DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:16:04 PSYCHOTHERAPEUTIC AGENTS ANTIDEPRESSANTS

Elavil (AMITRIPTYLINE)10mg Tab

DIN/PIN/NPN:00335053

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.0664

Amount MOH Pays:

0.0435

Coverage Status:

General Benefit