Commonwealth of Massachusetts
MassHealth
Provider Manual Series

Nursing Facility Manual

Subchapter Number and Title
Appendix F.  Unit-Dose Drugs

Transmittal Letter
NF-57

Page
F-1

Date
08/01/11


Unit-Dose Drugs


This appendix lists the unit-dose-packaged drugs that a nursing facility must return to the dispensing 
pharmacy in accordance with 130 CMR 456.621 when the use of the drug for the member is 
discontinued. The minimum quantity of unused doses applicable to each drug on this list that is 
acceptable for return is one.

Abilify
Advair
Aricept
Arixtra
Atripla
Avonex
Copaxone
Epzicom
Flovent
Fragmin
Geodon
Humalog
Invega
Invega Sustenna
Isentress
Lantus
Levaquin
Lovenox
Novolog
Pegasys
ProAir HFA
Pulmicort
Rebif
Reyataz
Spiriva
Truvada
Vancocin
Zyprexa




Commonwealth of Massachusetts
MassHealth
Provider Manual Series

Nursing Facility Manual

Subchapter Number and Title
Appendix F.  Unit-Dose Drugs

Transmittal Letter
NF-57

Page
F-2

Date
08/01/11


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