Does levothyroxine contain wheat or gluten as an excipient?

We cross-check each levothyroxine product label against four data sources: DailyMed (FDA Structured Product Labels), the European Medicines Agency centrally-authorised medicines database, the Plogsted curated gluten-free drug list, and the 2024 Mangione et al. pediatric pharmacy NDC analysis. Inactive ingredients are scanned against a 146-entry red-flag dictionary covering wheat, barley, rye, malt, source-ambiguous starches, and FDA gluten-free attestation phrases. Mostly yes — but worth a quick call to the manufacturer for some generics. Of 15 product labels we checked, 9 are clean, 3 are confirmed gluten-free by the maker, and 3 contain an inactive ingredient (typically a source-ambiguous starch) whose botanical origin isn't fully disclosed. None contained confirmed gluten.

Can different manufacturers' generic versions of levothyroxine have different gluten status?

Yes. Generics in the United States must use the same active ingredient as the brand, but they are not required to use the same inactive ingredients. Two generics of levothyroxine from different manufacturers can use entirely different starch sources, binders, and fillers. A pharmacy may also switch which manufacturer it dispenses between fills without notifying you. Each manufacturer-specific entry below corresponds to a separately-filed product label.

DailyMed checked live · reference data updated August 19, 2026 · 15 product labels screened

Is levothyroxine gluten-free?

By Ned Walsch

Founder and maintainer of Gluten Screen

Updated October 13, 2026

Not clinically reviewed — verify with your pharmacist

Looks mostly clean — worth verifying with the maker. Mostly yes — but worth a quick call to the manufacturer for some generics. Of 15 product labels we checked, 9 are clean, 3 are confirmed gluten-free by the maker, and 3 contain an inactive ingredient (typically a source-ambiguous starch) whose botanical origin isn't fully disclosed. None contained confirmed gluten.

Drug context

About levothyroxine

Levothyroxine is synthetic thyroid hormone used to treat hypothyroidism, sold under brand names including Synthroid, Levoxyl, Unithroid.

Why this matters

Different manufacturers, different ingredients

Generics of levothyroxine use the same active ingredient, but they aren't required to use the same inactive ingredients. Your pharmacy may switch which manufacturer they dispense between fills, sometimes without telling you. The list below shows each manufacturer's product label as a separate entry, because that's the granularity that actually matters when you're celiac.

The labels

The 15 we checked

01

Trifluent Pharma, LLC manufacturer-attested gluten-free

US label (DailyMed) · EVEXITHROID (LEVOTHYROXINE AND LIOTHYRONINE) TABLET [TRIFLUENT PHARMA, LLC] · label dated Oct 06, 2026

contains no ingredient made from a gluten containing grain

Inactive ingredients CALCIUM STEARATE · MANNITOL · MICROCRYSTALLINE CELLULOSE · SILICON DIOXIDE
View source label →
02

Mylan manufacturer-attested gluten-free

Plogsted list · Levothyroxine all strengths [Mylan] · label dated 2019-04-23

Manufacturer confirmed gluten-free (Plogsted 2019-04-23)
View source label →
03

UDL/Mylan manufacturer-attested gluten-free

Plogsted list · Levothyroxine all strengths [UDL/Mylan] · label dated 2019-04-23

Manufacturer confirmed gluten-free (Plogsted 2019-04-23)
View source label →
04

Lannett worth a call to confirm

Plogsted list · Levothyroxine all strengths [Lannett] · label dated 2019-04-23
View source label →
05

Neopharma worth a call to confirm

Plogsted list · Levothyroxine all strengths [Neopharma] · label dated 2019-04-23
View source label →
06

Sandoz worth a call to confirm

Plogsted list · Levothyroxine all strengths [Sandoz] · label dated 2019-04-23
View source label →
07

MWI/VetOne nothing flagged on the label

US label (DailyMed) · THYRO-TABS CANINE (LEVOTHYROXINE SODIUM) TABLET [MWI/VETONE] · label dated Oct 06, 2026
View source label →
08

Butler Animal Health Supply, LLC. nothing flagged on the label

US label (DailyMed) · THYRO-TABS CANINE (LEVOTHYROXINE SODIUM) TABLET [BUTLER ANIMAL HEALTH SUPPLY, LLC.] · label dated Oct 06, 2026
View source label →
09

