LevothyroxinePrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Levothyroxine
    Generic for Synthroid
    60 tablets $6.3 USD
    Save $25.50
  3. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  4. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  5. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  6. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  7. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  8. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  9. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  10. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  11. Levothyroxine
    Generic for Synthroid
    30 tablets $4.2 USD
    Save $11.70
  12. Levothyroxine
    Generic for Synthroid
    30 tablets $4.5 USD
    Save $11.40
  13. Levothyroxine
    Generic for Synthroid
    30 tablets $4.5 USD
    Save $11.40
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Do you need a prescription for levothyroxine?

Yes, levothyroxine is only available with a valid physician Rx.

How much is levothyroxine without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase levothyroxine, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for levothyroxine in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a levothyroxine savings card?

Yes. Save up to 90% on your levothyroxine with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a levothyroxine coupon provider in the US?

No. Now Patient does not provide levothyroxine coupons or FREE levothyroxine samples.

Do you accept commercial, Medicare or Medicaid coverage for levothyroxine in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much levothyroxine?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using levothyroxine. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much levothyroxine. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic levothyroxine?

Generic levothyroxine refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of levothyroxine

Levothyroxine is approved by the U.S. Food and Drug Administration (FDA) for the treatment of hypothyroidism and certain types of goiters.

Active ingredient of levothyroxine

The active ingredient of levothyroxine is levothyroxine sodium.

US brand name of levothyroxine and manufacturer

Levothyroxine is available in the US under various brand names, including Synthroid, Levoxyl, and Levothroid. It is manufactured by different pharmaceutical companies.

UK brand name of levothyroxine and manufacturer

In the UK, levothyroxine is available under various brand names, including Eltroxin and thyroxine. The manufacturer may vary depending on the brand name.

Prescription requirement for levothyroxine

A prescription (Rx) is required for levothyroxine in both the US and the UK.

Availability of levothyroxine in the UK with NHS prescription

Levothyroxine is available in the UK with an NHS prescription.

Conditions treated by levothyroxine

Levothyroxine is used for the treatment of hypothyroidism, a condition characterized by an underactive thyroid gland that does not produce enough thyroid hormone. It is also used for the management of certain types of goiters, (which are enlargements of the thyroid gland), or thyroid cancer.

How does levothyroxine work?

Levothyroxine is a synthetic form of the thyroid hormone thyroxine (T4). It works by replacing or supplementing the deficient thyroid hormone in the body. Once absorbed, Levothyroxine is converted into triiodothyronine (T3), the active form of thyroid hormone, and helps to regulate metabolism, growth, and development.

Forms of levothyroxine available

Levothyroxine is available in the form of levothyroxine tablets and oral solution.

Dosage of levothyroxine

Your dose of levothyroxine may vary depending on your condition and response to treatment. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for levothyroxine use

Levothyroxine should be taken exactly as directed by the healthcare provider. The tablets or solution are usually taken orally, on an empty stomach, at least 30 minutes to 1 hour before breakfast. It is important to take Levothyroxine consistently and at the same time each day.

Warnings and precautions for levothyroxine

  • Regular monitoring of thyroid function tests is necessary to ensure the appropriate dosage of levothyroxine
  • Speak to your doctor if you have uncontrolled or untreated adrenal gland disorder, thyrotoxicosis, heart disease, high blood pressure, blood clots, diabetes, kidney disease, osteoporosis, or problems with your pituitary gland

Use of levothyroxine if pregnant or planning pregnancy

The use of levothyroxine during pregnancy or breastfeeding should be discussed with a healthcare provider. It is generally safe for use during pregnancy to maintain proper thyroid hormone levels.

Possible side effects of levothyroxine

Common side effects of levothyroxine may include weight loss, hair loss, tiredness, nervousness, irritability, and irregular menstrual periods. Serious side effects are rare but can occur. These may include allergic reactions, skin rash, hives, itching or swelling of the face, tongue, or throat, dizziness, trouble breathing, chest pain, or an irregular heartbeat. Promptly report any other adverse effects to a healthcare provider.

Interactions with other drugs

Levothyroxine may have drug interactions with other prescription drugs, including amiodarone, certain antacids containing magnesium, aluminium or calcium carbonate, cholestyramine, colesevelam, colestipol, ferrous sulfate, sodium polystyrene sulfonate, carbamazepine, certain hormone replacement therapy, orlistat, phenytoin, rifampin, and sucralfate. It is important to speak to a healthcare professional for further medical advice and drug information about all the medications you are taking, including vitamins, minerals, or other dietary supplements, to avoid potential interactions.

Similar drugs to levothyroxine

Other medications used for the treatment of hypothyroidism include liothyronine (T3) and natural desiccated thyroid hormone preparations.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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