Cyclobenzaprine (Flexeril) Medicare Coverage

Cyclobenzaprine
Chemical name: Cyclobenzaprine

Brand name: Flexeril

Typical dosage: 10mg

Typical type: Tablet1

Cyclobenzaprine is a medication used to treat muscle spasms. Cyclobenzaprine is available as a brand name or a generic and comes as an oral tablet or an oral capsule.

Cyclobenzaprine is a muscle relaxant medication used to treat muscle spasms. Cyclobenzaprine is usually given 1 to 3 times daily and should not be used longer than 2 to 3 weeks.

This medication works in the muscles to help relax tension and relieve symptoms. The brand name equivalent of Cyclobenzaprine is called Flexeril.

Major side effects of Cyclobenzaprine include feeling dizzy, sleepy, tired or weak, as well as dry mouth, constipation and upset stomach.

Does Medicare cover Cyclobenzaprine or Flexeril?

Yes! 99% of Medicare Advantage plans and Medicare Part D plans cover Cyclobenzaprine.1

  • 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.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 Cyclobenzaprine.

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Average costs for Cyclobenzaprine with Medicare drug coverage1

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

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.
$3 – $77 $1 – $35

Additional information

Cyclobenzaprine should be used in combination with rest and physical therapy for short-term relief of muscle spasm. Do not take this medication longer than your doctor tells you to.

If you are over 65 you may be at a higher risk of experiencing side effects with Cyclobenzaprine.

Cyclobenzaprine can make you very sleepy and tired. Be careful driving or doing other activities that require your full attention.

A bad condition called serotonin syndrome can happen if you take this drug with other drugs used to treat anxiety, depression, migraines and  certain other medications.

Talk to your doctor if you have 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.