FillMapMyPriority Enhanced Gold Trinity Health East Network · 29698-29698MI0540599-0About this plan

Does MyPriority Enhanced Gold Trinity Health East Network cover oxycodone?

1 · Your plan

MyPriority Enhanced Gold Trinity Health East Network

29698-29698MI0540599-0 · ACA · ACA Marketplace

2 · Your medication

oxycodone

oxycodoneunder MyPriority Enhanced Gold Trinity Health East Network

Covered — the conditions depend on which form

Not the same for every form: 20 of 25 need your plan’s approval first, and 5 of 25 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.

What you'd pay

$5per 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: Required
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.

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 (25)

Abuse-Deterrent 12 HR oxycodone 13.5 MG Extended Release Oral Capsule [Xtampza]Try another firstAmount limit
Abuse-Deterrent 12 HR oxycodone 18 MG Extended Release Oral Capsule [Xtampza]Try another firstAmount limit
Abuse-Deterrent 12 HR oxycodone 27 MG Extended Release Oral Capsule [Xtampza]Try another firstAmount limit
Abuse-Deterrent 12 HR oxycodone 36 MG Extended Release Oral Capsule [Xtampza]Try another firstAmount limit
Abuse-Deterrent 12 HR oxycodone 9 MG Extended Release Oral Capsule [Xtampza]Try another firstAmount limit
Abuse-Deterrent 12 HR oxycodone hydrochloride 20 MG Extended Release Oral TabletApproval firstAmount limit
Abuse-Deterrent 12 HR oxycodone hydrochloride 40 MG Extended Release Oral TabletApproval firstAmount limit
Abuse-Deterrent 12 HR oxycodone hydrochloride 80 MG Extended Release Oral TabletApproval 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 TabletApproval 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 15 MG Oral Tablet [Roxicodone]Approval 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 30 MG Oral Tablet [Roxicodone]Approval firstAmount limit
oxycodone hydrochloride 5 MG Oral TabletApproval firstAmount limit

← All coverage for oxycodone