Lotemax ophthalmic ointment 0.5% — Cigna
seasonal allergic conjunctivitis
Preferred products
- generic dexamethasone sodium phosphate ophthalmic solution 0.1%
- generic difluprednate ophthalmic emulsion 0.05%
- generic fluorometholone ophthalmic suspension 0.1%
- generic prednisolone acetate ophthalmic suspension 1%
- generic prednisolone sodium ophthalmic solution 1%
Initial criteria
- Patient has tried two Step 1 Products
Approval duration
1 year