Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.
Restasis Coupon Details
Restasis (Single-Use Vials) My Tears, My Rewards Savings Card: Eligible patients may pay as little as $0 per 30-day prescription with a savings of $255 per fill; for additional information contact program at 844-469-8327.
Benefits :
- Prescription
- Offer Type: Copay Card Sign-up
- Activate By: Patient
- Coverage Requirments:
- Pharmacy Support Number 844-469-8327
Contact Details :
Free Discount Drug Coupon
All patients are eligible to receive a discount by using this free Restasis coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.
Free Prescription Discount Card
- No registration required.
- Everyone is eligible.
- Get discount up to 80%.
- Card can be used for person with Insurance or without insurance for discount.
- Never expires.
- Ready for immediate.
- No activation required.
- Prescription Coupon
Restasis Cost
How much does Restasis cost near you?
It may varies based on the pharmacy you fill you prescription from.
Restasis Copay Assistance
Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.
Elligibility requirements:
- 1. Must be uninsured.
- 2. At or below 400% of FPL.
- 3. Must reside and receive treatment in US.
- 4. Restasis Copay assistance, and patient assistance programs are available for eligible patients.
Programs
myAbbVie Assist for Eye Care
This program provides brand name medications at no or low cost
Provider: AbbVie Inc.
Medication :
- Restasis ophthalmic emulsion (cyclosporine)
Additional Info for Coupon
Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis.
Contact program for details.
Coupon Eligibility
Insurance: Must be uninsured or underinsured
Income: At or below 600% of FPL
US Residency: Must be a US resident and treated by a US licensed healthcare provider
Part D: Varies
Diagnosis: Not applicable
myAbbVie Assist Patient Assistance Program
This program provides brand name medications at no or low cost
Provider: AbbVie Inc.
Medication :
- Restasis ophthalmic emulsion (cyclosporine)
Additional Info for Coupon
Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis.
Contact program for details.
Coupon Eligibility
Insurance: Must be uninsured or underinsured
Income: At or below 600% of FPL
US Residency: Must be a US resident and treated by a US licensed healthcare provider
Part D: Varies
Diagnosis: FDA-approved diagnosis
myAbbVie Assist Patient Assistance Program
This program provides brand name medications at no or low cost
Provider: Allergan, Inc.
Medication :
- Restasis ophthalmic emulsion (cyclosporine)
Additional Info for Coupon
Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis.
Contact program for details.
Coupon Eligibility
Insurance: Must be uninsured or underinsured
Income: At or below 600% of FPL
US Residency: Must be a US resident and treated by a US licensed healthcare provider
Part D: Varies
Diagnosis: FDA-approved diagnosis
Rx Outreach Medications
This program provides medication at low cost. (Most brand names are provided for reference purposes only)
Provider: Rx Outreach
Medication :
- cyclosporine (Restasis ophthalmic emulsion)
Additional Info for Coupon
Rx Outreach has expanded the eligibility guidelines beyond 400% FPL to include people affected by COVID-19.
Some medications are available for a fee of $20 for up to a 180 day supply.
Check the Rx Outreach website for the exact price and most current medication list.
Contact Program for Spanish Application(s)/Form(s).
Coupon Eligibility
Insurance: May have insurance
Income: Determined case by case
US Residency: Must reside in the US
Part D: Yes
Diagnosis: Not required
Patient Access Network Foundation (PAN)
This is a copay assistance program
Provider: Patient Access Network Foundation
Medication :
- Restasis ophthalmic emulsion (cyclosporine)
Additional Info for Coupon
*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.
Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.
Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Coupon Eligibility
Insurance: *See Additional Information section below
Income: Between 400-500% of FPL
US Residency: Must reside and receive treatment in US
Part D: Determined case by case
Diagnosis: FDA Approved Diagnosis - See Program Website for Details