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  4. Tirosint
Tirosint logo
Healthcare & Pharmaceuticals

Who Owns Tirosint?

Tirosint (levothyroxine sodium) is owned by IBSA Institut Biochimique SA, a privately held Swiss pharmaceutical company headquartered in Lugano, Switzerland. The FDA approved Tirosint softgel capsules in 2006 under NDA 021924. IBSA also markets Tirosint-SOL, a liquid levothyroxine solution approved by the FDA in 2017. IBSA is not publicly traded and is not affiliated with Roche, AbbVie, or any other major pharmaceutical company.

Parent Company

IBSA Institut Biochimique S.A.

Founded

2006

Status

Private

Headquarters

Lugano, Switzerland

Tirosint Timeline

1945
IBSA Institut Biochimique S.A.

Parent company established in Lugano, Ticino, Switzerland

Company Founded
2006

Tirosint

Founded by IBSA Institut Biochimique SA (developer)

Founded
mid rangepremiumUnited StatesOfficial Website

Who Owns Tirosint?

  • Parent Company: IBSA Institut Biochimique S.A.
  • Ownership Type: Wholly owned
  • Company Type: Privately Held
BrandParent CompanyOwnership Type
TirosintIBSA Institut Biochimique S.A.Wholly owned

Where to Buy

Disclosure: We may earn commission from purchases
AmazonTirosint on Amazon

History of Tirosint

  • Founded: 2006
  • Founders: IBSA Institut Biochimique SA (developer)

Levothyroxine, the synthetic form of thyroxine (T4), has been the standard treatment for hypothyroidism since the mid-20th century. Hypothyroidism affects approximately 5% of the US population, making it one of the most common endocrine disorders. Most patients require lifelong daily levothyroxine replacement therapy.

Conventional levothyroxine tablets, including the branded Synthroid (owned by AbbVie) and numerous generics, contain inactive ingredients like dyes, lactose, and fillers needed for tablet manufacturing. While most patients tolerate these excipients, some experience absorption variability or allergic reactions. Patients with celiac disease, inflammatory bowel disease, or gastric bypass surgery may also absorb levothyroxine poorly from conventional tablets.

IBSA recognized this gap and developed Tirosint as a softgel capsule that dissolves levothyroxine sodium in glycerin and gelatin, eliminating the excipients found in tablets. The FDA approved Tirosint capsules in October 2006 under NDA 021924. The product launched in the US market shortly after approval, initially available in 12 strengths ranging from 13 mcg to 200 mcg.

In 2017, IBSA expanded the Tirosint franchise with FDA approval of Tirosint-SOL (NDA 207976), a liquid levothyroxine solution in unit-dose ampules. Tirosint-SOL is available in 15 strengths, including intermediate doses like 37.5 mcg, 44 mcg, and 62.5 mcg that are not available in capsule form. The liquid formulation serves pediatric patients, elderly patients with dysphagia, and patients who need fine dose adjustments.

Between 2020 and 2022, the FDA required IBSA to update Tirosint's prescribing information with expanded cardiac risk language. The updated label lowered the recommended starting dose for patients with cardiac disease from 25 to 50 mcg down to 12.5 to 25 mcg daily, with gradual increases at 6 to 8 week intervals. This change reflected more conservative dosing thresholds for elderly patients and those with cardiovascular conditions.

In 2023, the FDA mandated a class-wide revision to the boxed warning on all levothyroxine products, including Tirosint. The revised warning added clarifying language about cardiovascular risk in patients receiving supratherapeutic doses, aligning with updated American Thyroid Association guidance on TSH suppression thresholds.

IBSA also expanded access through an authorized generic partnership. In 2020, Lannett launched the first authorized generic levothyroxine sodium capsule using the same gel cap formulation as Tirosint. In July 2024, YARAL Pharma became the sole authorized generic Tirosint capsule supplier, offering the same formulation in 12 strengths from 13 mcg to 200 mcg.

As of early 2026, Tirosint is not listed on the FDA Drug Shortage Database or the ASHP Drug Shortage Resource Center. However, pharmacy-level availability remains inconsistent. Many retail pharmacies do not consistently stock Tirosint due to its relatively low prescription volume compared to generic levothyroxine tablets. The medication is more reliably available through mail-order and specialty pharmacies. IBSA also operates a direct-to-patient mail order program called Tirosint Direct, charging approximately $65 per month for a 90-day supply.

