Synthroid is covered for approximately 85% of patients with commercial prescription insurance in 202014*†
*This is for patients with commercial insurance excluding managed Medicaid. 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 may apply.
SYNTHROID HAS EXTENSIVE COMMERCIAL
INSURANCE COVERAGE14†
National Managed Care Organizations (MCOs)
| National MCO Carrier | Covered‡ |
|
Anthem, Inc. |
|
|
Humana Inc. |
|
|
UnitedHealthcare (ASO) |
|
|
3 additional large national plans§ |
|
National Pharmacy Benefit Managers (PBMs)
| National PBM Carrier | Covered‡ |
|
SilverScript (CVS) |
|
|
Humana Inc. |
|
|
Express Scripts |
|
|
Another large national PBM§ |
|
†Managed Markets Insights & Technology (MMIT). Accessed January 2021. As of December 2020.
‡Commercial insurance excluding managed Medicaid. 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 may apply.
§Health plan or PBM blinded for contractual reasons.
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 plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this AbbVie material.
ASO=Administrative Services Only.
SYNTHROID CO-PAY CARD
For your patients with commercial insurance
||Eligibility: Available to patients with commercial prescription insurance coverage for Synthroid who meet eligibility criteria. Co-pay assistance program is not available to patients receiving prescription 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 prescription drug coverage under any such federal, state, or government-funded healthcare program, patient will no longer be able to use the Synthroid card and patient must call OPUS Health at 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 Card from any third-party payers. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance. Please see full Terms and Conditions.
For eligible commercially covered patients, 90% will pay no more than $25 for a 30-day prescription and 94% will pay no more than $75 for a 90-day prescription when a Synthroid copay card is used. (Data as of January 1, 2018).
SYNTHROID HAS EXTENSIVE COVERAGE AMONG MEDICARE PART D CARRIERS14
National Managed Care Organizations (MCOs)
| National MCO Carrier | Covered¶ |
|
Anthem, Inc. |
|
|
Humana Inc. |
|
|
UnitedHealthcare |
|
|
3 additional large national plans# |
|
National Pharmacy Benefit Managers (PBMs)
| National PBM Carrier | Covered¶ |
|
SilverScript (CVS) |
|
|
Humana Inc. |
|
|
Express Scripts |
|
|
Another large national PBM# |
|
¶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 or PBM blinded for contractual reasons.
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 plans and/or pharmacy benefit managers listed here have not endorsed and are not affiliated with this AbbVie material.
A DIRECT-TO-PATIENT PHARMACY PROGRAM THAT OFFERS PATIENTS A CASH-PAY OPTION TO RECEIVE SYNTHROID CONSISTENTLY AND CONVENIENTLY.
KEY BENEFITS OF THE
SYNTHROID DELIVERS PROGRAM INCLUDE:
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 hassle 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.
ENROLLMENT IN 3 EASY STEPS
CHOOSE SYNTHROID DELIVERS PROGRAM IN YOUR EMR
Once you prescribe Synthroid, select "Synthroid Delivers Pharmacy" in your EMR.
Be sure to 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 YOUR PATIENTS INTO
SYNTHROID DELIVERS PROGRAM BY FAX OR PHONE
To enroll by fax:
- Complete and fax the enrollment form to Synthroid Delivers Program at 1-877-816-5523
- Your patient will enroll online at SynthroidDeliversProgram.com
To enroll by phone:
- Dial 1-888-920-0527 and a representative will assist you
- Your patient will enroll online at SynthroidDeliversProgram.com
For phone and fax prescriptions, ensure you have the patient’s latest contact number.
