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Does Medicare Part D cover Lotemax?

Lotemax appears on the Medicare Part D formularies of 149 payers in the corpus. 0 require prior authorization on every covering plan, 0 on some plans, and 149 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
Humana8170No prior authorization
UnitedHealthcare6970No prior authorization
Aetna (CVS Health)6280No prior authorization
Devoted Health4150No prior authorization
Cigna1710No prior authorization
SCAN Health Plan740No prior authorization
Molina Healthcare510No prior authorization
Simply Healthcare Plans, INC.500No prior authorization
Cariten Health Plan INC.440No prior authorization
Uhc Of California400No prior authorization
Careplus Health Plans, INC.360No prior authorization
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.330No prior authorization
Blue Cross Blue Shield (affiliate)310No prior authorization
Medco Containment Life And Medco Containment Ny270No prior authorization
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC200No prior authorization
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Central Health Plan Of California, INC.150No prior authorization
Selecthealth, INC.140No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
Healthsun Health Plans, INC.130No prior authorization
Prominence Healthfirst Of Texas130No prior authorization
Atrio Health Plans120No prior authorization
Mount Carmel Health Plan, INC.110No prior authorization
Pacificsource Community Health Plans110No prior authorization
Quartz Health Plan Corporation100No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company90No prior authorization
Mvp Health Plan, INC.80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Network Health Insurance Corporation80No prior authorization
Prominence Healthfirst80No prior authorization
Health Partners Plans, INC.80No prior authorization
Viva Health, INC.70No prior authorization
Martin'S Point Generations Advantage, INC.70No prior authorization
Astiva Health, INC.70No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Summacare INC.70No prior authorization
Champion Health Plan Of California INC70No prior authorization
Champion Health Plan Of Nevada, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina70No prior authorization
Providence Health Assurance70No prior authorization
Alterwood Advantage, INC.70No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Christus Health Plan60No prior authorization
Gold Kidney Of Florida INC60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Elderplan, INC.60No prior authorization
Connecticare, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Chinese Community Health Plan50No prior authorization
Hopkins Health Advantage, INC.50No prior authorization
Oh Chs Snp INC.50No prior authorization
Usable Mutual Insurance Company50No prior authorization
Gold Kidney Of Arizona50No prior authorization
Prominence Healthfirst Of Florida INC50No prior authorization
Hpmp Of Florida, INC.50No prior authorization
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
Hawaii Medical Service Association40No prior authorization
Qcc Insurance Company40No prior authorization
Leon Health, INC.40No prior authorization
Verda Health Plan Of Texas INC40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan40No prior authorization
Clever Care Of Golden State, INC.40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.30No prior authorization
Eternalhealth, INC.30No prior authorization
Partners Insurance Company INC30No prior authorization
Mount Carmel Health Insurance Company30No prior authorization
Village Senior Services Corporation30No prior authorization
Senior Whole Health, LLC30No prior authorization
Baycare Select Health Plans, INC.30No prior authorization
Cox Health Systems HMO INC30No prior authorization
Volunteer State Health Plan30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.30No prior authorization
Aultcare Health Insuring Corporation30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC30No prior authorization
Provider Partners Health Plan Of North Carolina30No prior authorization
Provider Partners Health Plan Of Indiana30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Vns Choice30No prior authorization
Mercy Care30No prior authorization
Usable HMO, INC.30No prior authorization
Mclaren Health Plan, INC.30No prior authorization
Southeastern Indiana Health Organization, INC.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Ks Plan Administrators, LLC20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Florida Blue Medicare, INC.20No prior authorization
Commonwealth Care Alliance, INC.20No prior authorization
Neighborhood Health Plan Of Rhode Island20No prior authorization
Signature Advantage, LLC20No prior authorization
Primewest Rural Mn Health Care Access Initiative20No prior authorization
Verda Health Plan Of Arizona, INC.20No prior authorization
Partners Insurance Company Of New Jersey INC20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
New Century Health Plan, INC.20No prior authorization
Community Health Group20No prior authorization
Texas Independence Health Plan, INC.20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Imperial Health Plan Of California, INC.20No prior authorization
Denver Health Medical Plan, INC.20No prior authorization
Senior Whole Health Of New York, INC.20No prior authorization
Elite Health Plan, INC.20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Visiting Nurse Association Of Central New York20No prior authorization
Trinity Health Plan Of Michigan INC20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Elevance Health (Anthem)20No prior authorization
Tsg Guard, INC.10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.10No prior authorization
Imperial County Local Health Authority10No prior authorization
Community Care Health Plan, INC.10No prior authorization
Independent Care Health Plan10No prior authorization
Itasca Medical Care10No prior authorization
Connecticare Insurance Company, INC.10No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Allcare Health Plan, INC.10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Santa Clara County Health Authority10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Kern Health Systems10No prior authorization
Paramount Insurance Company10No prior authorization
Orange County Health Authority10No prior authorization
Health Choice Arizona, INC.10No prior authorization
Santa Cruz Monterey Merced San Benito Mariposa Managed Medic10No prior authorization
San Joaquin County Health Commission10No prior authorization
Aids Healthcare Foundation10No prior authorization
Alohacare10No prior authorization
Provider Partners Health Plan Of Kentucky10No prior authorization
Santa Barbara San Luis Obispo Regional Health Authority Dba10No prior authorization
San Francisco Health Authority Dba San Francisco Health Plan10No prior authorization
Hawaii Medical Service Association (Hmsa)10No prior authorization
Healthy Mississippi, INC.10No prior authorization
Inland Empire Health Plan10No prior authorization
West Virginia Senior Advantage, INC.10No prior authorization
Healthfirst Insurance Company, INC.10No prior authorization

“Require prior auth” counts a plan when any Lotemax product on its formulary needs authorization.

Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.