FillMapSmart Silver 22 Health · 13887-13887FL0010004-0About this plan

Does Smart Silver 22 Health cover loteprednol etabonate?

1 · Your plan

Smart Silver 22 Health

13887-13887FL0010004-0 · ACA · ACA Marketplace

2 · Your medication

loteprednol etabonate

loteprednol etabonateunder Smart Silver 22 Health

Covered — the conditions depend on which form

Not the same for every form: 1 of 10 need your plan’s approval first, and 3 of 10 usually need a preferred medication tried first. Check your exact form in the list below — your doctor’s office handles either.

What you'd pay

$40per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.

Tier: Generics
Approval first: Required
Try another first: Required
Amount limit: Yes

Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (10)

loteprednol etabonate 0.0038 MG/MG Ophthalmic Gel [Lotemax]Amount limit
loteprednol etabonate 0.005 MG/MG Ophthalmic GelAmount limit
loteprednol etabonate 0.005 MG/MG Ophthalmic Gel [Lotemax]Amount limit
loteprednol etabonate 0.005 MG/MG Ophthalmic Ointment [Lotemax]Amount limit
loteprednol etabonate 10 MG/ML Ophthalmic Suspension [Inveltys]Try another firstAmount limit
loteprednol etabonate 2 MG/ML Ophthalmic SuspensionTry another firstAmount limit
loteprednol etabonate 2 MG/ML Ophthalmic Suspension [Alrex]Try another firstAmount limit
loteprednol etabonate 2.5 MG/ML Ophthalmic Suspension [Eysuvis]Approval first
loteprednol etabonate 5 MG/ML Ophthalmic SuspensionAmount limit
loteprednol etabonate 5 MG/ML Ophthalmic Suspension [Lotemax]Amount limit

← All coverage for loteprednol etabonate