Patient Assistance Resources

Types of patient assistance programs vary between manufacturers and include: Co-pay assistance, Medicare Coupons and Manufacturer donations in-kind. More details regarding manufacturer specific patient eligibility requirements can be found on their website.

In general, to enroll the requirements include:

■ Proof of US residency

■ Meet income requirements associated with the national poverty guidelines based on household size.

■ If the patient is not working, most manufacturers will accept a letter signed by the prescriber

indicating the patient does not have any income.

AbbVie

Medications Available:

■ Alphagan P ■ Botox

■ Durysta (ocular implant) ■ Lumigan ■ Ozurdex ■ Restasis- ■ Zen Gel Stent

Alcon Cares

Medications Available:

■ Rocklatan ■ Rhopressa

■ Simbrinza ■ Eysuvis
■ Inveltys

Bausch & Lomb

Medications Available:

■ Alrex ■ Bepreve ■ Besivance

■ Miebo ■ Lacrisert ■ Prolensa

■ Retisert ■ Visudyne ■ Vyzulta

■ Xiidra ■ Xipere ■ Zirgan ■ Zylet

Imprimis Rx

Preservative Free Medications Available:

■ Bimatoprost 0.01% ■ Dorzolamide 2%

■ Brim-Dor (Brimonidine 0.15% Dorzolamide 2%) ■ Tim-Bim (Timolol 0.5% Bimatoprost 0.01%) ■ And More! The complete medication catalog can be found here.