Middle-aged woman in grey sweater feels the sides of her throat; male healthcare provider takes a woman's blood pressure measurement with BP cuff; online doctor smiles at telehealth patient from mobile phone

Hypothyroidism

Need to renew a thyroid medication? Request a one-time renewal of your levothyroxine prescription.

Request a thyroid prescription with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered by Amazon Pharmacy
3. You have 14 days to follow up with the provider on any questions you may have
Explore ways to get care

Membership

Best for
• Booking same/next-day appointments* at offices near you with the app
• Booking primary care visits* for mental health, preventive care, chronic conditions, and more in states where we have offices
• 24/7 on-demand virtual care for quick treatment of common conditions, anywhere in the U.S. at no extra cost.
• Major insurance accepted for in-office and remote visits*

Pay-per-visit

Best for
• Quick treatment of common conditions
• Care by message or video**
• Self-pay visits – no insurance accepted or needed
• FSA/HSA eligible
*These appointments will be billed to you or your insurance
Membership
Pay-per-visit
Services
Common conditions
checkmark in a teal circle
checkmark in a teal circle
Select Rx renewal
checkmark in a teal circle
checkmark in a teal circle
Access
How to access care
One Medical app
Onemedical.com
Amazon.com
Schedule visits, in-office or remote*
checkmark in a teal circle
white x in a grey circle
Message with your care team
On demand
14-day
24/7 on-demand virtual care via message** and video
checkmark in a teal circle
checkmark in a teal circle
Payment
Membership fee
$9/mo or $69/yr for Prime members
$199/yr for non-Prime members
No membership fee
Prime membership required
white x in a grey circle
white x in a grey circle
Cost for on-demand virtual care
Included in the membership
$29 or $49
Insurance
Accepted for scheduled visits
Not accepted
FSA/HSA eligible
Accepted for scheduled visits
checkmark in a teal circle
**Messaging via Pay-per-visit is only available in 34 states
Learn more details via our FAQs

Get help for your thyroid and other health concerns

$9

/month

$69

/year
45% savings
with Prime
Auto-renews at $9/month after the first month or $99/year after the first year. Cancel anytime.
calendar icon
Book same/next day in-office appointments via the app
Scheduled visits (in-office/remote) billed to your insurance separately (cost sharing applies). One Medical accepts most insurance.
For $9/month, you can
• Book same/next day appointments at offices near you with the One Medical app
• Get 24/7 on-demand virtual care via video or messaging
• Send and receive secure messages with your care team
• Easily request prescription refills and renewals

Request a thyroid prescription with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have
Explore ways to get care

Membership

Best for
• Booking same/next-day appointments* at offices near you with the app
• Booking primary care visits* for mental health, preventive care, chronic conditions, and more in states where we have offices
• 24/7 on-demand virtual care for quick treatment of common conditions, anywhere in the U.S. at no extra cost.
• Major insurance accepted for in-office and remote visits*

Pay-per-visit

Best for
• Quick treatment of common conditions
• Care by message or video**
• Self-pay visits – no insurance accepted or needed
• FSA/HSA eligible
*These appointments will be billed to you or your insurance
Membership
Pay-per-visit
Services
Common conditions
checkmark in a teal circle
checkmark in a teal circle
Select Rx renewal
checkmark in a teal circle
checkmark in a teal circle
Access
How to access care
One Medical app
Onemedical.com
Amazon.com
Schedule visits, in-office or remote*
checkmark in a teal circle
white x in a grey circle
Message with your care team
On demand
14-day
24/7 on-demand virtual care via message** and video
checkmark in a teal circle
checkmark in a teal circle
Payment
Membership fee
$9/mo or $69/yr for Prime members
$199/yr for non-Prime members
No membership fee
Prime membership required
white x in a grey circle
white x in a grey circle
Cost for on-demand virtual care
Included in the membership
$29 or $49
Insurance
Accepted for scheduled visits
Not accepted
FSA/HSA eligible
Accepted for scheduled visits
checkmark in a teal circle
**Messaging via Pay-per-visit is only available in 34 states
Learn more details via our FAQs

Request a thyroid prescription with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have

Get help for your thyroid and other health concerns

$9

/month

$69

/year
45% savings
with Prime
Auto-renews at $9/month after the first month or $99/year after the first year. Cancel anytime.
This benefit is exclusively for Prime members
calendar icon
Book same/next day in-office appointments via the app
Scheduled visits (in-office/remote) billed to your insurance separately (cost sharing applies). One Medical accepts most insurance.
For $9/month, you can
• Book same/next day appointments at offices near you with the One Medical app
• Get 24/7 on-demand virtual care via video or messaging
• Send and receive secure messages with your care team
• Easily request prescription refills and renewals
Two women talk on a couch in an office

What will I need to renew my hypothyroidism medication through Amazon One Medical Pay-per-visit?

To request a virtual prescription renewal through Pay-per-visit, you'll need to upload an image of your most recent prescription for hypothyroidism medication. Your provider will accept a photo of the prescription label or a screenshot from your medical records.

If you request a prescription lasting longer than 30 days, you'll need to show relevant lab testing from within the past 12 months. You can upload a PDF or an image file like a JPG or PNG of your most recent thyroid panel.

If your provider has concerns about your lab results, they may not renew your prescription through Pay-per-visit. Instead, they'll recommend that you see a primary care provider for an in-person evaluation.

