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Coverage / Cigna / Lotemax ophthalmic ointment / allergy to benzalkonium chloride

Lotemax ophthalmic ointment — Cigna

allergy to benzalkonium chloride

Initial criteria

Patient has an allergy to benzalkonium chloride

Approval duration

1 year

Provenance

View official policy PDF

Plan: Cigna
Drug: Lotemax ophthalmic ointment
Indication: allergy to benzalkonium chloride
Last seen: 2025-10-15
Hash: 131d9cf81b77…

Disclaimer: Educational only. Coverage varies by employer group and formulary. Always verify with the plan.

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Disclaimer: Educational use only. Coverage varies by employer group and formulary. Always verify with the plan.

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