| Image | NDC Number | Product Description | List Price | WAC Price | Others |
|
00074662411
|
SYNTHROID, TABLETS, 100 MCG, 10 X 10'S
|
$92.25
|
$92.25
|
|
|
00074662419
|
SYNTHROID, TABLETS, 100 MCG, 1000'S
|
$900.01
|
$855.01
|
|
|
00074662490
|
SYNTHROID, TABLETS, 100 MCG, 90'S
|
$81.00
|
$76.95
|
|
|
00074929619
|
SYNTHROID, TABLETS, 112 MCG, 1000'S
|
$912.22
|
$866.61
|
|
|
00074929690
|
SYNTHROID, TABLETS, 112 MCG, 90'S
|
$82.10
|
$78.00
|
|
|
00074706811
|
SYNTHROID, TABLETS, 125 MCG, 10 X 10'S
|
$94.08
|
$94.08
|
|
|
00074706819
|
SYNTHROID, TABLETS, 125 MCG, 1000'S
|
$924.76
|
$878.52
|
|
|
00074706890
|
SYNTHROID, TABLETS, 125 MCG, 90'S
|
$83.23
|
$79.07
|
|
|
00074372719
|
SYNTHROID, TABLETS, 137 MCG, 1000'S
|
$1,367.35
|
$1,298.98
|
|
|
00074372790
|
SYNTHROID, TABLETS, 137 MCG, 90'S
|
$85.14
|
$80.88
|
|
|
00074706911
|
SYNTHROID, TABLETS, 150 MCG, 10 X 10'S
|
$96.56
|
$96.56
|
|
|
00074706919
|
SYNTHROID, TABLETS, 150 MCG, 1000'S
|
$952.48
|
$904.86
|
|
|
00074706990
|
SYNTHROID, TABLETS, 150 MCG, 90'S
|
$85.73
|
$81.44
|
|
|
00074707019
|
SYNTHROID, TABLETS, 175 MCG, 1000'S
|
$1,055.41
|
$1,002.64
|
|
|
00074707090
|
SYNTHROID, TABLETS, 175 MCG, 90'S
|
$94.99
|
$90.24
|
|
|
00074714811
|
SYNTHROID, TABLETS, 200 MCG, 10 X 10'S
|
$108.08
|
$108.08
|
|
|
00074714819
|
SYNTHROID, TABLETS, 200 MCG, 1000'S
|
$1,057.62
|
$1,004.74
|
|
|
00074714890
|
SYNTHROID, TABLETS, 200 MCG, 90'S
|
$95.19
|
$90.43
|
|
|
00074434119
|
SYNTHROID, TABLETS, 25 MCG, 1000'S
|
$813.66
|
$772.98
|
|
|
00074434190
|
SYNTHROID, TABLETS, 25 MCG, 90'S
|
$73.23
|
$69.57
|
|
|
00074714919
|
SYNTHROID, TABLETS, 300 MCG, 1000'S
|
$1,267.55
|
$1,204.17
|
|
|
00074714990
|
SYNTHROID, TABLETS, 300 MCG, 90'S
|
$114.07
|
$108.37
|
|
|
00074455211
|
SYNTHROID, TABLETS, 50 MCG, 10 X 10
|
$85.38
|
$85.38
|
|
|
00074455219
|
SYNTHROID, TABLETS, 50 MCG, 1000'S
|
$851.60
|
$809.02
|
|
|
00074455290
|
SYNTHROID, TABLETS, 50 MCG, 90'S
|
$76.65
|
$72.82
|
|
|
00074518211
|
SYNTHROID, TABLETS, 75 MCG, 10 X 10
|
$88.92
|
$88.92
|
|
|
00074518219
|
SYNTHROID, TABLETS, 75 MCG, 1000'S
|
$878.42
|
$834.50
|
|
|
00074518290
|
SYNTHROID, TABLETS, 75 MCG, 90'S
|
$79.04
|
$75.09
|
|
|
00074659419
|
SYNTHROID, TABLETS, 88 MCG, 1000'S
|
$893.82
|
$849.13
|
|
|
00074659490
|
SYNTHROID, TABLETS, 88 MCG, 90'S
|
$80.45
|
$76.43
|
|