Oxycontin Medicare Coverage

Oxycontin is an opioid medication that contains the long acting form of oxycodone. Oxycontin is a schedule II medication due to its potential for abuse.

Oxycontin works in the brain to help reduce the symptoms of pain. This medication should be used carefully, as it has a high potential for addiction.

Common side effects include dizziness, fatigue, headache, trouble sleeping, itching, dry mouth and upset stomach.

How much does Oxycodone ER cost with Medicare?

Oxycodone ER coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Oxycodone ER?

According to GoodRx, 31% of Medicare Advantage plans and Medicare Part D plans covered Oxycodone ER, the generic form of Oxycontin, in 2023.¹

• Medicare Advantage plans or Part D plans that cover Oxycodone ER include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Oxycodone ER. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

You can take Oxycontin with food to avoid getting an upset stomach. Talk to your doctor before taking other medications with Oxycontin.

Taking too much Oxycontin can cause an overdose. Opioid overdoses are very common due to the potency of these types of pain medications. Always take your pain medicine only as directed.

If anyone, including children, accidentally takes oxycontin or if you take too much by accident, get emergency help right away.

Overdoses of opioid medications can happen. Do not take more Oxycontin that your doctor has instructed.

Signs of an overdose include passing out, problems with talking, trouble breathing, choking and vomiting. Get emergency help if you or another person experiences these side effects.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.