Prednisolone Acetate Medicare Coverage

Prednisolone Acetate
Chemical name: Prednisolone Acetate

Brand name: Omnipred, Pred Forte

Typical dosage: 5ml of 1%

Typical type: Eye drop1

Prednisolone Acetate is a medication typically used to treat swelling of the eye. Prednisolone Acetate is available as a brand name or a generic and comes as an eye drop.

Prednisolone Acetate is a medication used to treat inflammation and swelling of the eye. The brand name equivalents of Prednisolone Acetate are called Omnipred or Pred Forte.

Prednisolone Acetate is usually given as 1-2 drops in each eye, 2-4 times daily, for as long as your doctor instructs you to do so. Prednisolone Acetate reduces inflammation in the eye by inhibiting substances that lead to eye damage and scar formation.

Common side effects include change in taste, eye irritation, headache, burning, stinging and the feeling that something is in the eye.

Does Medicare cover Prednisolone Acetate?

Yes! 98% of Medicare Advantage plans and Medicare Part D plans cover Prednisolone Acetate.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.2

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Prednisolone Acetate.

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Average costs for Prednisolone Acetate with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.		 After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
Free – $43 Free – $43

Additional information

If signs and symptoms of eye swelling do not improve or become worse after 2 days, talk to your doctor.

Prednisolone Acetate should be used in the eye only. Use Prednisolone Acetate for as long as your doctor tells you to, even if you feel like it is working. Wash your hands before and after use.

Make sure you take out your contact lenses before using Prednisolone Acetate. You can put your contact lenses back in 15 minutes after using this drug. If your eyes are irritated or seem infected, do not put your contact lenses back in.

For the best administration, do not touch the tip of the eyedropper to the eyelid, the eye or any other skin to keep it sanitary. Tip your head back to drop the drug into your eye. After using, keep your eyes closed. Put pressure on the inside corner of your eye and do this for 1-2 minutes to keep the drug in your eye.

Call the doctor if you experience change in eyesight, eye pain or very bad eye irritation.

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Prednisolone Acetate. Retrieved Sep. 2019, from www.goodrx.com/prednisolone-acetate.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.