FillMapMed Benchmark Platinum

Does Med Benchmark Platinum cover levothyroxine?

Med Benchmark Platinum
68781-68781UT0200035-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder Med Benchmark Platinum
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
50%of the price your plan negotiates

Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. 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
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