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    NDC 55466-0108-11 LEVO-T 100 ug/1 Details

    LEVO-T 100 ug/1

    LEVO-T is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Neolpharma, Inc.. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 55466-0108
    Product ID 55466-108_021d64e5-1ab6-704a-e063-6294a90ad783
    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 Generic
    Proprietary Name LEVO-T
    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 Neolpharma, Inc.
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021342
    Listing Certified Through 2024-12-31

    Package

    NDC 55466-0108-11 (55466010811)

    NDC Package Code 55466-108-11
    Billing NDC 55466010811
    Package 90 TABLET in 1 BOTTLE (55466-108-11)
    Marketing Start Date 2015-10-29
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06877
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LEVO-T 100 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