Therapeutic Class Search: skeletal muscle relaxants/skeletal muscle relaxants
4 drug(s) found
| Icon | Status | Definition |
 | Tier 1 | This is the lowest cost sharing tier that includes
preferred generic drugs. Details about your specific benefit for each tier are included in your Summary of Benefits. |
 | Tier 2 Generic | This tier includes generic drugs. |
 | Tier 3 Preferred Brand | This tier includes preferred brand name drugs and some higher cost generic drugs. |
 | Tier 4 Non-Preferred Drug | This tier includes brand name drugs and some higher cost generic drugs. |
 | Tier 5 Specialty | This is the highest cost sharing tier that includes brand name and generic drugs. |
 | Tier 6 Select Care Drugs | This is the lowest cost sharing tier at $0 that includes generic drugs targeting specific conditions (e.g. some drugs used to treat diabetes, high cholesterol, or high blood pressure). |
 | Non-Formulary | Your drug is not listed on the Formulary (Drug List). You can try to find a covered formulary alternative in the same therapeutic class. If this is not an option and the drug is not excluded under Medicare Part D, you can request an exception. Exceptions are not granted for excluded Part D medications. To find out how to request a formulary exception, click here. |
| Icon | Restriction | Definition |
 | Attention! | This note will have additional information regarding the drug. |
 | Generic Indicator | This is a generic drug. A generic drug is approved by the FDA as having the same active ingredient as the brand name drug. Generally, generic drugs cost less than brand name drugs. |
 | Limited Access | This prescription may be available only at certain pharmacies. For more information consult your Pharmacy Directory or contact Florida Hospital Care Advantage Customer Service at 1.855.882.6467 or, for TTY users, 1.800.955.8771, weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From October 1 through February 15, we are available seven days a week from 8 a.m. to 8 p.m. or visit myFHCA.org. |
 | Prior Authorization | Florida Hospital Care Advantage requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Florida Hospital Care Advantage before you fill your prescriptions. If you do not get approval, Florida Hospital Care Advantage may not cover the drug. |
 | Prior Authorization - New Starts | Florida Hospital Care Advantage requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Florida Hospital Care Advantage before you fill your prescriptions. If you do not get approval, Florida Hospital Care Advantage may not cover the drug. Prior authorization for this drug applies to new starts only. |
 | Prior Authorization- Part B vs. Part D | This prescription drug has a Part B versus Part D administrative prior authorization requirement. This drug may be covered under Medicare Part B or Part D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination. |
 | Quantity Limit | For certain drugs, Florida Hospital Care Advantage limits the amount of the drug that will be covered. For example, “30 EA per 30 days” would mean your coverage of this drug is limited to 30 pills every 30 days, or 1 pill per day. |
 | Step Therapy | In some cases, Florida Hospital Care Advantage requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug 1 and Drug 2 both treat your medical condition, Florida Hospital Care Advantage may not cover Drug 2 unless you try Drug 1 first. If Drug 1 does not work for you, Florida Hospital Care Advantage will then cover Drug 2. |