DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:36:00 THYROIDS

Synthroid (LEVOTHYROXINE (SODIUM))0.112mg Tab

DIN/PIN/NPN:02171228

Interchangeables:

Manufacturer:

Abbott Laboratories Limited

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

0.1289

Amount MOH Pays:

0.0930

Coverage Status:

General Benefit