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Tirosint Cost, Coupons and Savings
- U.S. list price
- $447 for 90 days (90 capsules)The maker's price for brand Tirosint before discounts · Source: Texas DSHS 2026 WAC report
- Lowest international online pharmacy price
- Not available
Quick answerBrand Tirosint costs $149 for 30 capsules at the U.S. list price. The maker's IBSA Direct cash program offers it from $50 for 30 days or $150 for 90 days by mail, and a generic capsule lists at $123.69 for 30. We found no Tirosint at the licensed pharmacies abroad we check (Nov 11, 2026).
Name check: Tirosint-SOL is a liquid, and Synthroid and other levothyroxine tablets are a different form. Only Tirosint capsules are priced on this page.
Tirosint may cost less in the U.S.
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
These U.S. programs can cost less than ordering from abroad:
- IBSA Direct cash program (brand Tirosint): IBSA says self-pay patients may pay as low as $50 for a 30-day supply or $150 for a 90-day supply of brand Tirosint with its Renewal Program, mailed by Highland Specialty Pharmacy (855-894-4441) or Sterling Specialty Pharmacy (888-618-4126). You need a prescription for brand Tirosint from a U.S. prescriber. You can't use insurance for the purchase or send it to a plan afterward. With Medicare or Medicaid, you can pay this cash price, but it won't count toward your plan (or Medicare's yearly out-of-pocket cap, $2,100 in 2026); IBSA's terms add that you must buy all your Tirosint that calendar year through the program and, with Part D, notify your plan. IBSA's terms say the amount paid can't be applied to any insurance benefit. Fees and taxes may apply. $150 for 90 days (Tirosint savings)
We list these because they may save you money. No one pays us to include them. Prices and eligibility rules change, so confirm before you buy. Checked Nov 11, 2026.
Compare Tirosint prices from licensed online pharmacies
In our latest check, we found no licensed online pharmacy abroad selling this medicine.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Tirosint · Similar drugs · Uses · FAQ
Tirosint (levothyroxine) capsules treat an underactive thyroid. The maker sells it by mail from $50 a month, and a generic capsule is sold in the U.S.
Tirosint cost at a glance
- IBSA Direct cash price: the maker says self-pay patients may pay as low as $50 for a 30-day supply or $150 for a 90-day supply of brand Tirosint, mailed by a participating pharmacy. You can't use insurance with it (Tirosint).
- Savings card: with commercial insurance, eligible patients may pay as little as $25 a month or $60 for 90 days at retail pharmacies. Not for Medicare or Medicaid (Tirosint).
- U.S. list price: $149.00 for a box of 30 capsules of brand Tirosint, the same for every strength (the maker's wholesale price before discounts) (Texas DSHS).
- A generic capsule is sold in the U.S. Yaral Pharma sells levothyroxine capsules under Tirosint's own FDA approval (an "authorized generic"). Its list price is $123.69 for 30 capsules (Texas DSHS).
- How we count: 1 capsule a day. The label doses Tirosint once a day.
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
- From online pharmacies abroad: we found no Tirosint capsules at the licensed pharmacies abroad we check (checked Nov 11, 2026). Tirosint isn't sold in Canada.
How much does Tirosint cost in the U.S.?
| If you have | What Tirosint costs | Source |
|---|---|---|
| No insurance (list price) | $149.00 for 30 capsules of brand Tirosint, any strength ($447 for 90 days). Pharmacies may charge more. | Texas DSHS 2026 WAC report |
| No insurance (IBSA Direct cash program) | As low as $50 for a 30-day supply or $150 for a 90-day supply of brand Tirosint with the Renewal Program, mailed by Highland Specialty Pharmacy or Sterling Specialty Pharmacy. Fees and taxes may apply. | Tirosint |
| No insurance (generic levothyroxine capsules) | Yaral Pharma's authorized generic of Tirosint lists at $123.69 for 30 capsules. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| Private or employer insurance | Your copay depends on your plan. With the Tirosint Savings Card, eligible commercially insured patients may pay as little as $25 a month or $60 for 90 days. You may also choose the IBSA Direct cash price instead of using insurance; IBSA's terms say it can't be applied to any insurance benefit. | Tirosint |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. The savings card can't be used with Medicare. The IBSA Direct cash price can, but it won't count toward your plan. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
The maker's own cash price is below its list price: as low as $50 for 30 days through IBSA Direct, against a list price of $149.00 for 30 capsules (Texas DSHS). IBSA's terms point out that a less expensive generic may be available and that insurance could cost you less, so compare all three: your copay, the cash program and the generic capsule.
