Levothyroxine
Also known as: Ermeza, Euthyrox, Levo-T, Levoxyl, Synthroid, Thyquidity, Thyro-Tabs, Unithroid.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Class |
|---|---|---|---|
| 25 MCG | Tablet | $0.036 / unit | Generic |
| 50 MCG | Tablet | $0.045 / unit | Generic |
| 75 MCG | Tablet | $0.049 / unit | Generic |
| 88 MCG | Tablet | $0.052 / unit | Generic |
| 100 MCG | Tablet | $0.051 / unit | Generic |
| 100 MCG/5 ML | Solution | $1.39 / mL | Brand |
| 112 MCG | Tablet | $0.062 / unit | Generic |
| 125 MCG | Tablet | $0.058 / unit | Generic |
| 137 MCG | Tablet | $0.063 / unit | Generic |
| 150 MCG/5 ML | Solution | $1.72 / mL | Brand |
| 150 MCG | Tablet | $0.064 / unit | Generic |
| 175 MCG | Tablet | $0.080 / unit | Generic |
| 200 MCG | Tablet | $0.081 / unit | Generic |
| 300 MCG | Tablet | $0.108 / unit | Generic |
Wholesale (NADAC) — the price pharmacies pay, not your out-of-pocket price. Brand list prices fall after confidential rebates. Liquids, creams, and sprays are priced per mL or gram; a typical package may be a bottle or tube (size not set yet).
NADAC week of 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $130,553,625 gross for Levothyroxine across 8,362,126 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$464,220,465 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMSBuy it with a cash program — no insurance needed
25 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.09 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.16 · 30 tablets — $12.07 · 60 tablets — $12.98 · 90 tablets
50 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $6.43 · 60 tablets — $7.39 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.16 · 30 tablets — $12.08 · 60 tablets — $12.99 · 90 tablets
75 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $6.50 · 60 tablets — $7.50 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.20 · 30 tablets — $12.14 · 60 tablets — $13.09 · 90 tablets
88 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.03 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.19 · 30 tablets — $12.13 · 60 tablets — $13.08 · 90 tablets
100 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.03 · 60 tablets — $8.84 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.34 · 30 tablets — $12.43 · 60 tablets — $13.53 · 90 tablets
112 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.17 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.29 · 30 tablets — $12.32 · 60 tablets — $13.36 · 90 tablets
125 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.02 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.33 · 30 tablets — $12.40 · 60 tablets — $13.48 · 90 tablets
137 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.00 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.33 · 30 tablets — $12.42 · 60 tablets — $13.50 · 90 tablets
150 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.01 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.34 · 30 tablets — $12.43 · 60 tablets — $13.53 · 90 tablets
175 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $6.65 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.64 · 30 tablets — $13.02 · 60 tablets — $14.41 · 90 tablets
200 MCG · Tablet
TrumpRx discount card$4.00 · 30 tablets — $7.00 · 60 tablets — $10.00 · 90 tablets
Cost Plus Drugs (mail)$11.66 · 30 tablets — $13.07 · 60 tablets — $14.47 · 90 tablets
300 MCG · Tablet
TrumpRx discount card$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Amazon Pharmacy (mail)$3.98 · 30 tablets — $7.46 · 60 tablets — $9.95 · 90 tablets
Cost Plus Drugs (mail)$11.21 · 30 tablets — $12.17 · 60 tablets — $13.12 · 90 tablets
Fixed program prices at participating pharmacies or by mail. Covered strengths & quantities only; program terms apply. TrumpRx card & mail-order prices as listed on trumprx.gov (updated weekly). Mail orders take days to arrive.