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Products found: 5
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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
0.0390
0.0390
YES
NO
NO
02213206
LEVOTHYROXINE (SODIUM)
Eltroxin 0.1mg Tab
ASN
0.0480
0.0480
YES
NO
NO
02213230
LEVOTHYROXINE (SODIUM)
Eltroxin (Not a Benefit) 0.3mg Tab
GLW
N/A
N/A
YES
NO
NO
02213222
LEVOTHYROXINE (SODIUM)
Eltroxin 0.2mg Tab
ASN
0.0560
0.0560
YES
NO
NO
02213214
LEVOTHYROXINE (SODIUM)
Eltroxin 0.15mg Tab
ASN
0.0528
0.0528
YES
NO
NO
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