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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
Qbrelis (lisinopril solution)drugId:5592 PA CARDIOVASCULAR
Qbrexza (glycopyrronium cloth)drugId:6987 PA DERMATOLOGICAL
Qelbree (viloxazine); See Table 31drugId:7795; See Table 71drugId:7796 PA NONSTIMULANT ADHD AGENTS
Qinlock (ripretinib)drugId:7469 PA CHEMOTHERAPY
Qnasl (beclomethasone nasal aerosol)drugId:2522 PA NASAL PREPARATIONS
Qtern (dapagliflozin / saxagliptin)drugId:6406 PA DIABETIC AGENTS
Quadracel (tetanus toxoids / diphtheria / acellular pertussis / inactivated poliovirus vaccine)drugId:8195 BIOLOGICALS
Quadramet (samarium Sm 153 lexidronam) CHEMOTHERAPY ^
quadrivalent meningococcal conjugate vaccine-MenactradrugId:1140 BIOLOGICAL 1
quadrivalent meningococcal conjugate vaccine-MenquadfidrugId:7468 BIOLOGICAL 1
quadrivalent meningococcal quadrivalent vaccine-MenveodrugId:1141 BIOLOGICAL 1
Qualaquin (quinine)drugId:1623 PA ANTIMALARIALS
Quartette (levonorgestrel / ethinyl estradiol-Quartette) CONTRACEPTIVES #
Qudexy XR (topiramate extended-release capsule-Qudexy XR); See Table 20drugId:2943; See Table 71drugId:4502 PA < 6 years ANTICONVULSANTS #
quetiapine extended-release; See Table 24drugId:1616; See Table 71drugId:4295 PA < 6 years and PA > 2 units/day ANTIPSYCHOTIC #
quetiapine; See Table 24drugId:1618; See Table 71drugId:4293 PA < 6 years and PA > 3 units/day ANTIPSYCHOTIC #
Quickvue (COVID-19 antigen self-test)drugId:8173 - Non-Drug Product PA > 8 tests/28 days DIAGNOSTICS COVID
Quillichew ER (methylphenidate extended-release chewable tablet); See Table 31drugId:5391; See Table 71drugId:5392 PA CEREBRAL STIMULANTS
Quillivant XR (methylphenidate extended-release oral suspension); See Table 31drugId:2731; See Table 71drugId:3042 PA CEREBRAL STIMULANTS
quinaprildrugId:1620 CARDIOVASCULAR #
quinapril / hydrochlorothiazidedrugId:1621 CARDIOVASCULAR #
quinidine gluconate extended-releasedrugId:7601 PA CARDIOVASCULAR
quinidine sulfatedrugId:1622 CARDIOVASCULAR
quininedrugId:1623 PA ANTIMALARIALS
Qutenza (capsaicin high dose patch)drugId:1946 PA ANALGESICS ^
Qvar Redihaler (beclomethasone inhaler)drugId:6580 PA BRONCHODILATORS

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

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Last updated 05/09/22