Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527328546 | LEVOTHYROXINE 112 MCG TABLET | 112 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 3690
| 3690
| 41 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527328646 | LEVOTHYROXINE 125 MCG TABLET | 125 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 3320
| 3320
| 36.89 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527328746 | LEVOTHYROXINE 137 MCG TABLET | 137 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 3240
| 3240
| 36 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527328846 | LEVOTHYROXINE 150 MCG TABLET | 150 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 1710
| 1710
| 19 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527328946 | LEVOTHYROXINE 175 MCG TABLET | 175 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 450
| 450
| 5 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00527329046 | LEVOTHYROXINE 200 MCG TABLET | 200 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 1350
| 1350
| 15 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 00781518392 | LEVOTHYROXINE 88 MCG TABLET | 88 MCG | TABLET | Generic | THYROID PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 26
| 26
| 0.29 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 13668009190 | PRAMIPEXOLE 0.125 MG TABLET | 0.125 MG | TABLET | Generic | ANTIPARKINSON | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 1800
| 1800
| 20 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 13668009290 | PRAMIPEXOLE 0.25 MG TABLET | 0.25 MG | TABLET | Generic | ANTIPARKINSON | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 180
| 180
| 2 | 0 |
Memorial Hospital | **Trapp Pharmacy (#1) | **Trapp Pharmacy (#1) | 13668009690 | PANTOPRAZOLE SOD DR 20 MG TAB | 20 MG | TABLET DR | Generic | ANTI-ULCER PREPS/GASTROINTESTINAL PREPS | 0 | 90 | 0 | 0 | 0 | 0 | | 0 | 0 | 1530
| 1530
| 17 | 0 |