FillMapBrightPath Silver 4000 - $0 Copay for PCP visits

Does BrightPath Silver 4000 - $0 Copay for PCP visits cover levothyroxine?

BrightPath Silver 4000 - $0 Copay for PCP visits
26002-26002ID0010039-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder BrightPath Silver 4000 - $0 Copay for PCP visits
Covered — some forms require step therapy
12 of 70 covered forms have a condition attached. You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Tier
Non preferred brand
Approval first
Not needed
Try another first
Required
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 (70)

  • levothyroxine sodium 0.013 MG Oral CapsuleTry another first
  • levothyroxine sodium 0.025 MG Oral CapsuleTry another first
  • 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 [Unithroid]
  • levothyroxine sodium 0.05 MG Oral CapsuleTry another first
  • 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 [Unithroid]
  • levothyroxine sodium 0.075 MG Oral CapsuleTry another first
  • 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 [Unithroid]
  • levothyroxine sodium 0.088 MG Oral CapsuleTry another first
  • 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 [Unithroid]
  • levothyroxine sodium 0.1 MG Oral CapsuleTry another first
  • levothyroxine sodium 0.1 MG Oral Tablet
  • levothyroxine sodium 0.1 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.1 MG Oral Tablet [Levo-T]
  • levothyroxine sodium 0.1 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.1 MG Oral Tablet [Unithroid]
  • levothyroxine sodium 0.112 MG Oral CapsuleTry another first
  • levothyroxine sodium 0.112 MG Oral Tablet
  • levothyroxine sodium 0.112 MG Oral Tablet [Euthyrox]
  • levothyroxine sodium 0.112 MG Oral Tablet [Levo-T]
  • levothyroxine sodium 0.112 MG Oral Tablet [Levoxyl]
  • levothyroxine sodium 0.112 MG Oral Tablet [Unithroid]
  • levothyroxine sodium 0.125 MG Oral CapsuleTry another first
  • levothyroxine sodium 0.125 MG Oral Tablet
  • levothyroxine sodium 0.125 MG Oral Tablet [Euthyrox]

← All coverage for levothyroxine