Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Hong Kong If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Maximum savings limit applies; patient out-of-pocket expense may vary. 11 DESCRIPTION Spain Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). This offer is not valid where prohibited, taxed, or otherwise restricted. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Uruguay Chile Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. To order samples beginning 12/1 please visit www.Alconsamples.com. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. However, your healthcare provider may have more information concerning specific programs available in your area. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Rocklatan (latanoprost/netarsudil ophthalmic) as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Available for Android and iOS devices. Over the counter medications, such as Systane and Pataday. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Should generally not be used in patients with active intraocular inflammation. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Please note, patient assistance programs cannot be used in conjunction with these rxless offers. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. Eyelash changes are usually reversible upon discontinuation of treatment. Prescription medications: Simbrinza, Eysuvis, and Inveltys. . Russia, Asia Pacific Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Use with caution in patients with a history of herpetic keratitis. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Many times however, the offers listed on rxless will be less expensive than manufacturer coupons, copay cards, or patient assistance programs - so make sure you compare all options before making a purchase. Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). Contact lenses should be removed prior to using Rocklatan. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Italy 8.4 Pediatric Use . Generic version. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Contact lenses should be removed prior to using Rocklatan. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Pharmaceutical Manufacturers Address affordability with an automated prescription assistance program Increase new starts of initial scripts Increase prescription volume Easily encourage medication adherence Retail pharmacies We offer a range of programs to make it easier for patients to obtain their medication. Eligible patients pay as little as $30 per prescription fill. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Maximum savings limit applies; patient out-of-pocket expense may vary. Valid at all major chains including Walgreens, CVS Pharmacy, Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Eyelash changes are usually reversible upon discontinuation of treatment. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. %PDF-1.7 % This is a copay assistance program: Provided by: Patient Access Network Foundation: TEL: 866-316-7263 FAX: 866-316-7261: Languages Spoken: English, Spanish, Others By Translation Service. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } DOSAGE AND ADMINISTRATION Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). 8.5 Geriatric Use . Avoid use in cases of active herpes simplex keratitis. If approved, we will routinely ship medicine to the prescriber's office. Accessed on April 18, 2022. Five percent of patients discontinued therapy due to red eyes. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Remove contact lenses prior to administration and reinsert 15 minutes after administration. The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). Valid only for those with private insurance. Please click here for full prescribing information for Rocklatan. United Kingdom - English, Americas To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . a sample from a medical professional. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Visit website. Six percent of patients discontinued therapy due to conjunctival hyperemia. 37% of reviewers reported a positive experience, while 53% reported a negative experience. -p Eligible patients may pay copays as little as: {"crx-wl-channel":"web","crx-wl-survey-description":"Agreement Certification","crx-wl-survey-name":"Alcon Patient Survey v1.0.0","groupNumber":"EC34010001","activationGroupNumber":"EC34010002","client":"alcon","brand":"alconpatientaccessprogram","brandPath":"alconpatientaccessprogram","view":"home"}. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. For patients with private insurance, the Alcon Patient Access Program may be able to help lower your out-of-pocket cost for these prescription products: For patients with Medicare Part D or Medicare Advantage insurance, Alcon may be able to help with the cost of your Inveltys prescription with use of a $60 coupon. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining This site is intended for US healthcare professionals only. Eligibility requirements for each program may vary. Proof of purchase may be required. Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. Eyelash changes are usually reversible upon discontinuation of treatment. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. You are encouraged to report negative side effects of prescription drugs to the FDA. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. Rocklatan prices starting at $375.30. This offer will expire on March 1, 2023. Get help over the phone: +1 800-757-9195 France Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). Thats less than $9 per month for a 90-dayprescription. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%).

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rocklatan patient assistance program