Prednisolone Acetate Medicare Coverage

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.

How much does Prednisolone Acetate cost with Medicare?

Prednisolone Acetate coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Prednisolone Acetate?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Prednisolone Acetate in 2023.¹

• Medicare Advantage plans or Part D plans that cover Prednisolone Acetate include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.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. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

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.