| NAME |
LEVOTHYROXINE NA 25MCG/ML SOLN,ORAL,UD |
| VA GENERIC NAME |
LEVOTHYROXINE |
| DOSAGE FORM |
SOLN,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MCG/ML |
| NATIONAL FORMULARY NAME |
LEVOTHYROXINE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-10-23 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LEVOTHYROXINE 25MCG/ML ORAL SOLN UD |
| VA PRODUCT IDENTIFIER |
L0857 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039781 |
| EFFECTIVE DATE/TIME |
-
- 2020-10-23 00:00:00
- STATUS: ACTIVE
-
- 2020-10-23 00:00:00
- STATUS: ACTIVE
-
- 2020-10-23 00:00:00
- STATUS: ACTIVE
|
