Approved Formulary
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Approved Formulary

Look Alike/Sound Alike: Do not confuse with levETIRAcetam. See policy.

Search results for:

levothyroxine

levothyroxine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Levothyroxine Sodium POWDER FOR INJECTION 100 mcg (0.1 mg)      
Levothyroxine SUSPENSION 125 mcg/5mL      
Levoxyl TABLET 25 mcg; 50 mcg; 75 mcg; 88 mcg;      

Last updated: May. 12, 2017
  • Black Box Warning: More Information
  • Look Alike/Sound Alike: Do not confuse with levETIRAcetam. See policy.


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