Multiple Manufacturers

Levothyroxine Sodium

ASP | WAC | AWP at the HCPCS Unit

Manufacturer:

Multiple Manufacturers

Levothyroxine Sodium HCPCS:

J0650

HCPCS Code Descriptor:

Injection, levothyroxine sodium, not otherwise specified, 10 mcg

Category:

J Code

Levothyroxine Sodium NDCs:

66794-0647-02, 66794-0649-02, 66794-0648-02, 63323-0648-10, 63323-0647-10, 63323-0649-07, 63323-0649-21, 25021-0469-10, 25021-0468-10, 25021-0470-10, 42023-0203-01, 42023-0201-01, 70860-0452-10, 42023-0202-01, 70860-0451-10, 70860-0453-10

Primary Type:

Hormone

Generic/Specialty Status:

Multi-Source

Package Type:

Powder in Vial

Route of Administration:

Oral

Levothyroxine Sodium CPT Codes:

Some of the most common CPT administration codes for 'buy and bill' drugs can be found at the following link:

Potential NDC Listing Errors:

We have identified listing errors with the following NDCs:

70860-0453-10, 70860-0451-10, 70860-0452-10, 63323-0649-21, 66794-0648-02, 66794-0649-02, 66794-0647-02

About Levothyroxine Sodium:

Levothyroxine Sodium is manufactured by Multiple Manufacturersand aligned to the J Code: J0650. Levothyroxine Sodium is a Hormone medication administered via the Oral route of administration.

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J0650 Added Date:

April 1, 2024

J0650 Effective Date:

April 1, 2024

J0650 Termination Date:

HCPCS Active

We have not identified a manufacturer-published billing and coding guide for Levothyroxine Sodium
Levothyroxine Sodium patient assistance information can be found through Pfizer RxPathways at the URL: https://www.pfizerrxpathways.com/
Levothyroxine Sodium prescribing information can be found at the link below:
Our team has not yet identified a source of side effect information for Levothyroxine Sodium.