrugId:1350 CARDIOVASCULAR M90
Miacalcin (calcitonin salmon injection)drugId:4960 PA HORMONE AGENTS
micafungin ANTIBIOTICS #
MicardisdrugId:1660 (telmisartan)drugId:1660 CARDIOVASCULAR M90, #
Micardis HCTdrugId:1663 (telmisartan / hydrochlorothiazide)drugId:1663 CARDIOVASCULAR M90, #
miconazole / zinc oxide ointmentdrugId:1353 FUNGICIDES BP, A90
miconazoledrugId:1352 FUNGICIDES *, A90
miconazole buccal tabletdrugId:1966 PA FUNGICIDES
Micrhogam (rho(d) immune globulin IM, human-Micrhogam)drugId:2746 BIOLOGICAL
Micro-K (potassium chloride-Micro-K) ELECTROLYTES AND NUTRIENTS A90, #
midazolam injectiondrugId:1354 BENZODIAZEPINES MB
midazolam nasal spraydrugId:7288 PA > 10 units/30 days BENZODIAZEPINES
midazolam syrup; See Table 69drugId:4421; See Table 71drugId:4420 PA < 6 years BENZODIAZEPINES
midodrine ADRENERGICS A90
midostaurindrugId:6184 PA CHEMOTHERAPY
Miebo (perfluorohexyloctane)drugId:8714 PA OPHTHALMIC PREPARATIONS
MifeprexdrugId:8043 (mifepristone 200 mg)drugId:8043 ANTIPROGESTIN #
mifepristone 200 mgdrugId:8043 ANTIPROGESTIN #
mifepristone 300 mgdrugId:2519 PA DIABETIC AGENTS
migalastatdrugId:6982 PA ENZYMES
miglitoldrugId:1356 PA DIABETIC AGENTS M90
miglustatdrugId:1357 PA ENZYMES BP
Migranal (dihydroergotamine nasal spray)drugId:527 PA ANALGESICS A90
milnacipran ANALGESICS
Minastrin 24 Fe (ethinyl estradiol / norethindrone / ferrous fumarate chewable-Minastrin 24 Fe) CONTRACEPTIVES M90, #
mineral oildrugId:1360 CONSTIPATION AGENTS *, A90
Minipress (prazosin); See Table 18drugId:1573; See Table 19drugId:5164 CARDIOVASCULAR M90, #
Minivelle (estradiol-Minivelle) HORMONE REPLACEMENT THERAPY M90, #
Minocin (minocycline injection)drugId:5660 ANTIBIOTICS
minocycline capsuledrugId:2303 ANTIBIOTICS A90
minocycline extended-release 105 mg, 135 mg tabletdrugId:7262 PA ANTIBIOTICS A90
minocycline extended-release 45 mg, 90 mg, 135 mg tabletdrugId:7165 PA ANTIBIOTICS A90
minocycline extended-release 55 mg, 65 mg, 80 mg, 105 mg, 115 mg tabletdrugId:1364 ANTIBIOTICS BP, A90
minocycline injectiondrugId:5660 ANTIBIOTICS
minocycline tabletdrugId:1361 PA ANTIBIOTICS A90
Minolira (minocycline extended-release 105 mg, 135 mg tablet)drugId:7262 PA ANTIBIOTICS A90
minoxidildrugId:1365 CARDIOVASCULAR M90
Miochol-E (acetylcholine chloride)drugId:1982 OPHTHALMIC PREPARATIONS MB
Miostat (carbachol 0.01%)drugId:1984 OPHTHALMIC PREPARATIONS MB
mirabegron extended-releasedrugId:2642 ADRENERGICS BP
MirapexdrugId:1569 (pramipexole)drugId:1569 ANTIPARKINSON A90, #
Mirapex ER (pramipexole extended-release)drugId:1943 PA ANTIPARKINSON A90
Mircera (methoxy polyethylene glycol / epoetin beta)drugId:4784 HEMATINIC AGENT MB
Mirena (levonorgestrel-releasing intrauterine system 52 mg-Mirena) CONTRACEPTIVES
mirtazapine; See Table 17drugId:1366; See Table 71drugId:3621 PA < 6 years ANTIDEPRESSANTS A90, #
