| Generic Name(s) | Strength | Dosage Form | ICD Code |
| Amyl Nitrite | 0.3 ml | Capsule | Y55.1 |
| Atracurium | 5 mL Single Dose Vial | Injection | Y55.1 |
| Baclofen | 10mg, 20mg | Tablet | Y55.1 |
| Carisoprodol | 350mg | Tablet | Y55.1 |
| Cyclobenzaprine | 10mg | Tablet | Y55.1 |
| Dantrolene | 25mg, 50mg, 100mg | Capsule | Y55.1 |
| Diazepam | 2mg, 5mg, 10mg | Tablet | Y55.1 |
| Eperisone | 50mg | Tablet | Y55.1 |
| Mephenesin | Y55.1 | ||
| Metaxalone | 400mg | Tablet | Y55.1 |
| Methocarbamol | 500mg, 750mg | Tablet | Y55.1 |
| Orphenadrine | 50mg, 2 mL ampul (60mg) | Tablet, Injection | Y55.1 |
| Tizanidine | 2mg, 4mg | Tablet | Y55.1 |
| Vecuronium | Y55.1 |
