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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
Xaciato (clindamycin vaginal gel)drugId:8372 PA ANTIBIOTICS
Xadago (safinamide)drugId:6185 PA ANTIPARKINSON
XalatandrugId:1027 (latanoprost solution - Xalatan)drugId:1027 OPHTHALMIC PREPARATIONS M90, #
Xalkori (crizotinib)drugId:2376 PA CHEMOTHERAPY
Xanax (alprazolam); See Table 69drugId:25; See Table 71drugId:4358 PA < 6 years BENZODIAZEPINES #
Xanax XR (alprazolam extended-release); See Table 69drugId:26; See Table 71drugId:4359 PA < 6 years and PA > 2 units/day BENZODIAZEPINES #
Xarelto (rivaroxaban 10 mg, 15 mg, 20 mg tablet, starter pack)drugId:2371 ANTICOAGULANTS
Xarelto (rivaroxaban 2.5 mg tablet)drugId:2384 PA > 2 units/day ANTICOAGULANTS
Xarelto (rivaroxaban suspension)drugId:8641 PA ≥ 18 years ANTICOAGULANTS
Xatmep (methotrexate 2.5 mg/mL oral solution)drugId:6125 PA CHEMOTHERAPY
Xcopri (cenobamate)drugId:7406 PA ANTICONVULSANTS
Xdemvy (lotilaner)drugId:8791 PA OPHTHALMIC PREPARATIONS
Xeljanz (tofacitinib)drugId:2660 PA IMMUNOMODULATOR
Xeljanz XR (tofacitinib extended-release)drugId:5407 PA IMMUNOMODULATOR
XelodadrugId:435 (capecitabine)drugId:435 CHEMOTHERAPY A90, #
Xelpros (latanoprost emulsion)drugId:7013 PA OPHTHALMIC PREPARATIONS
Xelstrym (dextroamphetamine transdermal); See Table 31drugId:8546; See Table 71drugId:8547 PA AMPHETAMINE PREPARATIONS
Xembify (immune globulin subcutaneous injection, human-klhw)drugId:7336 PA BIOLOGICAL
Xenazine (tetrabenazine)drugId:1688 PA NEUROLOGIC AGENT M90
Xenical (orlistat)drugId:8672 PA ANTI-OBESITY AGENTS BP, A90
Xenpozyme (olipudase alfa-rpcp)drugId:8548 PA MISCELLANEOUS MB
Xeomin (incobotulinumtoxinA)drugId:2087 PA BIOLOGICAL
Xepi (ozenoxacin)drugId:7917 PA ANTIBIOTICS
Xerava (eravacycline)drugId:7049 PA ANTIBIOTICS
Xerese (acyclovir / hydrocortisone)drugId:1973 DERMATOLOGICAL
Xermelo (telotristat ethyl)drugId:6108 PA ANTIDIARRHEALS
Xgeva (denosumab-Xgeva)drugId:2180 PA BIOLOGICAL
Xhance (fluticasone propionate 93 mcg nasal spray)drugId:6488 PA NASAL PREPARATIONS
Xiaflex (collagenase clostridium histolyticum)drugId:1951 PA ENZYMES
Xifaxan (rifaximin 200 mg)drugId:1433 ANTIBIOTICS
Xifaxan (rifaximin 550 mg)drugId:7140 PA ANTIBIOTICS
Xigduo XR (dapagliflozin / metformin extended-release)drugId:4841 DIABETIC AGENTS BP, M90
Xiidra (lifitegrast)drugId:5681 PA OPHTHALMIC PREPARATIONS
Xipere (triamcinolone ophthalmic suspension-Xipere) OPHTHALMIC PREPARATIONS MB
Xofluza (baloxavir)drugId:6989 PA ANTIVIRALS
Xolair (omalizumab)drugId:1287 PA BIOLOGICAL
Xopenex HFAdrugId:1035 (levalbuterol inhaler)drugId:1035 BRONCHODILATORS A90, #
Xospata (gilteritinib)drugId:7108 PA CHEMOTHERAPY
Xphozah (tenapanor 20 mg, 30 mg tablet)drugId:8830 PA PHOSPHATE ABSORPTION INHIBITOR
Xpovio (selinexor)drugId:7300 PA CHEMOTHERAPY
Xtampza (oxycodone extended-release capsule)drugId:5598 PA > 72 mg/day and PA > 2 units/day OPIOID ANALGESICS
Xtandi (enzalutamide)drugId:2651 PA CHEMOTHERAPY
Xultophy (insulin degludec / liraglutide)drugId:5769 PA DIABETIC AGENTS
Xuriden (uridine triacetate)drugId:8410 PA UNCLASSIFIED DRUG PRODUCTS
Xylocaine (lidocaine vial) ANESTHETICS #
Xylocaine-MPF (lidocaine vial, preservative free) ANESTHETICS #
Xyntha (antihemophilic factor, recombinant-Xyntha)drugId:72 ANTI-HEMOPHILIA AGENTS PD
Xyosted (testosterone enanthate)drugId:7050 PA HORMONE REPLACEMENT THERAPY
Xyrem (sodium oxybate)drugId:1870 PA SEDATIVES BP
Xywav (calcium oxybate / magnesium oxybate / potassium oxybate / sodium oxybate)drugId:7603 PA SEDATIVES

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


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Last updated 11/19/24

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