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Products found: 12

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02550776	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine (Off-Formulary Interchangeable) 0.137mg Tab	APX	0.1906	N/A	YES	NO	NO
02550709	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.025mg Tab	APX	0.0597	0.0597	YES	NO	NO
02550717	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.05mg Tab	APX	0.0373	0.0373	YES	NO	NO
02550725	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.075mg Tab	APX	0.0646	0.0646	YES	NO	NO
02550733	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.088mg Tab	APX	0.0646	0.0646	YES	NO	NO
02534703	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.3mg Tab	APX	0.0797	0.0797	YES	NO	NO
02550741	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.112mg Tab	APX	0.0682	0.0682	YES	NO	NO
02550768	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.125mg Tab	APX	0.0690	0.0690	YES	NO	NO
02550784	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.15mg Tab	APX	0.0495	0.0495	YES	NO	NO
02550792	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.175mg Tab	APX	0.0740	0.0740	YES	NO	NO
02550806	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.2mg Tab	APX	0.0526	0.0526	YES	NO	NO
02534681	LEVOTHYROXINE (SODIUM)	Apo-Levothyroxine 0.1mg Tab	APX	0.0460	0.0460	YES	NO	NO