LEVOTHYROXINE NA 62.5MCG/ML SOLN,ORAL,UD (31336)    VA PRODUCT (50.68)

Name Value
NAME LEVOTHYROXINE NA 62.5MCG/ML SOLN,ORAL,UD
VA GENERIC NAME LEVOTHYROXINE
DOSAGE FORM SOLN,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 62.5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MCG/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:   2021-07-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEVOTHYROXINE 62.5MCG/ML ORAL SOLN UD
VA PRODUCT IDENTIFIER L0882
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040711
EFFECTIVE DATE/TIME
  • 2021-07-30 00:00:00
    STATUS:   ACTIVE
  • 2021-07-30 00:00:00
    STATUS:   ACTIVE