| 892246 | levothyroxine sodium 100 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966224 | levothyroxine sodium 125 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966225 | levothyroxine sodium 150 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966220 | levothyroxine sodium 25 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966221 | levothyroxine sodium 50 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966222 | levothyroxine sodium 75 MCG Oral Tablet | PSN | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966220 | levothyroxine sodium 0.025 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966221 | levothyroxine sodium 0.05 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966222 | levothyroxine sodium 0.075 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 892246 | levothyroxine sodium 0.1 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966224 | levothyroxine sodium 0.125 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966225 | levothyroxine sodium 0.15 MG Oral Tablet | SCD | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 892246 | levothyroxine sodium 100 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966224 | levothyroxine sodium 125 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966225 | levothyroxine sodium 150 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966220 | levothyroxine sodium 25 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966221 | levothyroxine sodium 50 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 966222 | levothyroxine sodium 75 MCG Oral Tablet | SY | 66a3bd4a-770b-4f67-bfa7-6d5e23f2ecbf | 24 |
| 892246 | levothyroxine sodium 100 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966224 | levothyroxine sodium 125 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966225 | levothyroxine sodium 150 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966220 | levothyroxine sodium 25 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966221 | levothyroxine sodium 50 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966222 | levothyroxine sodium 75 MCG Oral Tablet | PSN | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966220 | levothyroxine sodium 0.025 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966221 | levothyroxine sodium 0.05 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966222 | levothyroxine sodium 0.075 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 892246 | levothyroxine sodium 0.1 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966224 | levothyroxine sodium 0.125 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966225 | levothyroxine sodium 0.15 MG Oral Tablet | SCD | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 892246 | levothyroxine sodium 100 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966224 | levothyroxine sodium 125 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966225 | levothyroxine sodium 150 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966220 | levothyroxine sodium 25 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966221 | levothyroxine sodium 50 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |
| 966222 | levothyroxine sodium 75 MCG Oral Tablet | SY | 5723c7a7-2a1d-4ab6-bf39-b2165ae781a6 | 12 |