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