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    NDC 72305-0075-30 EUTHYROX 75 ug/1 Details

    EUTHYROX 75 ug/1

    EUTHYROX is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Provell Pharmaceuticals, LLC. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 72305-0075
    Product ID 72305-075_58e5597f-72d0-45b5-a66a-81a4f10d83e1
    Associated GPIs 28100010100315
    GCN Sequence Number 006650
    GCN Sequence Number Description levothyroxine sodium TABLET 75 MCG ORAL
    HIC3 P3A
    HIC3 Description THYROID HORMONES
    GCN 26324
    HICL Sequence Number 002849
    HICL Sequence Number Description LEVOTHYROXINE SODIUM
    Brand/Generic Brand
    Proprietary Name EUTHYROX
    Proprietary Name Suffix n/a
    Non-Proprietary Name levothyroxine sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 75
    Active Ingredient Units ug/1
    Substance Name LEVOTHYROXINE SODIUM
    Labeler Name Provell Pharmaceuticals, LLC
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021292
    Listing Certified Through 2024-12-31

    Package

    NDC 72305-0075-30 (72305007530)

    NDC Package Code 72305-075-30
    Billing NDC 72305007530
    Package 2 BLISTER PACK in 1 CARTON (72305-075-30) / 15 TABLET in 1 BLISTER PACK
    Marketing Start Date 2018-10-17
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.22233
    Pricing Unit EA
    Effective Date 2022-10-19
    NDC Description EUTHYROX 75 MCG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-11-23
    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