Levothyroxine sodium

Product NDC
82804-053
11-digit product format
828040053
Labeler code
82804
Product ID
82804-053_89df6a0f-6602-4c22-a052-b565ea8368a7
Type
HUMAN PRESCRIPTION DRUG
Nonproprietary name
Levothyroxine Sodium
Dosage form
TABLET
Route
ORAL
Labeler
Proficient Rx LP
Application
ANDA212399
Marketing category
ANDA
Marketing start
2020-11-25
Substance
LEVOTHYROXINE SODIUM
Active strength
75 ug/1
Pharmacologic classes
Thyroxine [CS], l-Thyroxine [EPC]
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
Levothyroxine sodium
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
LEVOTHYROXINE SODIUM75 ug/1

Harmonized Identifiers#

Field, Values table
FieldValues
Unii9J765S329G
Rxcui966222

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
97c252d3-9bb8-4530-bb44-9824dc7cf556Product name620250729
6c43b71c-35e6-4db3-ba24-c6ef42ff7003Product name320240207
890fd4bf-1a80-42b7-be1b-2d0259d5f0c8Product name520240207
c8ad26bf-af73-460b-b74e-1eff16cc4f9fProduct name520240207
e2db08c6-133f-4f4f-afb4-e90a2418d6f6Product name120230320
01383843-4069-43cf-aa76-dc17a6f9f8c4Product name220230123
978cca7d-a938-4791-8322-da48d90a63efProduct name120230113
65f86ba3-8816-4e12-899b-18290c8de551Product name220210614
f16ab90f-08c2-40be-a543-66d9827cd1f3Product name120210601
6a33ec05-2ae2-45e5-ab82-2d94b3303923Product name120190709
93355a10-1c44-4c92-a11d-7d995e0200d9Product name120190219
11ed6f83-cdd2-4637-8379-b1a1d3ae3cdeProduct name120181101
86c45a79-b9f0-4476-a27c-6e10db098497Product name120180125

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
82804-053-30Levothyroxine sodium30 in 1 BOTTLETABLET301
82804-053-60Levothyroxine sodium60 in 1 BOTTLETABLET601
82804-053-90Levothyroxine sodium90 in 1 BOTTLETABLET901

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
82804-053-90EA - Each82804-053897729b3-357f-4384-b3bd-83e8a2f86f9d12024-02-14

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
82804-053LEVOTHYROXINE SODIUM TABLET [PROFICIENT RX LP]1Current NDC, 3 package rows20231230_89df6a0f-6602-4c22-a052-b565ea8368a7.zip

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
966222levothyroxine sodium 75 MCG Oral TabletPSN89df6a0f-6602-4c22-a052-b565ea8368a71
966222levothyroxine sodium 0.075 MG Oral TabletSCD89df6a0f-6602-4c22-a052-b565ea8368a71
966222levothyroxine sodium 75 MCG Oral TabletSY89df6a0f-6602-4c22-a052-b565ea8368a71

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startSampleExclude flagStatus
82804-053-308280400533030 TABLET in 1 BOTTLE (82804-053-30) 30 tablet2023-12-28NoNoCurrent
82804-053-608280400536060 TABLET in 1 BOTTLE (82804-053-60) 60 tablet2023-12-28NoNoCurrent
82804-053-908280400539090 TABLET in 1 BOTTLE (82804-053-90) 90 tablet2023-12-28NoNoCurrent