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Amitriptyline Hydrochloride - Amitriptyline Hydrochloride tablet, Coated
Asuris Northwest Health
Asuris Northwest Health Coverage for Amitriptyline Hydrochloride - Amitriptyline Hydrochloride tablet, Coated
All
1
Commercial
1
Commercial
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Support for Getting Your Patient on Amitriptyline Hydrochloride - Amitriptyline Hydrochloride tablet, Coated
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