AMITRIPTYLINE

amitriptyline hydrochloride 25 mg tablet, 50

AMITRIPTYLINE (2418G)

amitriptyline hydrochloride 25 mg tablet, 50
2418G
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: $17.61 Max safety net: $19.15 General Patient Charge: $21.94
Available brands
AMITRIPTYLINE-WGR
APX-Amitriptyline
Amitriptyline Lupin
Amitriptyline Viatris 25
ENTRIP
Endep 25
*Additional charge for this brand is $1.82
 DPMQ: $19.43 Max safety net: $19.15 General Patient Charge: $23.76