Everything your hypothyroidism needs in one plan: levothyroxine refills, unlimited provider messaging, and your annual monitoring lab, all reviewed by a licensed physician, usually within a day. Just need a fill right now? A one-time 90-day refill is $39.
Every plan is set by a licensed physician who confirms your diagnosis, chooses your levothyroxine dose from your labs, and adjusts it over time. No algorithm auto-approving refills, no rubber stamp.
A licensed physician reads your history and labs and confirms straightforward hypothyroidism before anything is prescribed.
Your levothyroxine dose is chosen from your actual TSH and adjusted conservatively as your levels change, never a one-size default.
If your case looks complex (a nodule, hyperthyroid signs, or pregnancy), you're referred for in-person care at no charge.
Unlimited provider messaging. Ask about a symptom or a dose change and a real person answers.
A yearly TSH keeps your dose in range, rechecked sooner after any change.
Vyta was built by a practicing physician, and a board-certified physician stands behind every plan.
No appointments, no waiting rooms. The intake takes less than 5 minutes — from your phone or laptop, wherever you are.
Complete our short secure intake — your diagnosis, current levothyroxine dose, recent labs, and symptoms. No video calls, no appointments.
A licensed physician confirms straightforward hypothyroidism and orders a TSH if your labs are not current. Anything complex is referred out at no charge.
Your levothyroxine is sent electronically to your pharmacy. With the membership you get all refills, provider messaging, and one monitoring TSH a year.
Common signs of hypothyroidism. If several apply — especially if you have been diagnosed before — Vyta.co can help you get back on track.
Pregnancy or planning pregnancy within six months; a history of thyroid cancer; thyroid nodules or masses; hyperthyroidism (overactive thyroid); or symptoms of an overactive thyroid such as a racing heart, tremor, or unexplained weight loss. These need in-person evaluation rather than online management.
Licensed providers · Labs included · Conservative, guideline-based dosing
Start Thyroid CareOnline thyroid care with Vyta costs $99 a year, labs included — or pay as you go with a $39 one-time refill. At two or more refills a year, the membership is the better value.
| What you get | Start & Confirm | One-Time Refill |
BEST VALUE
Membership
|
|---|---|---|---|
| Price | $89 one-time |
$39 per 90-day fill |
$99 per year |
| Best for | New or suspected, or no recent labs | "I just need a fill" | Refilling 2+ times a year |
| Levothyroxine refills | First prescription | This fill only | All included |
| Initial / monitoring labs | ✓ Initial TSH | Labs on file required | ✓ 1 TSH/year |
| Unlimited provider messaging | ✗ | ✗ | ✓ |
| Conservative dose adjustments | ✓ | Single fill | ✓ |
| Auto-renew | No | No | Annual, cancel anytime |
Labs included, all refills, and a licensed physician in your corner — for less than the cost of a single specialist visit.
Start Thyroid CareHypothyroidism needs lifelong care, so the number that matters is your annual cost — refills, monitoring, and consults included.
| Comparison |
BEST VALUE
vyta.co
|
Paloma Health | PlushCare |
|---|---|---|---|
| Annual membership1 | $99 | $240/yr | No membership |
| Monitoring lab included | ✓ 1 TSH/yr | Add-on kit | ✗ $100–$150 extra |
| Refills included | ✓ | ✓ | ✗ per visit |
| Unlimited provider messaging | ✓ | ✓ | ✗ |
| No insurance required | ✓ | ✓ | ✓ |
| One-time refill option | ✓ $39 | ✗ | ~$129/visit |
| Typical first-year cost | about $99–$188 | $300+ | $250+ |
Same first-line medication, real monitoring, and provider messaging — at a fraction of the annual cost.
Start Thyroid CareOnline thyroid care is designed for ongoing management of straightforward hypothyroidism. Vyta.co screens for red flags, reviews your labs and history, and prescribes only when a licensed physician determines treatment is appropriate.
Hypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormone to keep the body running at a normal pace. It is common, more frequent in women and older adults, and most often caused by Hashimoto's thyroiditis. It is confirmed with a TSH blood test and treated with a daily levothyroxine tablet. (NIDDK)
Hypothyroidism means the thyroid gland is not making enough thyroid hormone to keep the body running at a normal pace. It is common, especially as people get older, and it is more frequent in women. The most common cause is Hashimoto's thyroiditis, an autoimmune condition in which the body's own immune system gradually slows the thyroid. Typical symptoms include fatigue, weight gain, feeling cold, dry skin, constipation, and brain fog or low mood. Because these symptoms are nonspecific, the diagnosis is confirmed with a blood test — usually TSH, sometimes with Free T4. Once diagnosed, hypothyroidism is very treatable with a daily thyroid hormone tablet, and most people feel substantially better once their levels are in range.
Hypothyroidism is common in the United States: about 4.6% of people aged 12 and older have it — roughly 0.3% overt and 4.3% subclinical, per NHANES III (StatPearls). Hashimoto's thyroiditis is the most common cause in the U.S. (NIDDK). Because it is so widespread and largely managed through refills and periodic labs, much of routine thyroid care fits well into telehealth.
You complete a secure online intake describing your diagnosis, current medication and dose, most recent labs, symptoms, interacting medications, and pharmacy preference. A licensed physician reviews the information and may follow up if more detail is needed. If you have established, stable hypothyroidism with recent labs, the clinician can send a levothyroxine prescription to your pharmacy. If your labs are not current, Start & Confirm includes a TSH so the clinician can review your levels before prescribing.
Vyta.co manages straightforward hypothyroidism — it does not work up complex or undifferentiated thyroid disease. If your answers suggest hyperthyroidism, a nodule or mass, thyroid cancer, pregnancy, or any picture that needs specialist-level care, the clinician will refer you for in-person evaluation at no charge.
Curious about the mechanics? Read our guides to how online prescriptions work and getting a refill without a video visit.
Telehealth may be appropriate for adults with established, stable hypothyroidism who need ongoing levothyroxine refills and routine monitoring — or for symptomatic adults whose labs confirm straightforward, uncomplicated hypothyroidism.
Because thyroid symptoms overlap with other conditions and only labs confirm the diagnosis, your clinician reviews your history and TSH before deciding whether treatment is clinically appropriate.
Online management is not right for every thyroid situation. Seek in-person care if any of the following apply.
Levothyroxine is a synthetic form of the thyroid hormone T4 and is the standard first-line treatment for hypothyroidism. It is taken once daily, ideally on an empty stomach 30 to 60 minutes before breakfast, because food and certain supplements affect absorption. Calcium, iron, antacids, and proton-pump inhibitors (PPIs) should be separated from your dose by several hours. The clinician starts conservatively and adjusts based on your symptoms and labs, rechecking your TSH about 6 to 8 weeks after any dose change.
Take levothyroxine consistently and tell your clinician about new medications or supplements, since they can change how much you absorb. If you have symptoms of too much thyroid hormone — a racing heart, tremor, trouble sleeping, or unexplained weight loss — let your clinician know, as your dose may need to come down. Your clinician chooses the dose and monitoring plan based on your individual situation.
The most common cause is Hashimoto's thyroiditis, an autoimmune condition. Other causes include prior thyroid surgery, radioactive iodine treatment, certain medications, and, less commonly, problems with the pituitary gland. Risk is higher with a family history of thyroid or autoimmune disease, with older age, and in women. Hypothyroidism is usually a lifelong condition, which is why steady refills and periodic monitoring matter more than a one-time fix.
TSH is the main test used to diagnose hypothyroidism and to guide dosing, sometimes alongside Free T4. Once your dose is stable, most adults need a TSH check about once a year — the American Thyroid Association suggests every 6 to 12 months once stable. After any dose change, your clinician rechecks sooner, usually in 6 to 8 weeks. The membership includes one monitoring TSH per year; any additional labs are billed at cost.
We treat patients in the state where they are physically located, and we add states as physician licensing completes. Availability below is live.
Everything you need to know before getting started.
Start Thyroid CareLast reviewed by a licensed physician on .
Licensed physicians, labs included, and steady refills — for $99 a year, or a one-time fill for $39. No insurance needed, and no charge if we can't treat you.