Bausch + Lomb is committed to providing co-pay assistance whether you’re eligible commercially insured, eligible uninsured, or on Medicare Part D. Eligible patients may pay no more than*:

Commercially Insured


Uninsured Patients


Medicare Part D


Be sure to activate your coupon before heading to the pharmacy.

For eligible commercially insured and uninsured patients:

  • Call 1-866-693-4880 to activate the print coupon
  • To activate the online download coupon and review eligibility criteria, visit and follow the instructions.
  • Size: 3 mL
  • Eligible Commercially Insured May Pay*: $35
  • Eligible Uninsured May Pay*: $75
  • Eligible Fills: 6

*Terms and conditions apply. Please see or for eligibility criteria and terms and conditions.

Bausch + Lomb has aligned with Walgreens to help eligible patients redeem prescription savings on our products. If you have any questions regarding your eligibility or benefits, please call 1-866-693-4880.

For eligible Medicare Part D insured patients:

The PROLENSA Part D Program offers savings for Medicare Part D patients. Most eligible patients pay no more than $60 co-pay on their PROLENSA® prescription.


To activate the print coupon, call 1-866-686-0091. To activate the online download coupon, agree to the statements on


Redeem the coupon card at a participating retail pharmacy with prescription and insurance card.


Sign and mail the prewritten letter to your health plan. Your health care plan address can be found on your Medicare provider card.

Terms and conditions apply. Please see for eligibility criteria and terms and conditions.