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Amitriptyline Hydrochloride - Amitriptyline Hydrochloride tablet
Washtenaw Health Plan (MCO)
Washtenaw Health Plan (MCO) Coverage for Amitriptyline Hydrochloride - Amitriptyline Hydrochloride tablet
All
1
Commercial
1
Commercial
Commercial - Other Insurer
No PA
No Step Therapy
No Quantity Limit
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