Muscle Relaxants, Oral

← Back to Class List

PDL Reference Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

< Return to summary view

NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Carveout
‐ Bill FFS		 Current Drug Use Criteria
64896007709 LYVISPAH baclofen GRAN PACK 10 mg N Y N Pharmacy PA
64896007809 LYVISPAH baclofen GRAN PACK 20 mg N Y N Pharmacy PA
64896007609 LYVISPAH baclofen GRAN PACK 5 mg N Y N Pharmacy PA
52536060011 BACLOFEN baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
52536060012 BACLOFEN baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
62559020403 BACLOFEN baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
62559020412 BACLOFEN baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
71225014001 BACLOFEN baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
52652600101 FLEQSUVY baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
52652600102 FLEQSUVY baclofen ORAL SUSP 25 mg/5 mL (5 mg/mL) N Y N Pharmacy PA
52817062008 BACLOFEN baclofen SOLUTION 10 mg/5 mL (2 mg/mL) N Y N Pharmacy PA
68134040316 BACLOFEN baclofen SOLUTION 10 mg/5 mL (2 mg/mL) N Y N Pharmacy PA
72888046602 BACLOFEN baclofen SOLUTION 10 mg/5 mL (2 mg/mL) N Y N Pharmacy PA
69528030208 OZOBAX DS baclofen SOLUTION 10 mg/5 mL (2 mg/mL) N Y N Pharmacy PA
69528030216 OZOBAX DS baclofen SOLUTION 10 mg/5 mL (2 mg/mL) N Y N Pharmacy PA
52817061916 BACLOFEN baclofen SOLUTION 5 mg/5 mL N Y N Pharmacy PA
68134040116 BACLOFEN baclofen SOLUTION 5 mg/5 mL N Y N Pharmacy PA
72888010324 BACLOFEN baclofen SOLUTION 5 mg/5 mL N Y N Pharmacy PA
73352010316 BACLOFEN baclofen SOLUTION 5 mg/5 mL N Y N Pharmacy PA
69528030116 OZOBAX baclofen SOLUTION 5 mg/5 mL N Y N Pharmacy PA
00172409660 BACLOFEN baclofen TABLET 10 mg Y Y N  
00172409680 BACLOFEN baclofen TABLET 10 mg Y Y N  
00527133001 BACLOFEN baclofen TABLET 10 mg Y Y N  
00527133010 BACLOFEN baclofen TABLET 10 mg Y Y N  
00603240621 BACLOFEN baclofen TABLET 10 mg Y Y N  
00603240628 BACLOFEN baclofen TABLET 10 mg Y Y N  
00603240632 BACLOFEN baclofen TABLET 10 mg Y Y N  
00832105410 BACLOFEN baclofen TABLET 10 mg Y Y N  
00832105411 BACLOFEN baclofen TABLET 10 mg Y Y N  
00832105415 BACLOFEN baclofen TABLET 10 mg Y Y N  
00904647561 BACLOFEN baclofen TABLET 10 mg Y Y N  
00904755261 BACLOFEN baclofen TABLET 10 mg Y Y N  
16571017101 BACLOFEN baclofen TABLET 10 mg Y Y N  
16571017110 BACLOFEN baclofen TABLET 10 mg Y Y N  
16571017150 BACLOFEN baclofen TABLET 10 mg Y Y N  
16714007104 BACLOFEN baclofen TABLET 10 mg Y Y N  
16714007106 BACLOFEN baclofen TABLET 10 mg Y Y N  
29300034301 BACLOFEN baclofen TABLET 10 mg Y Y N  
29300034310 BACLOFEN baclofen TABLET 10 mg Y Y N  
31722099801 BACLOFEN baclofen TABLET 10 mg Y Y N  
31722099810 BACLOFEN baclofen TABLET 10 mg Y Y N  
50268010611 BACLOFEN baclofen TABLET 10 mg Y Y N  
50268010615 BACLOFEN baclofen TABLET 10 mg Y Y N  
52817032000 BACLOFEN baclofen TABLET 10 mg Y Y N  
52817032010 BACLOFEN baclofen TABLET 10 mg Y Y N  
52817032050 BACLOFEN baclofen TABLET 10 mg Y Y N  
58657073101 BACLOFEN baclofen TABLET 10 mg Y Y N  
58657073110 BACLOFEN baclofen TABLET 10 mg Y Y N  
58657093101 BACLOFEN baclofen TABLET 10 mg Y Y N  
58657093105 BACLOFEN baclofen TABLET 10 mg Y Y N  
58657093110 BACLOFEN baclofen TABLET 10 mg Y Y N  
59651039401 BACLOFEN baclofen TABLET 10 mg Y Y N  
59651039405 BACLOFEN baclofen TABLET 10 mg Y Y N  
59651039499 BACLOFEN baclofen TABLET 10 mg Y Y N  
60687081501 BACLOFEN baclofen TABLET 10 mg Y Y N  
60687081511 BACLOFEN baclofen TABLET 10 mg Y Y N  
60687081565 BACLOFEN baclofen TABLET 10 mg Y Y N  
62135047305 BACLOFEN baclofen TABLET 10 mg Y Y N  
62135047390 BACLOFEN baclofen TABLET 10 mg Y Y N  
63739023001 BACLOFEN baclofen TABLET 10 mg Y Y N  
63739047910 BACLOFEN baclofen TABLET 10 mg Y Y N  
70512078210 BACLOFEN baclofen TABLET 10 mg Y Y N  
70710128500 BACLOFEN baclofen TABLET 10 mg Y Y N  
70710128501 BACLOFEN baclofen TABLET 10 mg Y Y N  
70710128505 BACLOFEN baclofen TABLET 10 mg Y Y N  
70756028811 BACLOFEN baclofen TABLET 10 mg Y Y N  
70756028812 BACLOFEN baclofen TABLET 10 mg Y Y N  
71930000612 BACLOFEN baclofen TABLET 10 mg Y Y N  
71930000613 BACLOFEN baclofen TABLET 10 mg Y Y N  
72888001000 BACLOFEN baclofen TABLET 10 mg Y Y N  
72888001001 BACLOFEN baclofen TABLET 10 mg Y Y N  
72888001005 BACLOFEN baclofen TABLET 10 mg Y Y N  
52817031810 BACLOFEN baclofen TABLET 15 mg N Y N Pharmacy PA
70710166601 BACLOFEN baclofen TABLET 15 mg N Y N Pharmacy PA
00172409760 BACLOFEN baclofen TABLET 20 mg Y Y N  
00172409780 BACLOFEN baclofen TABLET 20 mg Y Y N  
00527133701 BACLOFEN baclofen TABLET 20 mg Y Y N  
00527133705 BACLOFEN baclofen TABLET 20 mg Y Y N  
00527133710 BACLOFEN baclofen TABLET 20 mg Y Y N  
00603240721 BACLOFEN baclofen TABLET 20 mg Y Y N  
00603240728 BACLOFEN baclofen TABLET 20 mg Y Y N  
00603240732 BACLOFEN baclofen TABLET 20 mg Y Y N  