Is Pay-per-visit right for me?

checkmark in a teal circle
You're 18-64
checkmark in a teal circle
You have a prior diagnosis of hypothyroidism
checkmark in a teal circle
Your prescription for hypothyroidism medication has expired or you’re out of refills
checkmark in a teal circle
You’ve taken your hypothyroidism medication within the past 6 months
checkmark in a teal circle
You don't need to change your dose
checkmark in a teal circle
You're not pregnant

Common hypothyroidism medications

Your Amazon One Medical provider will determine which (if any) hypothyroidism treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed thyroid medication, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of your prescribed medication may be covered by health insurance.

Prescriptions for natural thyroid hormones (Armour Thyroid, Nature Thyroid, NP Thyroid) and liothyronine/T3 (Cytomel, Triostat) aren't available for renewal through Amazon One Medical Pay-per-visit.
Pill bottle icon
Levothyroxine
Synthetic thyroxine (T4)
• Levoxyl
• Synthroid
• Tirosint
• Unithroid
Online doctor smiles at telehealth patient from mobile phone

Not sure where to start?

For a one-time fee of $49, a Pay-per-visit telemedicine provider can diagnose and treat common health complaints, renew prescriptions, and answer your questions in real time. Restrictions apply.

Frequently asked questions

About Amazon One Medical

What are your telehealth options for hypothyroidism medication?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.

If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care with Treat Me Now or Urgent Video Chat via the One Medical app at no extra cost, no matter where you live in the United States.

If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers 2 types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are available for $29 in 36+ states.*

To see your Pay-per-visit options for this condition, start a one-time virtual visit and choose your state.

*State availability varies by condition.
Can I use my health insurance for Amazon One Medical Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
Can I communicate with a provider after I get my Pay-per-visit treatment plan?
Yes. When you use Pay-per-visit, you can message with One Medical providers within your personal dashboard for an additional 2 weeks (14 days) at no extra cost. This complimentary communication window allows you time to:
Ask follow-up questions about any prescriptions or over-the-counter medications in your treatment plan

• Connect with a provider if you think your treatment needs to be adjusted

• Tell a provider if you're experiencing side effects from your medication

• Tell a provider if there's an issue getting your prescription from the pharmacy

• Let the One Medical care team know that you're feeling better
Your secure, HIPAA-compliant message will be received by the first available provider, who will be able to review your visit’s treatment plan and any follow-up correspondence. If you still need treatment adjustments or have questions after the 14-day communication window, you'll need to start a new visit.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.

We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.

Amazon does not sell customers’ personal information, including PHI.

About thyroid treatment and testing

What's the virtual prescription renewal policy at Amazon One Medical Pay-per-visit?
Pay-per-visit providers typically write online prescription renewals for a 30-day supply of medication.

Your provider will consider many factors when determining if a prescription is medically appropriate. For example, they may want to know how long it's been since you've:
• Taken your medication
• Seen your regular primary care provider
• Had appropriate lab testing
• Had your last prescription renewal through Pay-per-visit*
When you request a prescription renewal, you'll need to provide an image of your last prescription. Your provider will accept a photo of the prescription label or a screenshot from your medical records. The image must clearly show your name, the name of the medication, the dose, the directions, and the date the prescription was written.

There may be a limit to the number of renewal requests that a provider can evaluate in a one-time virtual visit. Providers will not renew prescriptions that require a prior authorization from your insurance company.
*Virtual prescription renewals may be limited to one or two within a 12-month period.
What's the difference between a renewal and a refill?
When you run out of your medication, you refill it through a pharmacy. When you run out of refills, a licensed healthcare provider has to renew your prescription.

You can request a remote prescription renewal through Amazon One Medical. Your provider will send any new prescriptions to a U.S. pharmacy of your choice. You pay for the medication when you pick it up or have it delivered.
Can I get my thyroid levels tested through Pay-per-visit?
No. If you need thyroid testing, telehealth isn't the most appropriate option for you. You'll need to see a primary care provider for in-person labs.

Thyroid level testing, also called thyroid labs or a thyroid panel, measure levels of thyroid-stimulating hormone (TSH), free thyroid hormones such as thyroxine (free T4), and triiodothyronine (T3).
What are the risks of not taking my hypothyroidism medication?
Because the thyroid gland affects so many different organ systems, poor thyroid function can cause a wide range of side effects, including fatigue, mental health symptoms, and high blood pressure (hypertension).

If thyroid levels get dangerously low, the condition can lead to a thyroid emergency like myxedema coma, which is frequently fatal.

Levothyroxine, a common hypothyroidism medication, has a relatively long half-life of 7 days. This means that the drug continues to work in your body even if you skip a dose. But it's critical to maintain healthy thyroid function (euthyroid) to reduce your risk of health problems.

Hypothyroidism medication should be taken consistently, and thyroid levels checked regularly by a healthcare provider.
What are the symptoms of an underactive thyroid?
Symptoms of an underactive thyroid can include the following:
• Cold sensitivity
• Constipation
• Depression
• Dry skin
• Fatigue
• Thinning hair
• Weight gain
Clinical sources
1. Duntas, L. H., & Jonklaas, J. (2019). Levothyroxine Dose Adjustment to Optimise Therapy Throughout a Patient's Lifetime. Advances in therapy, 36(Suppl 2), 30–46. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822824/
2. Leung A. M. (2016). Thyroid Emergencies. Journal of infusion nursing : the official publication of the Infusion Nurses Society, 39(5), 281–286. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5657262/
3. Nuguru, S. P., Rachakonda, S., Sripathi, S., Khan, M. I., Patel, N., & Meda, R. T. (2022). Hypothyroidism and Depression: A Narrative Review. Cureus, 14(8), e28201. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392461/