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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
00654523
AMITRIPTYLINE
PMS-Amitriptyline 10mg Tab
PMS
0.0305
0.0305
YES
NO
NO
00654507
AMITRIPTYLINE
PMS-Amitriptyline 50mg Tab
PMS
0.1540
0.1540
YES
NO
NO
00654515
AMITRIPTYLINE
PMS-Amitriptyline 25mg Tab
PMS
0.0829
0.0829
YES
NO
NO
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