00832105511 BACLOFEN baclofen TABLET 20 mg Y Y N  
00832105515 BACLOFEN baclofen TABLET 20 mg Y Y N  
00904647661 BACLOFEN baclofen TABLET 20 mg Y Y N  
16571017201 BACLOFEN baclofen TABLET 20 mg Y Y N  
16571017210 BACLOFEN baclofen TABLET 20 mg Y Y N  
16571017250 BACLOFEN baclofen TABLET 20 mg Y Y N  
16714007204 BACLOFEN baclofen TABLET 20 mg Y Y N  
16714007205 BACLOFEN baclofen TABLET 20 mg Y Y N  
29300034401 BACLOFEN baclofen TABLET 20 mg Y Y N  
29300034410 BACLOFEN baclofen TABLET 20 mg Y Y N  
31722099901 BACLOFEN baclofen TABLET 20 mg Y Y N  
31722099905 BACLOFEN baclofen TABLET 20 mg Y Y N  
31722099910 BACLOFEN baclofen TABLET 20 mg Y Y N  
50268010711 BACLOFEN baclofen TABLET 20 mg Y Y N  
50268010715 BACLOFEN baclofen TABLET 20 mg Y Y N  
52817032100 BACLOFEN baclofen TABLET 20 mg Y Y N  
52817032110 BACLOFEN baclofen TABLET 20 mg Y Y N  
52817032150 BACLOFEN baclofen TABLET 20 mg Y Y N  
58657073201 BACLOFEN baclofen TABLET 20 mg Y Y N  
58657073210 BACLOFEN baclofen TABLET 20 mg Y Y N  
58657093201 BACLOFEN baclofen TABLET 20 mg Y Y N  
58657093205 BACLOFEN baclofen TABLET 20 mg Y Y N  
58657093210 BACLOFEN baclofen TABLET 20 mg Y Y N  
59651039501 BACLOFEN baclofen TABLET 20 mg Y Y N  
59651039505 BACLOFEN baclofen TABLET 20 mg Y Y N  
59651039599 BACLOFEN baclofen TABLET 20 mg Y Y N  
60687082601 BACLOFEN baclofen TABLET 20 mg Y Y N  
60687082611 BACLOFEN baclofen TABLET 20 mg Y Y N  
62135047405 BACLOFEN baclofen TABLET 20 mg Y Y N  
62135047490 BACLOFEN baclofen TABLET 20 mg Y Y N  
63739023301 BACLOFEN baclofen TABLET 20 mg Y Y N  
63739048010 BACLOFEN baclofen TABLET 20 mg Y Y N  
70710128600 BACLOFEN baclofen TABLET 20 mg Y Y N  
70710128601 BACLOFEN baclofen TABLET 20 mg Y Y N  
70710128605 BACLOFEN baclofen TABLET 20 mg Y Y N  
70756028911 BACLOFEN baclofen TABLET 20 mg Y Y N  
70756028912 BACLOFEN baclofen TABLET 20 mg Y Y N  
70756028951 BACLOFEN baclofen TABLET 20 mg Y Y N  
71930000712 BACLOFEN baclofen TABLET 20 mg Y Y N  
71930000713 BACLOFEN baclofen TABLET 20 mg Y Y N  
72888001100 BACLOFEN baclofen TABLET 20 mg Y Y N  
72888001101 BACLOFEN baclofen TABLET 20 mg Y Y N  
72888001105 BACLOFEN baclofen TABLET 20 mg Y Y N  
00527133301 BACLOFEN baclofen TABLET 5 mg Y Y N  
16571016901 BACLOFEN baclofen TABLET 5 mg Y Y N  
29300047401 BACLOFEN baclofen TABLET 5 mg Y Y N  
31722013801 BACLOFEN baclofen TABLET 5 mg Y Y N  
50268010511 BACLOFEN baclofen TABLET 5 mg Y Y N  
50268010515 BACLOFEN baclofen TABLET 5 mg Y Y N  
52817031910 BACLOFEN baclofen TABLET 5 mg Y Y N  
58657073001 BACLOFEN baclofen TABLET 5 mg Y Y N  
58657093001 BACLOFEN baclofen TABLET 5 mg Y Y N  
58657093005 BACLOFEN baclofen TABLET 5 mg Y Y N  
58657093010 BACLOFEN baclofen TABLET 5 mg Y Y N  
60687080411 BACLOFEN baclofen TABLET 5 mg Y Y N  
60687080465 BACLOFEN baclofen TABLET 5 mg Y Y N  
62135047290 BACLOFEN baclofen TABLET 5 mg Y Y N  
70710160901 BACLOFEN baclofen TABLET 5 mg Y Y N  
70756008511 BACLOFEN baclofen TABLET 5 mg Y Y N  
71930006612 BACLOFEN baclofen TABLET 5 mg Y Y N  
72888000901 BACLOFEN baclofen TABLET 5 mg Y Y N  
16571078001 CARISOPRODOL carisoprodol TABLET 250 mg N Y N Pharmacy PA
51525590101 CARISOPRODOL carisoprodol TABLET 250 mg N Y N Pharmacy PA
52536068210 CARISOPRODOL carisoprodol TABLET 250 mg N Y N Pharmacy PA
00037225010 SOMA carisoprodol TABLET 250 mg N Y N Pharmacy PA
00037225030 SOMA carisoprodol TABLET 250 mg N Y N Pharmacy PA
00254241038 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
16571078101 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
16571078110 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
16571078150 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
50228010901 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
50228010905 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
50228010910 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
50742065601 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
50742065605 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
51285087402 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
51285087404 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
51285087405 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
62135024112 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
69584011110 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
69584011150 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
69584011190 CARISOPRODOL carisoprodol TABLET 350 mg N Y N Pharmacy PA
00037200101 SOMA carisoprodol TABLET 350 mg N Y N Pharmacy PA
31722097460 CHLORZOXAZONE chlorzoxazone TABLET 250 mg N Y N Pharmacy PA
46672086046 CHLORZOXAZONE chlorzoxazone TABLET 250 mg N Y N Pharmacy PA
64980058206 CHLORZOXAZONE chlorzoxazone TABLET 250 mg N Y N Pharmacy PA
72336022560 CHLORZOXAZONE chlorzoxazone TABLET 250 mg N Y N Pharmacy PA
00254205301 CHLORZOXAZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
