NDC Code(s) : 69189-0025-1
Packager : Avera McKennan Hospital

Category : HUMAN PRESCRIPTION DRUG LABEL

DEA Schedule : none

Marketing Status : New Drug Application

INGREDIENTS AND APPEARANCE

Liothyronine SodiumLiothyronine Sodium TABLET
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:69189-0025(NDC:42794-018)
Route of Administration Oral DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
LIOTHYRONINE SODIUM(UNII: GCA9VV7D2N)
(LIOTHYRONINE - UNII:06LU7C9H1V) 		LIOTHYRONINE5 ug
Inactive Ingredients
Ingredient Name Strength
CALCIUM SULFATE DIHYDRATE(UNII: 4846Q921YM)
STARCH, CORN(UNII: O8232NY3SJ)
GELATIN(UNII: 2G86QN327L)
MAGNESIUM STEARATE(UNII: 70097M6I30)
MANNITOL(UNII: 3OWL53L36A)
Product Characteristics
Color white Score no score
Shape ROUND Size 6 mm
Flavor Imprint Code 18
Contains
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1NDC:69189-0025-11 in 1 DOSE PACK Type 0: Not a Combination Product09/03/2015
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA200295 03/09/2015

PRINCIPAL DISPLAY PANEL

Liothyronine 5 mcg tablet