Product Details
Synthroid
Levothyroxine (Sodium)0.05 mg
Tablet
DIN/PIN/NPN
02172070
Manufacturer
Abbott Laboratories Limited
Formulary Listing Date
1996-10-01
Unit Price
0.0775
Amount MOH Pays
0.0373
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 |
|---|---|---|---|
| 02172070 | Synthroid | 0.0775 | 0.0373 |
| 02213192 | Eltroxin | 0.0373 | 0.0373 |
| 02550717 | Apo-Levothyroxine | 0.0373 | 0.0373 |