13811071710 CHLORZOXAZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
16571072501 CHLORZOXAZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
42494042506 CHLORZOXAZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
59651030501 CHLORZOXAZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
68025004610 LORZONE chlorzoxazone TABLET 375 mg N Y N Pharmacy PA
00591252001 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
00591252005 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
16571072601 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
59651030601 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
59651030605 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
70954008510 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
70954008520 CHLORZOXAZONE chlorzoxazone TABLET 500 mg N Y N Pharmacy PA
00254200501 CHLORZOXAZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
13811071810 CHLORZOXAZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
16571072701 CHLORZOXAZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
59651030701 CHLORZOXAZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
68025004701 LORZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
68025004702 LORZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
68025004710 LORZONE chlorzoxazone TABLET 750 mg N Y N Pharmacy PA
63459070060 AMRIX cyclobenzaprine HCl CAP ER 24H 15 mg N Y N Pharmacy PA
00093192006 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 15 mg N Y N Pharmacy PA
00115143613 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 15 mg N Y N Pharmacy PA
24979003504 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 15 mg N Y N Pharmacy PA
63459070160 AMRIX cyclobenzaprine HCl CAP ER 24H 30 mg N Y N Pharmacy PA
00093192106 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 30 mg N Y N Pharmacy PA
00115143713 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 30 mg N Y N Pharmacy PA
24979003604 CYCLOBENZAPRINE HCL ER cyclobenzaprine HCl CAP ER 24H 30 mg N Y N Pharmacy PA
00093342201 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
00093342205 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
00093342210 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
00904740161 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000701 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000703 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000706 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000709 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000710 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000718 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000727 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
10702000750 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
16571078301 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
16571078310 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
16571078350 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
29300041501 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
29300041510 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
29300041519 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
43547040010 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
43547040011 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
43547040050 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
45861001300 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
50268019111 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
50268019115 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
51991046801 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
51991046810 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
52817033200 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
52817033210 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
52817033250 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
59746017706 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
59746017710 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
60687055801 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
60687055811 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
60951076770 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
64980065701 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
64980065710 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
64980065750 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
65862019105 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
69097084607 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
69097084615 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
70512087210 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72603031201 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72603031202 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72603031203 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72888001400 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72888001401 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
