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Medication Lookup
The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.
75MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
100MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
10MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
150MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
25MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
50MG TABS
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Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
Prior Authorization Forms
Massachusetts Standard Form for Hepatitis-C Medication Prior Authorization Requests
Massachusetts Standard Form for Medication Prior Authorization Requests
Massachusetts Standard Form for Synagis® Medication Prior Authorization Requests
Important Information
Affordable Care Act (ACA) Medication List
Medical Benefit Prior Authorization Medication List
Over-the-Counter Exclusion Medication List
Quality Care Dosing Guidelines
Learn About Your Pharmacy Program
Learn About Your Pharmacy Program
Affordable Care Act (ACA) Medication List
Cost-Share Assistance Program Medication List
Health Savings Account (HSA) Preventive Medication List
Lower-Cost, Brand-Name Insulins Medication List
Medical Benefit Prior Authorization Medication List
No-Cost Generic Medications List
Over-the-Counter Exclusion Medication List
Specialty Pharmacy
Specialty Pharmacy Medication List
5-Tier Specialty Pharmacy Medication List
6-Tier Specialty Pharmacy Medication List