Product Details

Apo-Levothyroxine

Levothyroxine (Sodium)
0.15 mg
Tablet


DIN/PIN/NPN

02550784

Manufacturer

Apotex Inc.

Formulary Listing Date

2025-04-30  

Unit Price

0.0495

Amount MOH Pays

0.0495

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H03AA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02172127 Synthroid 0.1028 0.0495
02213214 Eltroxin 0.0495 0.0495
02550784 Apo-Levothyroxine 0.0495 0.0495
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph