LEVOTHYROXINE NA 137MCG TAB (SYNTHROID) (16236)    VA PRODUCT (50.68)

Name Value
NAME LEVOTHYROXINE NA 137MCG TAB (SYNTHROID)
VA GENERIC NAME LEVOTHYROXINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 137
UNITS MCG
NATIONAL FORMULARY NAME LEVOTHYROXINE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2019-10-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEVOTHYROXINE NA (SYNTHROID) 137MCG TAB
VA PRODUCT IDENTIFIER L0312
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4016599
EFFECTIVE DATE/TIME
  • 2003-07-23 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2020-01-09 00:00:00
    STATUS:   ACTIVE