This is an old revision of the document!
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
- fluticasone/vilanterol and Incruse(umeclidinium) or Anoro(umeclidinium/vilanterol) and Arnuity(fluticasone furoate inhalation powder) prior to covering trelegy or breztri