Limited coverage criteria – tizanidine

Last updated on March 24, 2025

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Generic name	tizanidine
Strength & form	4 mg tablet

Special Authority criteria	Approval period
Diagnosis of spasticity PLUS Documented evidence of treatment failure on or intolerance to diazepam or baclofen	Indefinite

Practitioner exemptions

None

Special notes

None

Special Authority request form(s)

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HLTH 5328 – Special Authority request (PDF, 523KB)

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The B.C. Public Service acknowledges the territories of First Nations around B.C. and is grateful to carry out our work on these lands. We acknowledge the rights, interests, priorities, and concerns of all Indigenous Peoples - First Nations, Métis, and Inuit - respecting and acknowledging their distinct cultures, histories, rights, laws, and governments.

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Limited coverage criteria – tizanidine

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)