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Products found: 3
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
00335053
AMITRIPTYLINE
Elavil 10mg Tab
AAP
0.0664
0.0435
YES
NO
NO
00335088
AMITRIPTYLINE
Elavil 50mg Tab
AAP
0.2347
0.1540
YES
NO
NO
00335061
AMITRIPTYLINE
Elavil 25mg Tab
AAP
0.1211
0.0829
YES
NO
NO
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