OpenBilldrug price receipt

NADAC week of 2026-10-14

LEVOTHYROXINE 88 MCG TABLET

For 30 tablets

Pharmacies pay

$1.48 filed

30 × $0.04947 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$5.08 filed

30 × $0.16938 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

3.4× estimated

Medicare paid 3.4× what pharmacies pay.

Part D averages every strength and form sold under “Levothyroxine Sodium*” / “Levothyroxine Sodium” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$6.70 estimated

$1.48 + $0.22 (15%) + $5.00 fee per fill = $6.70

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

LEVOTHYROXINE 88 MCG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as levothyroxine sodium.

FDA gives its dosage form as tablet and its route as oral.

FDA lists 13 labelers (the companies named on the label) for its NDCs, among them Mylan Pharmaceuticals Inc., Teva Pharmaceuticals, Inc. and Lannett Company, Inc.

FDA’s Established Pharmacologic Class for it is l-Thyroxine.

The NADAC file of 2026-10-14 prices it under 27 NDCs (National Drug Codes); the FDA directory lists 25 of them.

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $1.48 for 30 tablets (30 × $0.04947 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

The 13 labelers

LabelerNDCsPharmacies pay per unit
Lupin Pharmaceuticals, Inc.3$0.04947 per EA filed
Macleods Pharmaceuticals Limited3$0.04947 per EA filed
Accord Healthcare Inc.2$0.04947 per EA filed
Alvogen, Inc.2$0.04947 per EA filed
Amneal Pharmaceuticals NY LLC2$0.04947 per EA filed
Camber Pharmaceuticals, Inc.2$0.04947 per EA filed
Lannett Company, Inc2$0.04947 per EA filed
Mylan Pharmaceuticals Inc.2$0.04947 per EA filed
NorthStar RxLLC2$0.04947 per EA filed
Teva Pharmaceuticals, Inc.2$0.04947 per EA filed
American Health Packaging1$0.04947 per EA filed
Major Pharmaceuticals1$0.04947 per EA filed
Mylan Institutional Inc.1$0.04947 per EA filed
Not listed as a package in the FDA directory2$0.04947 per EA filed
All 27 NDCs, with labeler and price
  • 00378-1807-10 · Mylan Pharmaceuticals Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 00378-1807-77 · Mylan Pharmaceuticals Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 00480-8693-10 · Teva Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 00480-8693-98 · Teva Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 00527-3283-43 · Lannett Company, Inc · $0.04947 per EA · eff. 2026-09-23 filed
  • 00527-3283-46 · Lannett Company, Inc · $0.04947 per EA · eff. 2026-09-23 filed
  • 00904-6952-61 · Major Pharmaceuticals · $0.04947 per EA · eff. 2026-09-23 filed
  • 16729-0450-15 · Accord Healthcare Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 16729-0450-17 · Accord Healthcare Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 31722-0287-10 · Camber Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 31722-0287-90 · Camber Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 33342-0396-10 · Macleods Pharmaceuticals Limited · $0.04947 per EA · eff. 2026-09-23 filed
  • 33342-0396-11 · Macleods Pharmaceuticals Limited · $0.04947 per EA · eff. 2026-09-23 filed
  • 33342-0396-44 · Macleods Pharmaceuticals Limited · $0.04947 per EA · eff. 2026-09-23 filed
  • 42292-0038-01 · not listed as a package in the FDA directory · $0.04947 per EA · eff. 2026-09-23 filed
  • 42292-0038-20 · Mylan Institutional Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 47781-0649-10 · Alvogen, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 47781-0649-90 · Alvogen, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 60687-0486-01 · American Health Packaging · $0.04947 per EA · eff. 2026-09-23 filed
  • 60687-0486-11 · not listed as a package in the FDA directory · $0.04947 per EA · eff. 2026-09-23 filed
  • 68180-0968-01 · Lupin Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 68180-0968-03 · Lupin Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 68180-0968-09 · Lupin Pharmaceuticals, Inc. · $0.04947 per EA · eff. 2026-09-23 filed
  • 69238-1833-01 · Amneal Pharmaceuticals NY LLC · $0.04947 per EA · eff. 2026-09-23 filed
  • 69238-1833-07 · Amneal Pharmaceuticals NY LLC · $0.04947 per EA · eff. 2026-09-23 filed
  • 72603-0663-01 · NorthStar RxLLC · $0.04947 per EA · eff. 2026-09-23 filed
  • 72603-0663-02 · NorthStar RxLLC · $0.04947 per EA · eff. 2026-09-23 filed

