AMITRIPTYLINE
Body System:
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 50 | # of repeats: 2 | DPMQ: $17.21 | Max safety net: $18.69 | General Patient Charge: $21.48 |
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DPMQ: $19.03 | Max safety net: $18.69 | General Patient Charge: $23.30 | ||