Amitriptyline

100 Mg — Tablet

Tricyclic Antidepressant

Also known as: Amitriptyline 10 Mg Tablet Amitriptyline 25 Mg Tablet Amitriptyline 50 Mg Tablet Amitriptyline 75 Mg Tablet Amitriptyline 100 Mg Tablet Amitriptyline 150 Mg Tablet

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 hours, 19 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic None
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