72888001405 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028310 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028318 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028327 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028330 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028360 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
76282028390 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 10 mg Y Y N  
00093342001 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
00904740004 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
00904740006 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
10702000601 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
10702000610 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
10702000650 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
16571078201 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
16571078210 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
16571078250 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
29300041301 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
29300041305 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
29300041319 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
43547039910 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
43547039950 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
50268019011 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
50268019015 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
52817033010 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
52817033050 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
59746021106 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
59746021110 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
64980065501 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
64980065510 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
64980065550 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
68084075311 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
68084075325 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
68084075365 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
68084075395 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
69097084507 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
72603031001 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
72603031002 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
72888001200 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
72888001201 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
72888001205 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 5 mg Y Y N  
00093342101 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
29300041401 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
57237026601 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
59746073501 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
71085001001 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
72603031101 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
72888001301 CYCLOBENZAPRINE HCL cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
64980070501 FEXMID cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
70199001401 FEXMID cyclobenzaprine HCl TABLET 7.5 mg N Y N Pharmacy PA
00115443301 DANTROLENE SODIUM dantrolene sodium CAPSULE 100 mg N Y N Pharmacy PA
00527322137 DANTROLENE SODIUM dantrolene sodium CAPSULE 100 mg N Y N Pharmacy PA
49884036401 DANTROLENE SODIUM dantrolene sodium CAPSULE 100 mg N Y N Pharmacy PA
64850084201 DANTROLENE SODIUM dantrolene sodium CAPSULE 100 mg N Y N Pharmacy PA
42023012401 DANTRIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
00115441101 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
00904721104 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
49884036201 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
50268021711 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
50268021715 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
64850084001 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
68084030011 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
68084030021 DANTROLENE SODIUM dantrolene sodium CAPSULE 25 mg N Y N Pharmacy PA
00115442201 DANTROLENE SODIUM dantrolene sodium CAPSULE 50 mg N Y N Pharmacy PA
49884036301 DANTROLENE SODIUM dantrolene sodium CAPSULE 50 mg N Y N Pharmacy PA
64850084101 DANTROLENE SODIUM dantrolene sodium CAPSULE 50 mg N Y N Pharmacy PA
00115174501 METAXALONE metaxalone TABLET 400 mg N Y N Pharmacy PA
69097099807 METAXALONE metaxalone TABLET 400 mg N Y N Pharmacy PA
74157001860 METAXALONE metaxalone TABLET 640 mg N Y N Pharmacy PA
00527143501 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
00591234101 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
