Oxycodone-Acetaminophen

Generic: oxycodone HCl/acetaminophen

2.5-325 Mg — Tablet

Opioid Analgesics — Long Acting Opioids

Also known as: Oxycodone-Acetaminophen 2.5-325 Mg Tablet Oxycodone-Acetaminophen 5-325 Mg Tablet Oxycodone-Acetaminophen 7.5-325 Mg Tablet Oxycodone-Acetaminophen 10-325 Mg Tablet

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred PA
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via oxycodone HCl/acetaminophen
Tier 1 - Basic Core Formulary None
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