Does Sharp Health Plan require prior authorization for Synthroid?
Sharp Health Plan does not require prior authorization for Synthroid on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| levothyroxine sodium 0.125 MG Oral Tablet [Synthroid]966191 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.15 MG Oral Tablet [Synthroid]966201 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.175 MG Oral Tablet [Synthroid]966205 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.025 MG Oral Tablet [Synthroid]966158 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.075 MG Oral Tablet [Synthroid]966171 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.112 MG Oral Tablet [Synthroid]966185 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.3 MG Oral Tablet [Synthroid]966218 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.05 MG Oral Tablet [Synthroid]966247 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.1 MG Oral Tablet [Synthroid]966250 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.2 MG Oral Tablet [Synthroid]966251 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.137 MG Oral Tablet [Synthroid]966271 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
| levothyroxine sodium 0.088 MG Oral Tablet [Synthroid]966282 | 4 / 4 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — levothyroxine sodium 0.125 MG Oral Tablet [Synthroid]
Synthroid has 12 products in the corpus; this table is for levothyroxine sodium 0.125 MG Oral Tablet [Synthroid], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Sharp Direct Advantage Gold (HMO) | H5386-003 | 4 | No | No | No |
| Sharp Direct Advantage Platinum (HMO) | H5386-004 | 4 | No | No | No |
| Sharp Direct Advantage VIP (HMO) | H5386-005 | 4 | No | No | No |
| Sharp Direct Advantage VIP Plus (HMO) | H5386-006 | 4 | No | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Synthroid at other payers
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.