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Levothyroxine Sodium Tab 100 Mcg
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LEVOTHROID 100MCG TABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
J3490
Cat#: 8905 Mfg: FOREST
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.42
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30
TAB
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$12.42
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90
TAB
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$37.26
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180
TAB
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$74.52
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360
TAB
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$149.04
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LEVOTHYROXINE SODIUM 100MCG TABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: MYLAN
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.57
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30
TAB
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$17.12
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90
TAB
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$51.33
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180
TAB
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$102.66
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360
TAB
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$205.31
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LEVOTHYROXINE SODIUM 100MCG TABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: 134501 Mfg: LANNETT
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.47
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30
TAB
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$13.73
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90
TAB
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$41.18
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180
TAB
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$82.35
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360
TAB
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$164.70
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LEVOXYL 100MCG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 085401 Mfg: KING PHARM
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.55
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30
TAB
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$16.44
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90
TAB
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$49.31
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180
TAB
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$98.63
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360
TAB
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$197.26
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SYNTHROID 100MCG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 662413 Mfg: ABBOTT
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.74
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30
TAB
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$22.16
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90
TAB
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$66.48
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180
TAB
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$132.97
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360
TAB
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$265.94
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Levothyroxine Sodium Tab 112 Mcg
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LEVOTHYROXINE SODIUM 112MCG TABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
J3490
Cat#: 181101 Mfg: MYLAN
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.66
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30
TAB
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$19.79
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90
TAB
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$59.34
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180
TAB
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$118.70
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360
TAB
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$237.39
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LEVOXYL 112MCG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: MONARCH PH
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.61
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30
TAB
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$18.31
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90
TAB
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$54.92
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180
TAB
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$109.84
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360
TAB
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$219.67
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SYNTHROID 112MCG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: ABBOTT
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.85
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30
TAB
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$25.60
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90
TAB
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$76.80
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180
TAB
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$153.60
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360
TAB
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$307.20
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SYNTHROID 112MCG TABS
(1 TAB EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: ABBOTT
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.74
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30
TAB
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$22.27
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90
TAB
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$66.83
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180
TAB
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$133.64
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360
TAB
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$267.30
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Levothyroxine Sodium Tab 125 Mcg
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LEVOTHYROXINE SODIUM 125MCG TABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: MYLAN
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.68
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30
TAB
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$20.06
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90
TAB
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$60.15
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180
TAB
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$120.29
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360
TAB
|
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$240.57
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