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    NDC 47781-0643-90 levothyroxine sodium 50 ug/1 Details

    levothyroxine sodium 50 ug/1

    levothyroxine sodium is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Alvogen, Inc.. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 47781-0643
    Product ID 47781-643_049b22fc-354f-f5f8-625a-9b99d48f90b3
    Associated GPIs 28100010100310
    GCN Sequence Number 006649
    GCN Sequence Number Description levothyroxine sodium TABLET 50 MCG ORAL
    HIC3 P3A
    HIC3 Description THYROID HORMONES
    GCN 26322
    HICL Sequence Number 002849
    HICL Sequence Number Description LEVOTHYROXINE SODIUM
    Brand/Generic Generic
    Proprietary Name levothyroxine sodium
    Proprietary Name Suffix n/a
    Non-Proprietary Name levothyroxine sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 50
    Active Ingredient Units ug/1
    Substance Name LEVOTHYROXINE SODIUM
    Labeler Name Alvogen, Inc.
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021116
    Listing Certified Through 2024-12-31

    Package

    NDC 47781-0643-90 (47781064390)

    NDC Package Code 47781-643-90
    Billing NDC 47781064390
    Package 90 TABLET in 1 BOTTLE (47781-643-90)
    Marketing Start Date 2019-05-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05962
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LEVOTHYROXINE 50 MCG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 6
    Classification for Rate Setting G
    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