Even when prescribed Tirosint by a doctor, you may be given generic levothyroxine at the pharmacy. And it matters – nearly half of patients taking traditional thyroid medicines have conditions that can negatively affect how well their medicine might work.6 Only Tirosint is developed in a state-of-the-art dedicated facility in Switzerland, and made without excipients like gluten, dyes, and preservatives that are commonly found in traditional T4 tablets.7,14 

You’ve already worked with your doctor to find the exact dosage of Tirosint that is right for you.
Now make sure you’re getting Tirosint as prescribed.

The first step to making sure you’re getting Tirosint is to ask your doctor to indicate his or her preference on your prescription. These specific instructions will let the pharmacy know to dispense the prescription as written.

At the pharmacy

If you’re receiving your thyroid medication at your retail pharmacy, make sure to check the box to see if it’s Tirosint. Even if your doctor prescribes Tirosint, the pharmacy may switch your prescription. For additional savings at the pharmacy, download the Tirosint Copay Savings Card. Nine out of 10 patients with commercial insurance will pay as little as $25 for a month’s supply with the Tirosint Copay Savings Card.13 (maximum benefit of $105).

» Download the Tirosint Copay Savings Card

Through Tirosint Direct

The best way to ensure you’re getting Tirosint, and receive it at the lowest out-of-pocket price available if you’re not using insurance, is through our Tirosint Direct Program. Through this program, cash-paying patients will pay as little as $40 per month with a 90-day prescription, regardless of insurance coverage. This easy ordering solution allows your prescription to be shipped directly to your door with fast delivery and transparent pricing.

» Discover the Tirosint Direct Program

*Only prescriptions for branded Tirosint are eligible for the above programs.

Language needed to prevent generic substitution

Use the drop-down menu below to see your state’s required language.

Sign the prescription signature line labeled “Dispense as Written”

Write “Brand Medically Necessary” or similar words

Expressly indicate that substitution is not allowed. For example, write “Dispense as Written” or words of similar language

Expressly indicate that substitution is not allowed. For example, write “Dispense as Written” or words of similar language

Write the words “Do Not Substitute” or words of similar meaning, or initial box labeled “Do Not Substitute”

Write the words “Do Not Substitute” or “Dispense as Written” or initial the “Do Not Substitute” or “Dispense as Written” box

Write the words “Brand Medically Necessary” or “No Substitution” on the appropriate line

Write the words “Brand Necessary” or “Brand Medically Necessary”

Write “Medically Necessary” or, with an electronically generated and transmitted prescription, make an overt act that brand is medically necessary

Write the words “Brand Necessary” or “Brand Medically Necessary”

Write the words “Brand Necessary” or “Brand Medically Necessary”

Indicate by any means that a brand name drug must be dispensed (e.g. write “Brand Necessary”)

Indicate “May Not Substitute”

Sign the prescription signature line labeled “Dispense as Written” and write “Brand Medically Necessary”

Expressly indicate that no substitution is allowed. For example, write “Dispense as Written” or words of similar language

Expressly indicate that no substitution is allowed (for example, indicate “Dispense as Written”) and sign the prescription signature line labeled “Dispense as Written”

Write “Do Not Substitute,” “DNS,” or any phrase generally known throughout the medical and pharmaceutical professions as meaning the same thing; on a preprinted form, check the appropriate box meaning “Do Not Substitute”

Indicate “Dispense as Written” or “DAW”; for a Medicaid prescription, handwrite the words “Brand Necessary” or “Brand Medically Necessary” on the face of the prescription or on a sheet attached to the prescription

Write the words “Dispense as Written”, “DAW”, “Brand”, “Brand Necessary” or “Brand Medically Necessary”; if there is a check box on the prescription, check it

Expressly indicate that substitution is not allowed. For example, write “Brand Medically Necessary” or words of similar language

Write the words “No Substitution”

Write the words “Dispense as Written” or “DAW”

Write the words “Dispense as Written” or “DAW”

Sign the prescription signature line labeled “Dispense as Written”

Sign the prescription signature line labeled “Dispense as Written”

Write “Brand Medically Necessary”

Write the words “No Drug Product Selection,” “Dispense As Written,” “Brand Medically Necessary,” or “No Generic Substitution,” or “N.D.P.S.,” “D.A.W.,” or “B.M.N.”

Write the words “Dispense as Written”

Write the words “Medically Necessary”

Initial the prescription blank next to “Do Not Substitute”

Write the words “No Substitution” or “No Sub”

Write the initials “DAW” in the appropriate box

Write the initials “DAW” in the appropriate box

Write the words “Brand Medically Necessary”

Write the words “Dispense as Written”or “DAW”

Substitution is prohibited unless authorized by the prescriber or patient

Write the words “No Substitution” or words of similar meaning

Write the words “Brand Necessary” or “Brand Medically Necessary”

Write the words “Brand Necessary” or “Brand Medically Necessary”

Sign the prescription signature line labeled “Dispense as Written”

Write the words “Brand Necessary” or words of similar meaning

Write the words “Brand Medically Necessary”, “Dispense as Written”, “Medically Necessary”, “No Generic”, or words of similar meaning

Write the words “Brand Necessary” or “Brand Medically Necessary”

Write the words “Dispense as Written” or check the “Dispense as Written” box on a preprinted form

Write the words “Brand Necessary”, “No Substitution”, “Dispense as Written”, or “DAW”

Write the words “Brand Medically Necessary”

Sign the prescription signature line labeled “Dispense as Written”

Write the words “Dispense as Written”, “D.A.W.” or words of similar meaning

Write the words “Brand Medically Necessary”

Write the words “No Substitution” or “N.S.” or words of similar meaning

Expressly indicate that substitution is not allowed. For example, indicate the words “Dispense as Written” or words of similar language