LEVOTHYROXINE NA 0.075MG/ML SOLN,ORAL,UD (29069)    VA PRODUCT (50.68)

Name Value
NAME LEVOTHYROXINE NA 0.075MG/ML SOLN,ORAL,UD
VA GENERIC NAME LEVOTHYROXINE
DOSAGE FORM SOLN,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.075
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2020-11-16 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME LEVOTHYROXINE SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2019-02-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEVOTHYROXINE 0.075MG/ML ORAL SOLN UD
VA PRODUCT IDENTIFIER L0784
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4038176
EFFECTIVE DATE/TIME
  • 2019-02-28 00:00:00
    STATUS:   ACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE
  • 2020-11-16 00:00:00
    STATUS:   INACTIVE