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restasis patient assistance program application

by Monique Leffler Published 2 years ago Updated 1 year ago
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Is the Restasis® offer covered by insurance?

1. This offer is valid only for patients who have commercial insurance coverage and a valid prescription for an approved use of RESTASIS® (cyclosporine ophthalmic emulsion) 0.05% single-dose vials or RESTASIS MultiDose® bottles at the time the prescription is filled by the pharmacist and dispensed to the patient. 2.

What is the Allergan® Patient Assistance Program?

The Allergan ® Patient Assistance Program provides certain products to patients in the United States who are unable to afford the cost of their medicine and who meet other eligibility requirements. The RESTASIS ® list price is $586 † per month, plus any additional pharmacy charges depending on where you purchase your medicine.

Can I use Restasis ® If I am allergic to the ingredients?

All trademarks are the property of their respective owners. Do not use RESTASIS ® and RESTASIS MultiDose® Ophthalmic Emulsion if you are allergic to any of the ingredients. Be careful not to touch the container tip to your eye or other surfaces, to help avoid eye injury and contamination.

Does Restasis help with dry eye?

RESTASIS ® and RESTASIS MultiDose® Ophthalmic Emulsion help increase your eyes' natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS ® and RESTASIS MultiDose® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs

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How can I get help paying for Restasis?

If you're ready to take the first step towards obtaining assistance with the cost of your Restasis prescription, apply online or call Simplefill at 1(877)386-0206.

How much does Restasis cost without insurance?

There is not a generic version of Restasis available at this time. The average cash price of Restasis is expensive, at about $392.57 for 30, 30 Emulsion Emulsion. However, you can significantly reduce this price to $60.12 by using one of the free coupons for Restasis below at a participating pharmacy near you.

What is a 30-day supply of Restasis?

Thirty single-use vials provide a 15-day supply, while 60 vials provide a 30-day supply. Restasis is the same price whether it is supplied in multidose bottles or single-use vials.

Why does Restasis cost so much?

There is no competition. This can push up the price greatly. Original inventors of the drug will have a patent on the product and no other manufacturers can market the generic until the patent expires, which can take 10 years or longer.

Is there a generic substitute for Restasis?

Yes, in the U.S. there is a generic option for Restasis eye drops known as cyclosporine ophthalmic eye drops. The generic was first approved in February 2022. It comes as a 0.05% strength in a package that contains 30 or 60 single-dose vials. The generic is just as safe and effective as the brand name.

Do you have to use Restasis forever?

You will be on Restasis for at least 6 months even if your eyes feel better. Many patients may need to continue on Restasis long term or their symptoms will return. Your doctor will tell you when to stop using Restasis.

What is a good substitute for Restasis?

Cequa.Lifitegrast ophthalmic.Systane.Artificial Tears.Refresh.Systane Ultra.

What is better than Restasis?

Xiidra and Restasis are both effective for treating chronic dry eye symptoms. However, Xiidra may relieve dry eye symptoms more quickly than Restasis. Xiidra can start working within two weeks while Restasis usually takes up to three months to start relieving dryness in the eyes.

How many times can you use one vial of Restasis?

Official answer. Restasis is an eyedrop medication that's used to treat dry eye disease. Each dose comes in a single-use vial that should only be used once. The vial and any remaining contents should then be discarded.

Is systane as good as Restasis?

Systane was better than Restasis + Refresh for less burning (P = 0.0288), dryness (P = 0.0480), and scratchiness (P = 0.0294). Conclusions: Results indicate that the choice of concomitant therapy used with Restasis has significant effects on outcome measures. Both supportive therapies were compatible with Restasis.

When is Restasis going generic?

First Generic Restasis Is Approved by FDA. Key takeaways: In February 2022, the FDA approved the first generic version of Restasis (cyclosporine) eye drops. The FDA required the manufacturer of these generic cyclosporine eye drops to follow extra steps to make sure it was equal to brand-name Restasis.

What is the best product for severe dry eyes?

Healthline's picks for the best eye drops for dry eyesRefresh Plus Preservative-Free.Optase Dry Eye Intense Drops.TheraTears Dry Eye Therapy.Refresh Tears Lubricant Eye Drops.Lumify.Biotrue Hydration Boost Eye Drops.Visine Dry Eye Relief All Day Comfort.GenTeal Tears Lubricating Eye Gel.More items...•

How much is a box of Restasis?

Order Restasis from Verified Online Pharmacies Currently, a package of 60 vials of 0.4 mL of Restasis can cost you around $620 at a local U.S pharmacy. You can find Restasis as low as $96 at a verified international pharmacy by comparing prices on PharmacyChecker.com.

What's the price of Restasis eye drops?

The cost for Restasis ophthalmic emulsion 0.05% is around $349 for a supply of 30 emulsion, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

How many vials are in a 90 day supply of Restasis?

