If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Rocklatan Coupons 2023: Up to 80% Discount - How much does Rocklatan cost? This offer may not be redeemed for cash. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com Contact lenses should be removed prior to using Rocklatan. PDF Patient Assistance Program (PAP) Application - Alcon Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). . Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. Rocklatan Prices and Savings - Inside Rx Six percent of patients discontinued therapy due to conjunctival hyperemia. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Select below for other countries. Compare prices for Rocklatan and save up to 80% using Inside Rx. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. You are encouraged to report negative side effects of prescription drugs to the FDA. Patient Assistance Programs | Can't Afford Your Medication? You are encouraged to report negative side effects of prescription drugs to the FDA. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Each program has its own qualifying criteria. Iris pigmentation likely to be permanent. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Macular edema, including cystoid macular edema, has been reported with latanoprost. Coupon is not insurance. Remove contact lenses prior to administration and reinsert 15 minutes after administration. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. This offer is not valid where prohibited, taxed, or otherwise restricted. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Your medicine matters. Here are 10 ways to save money on prescription drugs. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. * Register > Sample Request Request samples for your office today. Eyelash changes are usually reversible upon discontinuation of treatment. You are encouraged to report negative side effects of prescription drugs to the FDA. ROCKLATAN safely and effectively. 3c1Z lBC bak& When you use this card, you are certifying that you understand and agree to comply with the program rules, regulations, eligibility requirements, and terms and conditions. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. EXISTING EYEFILE USER? Visit www.fda.gov/medwatch or call 1-800-FDA-1088. See 17 for PATIENT COUNSELING INFORMATION . Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Coupon is not insurance. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . PDF Application for Myabbvie Assist Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This is a copay assistance program: Provided by: Patient Access Network Foundation: TEL: 866-316-7263 FAX: 866-316-7261: Languages Spoken: English, Spanish, Others By Translation Service. Rocklatan is covered for over 80% of insured patients You can save even more on your prescription with the Rocklatan Savings Card 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription IMPORTANT SAFETY INFORMATION Contraindications None. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. PeopleImages/iStock via Getty Images. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. Eligibility requirements for each program may vary. Looking to reduce costs at the pharmacy counter?