Bausch + Lomb is committed to providing copay assistance whether you’re eligible commercially insured, eligible uninsured, or on Medicare Part D.

Eligible Commercially Insured Patients May Pay As Little As:

$25 COPAY

Most Eligible Medicare Part D Patients Pay No More Than:

$60 COPAY

Eligible uninsured patients may pay as little as $60.

Terms, conditions and limitations apply. Please see www.bauschaccessprogram.com or www.prolensapartdcoupon.com for eligible criteria and terms and conditions.

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

BE SURE TO ACTIVATE YOUR COUPON BEFORE HEADING TO THE PHARMACY

To activate the print coupon, visit www.bauschaccessprogram.com or call 1-866-693-4880.

  • Size: 3 mL
  • Eligible Commercially Insured May Pay As Little As*: $25
  • Eligible Uninsured May Pay As Little As*: $60
  • Eligible Fills: 6

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.

*Terms, conditions and limitations apply. Please see www.bauschaccessprogram.com for eligibility criteria and terms and conditions

FOR ELIGIBLE MEDICARE PART D PATIENTS

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

ACTIVATE:

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

REDEEM:

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

MAIL:

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

 

Terms, conditions and limitations apply. Please see www.prolensapartdcoupon.com for eligibility criteria and terms and conditions.