FillMapSmart Silver 22 Health

Does Smart Silver 22 Health cover oxybutynin?

Smart Silver 22 Health
13887-13887FL0010004-0 · ACA · ACA Marketplace
oxybutynin
oxybutyninunder Smart Silver 22 Health
Covered — some forms require step therapy
2 of 9 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
$40per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
Tier
Generics
Approval first
Not needed
Try another first
Required
Amount limit
Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (9)

  • 24 HR oxybutynin chloride 10 MG Extended Release Oral Tablet
  • 24 HR oxybutynin chloride 15 MG Extended Release Oral Tablet
  • 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet
  • 24 HR oxybutynin chloride 5 MG Extended Release Oral Tablet [Ditropan]
  • 84 HR oxybutynin 0.162 MG/HR Transdermal System [Oxytrol]Try another first
  • oxybutynin chloride 0.1 MG/MG Topical Gel [Gelnique]Try another firstAmount limit
  • oxybutynin chloride 1 MG/ML Oral Solution
  • oxybutynin chloride 2.5 MG Oral Tablet
  • oxybutynin chloride 5 MG Oral Tablet

← All coverage for oxybutynin