Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Offer not valid for patients under 18 years of age. 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%). Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Valid at all major chains including Walgreens, CVS Pharmacy, Learn More about Alcon's Glaucoma Product Portfolio Please click here for full prescribing information for ROCKLATAN Solution. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Restrictions apply. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Colombia 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%). 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%). This offer is not transferable. Please call 1-800-222-6885 to request refills. Most corneal verticillata resolved upon discontinuation of treatment. 90 days for $30 or 30 days for $30. * Register > Sample Request Request samples for your office today. Generic version. 8.2 Lactation . Over the counter medications, such as Systane and Pataday. Maximum savings limit applies; patient out-of-pocket expense may vary. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. The increased brown color of the eye is usually more noticeable after a few months or years of using Rocklatan (netarsudil / latanoprost) and can be permanent. Over the counter medications, such as Systane and Pataday. Please click here for full prescribing information for Rocklatan. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is supplied sterile in clear low density polyethylene bottles with opaque white polyethylene dropper tips and white polypropylene screw caps. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. Avoid use in cases of active herpes simplex keratitis. 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. Refill Self-Service Requests Unavailable We apologize for the inconvenience. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Available for Android and iOS devices. Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, Phone: 1-800-222-6885 Fax: 1-866-898-1473 Upon review of a completed application, we will notify the patient and the prescriber about eligibility. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } Looking to reduce costs at the pharmacy counter? ROCKLATAN safely and effectively. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Ecuador For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. 8 USE IN SPECIFIC POPULATIONS . For eligible commercial patients, submit BIN and OCC 08. Visit website. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Quoted prices are for cash-paying customers and are not valid with insurance plans. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Please click here for full prescribing information for Rocklatan. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Program may not be combined with any third-party rebate, coupon, or offer. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This site is intended for US healthcare professionals only. Maximum savings limit applies; patient out-of-pocket expense may vary. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Five percent of patients discontinued therapy due to red eyes. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Spain If you have limited or no prescription insurance coverage or are experiencing financial hardship, Alcon Cares provides medicines at no cost to eligible US patients: Prescription medications: Simbrinza, Eysuvis, and Inveltys. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Coupon is not insurance. Managed Market Insights & Technology, LLC. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Accessed on April 18, 2022. Use with caution in patients with a history of herpetic keratitis. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. Contact lenses should be removed prior to using Rocklatan. 37% of reviewers reported a positive experience, while 53% reported a negative experience. To be eligible for assistance, you must be a US resident, have limited or no private or public prescription coverage, and meet the following income requirements: For special offers on contact lenses and money-saving coupons on Alcon eye care products, sign up for a MyAlcon account today. Eyelash changes are usually reversible upon discontinuation of treatment. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. This site is intended for US healthcare professionals only. Note: This is a drug discount program, not an insurance plan. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. The dosage of ROCKLATAN should not exceed once daily. Rocklatan isn't available in a generic form. Void where prohibited by law. This offer may not be redeemed for cash. Should generally not be used in patients with active intraocular inflammation. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. The refill functionality is currently undergoing system maintenance. Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Macular edema, including cystoid macular edema, has been reported with latanoprost. . Italy These programs are managed by pharmaceutical companies, nonprofits, and government agencies. 8.4 Pediatric Use . Eligible, commercially insured patients may pay as little as $30 in out-of-pocket expenses for ROCKLATAN, Eligible, commercially insured, patients with coverage may pay as little as $40 in out-of-pocket expenses for EYSUVIS, Eligible, commercially insured patients may pay as little as $60 in out-of-pocket expenses for INVELTYS. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. PAPs may cover the full cost of medications or provide a discount. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. No other purchase is necessary. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. +J Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. This offer is good only in the United States of America and Puerto Rico. Usually reversible upon discontinuation of treatment. No Patient Assistance Programs were found for this medication. 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. Form more information phone: 833-735-0037 or Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. No cash back. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Managed Markets Insight & Technology, LLC. Offer valid up to 12-month qualifying prescriptions. Use with caution in patients with a history of herpetic keratitis. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. . Learn more. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. See 17 for PATIENT COUNSELING INFORMATION . Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. This reaction did not result in any apparent visual functional changes. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Could Rocklatan. ROCKLATAN (netarsudil and latanoprost) SELF ADMINISTRATION Indications for Prior Authorization: Indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Patients must meet the following criteria for the indication (s) above: Patient is 18 years of age or older, AND The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). PeopleImages/iStock via Getty Images. Rocklatan (latanoprost/netarsudil ophthalmic) If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Rocklatan is available as a brand name drug only, a generic version is not yet available. These are some questions to ask when you talk to your eye doctor about Rocklatan. (On mobile devices, swipe left to see all of the table columns.). Accessed on April 18, 2022. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. This site is intended for US healthcare professionals only. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Be sure to contact your doctor if you have any questions. Restrictions: This offer is valid for eligible residents of the United States only. Many times however, the offers listed on rxless will be less expensive than manufacturer coupons, copay cards, or patient assistance programs - so make sure you compare all options before making a purchase. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Void where prohibited by law. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Brazil Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. %PDF-1.7 % Remove contact lenses prior to administration and reinsert 15 minutes after administration. Copyright 2000 - 2023 BrightFocus Foundation. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Alcon is committed to supporting patient access to medications. Uruguay Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. 698 0 obj <>stream Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Five percent of patients discontinued therapy due to red eyes. Please click here for full prescribing information for Rhopressa. a sample from a medical professional. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Accessed on April 18, 2022. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. ROCKLATAN safely and effectively. Eligibility is based on several factors, including income limits that are . . 11 DESCRIPTION Five percent of patients discontinued therapy due to red eyes. Rocklatan is used once daily in the evening. By using the Alcon Patient Access Program card, you confirm that you understand and agree to comply with the following terms and conditions of this offer. You are encouraged to report negative side effects of prescription drugs to the FDA. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. Six percent of patients discontinued therapy due to conjunctival hyperemia. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! Chile Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Warnings and Precautions Prescription medications: Simbrinza, Eysuvis, and Inveltys. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Hong Kong Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocularhypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. This offer may not be redeemed for cash. The patient must activate the card before use at AlconRxSavings.com or by phone at. For eligible commercial patients, submit BIN and OCC 08. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). See full prescribing information . Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? Pay as little as $25 for a 30-day or 90-day prescription 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 Restrictions apply. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Usually reversible upon discontinuation of treatment. The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, [see Patient Counseling Information (17)]. What you may experience from one powerful drop of Rocklatan Rocklatan is different. Should generally not be used in patients with active intraocular inflammation. Research Lower Cost Alternatives EXISTING EYEFILE USER? Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. 5.2 Eyelash Changes ROCKLATAN contains latanoprost which may gradually change eyelashes and vellus hair in the treated eye; these changes include increased length, thickness, pigmentation, the number of lashes or hairs, and If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Your medicine matters. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. 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. Thats less than $9 per month for a 90-dayprescription. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. You are encouraged to report negative side effects of prescription drugs to the FDA. Get help over the phone: +1 800-757-9195 Contact lenses should be removed prior to using Rocklatan. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Eyelash changes are usually reversible upon discontinuation of treatment. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Until opened, store at 2C to 8C (36F to 46F). For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. This offer is not valid with other offers. France Iris pigmentation likely to be permanent. Managed Markets Insight & Technology, LLC. Peru
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