Regardless of your patient's healthcare coverage status, SYNTHROID provides ways your patients can save with:
- Commercial insurance
- No insurance coverage
- Commercial insurance
- Medicare Part D
Tablets shown not actual size and may not represent actual color.
INSURED PATIENTS
SYNTHROID is covered* for 80% of patients with insurance in 202213†
*This is for patients with national commercial formulary coverage, Medicare Part D insurance or managed Medicaid. Step edits, prior authorization, and other restrictions apply.
†Managed Markets Insight and Technology, LLCTM, a trademark of MMIT, as of 7/15/2022.
NDC=National Drug Code.
SYNTHROID HAS EXTENSIVE COMMERCIAL
INSURANCE COVERAGE12†
SYNTHROID HAS EXTENSIVE COMMERCIAL INSURANCE COVERAGE12†
| National Managed Care Organizations (MCOs) |
|---|
| National Managed Care Organizations (MCOs) |
|---|
| National MCO Carrier | Covered‡ |
|---|---|
| Anthem, Inc. | |
| Cigna | |
| Aetna | |
| Large National Payer 003§ |
| National Pharmacy Benefit Managers (PBMs) |
|---|
| National Pharmacy Benefit Managers (PBMs) |
|---|
| National PBM Carrier | Covered‡ |
|---|---|
| CVS Caremark | |
| Express Scripts (ESI) | |
| Prime Therapeutics | |
| Ascent Health Services |
*Managed Markets Insights & Technology (MMIT). As of September 2022.
‡ Formulary definitions: Covered is defined as patient has access and plan coverage of product at any formulary tier and product is not NDC blocked. Step edits, prior authorization, and other restrictions apply.
§ Health plan blinded for contractual reasons.
Coverage requirement and benefit designs vary by payer and may change over time. Please consult with payers directly for the most current reimbursement policies. The health plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this material.
AbbVie is committed to helping appropriate patients obtain access to SYNTHROID by providing reimbursement and access information. Please be aware that coverage requirements vary by payer and change over time, so please consult with each payer directly for the most current coverage and reimbursement policies and determination processes. This material is not intended to provide reimbursement or legal advice. AbbVie does not guarantee that the use of any information provided here will result in coverage.
Eligible health plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this AbbVie material.
SYNTHROID CO-PAY CARD
Approximately 86% of eligible, commercially insured patients* who used the SYNTHROID co-pay card paid no more than $25 for a 30-day prescription14†
*Based on claims processed from calendar year 2020. Data on file AbbVie Inc. Co-pay support is not available to all US patients. Restrictions apply. See Terms and Conditions.
†Terms and Conditions apply. This benefit covers SYNTHROID® (levothyroxine sodium). Eligibility: Available to patients with commercial insurance coverage for SYNTHROID who meet eligibility criteria. Co-pay assistance program is not available to patients receiving reimbursement under any federal, state, or government-funded insurance programs (for example, Medicare [including Part D], Medicare Advantage, Medigap, Medicaid, TRICARE, Department of Defense, or Veterans Affairs programs) or where prohibited by law or by the patient’s health insurance provider. If at any time a patient begins receiving drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the SYNTHROID Co-pay Savings Card and patient must call 1-866- 627-4980 to stop participation. Patients residing in or receiving treatment in certain states may not be eligible. Patients may not seek reimbursement for value received from the SYNTHROID Co-pay Savings Program from any third-party payers. Offer subject to change or discontinuation without notice. Restrictions, including monthly maximums, may apply. Subject to all other terms and conditions, the maximum monthly benefit that may be available solely for the patient’s benefit under the co-pay assistance program is $15.00 per month during the calendar year for patients receiving SYNTHROID every month or $25.00 per month during the calendar year for patients receiving SYNTHROID every 3 months. The actual application and use of the benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annual basis, depending on each individual patient’s plan of insurance and other prescription drug costs. This assistance offer is not health insurance. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. To learn about AbbVie’s privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy
MEDICARE PART D
SYNTHROID HAS EXTENSIVE COVERAGE AMONG MEDICARE PART D CARRIERS14
| National Managed Care Organizations (MCOs) |
|---|
| National MCO Carrier | Covered* |
|---|---|
| Anthem, Inc. | |
| Cigna | |
| UnitedHealthcare | |
| Aetna |
| National Pharmacy Benefit Managers (PBMs) |
|---|
| National PBM Carrier | Covered* |
|---|---|
| SilverScript (CVS Caremark) | |
| Ascent Health Services | |
| Express Scripts (ESI)†‡ | |
| Prime Therapeutics |
*Formulary definitions: Access means the product is covered and not NDC blocked. Restrictions may apply. Covered is defined as patient has access and plan coverage of product at any formulary tier and product is not NDC blocked. Step edits, prior authorization, and other restrictions apply.
