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Levothyroxine Sodium 75 ug/1 Medicare Part D Coverage

Brand name: Synthroid
Dosage form
TABLET
Route
ORAL
Drug class
Thyroid Agents
92%
of Medicare Part D plans
cover Levothyroxine Sodium
5,099 of 5,530 plans
3.0
Avg. formulary tier
$44.00
Median 30-day copay
$0.00–$88.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Levothyroxine Sodium. Lower tiers = lower copays.

Tier 1 - Preferred Generic 2%
106 plans • avg $0.00/mo
Tier 2 - Generic 9%
459 plans • avg $1.80/mo
Tier 3 - Preferred Brand 76%
3,886 plans • avg $6.51/mo
Tier 4 - Non-Preferred Drug 13%
648 plans • avg $0.74/mo

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Levothyroxine Sodium Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Alabama 100% Arizona 100% Arkansas 100% California 100% Colorado 100% Connecticut 100% Delaware 100% District of Columbia 100% Florida 100% avg $1.75 Georgia 100% Hawaii 100% Idaho 100% Illinois 100% Indiana 100% Iowa 100% Kansas 100% Kentucky 100% Louisiana 100% Maine 100% Maryland 100% Massachusetts 100% Michigan 100% Minnesota 100% Mississippi 100% Missouri 100% Montana 100% Nebraska 100% Nevada 100% New Hampshire 100% New Jersey 100% New Mexico 100% New York 100% North Carolina 100% North Dakota 100% Ohio 100% Oklahoma 100% Oregon 100% Pennsylvania 100% Puerto Rico 100% Rhode Island 100% South Carolina 100% South Dakota 100% Tennessee 100% Texas 100% Utah 100% Vermont 100% Virginia 100% Washington 100% West Virginia 100% Wisconsin 100% Wyoming 100%

Alternative Medications in the Same Drug Class

Other drugs in the Thyroid Agents that Medicare Part D plans also cover.

levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans levothyroxine sodium Avg Tier 1.2 $18.00/mo 5,529 plans

Related Versions of Levothyroxine Sodium

Levothyroxine Sodium 88 ug/1 Brand Levothyroxine Sodium 50 ug/1 Brand Levothyroxine Sodium 112 ug/1 Brand Levothyroxine Sodium 175 ug/1 Brand Levothyroxine Sodium 125 ug/1 Brand Levothyroxine Sodium 150 ug/1 Brand

Frequently Asked Questions about Levothyroxine Sodium

92% of Medicare Part D plans cover Levothyroxine Sodium. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for Levothyroxine Sodium on Medicare Part D is $44.00 at a preferred pharmacy. Costs range from $0.00 to $88.00 depending on the plan.

Levothyroxine Sodium is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Levothyroxine Sodium. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

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Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →