Bausch + Lomb is committed to providing copay assistance whether you’re eligible commercially insured, eligible uninsured, or on Medicare
Eligible Commercially Insured Patients May Pay As Little As†:
Most Eligible Medicare Part D Patients Pay No More Than†:
Eligible uninsured patients may pay as little as $60.
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†.
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 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, conditions and limitations apply. Please see www.prolensapartdcoupon.com for eligibility criteria and terms and conditions.