Interchangeable Grouping
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68:00 HORMONES AND SUBSTITUTES
68:36:00 THYROIDS
LEVOTHYROXINE (SODIUM)
0.137mg Tab
Interchangeables found: 2
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02550776
Apo-Levothyroxine
(Off-Formulary Interchangeable)
0.1906
N/A
02233852
Synthroid
(Off-Formulary Interchangeable)
N/A
N/A
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