mirtazapine orally disintegrating tablet; See Table 17drugId:1367; See Table 71drugId:3620 PA ANTIDEPRESSANTS A90
mirvetuximab soravtansine-gynxdrugId:8567 PA CHEMOTHERAPY MB
misoprostol ANTACIDS A90, #
Mitigare (colchicine capsule)drugId:4765 PA GOUT AGENTS BP, A90
mitomycin injectiondrugId:1370 CHEMOTHERAPY MB
mitomycin pyelocalyceal solutiondrugId:7453 PA CHEMOTHERAPY MB
mitotanedrugId:4881 CHEMOTHERAPY
mitoxantronedrugId:1372 CHEMOTHERAPY MB
M-M-R II Vaccine (measles / mumps / rubella vaccine)drugId:1121 BIOLOGICAL 1
MobicdrugId:1137 (meloxicam tablet)drugId:1137 NONSTEROIDAL ANTI-INFLAMMATORY A90, #
mobocertinibdrugId:8111 PA CHEMOTHERAPY
modafinil 100 mg; See Table 50drugId:1373; See Table 71drugId:7451 PA < 6 years and PA > 1.5 units/day NARCOLEPSY AGENTS #
modafinil 200 mg; See Table 50drugId:7450; See Table 71drugId:7452 PA < 6 years and PA > 2 units/day NARCOLEPSY AGENTS #
moexiprildrugId:1375 CARDIOVASCULAR M90
mogamulizumab-kpkcdrugId:6924 PA CHEMOTHERAPY MB
molindone; See Table 24drugId:6325; See Table 71drugId:1378 PA < 6 years ANTIPSYCHOTIC A90
molnupiravir COVID EUA – December 23, 2021drugId:8128 COVID - 19 related Treatments and Vaccines
mometasone / formoteroldrugId:1958 BRONCHODILATORS BP
mometasone 110 mcg inhalation powderdrugId:2663 PA ≥ 12 years BRONCHODILATORS
mometasone 220 mcg inhalation powderdrugId:1379 PA < 12 years BRONCHODILATORS
mometasone cream, solutiondrugId:1382 GLUCOCORTICOIDS A90
mometasone inhalation aerosoldrugId:5102 BRONCHODILATORS
mometasone nasal spraydrugId:1381 PA NASAL PREPARATIONS M90
mometasone ointmentdrugId:5024 GLUCOCORTICOIDS A90
mometasone sinus implantdrugId:6684 PA NASAL PREPARATIONS
Monjuvi (tafasitamab-cxix)drugId:7492 PA CHEMOTHERAPY
Monoferric (ferric derisomaltose)drugId:7599 PA HEMATINIC AGENT
monomethyl fumaratedrugId:7717 PA MULTIPLE SCLEROSIS AGENTS
Mononine (factor IX)drugId:455 ANTI-HEMOPHILIA AGENTS
Monovisc (hyaluronate-Monovisc)drugId:4805 PA HYALURONAN MB
montelukast granulesdrugId:5129 PA BRONCHODILATORS M90
montelukast tablet, chewable tabletdrugId:1383 BRONCHODILATORS M90, #
MonuroldrugId:911 (fosfomycin)drugId:911 ANTIBIOTICS A90, #
morphine, injection-Astramorph-PFdrugId:1391 PA > 120 mg/day OPIOID ANALGESICS
morphine, injection-DuramorphdrugId:1392 PA > 120 mg/day OPIOID ANALGESICS
morphine controlled-release tabletdrugId:1389 PA > 120 mg/day OPIOID ANALGESICS #
morphine extended-release capsuledrugId:1384 PA OPIOID ANALGESICS
morphine immediate-releasedrugId:1386 PA > 120 mg/day OPIOID ANALGESICS
morphine infusiondrugId:1393 OPIOID ANALGESICS
morphine suppositoriesdrugId:1387 OPIOID ANALGESICS
mosunetuzumab-axgbdrugId:8572 PA CHEMOTHERAPY MB
Motegrity (prucalopride)drugId:7136 PA CONSTIPATION AGENTS
