Product Details
Synthroid
Levothyroxine (Sodium)0.3 mg
Tablet
DIN/PIN/NPN
02172151
Manufacturer
Abbott Laboratories Limited
Formulary Listing Date
1996-10-01
Unit Price
0.1506
Amount MOH Pays
0.1087
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 |
---|---|---|---|
02172151 | Synthroid | 0.1506 | 0.1087 |
02213230 | Eltroxin | NA | NA |
02534703 | Apo-Levothyroxine | 0.1087 | 0.1087 |