Oxycodone-Acetaminophen

Generic: oxycodone HCl/acetaminophen

2.5-325 Mg — Tablet

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

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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 14 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	✓	—	—	PA

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 14 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	—	—	PA

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 14 hours, 24 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