InterQual, Milliman: Two Step Process Admission review is often a two step process: 1. Review by case manager against objective criteria 2. Secondary review by physician to determine medical necessity for admission for those cases that fail to pass admission screening.
Methocarbamol is a central muscle relaxant used to treat skeletal muscle spasms. Under the trade name Robaxin, it is marketed by Actient Pharmaceuticals in the United States and Pfizer in Canada. The mechanism of action of methocarbamol is currently unknown, but may involve the inhibition of carbonic anhydrase.
Carisoprodol is a controlled substance -- it is more dangerous and addictive than other muscle relaxers. The only head to head comparison of carisoprodol vs methocarbamol was in patients with chronic leg pain [3]. Carisoprodol was superior to methocarbamol for the relief of chronic moderate-to-severe pain. Dosage.