MassHealth Non-Drug Product List
This page lists the non-drug products that MassHealth pays through the Pharmacy Online Processing System (POPS). Products that require prior authorization are noted with the designation PA. Payment is calculated in accordance with the Division of Health Care Finance and Policy’s regulations at 114.3 CMR 22.00: Durable Medical Equipment and 114.3 CMR 17.00: Medicine.
Medical Supplies
- Alcohol swabs
- Blood and urine testing reagent strips used for the management of diabetes
- Disposable insulin syringe and needle units
- Lancets
Devices
- Drug delivery systems for use with metered dose inhalers (for example, aerochambers)
- Euflexxa (hyaluronate) — PA
- Hyalgan (hyaluronate) — PA
- Hyper-Sal (sodium chloride 7% for inhalation)
- Insulin cartridge delivery devices and needles or other devices for injection of medication (for example, Epipens)
- Orthovisc (hyaluronan) — PA
- Supartz (hyaluronate) — PA
- Synvisc (hylan polymers) — PA
MassHealth Non-Drug Product List (PDF) download
Last updated 05/04/09
This information is provided by MassHealth.