Struggling to find Tirosint at your pharmacy? Learn why Tirosint is hard to find in 2026, what's causing availability issues, and what you can do right now.
If you've been standing at your pharmacy counter hearing the words "we don't have that in stock," you're not alone. Tirosint — the brand-name levothyroxine gel capsule used to treat hypothyroidism — has become increasingly difficult to find at many pharmacies across the United States. For patients who depend on this medication to manage their thyroid condition, the frustration is real.
In this article, we'll break down exactly what Tirosint is, why it's been hard to find, and what steps you can take to get your prescription filled in 2026.
Tirosint is a brand-name prescription medication that contains Levothyroxine Sodium in a unique gel capsule formulation. It's manufactured by IBSA Pharma and is used to treat hypothyroidism — a condition where the thyroid gland doesn't produce enough thyroid hormone.
Unlike standard Levothyroxine tablets (such as Synthroid or Levoxyl), Tirosint contains only three inactive ingredients: gelatin, glycerin, and water. This minimal formulation makes it a preferred choice for patients with absorption issues, food sensitivities, or allergies to the dyes and fillers found in traditional Levothyroxine tablets.
Tirosint is available in capsule form in strengths ranging from 13 mcg to 200 mcg. There's also Tirosint-SOL, an oral liquid solution version that comes in 15 different strengths.
There are several reasons why you might be struggling to find Tirosint at your local pharmacy. Let's look at the main factors:
Tirosint serves a specific segment of hypothyroid patients — those who need a cleaner formulation with fewer inactive ingredients. Because it's not the first-line Levothyroxine product most doctors prescribe, many pharmacies don't keep large quantities on their shelves. Chain pharmacies in particular tend to stock medications based on demand, and Tirosint's smaller patient population means lower inventory levels.
The broader Levothyroxine market has faced intermittent supply issues in recent years. In early 2025, generic Levothyroxine tablets experienced supply constraints that were significant enough for Kaiser Permanente to issue patient notifications. When generic tablet supply tightens, more patients and doctors turn to alternative formulations like Tirosint, which can strain an already limited supply.
Many insurance plans require patients to try generic Levothyroxine tablets before covering Tirosint. This step therapy requirement means pharmacies may not stock Tirosint regularly since fewer insured patients fill it there. Additionally, the prior authorization process can cause delays that make it feel like the drug is unavailable when it's actually an insurance access problem.
Because Tirosint is made by a single manufacturer (IBSA Pharma), there's only one source for the brand-name product. While an authorized generic capsule exists (currently through YARAL Pharma), the overall production volume for Levothyroxine gel capsules is much smaller than for tablets. Any disruption at the manufacturing level can ripple through the supply chain quickly.
The good news is that Tirosint is still being manufactured and distributed. Here are some practical steps to help you find it:
The fastest way to find Tirosint in stock near you is to use Medfinder. Medfinder checks real-time availability at pharmacies in your area so you don't waste time calling around. Simply search for Tirosint, enter your zip code, and see which pharmacies have it available.
Independent pharmacies often have more flexibility in their ordering and may be willing to special-order Tirosint for you. They may also have better relationships with smaller distributors who carry specialty medications. Don't limit your search to chain pharmacies — an independent pharmacy near you might be your best bet.
IBSA Pharma offers the Tirosint Direct Program, a mail-order option where you can get Tirosint for $65 per month (30-day supply) or $170 for a 90-day supply through participating pharmacies. This bypasses local availability issues entirely. For more details, visit the savings and coupons guide for Tirosint.
If you truly cannot find Tirosint anywhere, talk to your prescriber about alternative thyroid medications. Options include Synthroid, Levoxyl, generic Levothyroxine tablets, or Armour Thyroid. However, switching thyroid medications should always be done under medical supervision with appropriate lab monitoring.
Don't wait until you're on your last pill to try to fill your Tirosint prescription. Call your pharmacy a week before you need a refill to confirm they have it in stock or can order it. Planning ahead gives you time to find alternatives if your usual pharmacy is out.
Finding Tirosint in 2026 can be challenging, but it's far from impossible. The key is being proactive: use tools like Medfinder to check availability, explore independent pharmacies, and consider the Tirosint Direct mail-order program. If you're a provider looking for tools to help your patients, check out our provider's guide to finding Tirosint.
Your thyroid health is too important to leave to chance. With a little planning and the right resources, you can stay on track with your Tirosint prescription.
You focus on staying healthy. We'll handle the rest.
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