Bausch + Lomb is committed to providing copay  assistance on your LOTEMAX® SM prescription

Eligible Commercially Insured Patients May Pay As Little As*:

COMMERCIALLY INSURED

EXCLUSIVELY AT WALGREENS
AND PARTICIPATING
INDEPENDENT PHARMACIES
$25
Most Eligible Patients Pay No More Than*:

MEDICARE PART D PROGRAM

$60

Discounted $60 copay available for eligible uninsured patients*.

Size: 5g in a 10 mL bottle Eligible Fills: 6

How to activate your coupon before heading to the pharmacy

Eligible Commercially Insured & Uninsured Patients*

Eligible Medicare Part D Patients*

Activate your Medicare Part D coupon in three simple steps:

  • ACTIVATEPrint coupon: Call 1-866-686-0130ORWeb coupon: Visit www.lotemaxsmpartdcoupon.com to download coupon
  • REDEEM Visit a participating pharmacy with your coupon, prescription, and insurance card
  • MAILSign and mail the prewritten letter to notify the health plan of your choice to use coupon program benefits. The address can be found on your Medicare card
Terms, limitations and conditions apply. Most eligible commercially insured patients may pay no more than $25 copay for their first prescription and eligible refills, exclusively at Walgreens and other participating independent pharmacies. Please see www.bauschaccessprogram.com or www.lotemaxsmpartdcoupon.com for eligibility criteria and terms and conditions.

Ask your doctor

if you prefer a printed coupon

Why LOTEMAX® SM
INDICATION

LOTEMAX® SM (loteprednol etabonate ophthalmic gel) 0.38% is used to treat inflammation and pain following eye surgery.

IMPORTANT SAFETY INFORMATION
  • LOTEMAX® SM should not be used if you have an infection in your eye.
  • Before using LOTEMAX® SM, turn the closed bottle upside down and shake once to fill the bottle tip. Do not allow the dropper tip to touch any surface, as this may contaminate the gel.
  • Do not wear contact lenses when using LOTEMAX® SM when your eyes are inflamed.
  • Contact your doctor if pain develops or if redness, itching, or inflammation becomes aggravated or worsens.
  • If you use LOTEMAX® SM for longer than 10 days, your doctor should monitor pressure in your eye.
  • Medications such as LOTEMAX® SM may result in cataract formation, or may delay healing after cataract surgery.
  • There were no side effects related to LOTEMAX® SM that occurred in more than 1% of subjects dosed three times a day in the clinical studies compared to placebo.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Click here for full Prescribing Information for LOTEMAX® SM.

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