Product Details
Eltroxin
Levothyroxine (Sodium)0.3 mg
Tablet
DIN/PIN/NPN
02213230
Manufacturer
Glaxo Wellcome Inc.
Formulary Listing Date
1997-01-20
Unit Price
NA
Amount MOH Pays
NA
Coverage Status
Not a 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 |