Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N
Amitriptyline HCl Tablet 10 MG Oral
Tier: 1
PA Type: No Prior Authorization
ST: N