Oxycodone (Ir)

10 Mg — Capsule

Also known as: Oxycodone (Ir) 5 Mg Capsule Oxycodone (Ir) 5 Mg Tablet Oxycodone (Ir) 10 Mg Tablet Oxycodone (Ir) 15 Mg Tablet Oxycodone (Ir) 20 Mg Tablet Oxycodone (Ir) 30 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: 17 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic PA
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