WITH BAUSCH + LOMB, WE’VE GOT YOUR PATIENTS COVERED

Most eligible patients may pay no more than:

Commercially Insured

$35
CO-PAY

Uninsured Patients

$75
CO-PAY

Medicare Part D

$60
CO-PAY

*MMIT data 2020.

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

COMMERCIAL PATIENT SAVINGS

Direct patients to www.bauschaccessprogram.com where they can activate a printed coupon or download a digital coupon, and review eligibility terms and conditions*.

Print coupons can also be activated by calling 1-866-693-4880.

  • Size: 3 mL
  • Eligible Commercially Insured May Pay No More Than*: $35
  • Eligible Uninsured May Pay No More Than*: $75
  • Eligible Fills: 6

Bausch + Lomb has aligned with Walgreens to stock product and help eligible patients redeem prescription savings on our products.

Contact your sales representative to provide in-office printed coupons.

If you have any questions regarding your eligibility or benefits, please call 1-866-693-4880.

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

SAVINGS 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 co-pay on their PROLENSA® prescription.

ACTIVATE:

Patients can activate the print coupon by calling 1-866-686-0091. To activate the online download coupon, patients must agree to the statements on www.prolensapartdcoupon.com.

REDEEM:

Patients can redeem the coupon card at a participating retail pharmacy with their prescription and insurance cards.

MAIL:

Make sure patients sign and mail the prewritten letter, which notifies the health plan of their choice to use the benefits of this program. Healthcare plan address can be found on the Medicare provider card.

Contact your sales representative to receive in-office printed coupons. If you have questions related to this program, please call 1-866-686-0091.

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