NORTRIPTYLINE

nortriptyline 10 mg tablet, 50
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Major depression

Restriction

Indication: Major depression
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: $18.25 Max safety net: $19.73 General Patient Charge: $22.52
Available brands
Allegron