Other strengths, forms and brands

46 other products in the NADAC file share the FDA nonproprietary name levothyroxine sodium with LEVOTHYROXINE 88 MCG TABLET. The 23 below share a strength or dosage form with it first; search OpenBill for the rest.

ProductPharmacies pay per unitMedicare per unit
LEVOTHYROXINE 25 MCG TABLET
generic · tablet
$0.03506 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 50 MCG TABLET
generic · tablet
$0.04073 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 75 MCG TABLET
generic · tablet
$0.04612 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 88 MCG TABLET this page
generic · tablet
$0.04947 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 100 MCG TABLET
generic · tablet
$0.04972 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 112 MCG TABLET
generic · tablet
$0.05879 per EA filed
eff. 2026-09-23 to 2026-10-07
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 125 MCG TABLET
generic · tablet
$0.05704 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 137 MCG TABLET
generic · tablet
$0.06388 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 150 MCG TABLET
generic · tablet
$0.05858 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 175 MCG TABLET
generic · tablet
$0.07347 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 200 MCG TABLET
generic · tablet
$0.08099 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOTHYROXINE 300 MCG TABLET
generic · tablet
$0.10428 per EA filed
eff. 2026-09-23
$0.16938 per EA filed
Part D 2024 average
LEVOXYL 25 MCG TABLET
brand · tablet
$0.75283 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 50 MCG TABLET
brand · tablet
$0.85394 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 88 MCG TABLET
brand · tablet
$0.95932 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 100 MCG TABLET
brand · tablet
$0.9697 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 112 MCG TABLET
brand · tablet
$1.11616 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 125 MCG TABLET
brand · tablet
$1.12965 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 137 MCG TABLET
brand · tablet
$1.15032 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 150 MCG TABLET
brand · tablet
$1.16868 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 175 MCG TABLET
brand · tablet
$1.38792 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
LEVOXYL 200 MCG TABLET
brand · tablet
$1.34463 per EA filed
eff. 2026-09-23
$0.51808 per EA filed
Part D 2024 average
SYNTHROID 88 MCG TABLET
brand · tablet
$1.66268 per EA filed
eff. 2026-09-23
$0.9878 per EA filed
Part D 2024 average
UNITHROID 88 MCG TABLET
brand · tablet
$4.19105 per EA filed
eff. 2026-09-23
$0.58122 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23, 2026-10-07 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 27 NDCs’ NADAC prices is $0.04947 per EA filed.

Of the 55 other products in FDA’s l-Thyroxine class priced per EA, 52 have a higher middle NADAC price and 3 a lower one. The one in the middle is LEVOXYL 150 MCG TABLET, at $1.16868 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $5.08 for 30 tablets, at an average of $0.16938 per EA in 2024 (2024-01-01 to 2024-12-31) for “Levothyroxine Sodium*” and “Levothyroxine Sodium”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 43,253,940 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for LEVOTHYROXINE 88 MCG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Levothyroxine Sodium* / Levothyroxine Sodium: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name. *: CMS says this average reflects multiple routes of administration, which may have different unit prices. All 299 NADAC NDCs the name join matched to it have an FDA route including ORAL. 21 of the 299 NDCs that point at this name are not listed in the FDA NDC Directory as packages of their own; their route was taken from FDA's record for the same product (labeler and product code).