DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:36:00 THYROIDS

Synthroid (LEVOTHYROXINE (SODIUM))0.137mg Tab

DIN/PIN/NPN:02233852

Interchangeables:

Manufacturer:

Formulary Listing Date:

2025-04-30

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable