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Drug Coverage Check · Plan Year 2026

Does this plan cover
Oxycodone Hydrochloride?

Verified · CMS.gov Plan ID: H5253-039 Cross-check on Medicare.gov →
Verified · CMS 2026

YES — Covered

Oxycodone Hydrochloride is covered on Tier 4

30-day copay: $0.00 at a preferred pharmacy

Cost Details

30-Day Supply

Preferred Pharmacy
$0.00
Standard Pharmacy
0.4% coinsurance

90-Day / Mail Order

Preferred / Mail Order
0.4% coinsurance

Deductible

Applies to This Drug?
Yes — deductible applies before copay
Plan Deductible
$520.00 / year

Therapeutically Similar Alternatives

Talk to your doctor about these therapeutically similar medications. They may be covered at a lower tier or with fewer restrictions.