Generic Ingredient OXYCODONE HYDROCHLORIDE DEA Class C-II Medication Lists Not Covered Prior Auth Required Strength Information OXYCONTIN-10MG-TB12 OXYCONTIN-15MG-TB12 OXYCONTIN-20MG-TB12 OXYCONTIN-30MG-TB12 OXYCONTIN-40MG-TB12 OXYCONTIN-60MG-TB12 OXYCONTIN-80MG-TB12 Covered Alternatives Group NARCOTIC ANALGESIC (LONG ACTING) gpi6 Opioid Agonists