DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:36:00 THYROIDS

Eltroxin (Not a Benefit) (LEVOTHYROXINE (SODIUM))0.3mg Tab

DIN/PIN/NPN:02213230

Interchangeables:

Manufacturer:

Glaxo Wellcome Inc.

Formulary Listing Date:

1997-01-20

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Not a Benefit