Tirosint cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Tirosint depends on your plan's drug list. The Tirosint Savings Card can't be used with Medicare. People with Medicare may use the IBSA Direct cash program, but IBSA's terms say they must then buy all their Tirosint that calendar year through the program without using Part D, tell their Part D plan, and can't count the payments toward out-of-pocket costs.
| Medicare Part D | What Tirosint costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Tirosint coupons and savings programs
eDrugSearch does not offer its own Tirosint coupons. These are the real savings programs, run by the drug's maker and by Medicare:
- IBSA Direct cash program: brand Tirosint by mail from a participating pharmacy, without using insurance. IBSA says self-pay patients may pay as low as $50 for a 30-day supply or $150 for a 90-day supply with its Renewal Program. Pharmacies: Highland Specialty Pharmacy (855-894-4441) and Sterling Specialty Pharmacy (888-618-4126). You can't send the purchase to any insurance plan. People with Medicare or Medicaid may pay this cash price too, but it won't count toward their plan or Medicare's yearly out-of-pocket cap ($2,100 in 2026); IBSA's terms say they must buy all their Tirosint that calendar year through the program, and people with Part D must notify their plan. Fees and taxes may apply. (Tirosint savings)
- Tirosint Savings Card: used at participating retail pharmacies. IBSA says eligible patients with commercial insurance may pay as little as $25 for a month's supply or $60 for a 90-day supply. The card's terms also cover eligible uninsured patients, who pay the first $25 (30 days) or $60 (90 days) plus any amount the card doesn't cover. A maximum benefit applies. Not valid with Medicare, Medicaid, TRICARE or other government programs; limits may apply in Massachusetts and California. Questions: (312) 913-6886. (Tirosint savings)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Tirosint?
Yes, an authorized generic. Yaral Pharma sells levothyroxine sodium capsules under Tirosint's own FDA approval (NDA 021924), listed as on the market since March 1, 2023. The FDA also approved generic capsules from ANI in 2020 and 2021, but lists them as discontinued. Levothyroxine tablets are a different form, not a generic of Tirosint capsules.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 13 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 25 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 50 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 75 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 88 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 100 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 112 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 125 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 137 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 150 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 175 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 200 mcg | Yes | Yaral Pharma (authorized generic) | Mar 1, 2023 |
| 37.5 mcg | No | — | |
| 44 mcg | No | — | |
| 62.5 mcg | No | — |
Outside the U.S.: Online pharmacies abroad may sell levothyroxine made for other markets, mostly as tablets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA NDC Directory: levothyroxine sodium capsules. As of Nov 11, 2026.
Compare Tirosint with similar drugs
Other thyroid medicines people often compare with Tirosint. Synthroid and generic levothyroxine are tablets with the same hormone; Cytomel is a different thyroid hormone (liothyronine). Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Synthroidlevothyroxine sodium | Thyroid hormone medicine (levothyroxine, or T4) | $29.12 for 90 days | See prices |
| Levothyroxinelevothyroxine sodium | Thyroid hormone medicine (levothyroxine, or T4), generic of Synthroid | $29.12 for 90 days | See prices |
| Cytomelliothyronine | Thyroid hormone (T3) | Checking prices | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Tirosint used for?
Tirosint is levothyroxine, a man-made thyroid hormone, in a gel capsule. According to its FDA label (DailyMed), it is used in adults and children 6 years and older:
- To treat hypothyroidism (an underactive thyroid), by replacing the hormone the thyroid isn't making.
- Along with surgery and radioactive iodine, to help manage certain types of thyroid cancer.
