Levothyroxine 100mcg: Cost, Savings, and How to Pay Less
Levothyroxine 100mcg is a standard maintenance dose for hypothyroidism — patients should check their medical exemption certificate eligibility.
How much does Levothyroxine 100mcg cost on the NHS?
Levothyroxine 100mcg has a Drug Tariff price of approximately 95p for a 28-tablets pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 35m items dispensed in 2024/25, Levothyroxine is one of the most prescribed drugs in England.
How much does Levothyroxine 100mcg actually cost?
The NHS Drug Tariff lists the reimbursement price for Levothyroxine 100mcg at approximately 95p per 28-tablets pack. This is the price the NHS pays pharmacies for the drug itself. The NHS prescription charge of £9.90 covers this drug cost plus dispensing fees, administration, and a contribution to NHS services — but for cheap generic drugs, it represents a significant markup.
Drug Tariff cost
95p
per pack
NHS charge
£9.90
942% markup
Our price
N/A
not available
Levothyroxine has approximately 35m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Levothyroxine used for?
Levothyroxine 100mcg is a common maintenance dose for hypothyroidism. It is a well-established medication with a long history of safe use. Dose requirements vary widely between individuals and are guided by TSH blood test results.
RepeatsDirect does not include Levothyroxine 100mcg in our service. Patients with hypothyroidism qualify for free NHS prescriptions — this exemption covers all items on every prescription, not just levothyroxine. If you are currently paying for this medication, please apply for a medical exemption certificate through your GP.
More information about medical exemption certificates is available at www.nhsbsa.nhs.uk.
Is Levothyroxine available through RepeatsDirect?
Hypothyroid patients qualify for free NHS prescriptions via medical exemption. This covers all items, not just thyroid medication.