rocklatan patient assistance program
No Patient Assistance Programs were found for this medication. 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"}. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. We recently rebranded to MyAlcon. Chile The recommended dosage is one drop in the affected eye(s) once daily in the evening. See 17 for PATIENT COUNSELING INFORMATION . This offer may not be redeemed for cash. Managed Markets Insight & Technology, LLC. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. This offer will expire on March 1, 2023. Learn more. 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 (cash-paying . This offer is not transferable. Visit website. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. PeopleImages/iStock via Getty Images. 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. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. Five percent of patients discontinued therapy due to red eyes. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Warnings and Precautions Eligibility requirements for each program may vary. [see Patient Counseling Information (17)]. Looking to reduce costs at the pharmacy counter? 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. 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. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. Revised: 03/2019 . Rocklatan is available as a brand name drug only, a generic version is not yet available. Most corneal verticillata resolved upon discontinuation of treatment. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Accessed on April 18, 2022. Learn More about Alcon's Glaucoma Product Portfolio Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Coupon is not insurance. Usually reversible upon discontinuation of treatment. Macular edema, including cystoid macular edema, has been reported with latanoprost. Get help over the phone: +1 800-757-9195 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. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. 8 USE IN SPECIFIC POPULATIONS . 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, submit BIN and OCC 08. Void where prohibited by law. Offer not valid for patients under 18 years of age. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Be sure to contact your doctor if you have any questions. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Should generally not be used in patients with active intraocular inflammation. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. Copyright 2000 - 2023 BrightFocus Foundation. 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. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Thats less than $9 per month for a 90-dayprescription. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. 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. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Please click here for full prescribing information for Rhopressa. Glaucoma - Open Angle, and Intraocular Hypertension. Remove contact lenses prior to administration and reinsert 15 minutes after administration. 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 has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. Uruguay or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? This Program is not health insurance. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Spain Rocklatan isn't available in a generic form. These are some questions to ask when you talk to your eye doctor about Rocklatan. Contact lenses should be removed prior to using Rocklatan. 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 -p 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. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. 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 eligible commercial patients, submit BIN and OCC 08. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Your medicine matters. 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. Coupon is not insurance. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Thats less than $9 per month for a 90-dayprescription. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. 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. Please click here for full prescribing information for Rocklatan. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Click on a logo to view patient copay details. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Restrictions: This offer is valid for eligible residents of the United States only. 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. 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. Void where prohibited by law. 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. Peru 11 DESCRIPTION No other purchase is necessary. See full prescribing information for ROCKLATAN. 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 . Generic version. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Six percent of patients discontinued therapy due to conjunctival hyperemia. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Offer not valid for patients under 18 years of age. 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. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Maximum savings limit applies; patient out-of-pocket expense may vary. Rocklatan is used once daily in the evening. prasst). . Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. This offer may not be redeemed for cash. 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. The recommended dosage is one drop in the affected eye(s) once daily in the evening. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Valid only for those with private insurance. Please re-register using the form here. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. ROCKLATAN safely and effectively. (On mobile devices, swipe left to see all of the table columns.). 698 0 obj <>stream 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. This offer is good only in the United States of America and Puerto Rico. Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. 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 should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. No other purchase is necessary. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . 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. over-the-counter drugs and pet prescriptions. This site is intended for US healthcare professionals only. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Restrictions: This offer is valid for eligible residents of the United States only. 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. 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. Be sure to contact your doctor if you have any questions. Hong Kong Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Macular edema, including cystoid macular edema, has been reported with latanoprost. Over the counter medications, such as Systane and Pataday. Iris pigmentation likely to be permanent. What you may experience from one powerful drop of Rocklatan Rocklatan is different. Storage: Protect from light. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . |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 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. Restrictions apply. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. a sample from a medical professional. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Contact lenses should be removed prior to using Rocklatan. A generic drug is an exact copy of the . Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. This reaction did not result in any apparent visual functional changes. . PAPs may cover the full cost of medications or provide a discount. Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Eyelash changes are usually reversible upon discontinuation of treatment. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. However, your healthcare provider may have more information concerning specific programs available in your area. Financial and insurance assistance. Until opened, store at 2C to 8C (36F to 46F). Five percent of patients discontinued therapy due to red eyes. Please click here for full prescribing information for Rocklatan. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This offer is void in U.S. territories including, but not limited to, Puerto Rico. 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%). Restrictions apply. Eligibility is based on several factors, including income limits that are .