Oxycontin
Traditional Medicaid
HHSC requires prior authorization for Oxycontin (oxycodone ER). Prescribing providers complete and submit the OxyContin Standard Prior Authorization Addendum (HHS Form 1353).
HHSC requires prior authorization for Oxycontin (oxycodone ER). Prescribing providers complete and submit the OxyContin Standard Prior Authorization Addendum (HHS Form 1353).