FillMap35107nv0020009

Does 35107nv0020009 cover levothyroxine?

35107nv0020009
35107-35107NV0020009-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder 35107nv0020009
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
Generic
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 (58)

  • levothyroxine sodium 0.025 MG Oral Tablet
  • levothyroxine sodium 0.025 MG Oral Tablet [Euthyrox]
  • 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 0.05 MG Oral Tablet
  • levothyroxine sodium 0.05 MG Oral Tablet [Euthyrox]
  • 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 0.075 MG Oral Tablet
  • levothyroxine sodium 0.075 MG Oral Tablet [Euthyrox]
  • 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 Tablet
  • levothyroxine sodium 0.088 MG Oral Tablet [Euthyrox]
  • 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 Tablet
  • levothyroxine sodium 0.1 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.1 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.1 MG Oral Tablet [Synthroid]
  • levothyroxine sodium 0.1 MG Oral Tablet [Unithroid]
  • levothyroxine sodium 0.112 MG Oral Tablet
  • levothyroxine sodium 0.112 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.112 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.112 MG Oral Tablet [Synthroid]
  • levothyroxine sodium 0.112 MG Oral Tablet [Unithroid]
  • levothyroxine sodium 0.125 MG Oral Tablet
  • levothyroxine sodium 0.125 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.125 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.125 MG Oral Tablet [Synthroid]
  • levothyroxine sodium 0.125 MG Oral Tablet [Unithroid]
  • levothyroxine sodium 0.137 MG Oral Tablet
  • levothyroxine sodium 0.137 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.137 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.137 MG Oral Tablet [Synthroid]
  • levothyroxine sodium 0.137 MG Oral Tablet [Unithroid]

← All coverage for levothyroxine