Medicare Part D coverage · levothyroxine sodium · RxCUI 966218

levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]

Per the CMS 2026 Part D formulary file, levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] is covered by 4,673 Medicare Part D plans (92.5% of enrollable products), averaging Tier 3, with prior authorization required on 0% of covering formularies.

92.5%
Plan coverage
4,673
Plans covering
T3
Avg tier
0%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]

Per the CMS 2026 Part D formulary file, levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] (RxNorm concept RXCUI 966218, generic name levothyroxine sodium) appears on 245 distinct formulary files spanning 4,673 Medicare Part D plan offerings - 92.5% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.

Real-world access to levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 8,687,969 Part D beneficiaries filled levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] in 2023, with total plan-and-beneficiary spending of $653,580,460 and an average per-beneficiary annual cost of $75.23. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] today.

Coverage Details

Formularies covering
245
Plans covering
4,673
Coverage rate
92.5%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

2023 Medicare Spending

Beneficiaries
8,687,969
Total spending
$653,580,460
Avg per beneficiary
$75.23

Tier Distribution Across Plans

95 plans
Tier 1, Preferred Generic
5 plans
Tier 2, Generic

Medicare Advantage Plans (MA-PD) Covering levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Sentara Community Complete Select (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Sentara Community Complete (HMO D-SNP) Sentara Health Plans T1 No $0 VA
Florida Complete Care-Duals VIP (HMO-POS D-SNP) Hpmp OF Florida, Inc. T1 No $0 FL
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Mercy Care Advantage (HMO D-SNP) Mercy Care T1 No $0 AZ
Elderplan Plus Long-Term Care (HMO-POS D-SNP) Elderplan, Inc. T1 No $0 NY
Health Choice Pathway (HMO D-SNP) Health Choice Arizona, Inc. T1 No $0 AZ
Healthfirst CompleteCare (HMO D-SNP) Healthfirst Health Plan, Inc. T1 No $0 NY
IMCare Classic (HMO D-SNP) Itasca Medical Care T1 No $0 MN
Johns Hopkins Advantage MD D-SNP (HMO D-SNP) Hopkins Health Advantage, Inc. T1 No $0 MD
MetroPlus UltraCare (HMO D-SNP) Metroplus Health Plan, Inc. T1 No $0 NY
Senior Whole Health SCO (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Senior Whole Health SCO NHC (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
Molina One Care (HMO D-SNP) Senior Whole Health, LLC T1 No $0 MA
PruittHealth Premier D-SNP (HMO D-SNP) Pruitthealth Premier, Inc. T1 No $0 GA
Simpra Advantage Dual Care (PPO D-SNP) Simpra Advantage, Inc. T1 No $0 AL
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) Ventura County Medi-Cal Managed Care Commission T1 No $0 CA
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation T1 No $0 NM
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) Health Care Service Corporation T1 No $0 NM
Show the next 30 plans
Horizon NJ TotalCare (HMO D-SNP) Horizon Healthcare OF NEW Jersey, Inc. T1 No $0 NJ
SecureBlue (HMO D-SNP) HMO Minnesota T1 No $0 MN
NaviCare (HMO D-SNP) Fallon Community Health Plan T1 No $0 MA
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 No $0 NY
SeniorCare Complete (HMO D-SNP) South Country Health Alliance T1 No $0 MN
AbilityCare (HMO D-SNP) South Country Health Alliance T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) Alameda Alliance FOR Health T1 No $0 CA
CCA One Care (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
CCA Senior Care Options (HMO D-SNP) Commonwealth Care Alliance, Inc. T1 No $0 MA
Platino Blindao (HMO D-SNP) Triple S Advantage, Inc. T1 No $0 PR
Platino Enlace (HMO D-SNP) Triple S Advantage, Inc. T1 No $0 PR
Platino Advance (HMO D-snp) Triple S Advantage, Inc. T1 No $0 PR
Platino Plus (HMO D-snp) Triple S Advantage, Inc. T1 No $0 PR
CalOptima Health OneCare Complete (HMO D-SNP) Orange County Health Authority T1 No $0 CA
Mass General Brigham SCO (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) Mass General Brigham Health Plan, Inc T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Gateway Health Plan, Inc. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) Highmark Health Options West Virginia Inc. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) Highmark Bcbsd, Inc. T1 No $0 DE
Tufts Health One Care (HMO D-SNP) Tufts Health Public Plans, Inc. T1 No $0 MA
Tufts Health One Care CW (HMO D-SNP) Tufts Health Public Plans, Inc. T1 No $0 MA
Tufts Health Plan Senior Care Options (HMO D-SNP) Tufts Associated Health Maintenance Organization T1 No $0 MA
Tufts Health Plan Senior Care Options CW (HMO D-SNP) Tufts Associated Health Maintenance Organization T1 No $0 MA
Florida Complete Care (HMO I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Florida Complete Care- In The Community (HMO-POS I-SNP) Hpmp OF Florida, Inc. T1 No $4.80 FL
Senior Care (HMO I-SNP) Align Senior Care Florida, Inc. T1 No $4.80 FL
ProCare Advantage (HMO-POS I-SNP) Procare Advantage, LLC T1 No $4.80 TX
ProCare Advantage - Kidney Care (HMO-POS C-SNP) Procare Advantage, LLC T1 No $4.80 TX
American Health Advantage of Florida (HMO I-SNP) American Health Plan OF FL, Inc. T1 No $4.80 FL

Showing top 50 of 100 plans.

Frequently Asked Questions

Is levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] covered by Medicare Part D?

Yes, levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] is covered by 4,673 Medicare Part D plans (92.5% of all Part D formularies).

What tier is levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] on Medicare Part D plans?

levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] averages Tier 3 across Part D plans, ranging from Tier 1 to Tier 4.

Does levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] require prior authorization?

0% of Part D formularies require prior authorization for levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]. Step therapy: 0%. Quantity limits: 0%.

How much does Medicare spend on levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]?

In 2023, total Medicare Part D spending on levothyroxine sodium 0.3 MG Oral Tablet [Synthroid] was $653,580,460, covering 8,687,969 beneficiaries. The average spend per beneficiary was $75.23.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare