55289-153 : Levothyroxine Sodium 100 Mcg Oral Tablet

NDC:	55289-153
Labeler:	Pd-rx Pharmaceuticals, Inc.
Product Type:	Human Prescription Drug
Drug Name:	Levothyroxine Sodium
Dosage Form:	Oral Tablet
Application #:	ANDA076187
Rev. Date:	Jan 18, 2010

Appearance:

Markings:	M;L;8
Shapes:	Capsule
Colors:	Yellow
Size (mm):	9
Segments: *	2
* Segments = the number of equally sized pieces which the pill can be broken into. In this case, a value of 2 indicates a scored pill which can be broken into 2 equal pieces.

NDC Package Codes:

• 55289-153-01: 100 TABLET IN 1 BOTTLE, PLASTIC (55289‑153‑01)
• 55289-153-30: 30 TABLET IN 1 BOTTLE, PLASTIC (55289‑153‑30)
• 55289-153-90: 90 TABLET IN 1 BOTTLE, PLASTIC (55289‑153‑90)

Active Ingredients:

• Levothyroxine Sodium

Inactive Ingredients:

• Butylated Hydroxyanisole
• Silicon Dioxide
• Crospovidone
• Magnesium Stearate
• Mannitol
• Cellulose, Microcrystalline
• Povidone
• Sodium Lauryl Sulfate
• Sucrose
• D&c Yellow No. 10
• Fd&c Yellow No. 6

Pharmaceutical Classes:

• l-Thyroxine [EPC]
• Thyroxine [Chemical/Ingredient]

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