72789-114 : Levothyroxine Sodium

NDC:	72789-114
Labeler:	Pd-rx Pharmaceuticals, Inc.
Drug Name:	Levothyroxine Sodium
Rev. Date:	Sep 14, 2020

Appearance:

Markings:	88;T;4
Shapes:	Capsule
Colors:	Green
Size (mm):	10
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:

• 72789-114-90: 90 TABLET IN 1 BOTTLE, PLASTIC (72789‑114‑90)

Active Ingredients:

• Levothyroxine Sodium

Inactive Ingredients:

• Microcrystalline Cellulose
• Dibasic Calcium Phosphate Dihydrate
• Povidone, Unspecified
• Sodium Starch Glycolate Type a Potato
• Magnesium Stearate
• Butylated Hydroxytoluene
• Fd&c Yellow No. 6
• D&c Yellow No. 10
• Fd&c Blue No. 1 /

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