Updated Nov 4, 2026FDA and CMS public dataIndependent · free · not health advice
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Drugs/Levothyroxine 50 mcg tablet
Thyroid

Levothyroxine 50 mcg tablet

Public data on levothyroxine from CMS and FDA: what pharmacies have paid for it, how many generic applications FDA has approved, and whether it appears in FDA's shortage or recall records.

$0.0401
NADAC per ea (2026-11)
approximate acquisition cost, not a retail price
-78%
change over five years
peak $0.3835 in 2015-02
20
approved generic applications (ANDAs) on record for Levothyroxine Sodium
11 with a product still marketed · first 2002
Not listed
in FDA's current shortage list
no matching FDA shortage entries

NADAC per unit, monthly

LEVOTHYROXINE 50 MCG TABLET
Show as table
MonthNADAC per unit ($)
2013-110.22681
2014-020.24562
2014-050.24388
2014-080.34235
2014-110.37493
2015-020.38353
2015-050.37688
2015-080.36945
2015-110.35711
2016-020.36660
2016-050.35359
2016-080.33330
2016-110.33205
2017-020.32972
2017-050.33260
2017-080.32649
2017-110.32852
2018-020.33205
2018-050.31486
2018-080.30673
2018-110.29729
2019-020.29738
2019-050.29908
2019-080.28325
2019-110.27541
2020-020.27358
2020-050.25310
2020-080.24495
2020-110.24205
2021-020.22365
2021-050.21737
2021-080.20255
2021-110.18328
2022-020.14196
2022-050.14154
2022-080.11359
2022-110.11291
2023-020.09136
2023-050.07773
2023-080.09370
2023-110.06006
2024-020.06271
2024-050.05061
2024-080.04974
2024-110.05204
2025-020.05237
2025-050.05808
2025-080.05194
2025-110.05231
2026-020.04658
2026-050.04680
2026-080.04193
2026-110.04006

Source: CMS NADAC weekly files, generic rows, monthly median of weekly averages · data as of 2026-11. Figures can change and may contain errors in the source data. Check the original source before relying on them.

Recall records mentioning levothyroxine

openFDA enforcement records, by year reported.

202630
202517
202418
202318
20214
202022
201812
20171
20162
20151

189 records since 2012. A record is one product or lot, not one recall event. Combination products that contain levothyroxine are included.

What these numbers mean

NADAC is what retail pharmacies pay on average to buy the drug, published by CMS. It does not include rebates and is not what you pay at the counter. ANDA counts include all strengths and forms and applications whose products are now discontinued.

Most recent recall records

Class IIOngoing
Levothyroxine sodium tablets
Reason category: Potency out of spec
FDA recall number D-0052-2027
Class IIOngoing
Levothyroxine sodium tablets
Reason category: Potency out of spec
FDA recall number D-0051-2027
Class IOngoing
Levothyroxine product
Reason category: Potency out of spec
FDA recall number D-0866-2026
Class IIOngoing
Levothyroxine sodium tablets
Reason category: Potency out of spec
FDA recall number D-0783-2026
Class IIOngoing
Levothyroxine sodium tablets
Reason category: Potency out of spec
FDA recall number D-0775-2026

Not health advice. GxRadar is for general information only. Nothing here is medical, pharmacy, legal or financial advice. Do not start, stop or change any medicine based on this site. Talk to your pharmacist or prescriber about your own situation.

Articles that mention levothyroxine

26 GxRadar articles cite or discuss this drug.

LEVOTHYROXINE · NADAC
Price histories · Data story · 5 min

Levothyroxine and the price of a daily pill

Pharmacies paid 38.4 cents for a generic 50 mcg levothyroxine tablet in early 2015 and 4.0 cents in October 2026. The year-supply arithmetic, the FDA history behind the drug, and why NADAC is not what patients pay.

Equivalence & alternatives · Explainer · 5 min

Narrow therapeutic index drugs and the tighter test for their generics

Warfarin, levothyroxine, phenytoin and a few other drugs face a stricter generic test scaled to the brand's own variability. How it works, which drugs it covers and where state law adds rules.

Generic or brand · Explainer · 5 min

The pharmacist's role in generic substitution

What a pharmacist checks before swapping in a generic: the Orange Book code, the prescriber's instructions, state rules for narrow therapeutic index drugs, and the counseling duty set by OBRA '90.

Labels & identifiers · Explainer · 5 min

What 'USP' after a drug name means

The three letters point to a public quality standard that federal law makes binding. What a USP monograph covers, who writes and enforces it, and why the letters are the maker's claim and no seal of testing.

PRICE INDEX · 2014 = 100
Price histories · Data story · 5 min

What pharmacies pay for a month of common generics

Thirty tablets of each of the 10 most-used generics we track cost pharmacies $35.70 in January 2014 and $8.80 in October 2026. That is acquisition cost, and the rest of the price sits on top of it.

123STEP BY STEP
How recalls work · How-to guide · 6 min

How to check if your medicine was recalled

Where FDA publishes every drug recall it monitors, how to match a notice to your own bottle by NDC and lot number, and the questions that get a pharmacist to a quick answer.