rocklatan patient assistance program
|ouWvaoTWhF%v6*/{W;VQ?Kx5!7 $%=T?2xK~mz cHki/~"a$j3_(O)+fyll7~h3gL"IJuMbOHZiLaJOJ;U&4,*00 MJr-B=V1q%h~b>=z8zBe 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. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The recommended dosage is one drop in the affected eye(s) once daily in the evening. You are encouraged to report negative side effects of prescription drugs to the FDA. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Please click here for full prescribing information for Rocklatan. This offer is not transferable. You are encouraged to report negative side effects of prescription drugs to the FDA. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. This offer is void in U.S. territories including, but not limited to, Puerto Rico. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. JA8x$3--E!`f3m8E! BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! Contact lenses should be removed prior to using Rocklatan. 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, 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 Remove contact lenses prior to administration and reinsert 15 minutes after administration. * Register > Sample Request Request samples for your office today. Maximum savings limit applies; patient out-of-pocket expense may vary. Eyelash changes are usually reversible upon discontinuation of treatment. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. 8.4 Pediatric Use . A generic drug is an exact copy of the . Rocklatan (latanoprost/netarsudil ophthalmic) Restrictions: This offer is valid for eligible residents of the United States only. 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 safely and effectively. For eligible commercial patients, submit BIN and OCC 08. Accessed on April 18, 2022. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. 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. The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Offer valid up to 12-month qualifying prescriptions. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Financial and insurance assistance. Ecuador Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Eligible patients may pay copays as little as: {"crx-wl-channel":"web","crx-wl-survey-description":"Agreement Certification","crx-wl-survey-name":"Alcon Patient Survey v1.0.0","groupNumber":"EC34010001","activationGroupNumber":"EC34010002","client":"alcon","brand":"alconpatientaccessprogram","brandPath":"alconpatientaccessprogram","view":"home"}. 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. Each program has its own qualifying criteria. Over the counter medications, such as Systane and Pataday. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. For patients with private insurance, the Alcon Patient Access Program may be able to help lower your out-of-pocket cost for these prescription products: For patients with Medicare Part D or Medicare Advantage insurance, Alcon may be able to help with the cost of your Inveltys prescription with use of a $60 coupon. The dosage of ROCKLATAN should not exceed once daily. 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 federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Compare prices for Rocklatan and save up to 80% using Inside Rx. Europe / Middle East / Africa Valid only for those with private insurance. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. Learn more. 8 USE IN SPECIFIC POPULATIONS . If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. This offer is not transferable. Colombia You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Copyright 2000 - 2023 BrightFocus Foundation. Prescription assistance can be offered in the way of Patient Assistance Programs (PAPs), which are created by pharmaceutical companies to provide free or discounted medicines to people who are unable to afford them. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. call 844-807-9706 or visit the program website. See 17 for PATIENT COUNSELING INFORMATION . (On mobile devices, swipe left to see all of the table columns.). Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Learn More about Alcon's Glaucoma Product Portfolio Program may not be combined with any third-party rebate, coupon, or offer. 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. prasst). The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Learn more. 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. Please click here for full prescribing information for ROCKLATAN Solution. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. View generic Rocklatan availability for more details. The refill functionality is currently undergoing system maintenance. Thats less than $9 per month for a 90-dayprescription. 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. 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. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. 8.2 Lactation . Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. To qualify for a financial assistance program, you (or the patient you're applying for) must: Be getting treatment for the disease named in the assistance program, and. Usually reversible upon discontinuation of treatment. . Eligibility requirements for each program may vary. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Avoid use in cases of active herpes simplex keratitis. Mexico Five percent of patients discontinued therapy due to red eyes. Be sure to contact your doctor if you have any questions. Research Lower Cost Alternatives 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. Looking to reduce costs at the pharmacy counter? Contact lenses can be reinserted 15 minutes following administration of Rocklatan. 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). Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. 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. +J It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Patient Assistance 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. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . 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%). Please click here for full prescribing information for Rocklatan. Please click here for full prescribing information for Rocklatan. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Hong Kong a sample from a medical professional. Eligible patients pay as little as $30 per prescription fill. 11 DESCRIPTION insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Rocklatan prices starting at $375.30. This site is intended for US healthcare professionals only. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. 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. Quoted prices are for cash-paying customers and are not valid with insurance plans. Be sure to contact your doctor if you have any questions. Offer valid up to 12-month qualifying prescriptions. We offer a range of programs to make it easier for patients to obtain their medication. JWe=I)a)PRQd 33 per month That's less than per month for a 90-day prescription Download the Rocklatan Savings Card and present it to the pharmacist with a prescription. Valid only for those with private insurance. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Accessed on April 18, 2022. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. 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. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured . Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 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. However, your healthcare provider may have more information concerning specific programs available in your area. Over the counter medications, such as Systane and Pataday. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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. PeopleImages/iStock via Getty Images. This site is intended for US healthcare professionals only. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. 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. Your medicine matters. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. 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. 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. Use with caution in patients with a history of herpetic keratitis. Chile The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). Eyelash changes are usually reversible upon discontinuation of treatment. Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. The cost for Rocklatan ophthalmic solution (0.005%-0.02%) is around $357 for a supply of 2.5 milliliters, depending on the pharmacy you visit. This offer will expire on March 1, 2023. %PDF-1.7 % Warnings and Precautions EXISTING EYEFILE USER? Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. 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. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Get Help > Request a Representative If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Thats less than $9 per month for a 90-dayprescription. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Storage: Protect from light. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. All rights reserved. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Eligibility is based on several factors, including income limits that are . 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. No other purchase is necessary. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Peru Visit website. [see Patient Counseling Information (17)]. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. This offer is good only in the United States of America and Puerto Rico. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. 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%). So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. Offer not valid for patients under 18 years of age. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. If approved, we will routinely ship medicine to the prescriber's office. Select below for other countries. 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. Coupon is not insurance. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Rocklatan isn't available in a generic form. Pharmaceutical Manufacturers Address affordability with an automated prescription assistance program Increase new starts of initial scripts Increase prescription volume Easily encourage medication adherence Retail pharmacies ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). The most common ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. Managed Markets Insight & Technology, LLC. Rocklatan (netarsudil/latanoprost ophthalmic solution) For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Reach for Rocklatan for powerful IOP reduction Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. INDICATIONS AND USAGE Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Spain China Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs.