FillMapConnect Silver DFW 3000 Indiv Med Deductible

Does Connect Silver DFW 3000 Indiv Med Deductible cover levothyroxine?

Connect Silver DFW 3000 Indiv Med Deductible
76589-76589TX0010024-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder Connect Silver DFW 3000 Indiv Med Deductible
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$3per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Tier
Preferred 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 (63)

  • levothyroxine sodium 0.025 MG Oral Tablet
  • 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 0.05 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 0.075 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 Tablet
  • 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 Tablet
  • levothyroxine sodium 0.1 MG Oral Tablet [Levo-T]
  • 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 [Levo-T]
  • 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 [Levo-T]
  • 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]

← All coverage for levothyroxine