acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution
acetaminophen
RxCUI: 1049580
What the CMS Formulary Data Shows for acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution
Per the CMS 2026 Part D formulary file, acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution (RxNorm concept RXCUI 1049580, generic name acetaminophen) appears on 2 distinct formulary files spanning 3 Medicare Part D plan offerings - 0.1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 2, with a cross-plan average of Tier 1.5.
Real-world access to acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 156 Part D beneficiaries filled acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $48,943 and an average per-beneficiary annual cost of $313.74. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution today.
Coverage Details
- Formularies covering
- 2
- Plans covering
- 3
- Coverage rate
- 0.1%
- Tier range
- Tier 1 – Tier 2
- Average tier
- Tier 2, Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 156
- Total spending
- $48,943
- Avg per beneficiary
- $313.74
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution
3 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| FHCP Medicare Classic (HMO) | FLORIDA BLUE MEDICARE, INC. | T2 | No | $0 | FL |
| FHCP Medicare Rx Plus (HMO-POS) | FLORIDA BLUE MEDICARE, INC. | T2 | No | $49.00 | FL |
Frequently Asked Questions
Is acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution covered by Medicare Part D?
Yes, acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution is covered by 3 Medicare Part D plans (0.1% of all Part D formularies).
What tier is acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution on Medicare Part D plans?
acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution averages Tier 1.5 across Part D plans, ranging from Tier 1 to Tier 2.
Does acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution require prior authorization?
0% of Part D formularies require prior authorization for acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution?
In 2023, total Medicare Part D spending on acetaminophen 65 MG/ML / oxycodone hydrochloride 1 MG/ML Oral Solution was $48,943, covering 156 beneficiaries. The average spend per beneficiary was $313.74.
Read our methodology - how this data is sourced, computed, and verified.