Amrix (Cyclobenzaprine) Medicare Coverage

Amrix
Chemical name: Cyclobenzaprine Brand name: Amrix Typical dosage: 15mg Typical type: Capsule¹ Amrix is a medication used to treat muscle spasms and muscle pain. Amrix is available as a brand name drug or as a generic and comes as an oral tablet or an oral capsule.

Amrix is a muscle relaxant medication used to treat muscle spasms and muscle pain. The generic version of Amrix is called Cyclobenzaprine.

Amrix is given 1 to 3 times daily and should only be used for a maximum of 2-3 weeks.

Major side effects of Amrix include dizziness, drowsiness, dry mouth, constipation and upset stomach.

Does Medicare cover Amrix or Cyclobenzaprine?

While some Medicare plans may not cover Amrix, some Medicare Advantage plans and Medicare Part D plans may cover other pain relievers and muscle relaxers.

Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.¹
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 muscle relaxers and pain relievers.

Find Medicare Advantage plans with drug coverage

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Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 24/7 to speak with a licensed insurance agent.

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.

Average costs for Amrix with Medicare drug coverage

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.

Deductible stage	Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs. In the deductible stage, you’re responsible for the full cost of your prescription drugs. Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.	After you meet your Part D deductible, you enter the initial coverage period. During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.

Additional information

Amrix can be used in combination with exercise and lifestyle modifications to help treat muscle symptoms. If you are over 65, you may be at a higher risk of experiencing side effects with Amrix.

Amrix can make you feel extremely tired. Be careful driving or doing other activities that require your full attention. Let your doctor know if you experience any odd side effects such as an abnormal or rapid heartbeat.

A condition called serotonin syndrome can happen if you take this drug with other drugs for anxiety, depression or migraines.

Talk to your doctor if you experience a change in balance, confusion, abnormal heartbeat, muscle twitching, shaking, upset stomach or a very bad headache.

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.