†Only covered on select formularies.
‡Coverage requirements and benefit designs vary by payer and may change over time. Please consult with payers directly for the most current reimbursement policies. The health plans and/or PBMs listed here have not endorsed and are not affiliated with this material.
AbbVie is committed to helping appropriate patients obtain access to SYNTHROID by providing reimbursement and access information. Please be aware that coverage requirements vary by payer and change over time, so please consult with each payer directly for the most current coverage and reimbursement policies and determination processes. This material is not intended to provide reimbursement or legal advice. AbbVie does not guarantee that the use of any information provided here will result in coverage.
The health-eligible plans and/or PBMs listed here have not endorsed and are not affiliated with this AbbVie material.
KEY BENEFITS OF THE
SYNTHROID DELIVERS PROGRAM INCLUDE:
- Patients pay only $25 a month with a 90-day prescription
– $75.00 for a 90-day supply
– $54.00 for a 60-day supply
– $29.50 for a 30-day supply
FREE 2-DAY DELIVERY WITH INITIAL SCRIPT
- Convenient home delivery of SYNTHROID within 2 business days of enrollment
A SIMPLE CASH-ONLY PROGRAM
- No hassles with
– Insurance coverage
– Prior authorization
– Fluctuating out-of-pocket costs
– Switching pressures
PATIENT RESOURCES
- Refill reminders, disease education, and access to a pharmacy team
Eagle Pharmacy, LLC administers the Synthroid Delivers Program on behalf of AbbVie to fulfill your SYNTHROID prescription.
PRICE
ASSURANCE
- Patients pay only $25 a month with a 90-day prescription
– $75.00 for a 90-day supply
– $54.00 for a 60-day supply
– $29.50 for a 30-day supply
FREE 2-DAY DELIVERY WITH INITIAL SCRIPT
- Convenient home delivery of SYNTHROID within 2 business days of enrollment
A SIMPLE CASH-ONLY PROGRAM
- No hassles with
– Insurance coverage
– Prior authorization
– Fluctuating out-of-pocket costs
– Switching pressures
PATIENT RESOURCES
- Refill reminders, disease education, and access to a pharmacy team
Eagle Pharmacy, LLC administers the Synthroid Delivers Program on behalf of AbbVie to fulfill your SYNTHROID prescription.
When SYNTHROID is chosen
ENROLLMENT IN 3 EASY STEPS
CHOOSE SYNTHROID DELIVERS PHARMACY IN YOUR EMR
Voice your preference for SYNTHROID and obtain the patient's approval to receive a text or call and confirm that their phone number is correct in the EMR.
PATIENT RECEIVES A TEXT AND ENROLLS VIA ONLINE PORTAL
Patient clicks the link to set their payment, shipping, and renewal preferences.
SYNTHROID IS DELIVERED
Your patient gets free delivery to their home.
CHOOSE SYNTHROID DELIVERS PHARMACY IN YOUR EMR
Voice your preference for SYNTHROID and obtain the patient's approval to receive a text or call and confirm that their phone number is correct in the EMR.
PATIENT RECEIVES A TEXT AND ENROLLS VIA ONLINE PORTAL
Patient clicks the link to set their payment, shipping, and renewal preferences.
SYNTHROID IS DELIVERED
Your patient gets free delivery to their home.
YOU CAN ALSO ENROLL PATIENTS INTO THE
SYNTHROID DELIVERS PROGRAM BY FAX OR PHONE
YOU CAN ALSO ENROLL PATIENTS INTO THE SYNTHROID DELIVERS PROGRAM BY FAX OR PHONE
To enroll by fax:
- Complete and fax the enrollment form to Synthroid Delivers Pharmacy at 1-877-816-5523
- To complete the enrollment, your patient will need to visit Synthroiddeliversprogram.com or call
844-GET-SYNTHROID
To enroll by phone:
- Dial 1-888-920-0527 and a representative will assist you
- To complete the enrollment, your patient will need to visit Synthroiddeliversprogram.com or call
844-GET-SYNTHROID
For phone and fax prescriptions, ensure you have the patient's latest contact number.
The Synthroid Delivers Program Brochure was developed for patients who want to learn more about the program.
The Synthroid Delivers Program Brochure was developed for patients who want to learn more about the program.