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.
Medications Available:
■ Alphagan P ■ Botox
■ Durysta (ocular implant) ■ Lumigan ■ Ozurdex ■ Restasis- ■ Zen Gel Stent
Medications Available:
■ Rocklatan ■ Rhopressa
■ Simbrinza ■ Eysuvis
■ Inveltys
Medications Available:
■ Alrex ■ Bepreve ■ Besivance
■ Miebo ■ Lacrisert ■ Prolensa
■ Retisert ■ Visudyne ■ Vyzulta
■ Xiidra ■ Xipere ■ Zirgan ■ Zylet
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.