About IBSA Institut Biochimique S.A.

What does IBSA own?
IBSA owns and markets pharmaceutical products across 10 therapeutic areas under three primary brand names: IBSA (corporate brand covering all therapeutic areas), Monurella (urology and urinary tract health), and Lutinus (reproductive medicine and fertility). The company's portfolio includes both prescription pharmaceuticals and consumer health products sold through pharmacies and healthcare providers.

Is IBSA publicly traded?
No, IBSA Institut Biochimique S.A. is a privately held family-owned company. It is not listed on any stock exchange and does not have public shareholders. The company has maintained its private ownership structure since its founding in 1945, which allows it to pursue long-term strategies without the pressure of public market expectations.

Who founded IBSA?
IBSA was founded in 1945 by Dott. Angelo Cavalli in Lugano, Switzerland. Cavalli established the company as a biochemical research institute. The company remained relatively small until the 1990s, when CEO and President Arturo Licenziati began a period of sustained international expansion that has continued for over 40 years.

Where is IBSA headquartered?
IBSA is headquartered in Lugano, in the canton of Ticino, Switzerland. The company's largest manufacturing facility, the cosmos plant, is also located at the Lugano headquarters. IBSA maintains additional manufacturing operations in Italy and China, along with 20 subsidiaries across Europe, China, and the United States.

How many brands does IBSA own?
IBSA owns three primary brands: IBSA (the corporate brand for pharmaceutical products across all therapeutic areas), Monurella (for urology and urinary tract health products), and Lutinus (for reproductive medicine and fertility products). The company's product portfolio spans 10 therapeutic areas, with many products marketed under the IBSA corporate brand.

Who owns IBSA?
IBSA is privately owned by the founding family. The company is controlled through private holding structures, with no external investors or parent organization. CEO and President Arturo Licenziati has led the company for 40 years, maintaining the family's ownership and strategic control. The company has never sought public listing or external investment.

What is IBSA's revenue?
IBSA reported turnover of approximately CHF 1.089 billion in its most recent disclosed figures. The company reached CHF 986 million in 2023, representing 10 percent growth over the prior year. Europe is the company's largest market, followed by the Americas, which grew at 18.3 percent in 2023. IBSA employs over 2,500 people across its global operations.

  • Founded: 1945
  • Headquarters: Lugano, Ticino, Switzerland
  • Company Type: Privately Held
  • Revenue: approximately CHF 1.089 billion (FY2024)
  • Employees: approximately 2,500

Visit IBSA Institut Biochimique S.A. website

View full company profile for IBSA Institut Biochimique S.A.

Where Is Tirosint Made / Based?

  • Headquarters: Lugano, Switzerland
  • Manufacturing / Operations: Switzerland, Italy

Tirosint Categories & Tags

LevothyroxineHypothyroidismThyroidExcipient FreeSoftgel

Tirosint Sustainability & Ethics

IBSA publishes sustainability reports under European Sustainability Reporting Standards (ESRS). The company's seventh report, covering 2024, addresses environmental monitoring, supply chain resilience, and corporate social responsibility.

IBSA has implemented environmental monitoring systems across its manufacturing facilities in Switzerland and Italy. The company reports on energy usage, waste management, and water quality at its production sites. However, IBSA has not published specific carbon reduction targets or net-zero commitments.

Tirosint is manufactured under cGMP regulations with FDA oversight. The FDA conducted an inspection of IBSA's manufacturing practices as part of its ongoing post-market surveillance. No manufacturing compliance issues have been publicly disclosed for the Tirosint capsule formulation.

IBSA introduced a corporate volunteering program in 2024 and reports on employee well-being initiatives. The company's ESRS reporting covers social responsibility topics including patient engagement, medical professional education, and community impact.

