Drug Details
General
Brand Name: AMITRIPTYLINE HCL 100 MG TAB
Generic Name: amitriptyline HCl
Manufacturer: ACCORD HEALTHCA
NDC: 16729017501
Drug Information
Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%
Specialty Drug†: No
Drug Pricing
Retail Pharmacy Cost: .1511
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: .14845
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: .14747
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: .129
Premium Preferred Generic Incentive‡: No