FillMapWellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Does Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) cover oxycodone?

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
44228-44228FL0040011-0 · ACA · ACA Marketplace
oxycodone
oxycodoneunder Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

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
Tier three
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.

Covered forms and strengths (27)

  • Abuse-Deterrent 12 HR oxycodone 13.5 MG Extended Release Oral Capsule [Xtampza]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone 18 MG Extended Release Oral Capsule [Xtampza]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone 27 MG Extended Release Oral Capsule [Xtampza]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone 36 MG Extended Release Oral Capsule [Xtampza]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone 9 MG Extended Release Oral Capsule [Xtampza]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 15 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 20 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 30 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 40 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 60 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 80 MG Extended Release Oral Tablet [Oxycontin]Approval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 10 MG Oral TabletApproval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 10 MG Oral Tablet [Roxybond]Approval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 15 MG Oral TabletApproval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 15 MG Oral Tablet [Roxybond]Approval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 30 MG Oral TabletApproval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 30 MG Oral Tablet [Roxybond]Approval firstAmount limit
  • Abuse-Deterrent oxycodone hydrochloride 5 MG Oral Tablet [Roxybond]Approval firstAmount limit
  • oxycodone hydrochloride 1 MG/ML Oral SolutionApproval firstAmount limit
  • oxycodone hydrochloride 10 MG Oral TabletApproval firstAmount limit
  • oxycodone hydrochloride 15 MG Oral TabletApproval firstAmount limit
  • oxycodone hydrochloride 20 MG Oral TabletApproval firstAmount limit
  • oxycodone hydrochloride 20 MG/ML Oral SolutionApproval firstAmount limit
  • oxycodone hydrochloride 30 MG Oral TabletApproval firstAmount limit
  • oxycodone hydrochloride 5 MG Oral CapsuleApproval firstAmount limit
  • oxycodone hydrochloride 5 MG Oral TabletApproval firstAmount limit

← All coverage for oxycodone