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Does Medicare Part D cover Levoxyl?

Levoxyl appears on the Medicare Part D formularies of 89 payers in the corpus. 0 require prior authorization on every covering plan, 0 on some plans, and 89 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
UnitedHealthcare7310No prior authorization
Aetna (CVS Health)6170No prior authorization
Devoted Health4150No prior authorization
Cigna1710No prior authorization
Blue Cross Blue Shield (affiliate)1600No prior authorization
Elevance Health (Anthem)670No prior authorization
Medco Containment Life And Medco Containment Ny600No prior authorization
Simply Healthcare Plans, INC.500No prior authorization
Uhc Of California400No prior authorization
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.330No prior authorization
Freedom Health, INC.240No prior authorization
Physicians Health Choice Of Texas, LLC220No prior authorization
Wellpoint Texas, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Optimum Healthcare, INC.150No prior authorization
Selecthealth, INC.140No prior authorization
Wellpoint Insurance Company140No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
Healthsun Health Plans, INC.130No prior authorization
Mount Carmel Health Plan, INC.110No prior authorization
Community Insurance Company100No prior authorization
HMO Colorado, INC.100No prior authorization
Compcare Health Services Insurance Corporation100No prior authorization
Wellpoint Tennessee, INC.90No prior authorization
Mvp Health Plan, INC.80No prior authorization
Network Health Insurance Corporation80No prior authorization
Viva Health, INC.70No prior authorization
Martin'S Point Generations Advantage, INC.70No prior authorization
Wellpoint Health Plans, INC.70No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Health Alliance Plan Of Michigan70No prior authorization
Allina Health And Aetna Insurance Company70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Providence Health Assurance70No prior authorization
Essence Healthcare, INC.60No prior authorization
Elderplan, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Hopkins Health Advantage, INC.50No prior authorization
Alliance Health And Life Insurance Company50No prior authorization
Usable Mutual Insurance Company50No prior authorization
Hpmp Of Florida, INC.50No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Hawaii Medical Service Association40No prior authorization
Sharp Health Plan40No prior authorization
Boston Medical Center Health Plan, INC.40No prior authorization
Clever Care Of Golden State, INC.40No prior authorization
Thp Insurance Company40No prior authorization
Amh Health, LLC40No prior authorization
Metroplus Health Plan, INC.30No prior authorization
Wellpoint West Virginia , INC.30No prior authorization
Mount Carmel Health Insurance Company30No prior authorization
Community Care Health Plan Of Louisiana, INC.30No prior authorization
Wellpoint New Jersey, INC.30No prior authorization
Paramount Care, INC.30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No prior authorization
Mercy Care30No prior authorization
Usable HMO, INC.30No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Wellpoint Iowa, INC.20No prior authorization
Wellpoint Washington, INC.20No prior authorization
Sentara Health Plans20No prior authorization
Community Health Plan Of Washington20No prior authorization
Missouri Care, Incorporated20No prior authorization
Elderserve Health, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Hm Health Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.10No prior authorization
Itasca Medical Care10No prior authorization
Wellpoint South Carolina, INC.10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Paramount Insurance Company10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Health Choice Arizona, INC.10No prior authorization
Caresource Ohio, INC.10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
Group Health Cooperative Of Eau Claire10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Hawaii Medical Service Association (Hmsa)10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Healthfirst Insurance Company, INC.10No prior authorization

“Require prior auth” counts a plan when any Levoxyl product on its formulary needs authorization.

Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.