FillMapSoloCare Bronze EPO $8500 DED HSA 10004 · 29854-29854TN0010004-0About this plan

Does SoloCare Bronze EPO $8500 DED HSA 10004 cover oxymorphone?

1 · Your plan

SoloCare Bronze EPO $8500 DED HSA 10004

29854-29854TN0010004-0 · ACA · ACA Marketplace

2 · Your medication

oxymorphone

oxymorphoneunder SoloCare Bronze EPO $8500 DED HSA 10004

Covered — some forms require prior authorization

7 of 9 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.

What you'd pay

$0per 30-day fill

Your plan’s deductible comes first — you pay the full price until it is met.

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: Generic
Approval first: Required
Try another first: No
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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (9)

12 HR oxymorphone hydrochloride 10 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 15 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 20 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 30 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 40 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 5 MG Extended Release Oral TabletApproval firstAmount limit
12 HR oxymorphone hydrochloride 7.5 MG Extended Release Oral TabletApproval firstAmount limit
oxymorphone hydrochloride 10 MG Oral TabletAmount limit
oxymorphone hydrochloride 5 MG Oral TabletAmount limit

← All coverage for oxymorphone