Is RESTASIS MultiDose ® available as a 90-day prescription? Yes, you will receive three 5.5-mL multidose bottles, which are intended for a 90-day supply.

What is the best product for severe dry eyes?

Healthline's picks for the best eye drops for dry eyesRefresh Plus Preservative-Free.Optase Dry Eye Intense Drops.TheraTears Dry Eye Therapy.Refresh Tears Lubricant Eye Drops.Lumify.Biotrue Hydration Boost Eye Drops.Visine Dry Eye Relief All Day Comfort.GenTeal Tears Lubricating Eye Gel.More items...•

How much is Restasis 0.05%?from drugs.com

The cost for Restasis ophthalmic emulsion 0.05% is around $330 for a supply of 30 emulsion, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

What is the Allergan Patient Assistance Program?from allergan-web-us-prod.azurewebsites.net

The Allergan Patient Assistance Program provides certain products to patients in the United States who are unable to afford the cost of their medication and who meet other eligibility requirements.

Is Restasis a generic?from drugs.com

Restasis is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Restasis av ailability . This Restasis price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Who should call the company for prescription medication?from drugs.com

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.

Does Restasis accept mail order?from drugs.com

Restasis My Tears, My Rewards Program for Mail-Order/Manual Claims (Mail-Order): If your pharmacy does not accept the savings card you may complete and submit the mail-order form to receive your proper savings; for additional information contact the program at 844-469-8327.

How much is Restasis?from restasis.com

The RESTASIS ® list price, also known as the wholesale acquisition cost (WAC), 1 is $586 † for a 30-day supply of RESTASIS ® or RESTASIS MultiDose®. However, the amount you pay will largely depend on your health insurance coverage.

Does Abbvie pay for restasis?from abbvie.com

If you lost employer-provided health insurance that covered your AbbVie treatment and can no longer pay for Restasis, please call: 1-800-222-6885.

How much is Restasis 0.05%?from drugs.com

The cost for Restasis ophthalmic emulsion 0.05% is around $330 for a supply of 30 emulsion, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Who should call the company for prescription medication?from drugs.com

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.

Is Restasis a generic?from drugs.com

Restasis is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Restasis av ailability . This Restasis price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Can I unsubscribe from Allergan?from restasis.com

Yes, I would like to receive other communications from Allergan, Inc. You can opt out of receiving emails at any time by clicking the unsubscribe link in any email.

Does Restasis accept mail order?from drugs.com

Restasis My Tears, My Rewards Program for Mail-Order/Manual Claims (Mail-Order): If your pharmacy does not accept the savings card you may complete and submit the mail-order form to receive your proper savings; for additional information contact the program at 844-469-8327.

How much is Restasis?from restasis.com

The RESTASIS ® list price, also known as the wholesale acquisition cost (WAC), 1 is $586 † for a 30-day supply of RESTASIS ® or RESTASIS MultiDose®. However, the amount you pay will largely depend on your health insurance coverage.

Does Abbvie pay for restasis?from abbvie.com

If you lost employer-provided health insurance that covered your AbbVie treatment and can no longer pay for Restasis, please call: 1-800-222-6885.

What is the Allergan Patient Assistance Program?from uslegalforms.com

Allergan Patient Assistance Program Application The Allergan Patient Assistance Program (PAP) provides Allergan medicines at no cost to eligible patients. If the patient qualifies, up to a twelvemonth.

What is the AbbVie Patient Assistance Foundation?from uslegalforms.com

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

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Important Note

  • The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. CYCLOSPORINE - OPHTHALMIC (sye-klo-SPORE …
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Uses

  • This medication is used to treat dry eyes due to a certain type of eye condition (keratoconjunctivitis sicca). It works by increasing the amount of tears you make.
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How to Use

  • This medication is placed in the affected eye(s) usually twice a day, about 12 hours apart; or as directed by your doctor. To apply eye drops, wash your hands first. To avoid contamination, be careful not to touch the tip of the vial or let it touch your eye. Before opening the vial, make sure the eye drops are well mixed by turning the vial upside...
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Side Effects

  • Burning, stinging, redness, pain, or itching of the eye may occur. Blurred vision, feeling as if something is in the eye, or eye discharge may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, severe i…
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Precautions

  • This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: an eye infection. Before using this medication, tell your doctor or pharmacist your medical history, especially of: any allergies. This drug may cause blurred vision; use caution engaging in activities requiring clear vision such as d…
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Drug Interactions

  • Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: other eye drops or ointments. Do not start or stop any medicine without doctor or pharmacist approval.
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Overdose

  • If overdose is suspected, contact your local poison control center or emergency room immediately. This medicine may be harmful if swallowed.
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Missed Dose

  • If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
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Storage

  • Store at room temperature between 59 and 77 degrees F (15-25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.
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