MAIA Pharmaceuticals, Inc. nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM (LEVOTHYROXINE SODIUM ANHYDROUS) INJECTION, POWDER, LYOPHILIZED, F… · label dated Sep 21, 2026

Inactive ingredients MANNITOL · SODIUM HYDROXIDE · SODIUM PHOSPHATE, DIBASIC, HEPTAHYDRATE
View source label →
10

Alvogen, Inc. nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM TABLET [ALVOGEN, INC.] · label dated Sep 17, 2026

Inactive ingredients BUTYLATED HYDROXYTOLUENE · D&C RED NO. 27 · D&C RED NO. 30 · D&C YELLOW NO. 10 · DIBASIC CALCIUM PHOSPHATE DIHYDRATE · FD&C BLUE NO. 1 · FD&C BLUE NO. 2 · FD&C RED NO. 40 · FD&C YELLOW NO. 6 · MAGNESIUM STEARATE · MICROCRYSTALLINE CELLULOSE · POVIDONE, UNSPECIFIED · SODIUM STARCH GLYCOLATE TYPE A POTATO
View source label →
11

NorthStar RxLLC nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM TABLET [NORTHSTAR RXLLC] · label dated Aug 21, 2026

Inactive ingredients CELLULOSE, MICROCRYSTALLINE · CROSCARMELLOSE SODIUM · D&C YELLOW NO. 10 · FD&C BLUE NO. 1 · FD&C BLUE NO. 2 · FD&C RED NO. 40 · FD&C YELLOW NO. 6 · SILICON DIOXIDE · SODIUM STEARYL FUMARATE
View source label →
12

ONESOURCE SPECIALTY PHARMA LIMITED nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM (LEVOTHYROXINE SODIUM ANHYDROUS) INJECTION, POWDER, LYOPHILIZED, F… · label dated Aug 13, 2026

Inactive ingredients MANNITOL · SODIUM HYDROXIDE · SODIUM PHOSPHATE, DIBASIC, HEPTAHYDRATE
View source label →
13

Coupler LLC nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM TABLET [COUPLER LLC] · label dated Jul 07, 2026

Inactive ingredients CROSCARMELLOSE SODIUM · FD&C BLUE NO. 1 · MAGNESIUM STEARATE · MANNITOL · SODIUM BICARBONATE · STARCH, CORN
View source label →
14

Coupler LLC nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM TABLET [COUPLER LLC] · label dated Jul 07, 2026

Inactive ingredients CROSCARMELLOSE SODIUM · FD&C BLUE NO. 1 · MAGNESIUM STEARATE · MANNITOL · SODIUM BICARBONATE · STARCH, CORN
View source label →
15

Cardinal Health 107, LLC nothing flagged on the label

US label (DailyMed) · LEVOTHYROXINE SODIUM TABLET [CARDINAL HEALTH 107, LLC] · label dated Sep 24, 2026

Inactive ingredients CROSCARMELLOSE SODIUM · D&C YELLOW NO. 10 ALUMINUM LAKE · FD&C BLUE NO. 1 ALUMINUM LAKE · FD&C BLUE NO. 2 ALUMINUM LAKE · FD&C RED NO. 40 ALUMINUM LAKE · FD&C YELLOW NO. 6 ALUMINUM LAKE · MAGNESIUM STEARATE · MANNITOL · SODIUM BICARBONATE · STARCH, CORN
View source label →

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Background

What “gluten in a medication” actually means

Gluten enters drugs through their excipients — the inactive ingredients used to bind, coat, fill, or stabilize the dose. The main concern is wheat starch as a filler. Source-ambiguous starches (plain “starch”, pregelatinized starch, sodium starch glycolate, modified starch) get flagged for verification because their botanical origin isn't always disclosed on the label.

The 2024 Mangione et al. pediatric NDC analysis (689 NDCs across the top 100 pediatric medications) found 1.5% contained gluten outright; another 25.7% couldn't be confirmed either way. Liquid and oral-suspension formulations carry disproportionate risk because wheat starch is a common thickener. Full methodology →

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