Tirosint comes in 15 strengths from 13 mcg to 200 mcg, in boxes of 30 capsules. It is taken once a day on an empty stomach, half an hour to an hour before breakfast, and swallowed whole. Boxed warning: the label carries the FDA's strongest warning. Thyroid hormones, including Tirosint, should not be used to treat obesity or for weight loss, and larger doses can cause serious or even life-threatening harm. Your prescriber decides which medicine is right for you.
Is it safe to order Tirosint from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Tirosint, compare the IBSA Direct cash price and the U.S. generic capsule before you order. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. Tirosint is not in Health Canada's drug database, so Canadian pharmacies don't carry a Canadian version of it (Health Canada).
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much does Tirosint cost without insurance?
The U.S. list price is $149.00 for 30 capsules, any strength, in the Texas 2026 drug price filing. Through the maker's IBSA Direct cash program, self-pay patients may pay as low as $50 for 30 days or $150 for 90 days by mail. A generic capsule from Yaral Pharma lists at $123.69 for 30. We found no Tirosint at the licensed pharmacies abroad we check (Nov 11, 2026).
Is there a Tirosint coupon or savings card?
Yes. With the Tirosint Savings Card, eligible patients with commercial insurance may pay as little as $25 for a month's supply or $60 for 90 days at participating retail pharmacies. It isn't valid with Medicare, Medicaid, TRICARE or other government programs, and a maximum benefit applies. Questions: (312) 913-6886.
What is the Tirosint Direct program?
It is the maker's mail-order cash program, now called IBSA Direct. You pay a set cash price, as low as $50 for 30 days or $150 for 90 days with the Renewal Program, and a participating pharmacy mails brand Tirosint to you. You can't use insurance for it. The pharmacies are Highland Specialty Pharmacy (855-894-4441) and Sterling Specialty Pharmacy (888-618-4126).
Is there a generic for Tirosint?
Yes, an authorized generic. Yaral Pharma sells levothyroxine capsules under Tirosint's own FDA approval, without the brand name, with a list price of $123.69 for 30 capsules. Levothyroxine tablets are a different form and not a generic of Tirosint capsules.
Can I use the Tirosint cash program with Medicare?
IBSA's terms allow it, with conditions. You can't use your Part D benefit for Tirosint that calendar year, you must tell your Part D plan, and what you pay doesn't count toward your out-of-pocket costs. The Tirosint Savings Card can't be used with Medicare at all.
Is Tirosint the same as Synthroid?
Both contain levothyroxine, but they are different products. Tirosint is a gel capsule made by IBSA; Synthroid is a tablet made by AbbVie. They aren't rated as substitutes for each other. Your prescriber decides which medicine is right for you.
Can I buy Tirosint from Canada?
Tirosint isn't listed in Health Canada's drug database, so there is no Canadian version for a Canadian pharmacy to dispense. The price table shows any Tirosint packs we find at licensed pharmacies abroad and where they ship from.
Does Tirosint have a boxed warning?
Yes. The label says thyroid hormones, including Tirosint, should not be used to treat obesity or for weight loss. In people with normal thyroid levels, normal doses don't help with weight loss, and larger doses can cause serious or even life-threatening harm.
Sources
- Tirosint: savings and support (IBSA Pharma) (IBSA Direct cash program ($50 for 30 days, $150 for 90 days) and Tirosint Savings Card ($25 a month, $60 for 90 days); page updated November 5, 2026; checked 2026-11-11)
- Texas DSHS: 2026 annual WAC report (Tirosint 30 capsules $149.00 (IBSA NDC 71858-00xx-04, every strength); Yaral levothyroxine capsules 30 for $123.69)
- TIROSINT U.S. prescribing information (DailyMed) (IBSA Pharma, label version 13 (effective March 25, 2026), incl. boxed warning)
- FDA NDC Directory: levothyroxine sodium capsules (Tirosint (IBSA, NDA 021924) and Yaral Pharma authorized generic, marketing start March 1, 2023)
- Drugs@FDA: Tirosint (NDA 021924) (approved October 13, 2006)
- Drugs@FDA data: ANI levothyroxine capsules (ANDA 211369, ANDA 213256) (approved October 28, 2020 and January 6, 2021; listed as discontinued)
- Health Canada Drug Product Database (no Tirosint entry, checked 2026-11-11)
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.