Does AZ Blue StandardHealth Gold Focus cover levothyroxine?
AZ Blue StandardHealth Gold Focus
53901-53901AZ1420150-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder AZ Blue StandardHealth Gold Focus
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
- Tier
- Highest cost share
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (97)
- levothyroxine sodium 0.013 MG Oral Capsule
- levothyroxine sodium 0.013 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.025 MG Oral Capsule
- levothyroxine sodium 0.025 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.025 MG Oral Tablet
- levothyroxine sodium 0.025 MG Oral Tablet [Euthyrox]
- levothyroxine sodium 0.025 MG Oral Tablet [Levo-T]
- levothyroxine sodium 0.025 MG Oral Tablet [Levoxyl]
- levothyroxine sodium 0.025 MG Oral Tablet [Synthroid]
- levothyroxine sodium 0.025 MG Oral Tablet [Unithroid]
- levothyroxine sodium 0.03 MG/ML Oral Solution [Ermeza]
- levothyroxine sodium 0.0375 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.044 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.05 MG Oral Capsule
- levothyroxine sodium 0.05 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.05 MG Oral Tablet
- levothyroxine sodium 0.05 MG Oral Tablet [Euthyrox]
- levothyroxine sodium 0.05 MG Oral Tablet [Levo-T]
- levothyroxine sodium 0.05 MG Oral Tablet [Levoxyl]
- levothyroxine sodium 0.05 MG Oral Tablet [Synthroid]
- levothyroxine sodium 0.05 MG Oral Tablet [Unithroid]
- levothyroxine sodium 0.0625 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.075 MG Oral Capsule
- levothyroxine sodium 0.075 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.075 MG Oral Tablet
- levothyroxine sodium 0.075 MG Oral Tablet [Euthyrox]
- levothyroxine sodium 0.075 MG Oral Tablet [Levo-T]
- levothyroxine sodium 0.075 MG Oral Tablet [Levoxyl]
- levothyroxine sodium 0.075 MG Oral Tablet [Synthroid]
- levothyroxine sodium 0.075 MG Oral Tablet [Unithroid]
- levothyroxine sodium 0.088 MG Oral Capsule
- levothyroxine sodium 0.088 MG Oral Capsule [Tirosint]
- levothyroxine sodium 0.088 MG Oral Tablet
- levothyroxine sodium 0.088 MG Oral Tablet [Euthyrox]
- levothyroxine sodium 0.088 MG Oral Tablet [Levo-T]
- levothyroxine sodium 0.088 MG Oral Tablet [Levoxyl]
- levothyroxine sodium 0.088 MG Oral Tablet [Synthroid]
- levothyroxine sodium 0.088 MG Oral Tablet [Unithroid]
- levothyroxine sodium 0.1 MG Oral Capsule
- levothyroxine sodium 0.1 MG Oral Capsule [Tirosint]