Does KP HI Platinum 0/5 Plus CAM cover levothyroxine?
KP HI Platinum 0/5 Plus CAM
60612-60612HI0110006-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder KP HI Platinum 0/5 Plus CAM
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
$5per 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
- 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 (13)
- levothyroxine sodium 0.025 MG Oral Tablet
- levothyroxine sodium 0.05 MG Oral Tablet
- levothyroxine sodium 0.075 MG Oral Tablet
- levothyroxine sodium 0.088 MG Oral Tablet
- levothyroxine sodium 0.1 MG Injection
- levothyroxine sodium 0.1 MG Oral Tablet
- levothyroxine sodium 0.112 MG Oral Tablet
- levothyroxine sodium 0.125 MG Oral Tablet
- levothyroxine sodium 0.137 MG Oral Tablet
- levothyroxine sodium 0.15 MG Oral Tablet
- levothyroxine sodium 0.175 MG Oral Tablet
- levothyroxine sodium 0.2 MG Oral Tablet
- levothyroxine sodium 0.3 MG Oral Tablet