Medicare Part D coverage · oxycodone hydrochloride · RxCUI 1049615

oxycodone hydrochloride 20 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, oxycodone hydrochloride 20 MG/ML Oral Solution is covered by 4,264 Medicare Part D plans (84.4% of enrollable products), averaging Tier 3.1, with prior authorization required on 6.2% of covering formularies.

84.4%
Plan coverage
4,264
Plans covering
T3.1
Avg tier
6.2%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for oxycodone hydrochloride 20 MG/ML Oral Solution

Per the CMS 2026 Part D formulary file, oxycodone hydrochloride 20 MG/ML Oral Solution (RxNorm concept RXCUI 1049615, generic name oxycodone hydrochloride) appears on 162 distinct formulary files spanning 4,264 Medicare Part D plan offerings - 84.4% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.1.

Real-world access to oxycodone hydrochloride 20 MG/ML Oral Solution depends on utilization management as much as tier placement: 6.2% of covering formularies require prior authorization. 0% require step therapy. 93.2% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 2,133,988 Part D beneficiaries filled oxycodone hydrochloride 20 MG/ML Oral Solution in 2023, with total plan-and-beneficiary spending of $262,998,163 and an average per-beneficiary annual cost of $123.24. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry oxycodone hydrochloride 20 MG/ML Oral Solution today.

Coverage Details

Formularies covering
162
Plans covering
4,264
Coverage rate
84.4%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
6.2% of formularies
Step therapy required
0% of formularies
Quantity limits
93.2% of formularies

2023 Medicare Spending

Beneficiaries
2,133,988
Total spending
$262,998,163
Avg per beneficiary
$123.24

Tier Distribution Across Plans

63 plans
Tier 1, Preferred Generic
37 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering oxycodone hydrochloride 20 MG/ML Oral Solution

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 No $0 FL
ElderServe MAP (HMO D-SNP) Elderserve Health, Inc. T1 No $0 NY
Cooperative Advantage (HMO D-SNP) Group Health Cooperative OF EAU Claire T1 No $0 WI
Longevity Health Plan (PPO I-SNP) Longevity Health Plan OF NEW Jersey Insurance Comp T1 No $0 NJ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 No $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 No $0 NY
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) Upper Peninsula Health Plan, LLC T1 No $0 MI
CareSource Dual Advantage (HMO D-SNP) Caresource Georgia Co. T1 No $0 GA
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Show the next 30 plans
HAP CareSource MI Coordinated Health (HMO D-SNP) HAP Caresource T1 No $0 MI
PHP (HMO C-snp) Aids Healthcare Foundation T1 Yes $0 CA
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
VNS Health Total (HMO D-SNP) VNS Choice T1 Yes $0 NY
Community Care's Partnership Program (HMO D-SNP) Community Care Health Plan, Inc. T1 No $0 WI
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T1 No $0 CA
Mass General Brigham SCO (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $0 DE
Tufts Health One Care (HMO D-SNP) Tufts Health Public Plans, Inc. T1 No $0 MA
Tufts Health One Care CW (HMO D-SNP) Tufts Health Public Plans, Inc. T1 No $0 MA
Tufts Health Plan Senior Care Options (HMO D-SNP) Tufts Associated Health Maintenance Organization T1 No $0 MA
Tufts Health Plan Senior Care Options CW (HMO D-SNP) Tufts Associated Health Maintenance Organization T1 No $0 MA
Leon MediExtra (HMO) Leon Health, Inc. T1 Yes $0 FL
Leon MediDual (HMO D-SNP) Leon Health, Inc. T1 Yes $0 FL
Leon MediMore (HMO) Leon Health, Inc. T1 Yes $0 FL
Leon MediMax (HMO D-SNP) Leon Health, Inc. T1 Yes $0 FL
Florida Complete Care (HMO I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Florida, Inc. T1 No $4.80 FL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Florida Inc T1 Yes $4.80 FL
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Michigan, Inc. T1 No $8.80 MI
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $13.10 PA
Longevity Health Plan (HMO I-SNP) Longevity Health Plan OF Illinois, Inc. T1 No $15.20 IL
Gold Dialysis & Kidney Complete (HMO-POS C-SNP) Gold Kidney OF Arizona T1 Yes $17.00 AZ
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Gateway Health Plan, Inc. T1 No $17.60 PA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is oxycodone hydrochloride 20 MG/ML Oral Solution covered by Medicare Part D?

Yes, oxycodone hydrochloride 20 MG/ML Oral Solution is covered by 4,264 Medicare Part D plans (84.4% of all Part D formularies).

What tier is oxycodone hydrochloride 20 MG/ML Oral Solution on Medicare Part D plans?

oxycodone hydrochloride 20 MG/ML Oral Solution averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.

Does oxycodone hydrochloride 20 MG/ML Oral Solution require prior authorization?

6.2% of Part D formularies require prior authorization for oxycodone hydrochloride 20 MG/ML Oral Solution. Step therapy: 0%. Quantity limits: 93.2%.

How much does Medicare spend on oxycodone hydrochloride 20 MG/ML Oral Solution?

In 2023, total Medicare Part D spending on oxycodone hydrochloride 20 MG/ML Oral Solution was $262,998,163, covering 2,133,988 beneficiaries. The average spend per beneficiary was $123.24.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare