AMITRIPTYLINE

AMITRIPTYLINE (2429W)

amitriptyline hydrochloride 50 mg tablet, 50
2429W
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 50 # of repeats: 2 DPMQ: $17.58 Max safety net: $19.06 General Patient Charge: $21.85
Available brands
APX-Amitriptyline
Amitriptyline Lupin
Amitriptyline Viatris 50
ENTRIP
Endep 50
*Additional charge for this brand is $1.82
 DPMQ: $19.40 Max safety net: $19.06 General Patient Charge: $23.67