FillMapEveryday Bronze

Does Everyday Bronze cover oxycodone?

Everyday Bronze
49004-49004FL0010002-0 · ACA · ACA Marketplace
oxycodone
oxycodoneunder Everyday Bronze
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$30per 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
Generic
Approval first
Not needed
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.

Covered forms and strengths (25)

  • Abuse-Deterrent 12 HR oxycodone 13.5 MG Extended Release Oral Capsule [Xtampza]Amount limit
  • Abuse-Deterrent 12 HR oxycodone 18 MG Extended Release Oral Capsule [Xtampza]Amount limit
  • Abuse-Deterrent 12 HR oxycodone 27 MG Extended Release Oral Capsule [Xtampza]Amount limit
  • Abuse-Deterrent 12 HR oxycodone 36 MG Extended Release Oral Capsule [Xtampza]Amount limit
  • Abuse-Deterrent 12 HR oxycodone 9 MG Extended Release Oral Capsule [Xtampza]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 15 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 20 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 30 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 40 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 60 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 80 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • Abuse-Deterrent oxycodone hydrochloride 10 MG Oral Tablet
  • Abuse-Deterrent oxycodone hydrochloride 10 MG Oral Tablet [Roxybond]
  • Abuse-Deterrent oxycodone hydrochloride 15 MG Oral TabletAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 15 MG Oral Tablet [Roxybond]Amount limit
  • Abuse-Deterrent oxycodone hydrochloride 30 MG Oral TabletAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 30 MG Oral Tablet [Roxybond]Amount limit
  • Abuse-Deterrent oxycodone hydrochloride 5 MG Oral TabletAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 5 MG Oral Tablet [Roxybond]Amount limit
  • oxycodone hydrochloride 10 MG Oral TabletAmount limit
  • oxycodone hydrochloride 15 MG Oral TabletAmount limit
  • oxycodone hydrochloride 20 MG Oral TabletAmount limit
  • oxycodone hydrochloride 30 MG Oral TabletAmount limit
  • oxycodone hydrochloride 5 MG Oral TabletAmount limit

← All coverage for oxycodone