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    NDC 60687-0563-01 Levothyroxine Sodium 0.137 mg/1 Details

    Levothyroxine Sodium 0.137 mg/1

    Levothyroxine Sodium is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 60687-0563
    Product ID 60687-563_0b243528-5fa0-8a1b-e063-6294a90aa114
    Associated GPIs 28100010100327
    GCN Sequence Number 020176
    GCN Sequence Number Description levothyroxine sodium TABLET 137 MCG ORAL
    HIC3 P3A
    HIC3 Description THYROID HORMONES
    GCN 47632
    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 0.137
    Active Ingredient Units mg/1
    Substance Name LEVOTHYROXINE SODIUM
    Labeler Name American Health Packaging
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA209713
    Listing Certified Through 2024-12-31

    Package

    NDC 60687-0563-01 (60687056301)

    NDC Package Code 60687-563-01
    Billing NDC 60687056301
    Package 100 BLISTER PACK in 1 BOX (60687-563-01) / 1 TABLET in 1 BLISTER PACK (60687-563-11)
    Marketing Start Date 2020-03-25
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.08281
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LEVOTHYROXINE 137 MCG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    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