00904683104 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
00904683106 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
50228032301 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
50228032305 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
50268053011 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
50268053015 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
53746055305 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
55111065001 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
60687066311 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
60687066321 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
64980047201 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
65162055310 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
68001048500 METAXALONE metaxalone TABLET 800 mg N Y N Pharmacy PA
73352051010 METHOCARBAMOL methocarbamol TABLET 1,000 mg N Y N Pharmacy PA
72245087310 TANLOR methocarbamol TABLET 1,000 mg N Y N Pharmacy PA
00904705761 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
31722053301 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
31722053305 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
43547040510 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
43547040550 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
50268052011 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
50268052015 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
59651034001 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
59651034005 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
60687055901 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
60687055911 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
63739099110 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
69367025501 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
69367025505 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
69584061110 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
69584061150 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
69584061190 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
70010075401 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
70010075405 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
71093014004 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
71093014005 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
76385012301 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
76385012350 METHOCARBAMOL methocarbamol TABLET 500 mg Y Y N  
00904705861 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
31722053401 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
31722053405 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
43547022610 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
43547022650 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
50268052111 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
50268052115 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
59651034101 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
59651034105 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
60687056801 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
60687056811 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
63739099210 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
69367025601 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
69367025605 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
69584061210 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
69584061250 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
69584061290 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
70010077001 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
70010077005 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
71093014104 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
71093014105 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
76385012401 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
76385012450 METHOCARBAMOL methocarbamol TABLET 750 mg Y Y N  
00185002201 ORPHENADRINE CITRATE ER orphenadrine citrate TABLET ER 100 mg N Y N Pharmacy PA
43386048024 ORPHENADRINE CITRATE ER orphenadrine citrate TABLET ER 100 mg N Y N Pharmacy PA
43386048026 ORPHENADRINE CITRATE ER orphenadrine citrate TABLET ER 100 mg N Y N Pharmacy PA
43386048028 ORPHENADRINE CITRATE ER orphenadrine citrate TABLET ER 100 mg N Y N Pharmacy PA
61825030560 NORGESIC orphenadrine/aspirin/caffeine TABLET 25 mg-385 mg-30 mg N Y N Pharmacy PA
71993030460 ORPHENADRINE-ASPIRIN-CAFFEINE orphenadrine/aspirin/caffeine TABLET 25 mg-385 mg-30 mg N Y N Pharmacy PA
49884047205 ORPHENGESIC orphenadrine/aspirin/caffeine TABLET 25 mg-385 mg-30 mg N Y N Pharmacy PA
50991099960 NORGESIC FORTE orphenadrine/aspirin/caffeine TABLET 50 mg-770 mg-60 mg N Y N Pharmacy PA
74157099960 ORPHENADRINE-ASPIRIN-CAFFEINE orphenadrine/aspirin/caffeine TABLET 50 mg-770 mg-60 mg N Y N Pharmacy PA