Motofen (difenoxin / atropine)drugId:6111 PA ANTIDIARRHEALS
Mounjaro (tirzepatide)drugId:8254 PA DIABETIC AGENTS
Movantik (naloxegol)drugId:4946 PA LAXATIVES
Moviprep (polyethylene glycol-electrolyte solution-Moviprep)drugId:1551 LAXATIVES BP, A90
moxetumomab pasudotox-tdfkdrugId:7043 PA CHEMOTHERAPY MB
moxifloxacin injectiondrugId:2748 ANTIBIOTICS
moxifloxacin ophthalmic solution, twice dailydrugId:2175 PA OPHTHALMIC PREPARATIONS A90
moxifloxacin ophthalmic solution-VigamoxdrugId:1397 OPHTHALMIC PREPARATIONS A90, #
moxifloxacin tabletdrugId:1398 ANTIBIOTICS A90
Mozobil (plerixafor) HEMATINIC AGENT #
MS ContindrugId:1389 (morphine controlled-release tablet)drugId:1389 PA > 120 mg/day OPIOID ANALGESICS #
Mulpleta (lusutrombopag)drugId:6991 PA HEMATOLOGIC
Multaq (dronedarone)drugId:583 CARDIOVASCULAR A90
multivitamin-Dekas EssentialdrugId:5623 PA HEMATINIC AGENT M90
multivitamins / minerals / coenzyme Q10-AquadeksdrugId:2380 PA HEMATINIC AGENT
multivitamins / minerals / coenzyme Q10-Dekas PlusdrugId:5621 PA HEMATINIC AGENT M90
multivitamins / minerals / folic acid / coenzyme Q10-AquadeksdrugId:2385 PA HEMATINIC AGENT
multivitamins / minerals / folic acid / coenzyme Q10-Dekas BariatricdrugId:6605 PA ELECTROLYTES AND NUTRIENTS M90
multivitamins / minerals / folic acid / coenzyme Q10-Dekas PlusdrugId:5622 PA HEMATINIC AGENT M90
multivitamins / zinc gummydrugId:8674 PA ELECTROLYTES AND NUTRIENTS M90
multivitaminsdrugId:1399 ELECTROLYTES AND NUTRIENTS *, M90
mupirocin creamdrugId:1406 PA ANTIBIOTICS A90
mupirocin ointmentdrugId:2564 ANTIBIOTICS A90
Mvasi (bevacizumab-awwb)drugId:7787 PA CHEMOTHERAPY MB
Myalept (metreleptin)drugId:2965 PA OTHER HORMONES
MyambutoldrugId:665 (ethambutol)drugId:665 ANTIBIOTICS A90, #
Mycamine (micafungin) ANTIBIOTICS #
Mycapssa (octreotide capsule)drugId:7788 PA ENDOCRINE/METABOLIC AGENTS
Mycobutin (rifabutin)drugId:1429 ANTIBIOTICS BP, A90
mycophenolate mofetildrugId:1410 IMMUNOMODULATOR A90, #
mycophenolic aciddrugId:1409 IMMUNOMODULATOR A90, #
Mydayis (amphetamine salts extended-release-Mydayis); See Table 31drugId:6285; See Table 71drugId:6286 PA CEREBRAL STIMULANTS
Mydriacyl (tropicamide) OPHTHALMIC PREPARATIONS A90, #
Myfembree (relugolix / estradiol / norethindrone)drugId:7922 PA OTHER HORMONES
MyforticdrugId:1409 (mycophenolic acid)drugId:1409 IMMUNOMODULATOR A90, #
Myleran (busulfan tablet)drugId:2536 CHEMOTHERAPY
Mylotarg (gemtuzumab ozogamicin)drugId:6342 PA CHEMOTHERAPY
Myobloc (rimabotulinumtoxinB)drugId:1436 PA BIOLOGICAL
Myrbetriq (mirabegron extended-release)drugId:2642 ADRENERGICS BP
MysolinedrugId:1586 (primidone)drugId:1586 ANTICONVULSANTS A90, #
Mytesi (crofelemer)drugId:5684 PA ANTIDIARRHEALS

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

Back to Top | Previous | Next
Last updated 04/01/24