FillMapBronze Elite + PCP Saver Plus

Does Bronze Elite + PCP Saver Plus cover oxycodone?

Bronze Elite + PCP Saver Plus
23552-23552TN0020005-0 · ACA · ACA Marketplace
oxycodone
oxycodoneunder Bronze Elite + PCP Saver Plus
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$3per 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 (19)

  • Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral TabletAmount 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 TabletAmount 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 TabletAmount 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 TabletAmount limit
  • Abuse-Deterrent 12 HR oxycodone hydrochloride 80 MG Extended Release Oral Tablet [Oxycontin]Amount limit
  • oxycodone hydrochloride 1 MG/ML Oral SolutionAmount limit
  • oxycodone hydrochloride 10 MG Oral TabletAmount limit
  • oxycodone hydrochloride 15 MG Oral TabletAmount limit
  • oxycodone hydrochloride 20 MG Oral TabletAmount limit
  • oxycodone hydrochloride 20 MG/ML Oral SolutionAmount limit
  • oxycodone hydrochloride 30 MG Oral TabletAmount limit
  • oxycodone hydrochloride 5 MG Oral CapsuleAmount limit
  • oxycodone hydrochloride 5 MG Oral TabletAmount limit

← All coverage for oxycodone