What thyroid medication does Medicare pay for?

Asked by: Prof. Trinity Jones  |  Last update: September 27, 2025
Score: 4.4/5 (44 votes)

Generic levothyroxine is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower.

What thyroid medications are covered by Medicare?

Synthroid (levothyroxine) is a brand-name drug prescribed for hypothyroidism (underactive thyroid), which helps to normalize the body's thyroid hormone levels. Many Medicare plans cover Synthroid, although the out-of-pocket costs can vary by plan.

Is levothyroxine covered by Medicare 2024?

A licensed insurance agent can help you go over your options and compare costs. According to GoodRx, 100% of Medicare drugs plans in 2024 covered levothyroxine.

Which is better, NP thyroid or levothyroxine?

Levothyroxine has an average rating of 5.1 out of 10 from a total of 872 ratings on Drugs.com. 41% of reviewers reported a positive effect, while 47% reported a negative effect. NP Thyroid has an average rating of 3.5 out of 10 from a total of 247 ratings on Drugs.com.

How much does Synthroid cost with Medicare?

Health insurance can help cover much of this cost, but copays will vary based on your insurance plan and its formulary. Synthroid copay costs for Medicare patients range from $6 to $44 per month. Switching to generic Synthroid can significantly reduce costs.

Does Medicare Cover Thyroid Tests?

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Which is more expensive Synthroid or levothyroxine?

For example, the retail price for 30 tablets of 50 mcg Synthroid can cost around $68.02 on average, depending on the pharmacy you choose. Generic levothyroxine, on the other hand, costs around $13.18 on average.

What tier is levothyroxine sodium on Medicare?

What drug tier is levothyroxine typically on? Medicare prescription drug plans typically list levothyroxine on Tier 1 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.

What is the number one thyroid medication?

The main medication used to treat hypothyroidism is levothyroxine sodium (Synthroid, Levoxyl, and Levothroid), a synthetic version of thyroxine (T4), a thyroid hormone your body produces naturally.

What is the downside to taking levothyroxine?

For people with heart problems: Levothyroxine can increase your risk of serious heart problems, such as heart attack, abnormal heart rhythm, and heart failure. This risk is increased if you've already had these problems. Tell your doctor if you have heart problems or a history of heart problems.

Which thyroid medication has the least side effects?

Experts consider levothyroxine to be the first-choice medication for treating hypothyroidism. This is because it works well and doesn't have too many side effects.

How can I get levothyroxine for free?

If you have an underactive thyroid, you're entitled to free prescriptions for all of your medicines (not just your levothyroxine). To claim your free prescriptions you'll need to have a medical exemption certificate. The application form for the medical exemption certificate is called FP92A.

Do you need more levothyroxine as you get older?

On average, elderly patients with primary hypothyroidism receive initial daily doses that are 20 mcg lower and maintenance daily doses that are 40 mcg lower than those prescribed for younger and middle-aged patients (90–92).

Why does Medicare not cover levothyroxine?

Levothyroxine is covered by most Medicare plans. Medicare-approved drug plans establish a formulary, which is a tiered list of drugs covered. Medicare recipients can check their plan's formulary to confirm inclusion of any medications prescribed or projected to be prescribed in the near future.

How to get free prescriptions for thyroid?

An underactive thyroid is a lifelong condition, so you'll usually need to take levothyroxine for the rest of your life. If you're prescribed levothyroxine because you have an underactive thyroid, you're entitled to a medical exemption certificate. This means you do not have to pay for your prescriptions.

Why is my Synthroid so expensive?

The cost of prescription drugs, such as Synthroid, can vary. Typically, prescription medications tend to cost more if you do not have insurance. If you'd like to know more about the costs you may pay for Synthroid, including costs with or without insurance, talk with your pharmacist.

What is the one thing you should be eating for your thyroid every morning?

1. Traditional Eggs or Egg Muffin Cups. Eggs are a great source of not only iodine but also selenium, another crucial nutrient for thyroid health. Pastured eggs contain more nutrients than conventional eggs.

What is the long-term damage from levothyroxine?

The studies proving this are not limited in numbers, they demonstrate an association between long-term levothyroxine therapy and increased risk of heart disease, osteoporosis, and fractures. In addition to this it also increases the economic burden on the patients owing to price surge [5].

What vitamins should not be taken with thyroid medication?

Don't take calcium supplements or antacids at the same time you take thyroid hormone replacement. Take any products containing calcium at least four hours before or after taking thyroid hormone replacement.

Which fruit is not good for the thyroid?

Excessive consumption of these foods can result in thyroid gland inflammation and worsen the condition. These include: Some fruits, such as strawberry, peaches, Starchy food, such as sweet potato and cassava.

Which is safer, Synthroid or levothyroxine?

Generic Levothyroxine vs Synthroid

Neither the brand name nor generic levothyroxine is better than the other. It depends on individuals. Although the active ingredient—levothyroxine sodium—is the same, the inactive ingredients can affect how your body absorbs the medication.

How to lose 20 pounds with hypothyroidism?

6 Weight Loss Tips for Hypothyroidism
  1. Cut Out Simple Carbs and Sugars. ...
  2. Eat More Anti-Inflammatory Foods. ...
  3. Stick to Small, Frequent Meals. ...
  4. Keep a Food Diary. ...
  5. Move Your Body. ...
  6. Take Thyroid Medication as Directed.

What are Tier 5 Medicare drugs?

Tier 4: Non-preferred drugs – Higher-cost generic drugs and brand-name drugs with a lower-cost generic therapeutic equivalent are in this tier. Tier 5: Specialty drugs – This is the highest tier. Unique and/or very high-cost generic and brand-name drugs are in this tier.

Why is levothyroxine so expensive now?

One of the most popular drugs in the country, levothyroxine – also known as the brand name Synthroid – is in short supply, making prices higher and even leaving some patients without the drug.

How much does a 90-day supply of Synthroid cost?

The cost for Synthroid (50 mcg (0.05 mg)) oral tablet is around $165 for a supply of 90 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans.