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    NDC 00074-6624-11 Synthroid 100 ug/1 Details

    Synthroid 100 ug/1

    Synthroid is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AbbVie Inc.. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 00074-6624
    Product ID 0074-6624_872c70fd-ed64-4f07-b811-5eaa08924982
    Associated GPIs 28100010100320
    GCN Sequence Number 006651
    GCN Sequence Number Description levothyroxine sodium TABLET 100 MCG ORAL
    HIC3 P3A
    HIC3 Description THYROID HORMONES
    GCN 26323
    HICL Sequence Number 002849
    HICL Sequence Number Description LEVOTHYROXINE SODIUM
    Brand/Generic Brand
    Proprietary Name Synthroid
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levothyroxine Sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units ug/1
    Substance Name LEVOTHYROXINE SODIUM
    Labeler Name AbbVie Inc.
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021402
    Listing Certified Through 2024-12-31

    Package

    NDC 00074-6624-11 (00074662411)

    NDC Package Code 0074-6624-11
    Billing NDC 00074662411
    Package 10 BLISTER PACK in 1 BOX, UNIT-DOSE (0074-6624-11) / 10 TABLET in 1 BLISTER PACK
    Marketing Start Date 2002-07-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.51078
    Pricing Unit EA
    Effective Date 2024-01-02
    NDC Description SYNTHROID 100 MCG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    Classification for Rate Setting B
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis