Levothyroxine Sodium Medicare Coverage in Hawaii
cover Levothyroxine Sodium
Medicare Plans Covering Levothyroxine Sodium in Hawaii
Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.
| Plan Name | Monthly Premium | Tier | 30-day Copay | Stars | Restrictions | Action |
|---|---|---|---|---|---|---|
| DEVOTED CHOICE 008 HI (PPO) Lowest Copay | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana Gold Plus H0028-082 (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 009 HI (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CORE 004 HI (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE 004 HI (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Humana USAA Honor Giveback with Rx (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0001 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CORE 005 HI (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Standard (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| UHC Dual Complete HI-Y1 (PPO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-465 (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Dual Care (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 001 HI (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED GIVEBACK 002 HI (HMO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | $8.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| DEVOTED CHOICE PREMIUM 010 HI (PPO) | $9.70/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete (PPO) | $11.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-313 (PPO) | $14.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0003 (PPO) | $29.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Complete Plus (PPO) | $31.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-464 (PPO) | $39.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| DEVOTED C-SNP PLUS 003 HI (HMO C-SNP) | $42.40/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-5 (PPO) | $45.60/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0004 (PPO) | $54.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC HI-0002 (PPO) | $59.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HMSA Akamai Advantage Standard Plus (PPO) | $59.60/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
Compare All Hawaii Plans for Levothyroxine Sodium
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Frequently Asked Questions
100% of Medicare Part D plans in Hawaii cover Levothyroxine Sodium. There are 30 plans available. Coverage and costs vary by specific plan.
Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, DEVOTED CHOICE 008 HI (PPO) offers one of the lowest copays for Levothyroxine Sodium in Hawaii. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Levothyroxine Sodium Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Levothyroxine Sodium
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