Coverage Details 2026:

**__Wellcare:__**
  * will no longer cover Breo.  Covered alternatives are Breyna HFA and Advair HFA.

**__Medicaid (MassHealth) preferred medications:__**

Nasal Sprays:
  * 90 day supply of brand name dymista
  * 90 day supply of generic triamcinolone OTC nasal spray (limit of 1 bottle per month)
  * 90 day supply of generic fluticasone propionate 50mcg/act nasal spray (limit of 1 bottle per month) 
  * azelastine 137 mcg nasal spray

Antihstamines: 
  * 90 day supply cetirizine tabs
  * cetirizine liquid 
  * 90 day supply generic levocetirizine tabs
  * 90 day supply fexofenadine tabs
  * 90 day supply loratidine tabs
  * loratidine liquid

Eye drops:
  * generic olopatadine 
  * generic azelastine
  * generic ketotifen
  * generic cromolyn

Topicals: 
  * generic tacrolimus ointment
  * triamcinolone 0.1% or 0.5% cream or ointment
  * hydrocortisone cream, lotion, ointment
  * generic betamethasone 
  * clobetasol propionate 0.05% cream

Asthma therapies:
  * brand Xopenex
  * brand Ventolin
  * brand arnuity
  * dulera
  * brand breo
  * brand advair
  * brand symbicort
  * asmanex HFA
  * asmanex twisthaler
  * pulmicort powder
  * brand anoro
  * brand incruse
  * spiriva respimat
  * 90 day supply generic montelukast tabs
  * 90 day supply generic montelukast chewable tabs

**__MGB ACO/ OptumRx Medicaid preferred medications:__**
  * brand advair diskus 
  * brand Ventolin HFA or ProAir Respiclick 
  * fluticasone/vilanterol and Incruse(umeclidinium) or Anoro(umeclidinium/vilanterol) and Arnuity(fluticasone furoate inhalation powder) prior to covering trelegy or breztri