top of page
horizontal logo.gif

Your pharmacy says they "don't have Tirosint®/Tirosint®-SOL in stock,” and they try to substitute generic or brand-name levothyroxine tablets.



Levothyroxine tablets are not AB rated as equivalent to Tirosint® or Tirosint®-SOL, so technically, your pharmacist can't make that substitution without a new prescription from the doctor. They may try anyway, however, because some pharmacies get profitable rebates from other brand-name levothyroxine drugs. 



You can raise the issue of the AB equivalence with your pharmacy, and insist that they order the medication and fill the prescription as written.

An alternative is to fill your prescription via mail order with the Tirosint® Direct program. Under the program, you can order a one- or three-month supply of Tirosint® capsules or Tirosint®-SOL® oral solution from one of a network of designated mail order pharmacies. 

The designated pharmacies have specifically trained their staff on how to get you the lowest possible price. They evaluate your insurance, determine the copay, apply the Tirosint® copay savings card, and in most cases, if you’re insured, you’ll usually pay no more than $25 a month for Tirosint® purchased through the program. 

If you don't have insurance, or the copay is still high even with discounts – or, less commonly, your insurance doesn’t cover Tirosint® -- you will have the option to pay the program’s cash price of $50 per month, or $120 for a three-month supply ($40 per month.) 

For information on how to participate in Tirosint® Direct, go to: 


The Levothyroxine Deep Dive program is copyright © 2020, Mary Shomon. All rights reserved.

Levoxyl®, Synthroid®, Tirosint®, Tirosint-SOL®, and Unithroid® are registered trademarks. Product images and logos used with permission. 


Mary Shomon does not provide medical advice, diagnosis or treatment.


The contents of this video and material contained on the website ("content") are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have learned from this video or site.

If you think you may have a medical emergency, call your doctor or 911 immediately. Mary Shomon does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned. Reliance on any information provided by Mary Shomon is solely at your own risk.

bottom of page