Awards & Recognition

Tirosint has not received traditional consumer product awards, which is typical for prescription pharmaceuticals. Its recognition comes from regulatory approvals and clinical adoption:

  • FDA approval of Tirosint capsules in 2006 (NDA 021924) represented the first levothyroxine softgel capsule formulation in the US market
  • FDA approval of Tirosint-SOL in 2017 (NDA 207976) expanded the franchise with a liquid formulation offering 15 strengths
  • IBSA's softgel capsule technology has been recognized in pharmaceutical industry literature for improving oral medication delivery and patient compliance
  • Tirosint is included in clinical guidelines for hypothyroidism management, particularly for patients with documented absorption issues or excipient sensitivities

Tirosint Recalls & Controversies

Tirosint has experienced one significant product recall:

  • Tirosint-SOL voluntary recall (January 2023): IBSA Pharma announced a voluntary recall of 27 lots of Tirosint-SOL (levothyroxine sodium oral solution) due to potential subpotency. The recall affected only the liquid formulation, not the softgel capsules. The FDA classified it as a Class I recall, the most serious category, because subpotent levothyroxine could cause patients to experience hypothyroid symptoms including fatigue, cold sensitivity, constipation, dry skin, and weight gain. IBSA Pharma reported no adverse events related to the recall. The company notified wholesalers, retailers, and healthcare providers to stop distributing the affected lots and established a patient hotline at 1-800-587-3515. Patients were advised to continue taking their medication until consulting their healthcare provider.
  • Pharmacy-level availability issues (ongoing): While not a formal recall, Tirosint has faced persistent availability problems at retail pharmacies. As of early 2026, the medication is not listed on FDA or ASHP shortage databases, but many pharmacies do not consistently stock it due to low prescription volume. This has created practical challenges for patients, some of whom have been forced to switch pharmacies or use mail-order services. IBSA has not reported manufacturing disruptions, and the Tirosint Direct mail order program provides an alternative supply channel.

Tirosint Ownership: Pros & Cons

Advantages

  • +Excipient-free softgel formulation addresses a genuine clinical need for patients with sensitivities to tablet ingredients
  • +Softgel delivery may provide more consistent absorption in patients with GI conditions like celiac disease or post-bariatric surgery
  • +Tirosint-SOL extends the franchise to patients who cannot swallow capsules, including pediatric and elderly populations
  • +IBSA's specialty focus on hormone therapies provides deep formulation expertise
  • +Multiple strengths (13 mcg through 200 mcg) accommodate the full range of clinical dosing needs

Considerations

  • -Cost is significantly higher than generic levothyroxine tablets ($150 to $250 per month versus $4 to $10)
  • -Insurance coverage often requires prior authorization or step therapy before approval
  • -IBSA is privately held with limited public financial disclosure, making commercial performance difficult to assess
  • -Pharmacy-level stocking is inconsistent, creating access barriers for patients
  • -Clinical evidence for superiority over conventional tablets is limited to specific patient subgroups, not the general hypothyroid population

Frequently Asked Questions About Tirosint

Sources & Further Reading

  • DailyMed: Tirosint Prescribing Information -
  • Tirosint Official Website -
  • IBSA Group Official Website -
  • IBSA Group Sustainability Report 2024 -
  • FDA Drug Approval Package: Tirosint (NDA 021924) -
  • American Thyroid Association: Levothyroxine Information -
  • Healio News: Tirosint-SOL Recall Coverage -
  • MedFinder: Tirosint Shortage Analysis (2026) -
  • HealthRX: Tirosint Label Updates 2020-2026 -

Competitors to Tirosint

No direct competitors found in the same category. This could be because Tirosintoperates in a unique market segment or we're still building our competitor database.

Independent Alternatives to Tirosint

Looking for brands with different ownership structures? These similar brands are not owned by IBSA Institut Biochimique S.A., giving you alternative choices that support different corporate structures.

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GE HealthCareHealthcare Pharmaceuticals

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GE HealthCare operates independently without a large parent corporation.

PfizerHealthcare Pharmaceuticals

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American multinational pharmaceutical corporation developing and manufacturing medicines, vaccines, and consumer healthcare products, one of the world's largest pharmaceutical companies.

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PhilipsHealthcare Pharmaceuticals

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TamifluHealthcare Pharmaceuticals

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antiviralinfluenzaoseltamivir
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Tamiflu is owned by Roche, a public company, a different structure than Tirosint's parent.

AlconHealthcare Pharmaceuticals

Alcon

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Independent publicly traded global eye care company headquartered in Geneva, Switzerland, specializing in surgical equipment, contact lenses, and ophthalmic products. Spun off from Novartis in April 2019.

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Last reviewed: August 5, 2026 · Reviewed by Who Brands Editorial Team