Oxycodone (Roxicodone) Medicare Coverage

Oxycodone is a schedule II opioid medication used to treat pain. It binds to receptors in the brain and in the central nervous system to help relieve pain.

Oxycodone is a very addictive medication and should be used carefully. The brand name equivalent of Oxycodone is called Roxicodone.

Common side effects of Oxycodone done include constipation, dizziness, drowsiness, upset stomach, headache and stomach pain. More serious side effects are described below.

How much does Oxycodone cost with Medicare?

Oxycodone 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?

According to GoodRx, 99% of Medicare Advantage plans and Medicare Part D plans covered Oxycodone in 2023.¹

• Medicare Advantage plans or Part D plans that cover Oxycodone 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. 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

Oxycodone can be taken with or without food. If you get an upset stomach, taking it with food may help avoiding upset stomach in the future. Do not combine this pain medicine with any other pain medicines, even those you can buy over the counter.

Taking too much Oxycodone 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 you take too much by accident, get emergency help right away.

Signs of an overdose include loss of consciousness, unresponsiveness, inability to talk and slowed or stopped breathing. In case of an overdose, an opioid reversal agent called Narcan may be available.

Talk to your doctor or pharmacist about getting Narcan with your Oxycodone prescription.

Use of these medications with benzodiazepine medications or alcohol may increase the risk of life-threatening breathing problems. Avoid these substances while taking opioids.  

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.