Product Details

Mar-Amitriptyline

Amitriptyline
10 mg
Tablet

DIN/PIN/NPN

02429861

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2015-04-30

Unit Price

0.0305

Amount MOH Pays

0.0305

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:16:04 Antidepressants

Therapeutic Note

NO

ATC Code

N06AA09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02429861	Mar-Amitriptyline	0.0305	0.0305
00335053	Elavil	0.0664	0.0305
00654523	PMS-Amitriptyline	0.0305	0.0305

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph