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Products found: 4

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
02213192	LEVOTHYROXINE (SODIUM)	Eltroxin 0.05mg Tab	ASN	0.0373	0.0373	YES	NO	NO
02213222	LEVOTHYROXINE (SODIUM)	Eltroxin 0.2mg Tab	ASN	0.0526	0.0526	YES	NO	NO
02213214	LEVOTHYROXINE (SODIUM)	Eltroxin 0.15mg Tab	ASN	0.0495	0.0495	YES	NO	NO
02213206	LEVOTHYROXINE (SODIUM)	Eltroxin 0.1mg Tab	ASN	0.0460	0.0460	YES	NO	NO