Does Medicare Cover Amrix?

In this article...
  • Amrix is an expensive medication used to treat painful muscle spasms. This guide explains whether Medicare covers Amrix and how much you'll pay out of pocket.

If your doctor prescribes an expensive medication, such as Amrix, it's understandable to feel worried about how to cover the cost of your treatment. If you're wondering whether Medicare can help with the cost of your Amrix prescription, keep reading to find out how Medicare coverage for Amrix works. 

What Is Amrix?

Amrix (cyclobenzaprine hydrochloride) is a type of muscle relaxant typically prescribed to ease painful muscle spasms in people with certain musculoskeletal conditions. This medication is only suitable for short-term use, so your doctor will likely prescribe it for no longer than 3 weeks. 

The typical dosage for Amrix is 15 milligrams once a day, although some people need up to 30 milligrams to achieve symptom relief. You should always follow your doctor's dosage instructions. Potential side effects include:

  • Mouth dryness
  • Drowsiness
  • Dizziness
  • Constipation
  • Nausea
  • Indigestion

Does Medicare Cover Amrix?

Unfortunately, Medicare Part D plans (prescription drug coverage) are highly unlikely to cover Amrix. However, you can check your policy's formulary to be sure before paying for your medication out of pocket. Original Medicare won't usually help with the costs of Amrix, as it only covers specific drugs administered directly by a healthcare professional. 

Although your Part D plan is unlikely to cover Amrix, it will almost certainly cover generic cyclobenzaprine. Therefore, it's worth asking your doctor if a generic alternative would be suitable.

How Much Will I Pay for Amrix With Medicare Coverage?

Most Medicare beneficiaries must pay for their own Amrix prescription. You should expect to pay around $1,228.76 on average for 30 15-milligram capsules. 

In the unlikely event that your Medicare Plan D plan covers Amrix, you'll need to pay for your medication until you've paid your deductible. The maximum legal deductible is $480, so your coverage will kick in on your first prescription. After that, your policy will cover the entire cost of your medication minus a co-pay of roughly $244.

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