Levothyroxine 25mcg: Cost, Savings, and How to Pay Less
Levothyroxine 25mcg is for hypothyroidism, but most patients with this condition receive free NHS prescriptions through a medical exemption certificate.
How much does Levothyroxine 25mcg cost on the NHS?
Levothyroxine 25mcg has a Drug Tariff price of approximately 85p 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 25mcg actually cost?
The NHS Drug Tariff lists the reimbursement price for Levothyroxine 25mcg at approximately 85p 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
85p
per pack
NHS charge
£9.90
1,065% 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 is prescribed for hypothyroidism (underactive thyroid). Patients require regular blood tests to monitor thyroid function and ensure optimal dosing. The 25mcg dose is a low starting or fine-tuning dose.
RepeatsDirect does not include Levothyroxine in our private prescription service. This is because patients with hypothyroidism in England qualify for free NHS prescriptions under the medical exemption certificate scheme (continuous physical disease requiring medication). If you have hypothyroidism and are paying prescription charges, you almost certainly qualify for a medical exemption.
Applying for a medical exemption certificate is free and can save you the full £9.90 per item prescription charge.
Is Levothyroxine available through RepeatsDirect?
Patients with hypothyroidism qualify for free NHS prescriptions through a medical exemption certificate. Apply via your GP or NHS online.