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covered_alternatives_2026

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
covered_alternatives_2026.txt · Last modified: 2026/08/21 14:19 by 2601:18a:8300:d120:2cf9:1723:cc0e:e71d

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