Product Details

Apo-Levothyroxine

Levothyroxine (Sodium)
0.125 mg
Tablet

DIN/PIN/NPN

02550768

Manufacturer

Apotex Inc.

Formulary Listing Date

2025-04-30

Unit Price

0.0690

Amount MOH Pays

0.0690

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

68:36:00 Thyroids

Therapeutic Note

NO

ATC Code

H03AA01

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02172119	Synthroid	0.1304	0.0690
02550768	Apo-Levothyroxine	0.0690	0.0690

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph

View Monograph