61825030260 ORPHENGESIC FORTE orphenadrine/aspirin/caffeine TABLET 50 mg-770 mg-60 mg N Y N Pharmacy PA
00591278886 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
50742022415 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
59651031477 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
60505264807 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
62332049141 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
67877061015 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
70710111108 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
72888000115 TIZANIDINE HCL tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
70515060215 ZANAFLEX tizanidine HCl CAPSULE 2 mg N Y N Pharmacy PA
00591278986 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
50742022515 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
59651031577 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
60505264907 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
62332049241 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
67877061115 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
70710111208 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
72888000215 TIZANIDINE HCL tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
70515060415 ZANAFLEX tizanidine HCl CAPSULE 4 mg N Y N Pharmacy PA
00591279086 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
50742022615 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
59651031677 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
60505265007 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
62332049341 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
67877061215 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
70710111308 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
72888000315 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
75834020915 TIZANIDINE HCL tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
70515060615 ZANAFLEX tizanidine HCl CAPSULE 6 mg N Y N Pharmacy PA
73352009060 ZANAFLEX tizanidine HCl CAPSULE 8 mg N Y N Pharmacy PA
16714017101 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
29300016810 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
29300016815 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
50268075911 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
50268075915 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
55111017910 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
55111017915 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
57664050218 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
57664050289 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
60505025102 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
60505025103 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
64980065810 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
64980065815 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
67877061315 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
68084077525 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
68084077595 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
72578009610 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
72578009621 TIZANIDINE HCL tizanidine HCl TABLET 2 mg Y Y N  
00904641861 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
16714017201 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
16714017202 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
29300016903 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
29300016910 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
29300016915 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
50268076011 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
50268076015 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
55111018010 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
55111018015 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
57664050318 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
57664050389 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
60505025202 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
60505025203 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
64980065910 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
64980065915 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
67877061415 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
68084064501 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
68084064511 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
68084064565 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
72578009710 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
72578009721 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
72578009776 TIZANIDINE HCL tizanidine HCl TABLET 4 mg Y Y N  
70515059415 ZANAFLEX tizanidine HCl TABLET 4 mg Y Y N  
Back to Top ↑