oxycodone hydrochloride Medicare Coverage in Hawaii
cover oxycodone hydrochloride
Medicare Plans Covering oxycodone hydrochloride in Hawaii
Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.
| Plan Name | Monthly Premium | Tier | 30-day Copay | Stars | Restrictions | Action |
|---|---|---|---|---|---|---|
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Oahu (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-082 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 004 HI (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana USAA Honor Giveback with Rx (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Dual Complete Maui (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 005 HI (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Standard (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Basic (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AlohaCare Advantage Plus (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-465 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Dual Complete HI-Y1 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 008 HI (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 001 HI (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Dual Care (PPO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 009 HI (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 002 HI (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0001 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 010 HI (PPO) | $9.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete (PPO) | $11.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Enhanced (HMO) | $13.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-313 (PPO) | $14.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0003 (PPO) | $29.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete Plus (PPO) | $31.80/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Kaiser Permanente Senior Advantage Maui (HMO) | $33.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
Compare All Hawaii Plans for oxycodone hydrochloride
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Frequently Asked Questions
100% of Medicare Part D plans in Hawaii cover oxycodone hydrochloride. There are 30 plans available. Coverage and costs vary by specific plan.
Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, DEVOTED CHOICE GIVEBACK 005 HI (PPO) offers one of the lowest copays for oxycodone hydrochloride in Hawaii. Enter your ZIP code to see all plans and compare total annual costs including premiums.
oxycodone hydrochloride Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for oxycodone hydrochloride
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