Does WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice cover levothyroxine?
WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
13219-13219NH0010006-0 · ACA · ACA Marketplace
levothyroxine
levothyroxineunder WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
25%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. Your plan’s deductible comes first — you pay the full price until it is met.
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 (67)
- levothyroxine sodium 0.013 MG Oral Capsule
- levothyroxine sodium 0.025 MG Oral Capsule
- 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 Capsule
- 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 Capsule
- 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 Capsule
- 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 Capsule
- 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 [Unithroid]
- levothyroxine sodium 0.112 MG Oral Capsule
- 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 Capsule
- levothyroxine sodium 0.125 MG Oral Tablet
- levothyroxine sodium 0.125 MG Oral Tablet [Euthyrox]
- levothyroxine sodium 0.125 MG Oral Tablet [Levo-T]