How to Save on RESTASIS®

Take advantage of special OFFERS and REWARDS!

If your eye doctor prescribes RESTASIS® Ophthalmic Emulsion for you, here are some ways to save money on your prescriptions.

Get a rebate for up to $20 off your RESTASIS® Prescription

It’s easy. Just follow these 4 steps:

  1. Sign up today by using our online form, and print out your rebate certificate
  2. Make sure your doctor and pharmacist provide you with 2 trays (30-day supply, 60 vials total) when you get your prescription for RESTASIS® Ophthalmic Emulsion
  3. Circle your out-of-pocket purchase price on the receipt when you get your first prescription
  4. Mail the certificate, along with your original pharmacy receipt (proof of purchase), to

Allergan RESTASIS® Ophthalmic Emulsion
$20 Rebate Program

P.O. Box 6513
West Caldwell, NJ 07007

You will receive a rebate for a value of up to $20 that can be applied to your next RESTASIS® prescription refill.

Sign Up for RESTASIS Rebate

Join the My Tears, My Rewards® Program and save hundreds of dollars a year

It’s a great value! Enroll in this program and earn additional savings and rewards, and get a free 30-day supply (2 trays—60 vials total) of RESTASIS® Ophthalmic Emulsion—that’s 2 trays for 30 days FREE!

  • Membership is free
  • Instant prescription savings of up to $25 upon membership
  • Instant prescription savings of up to $15 each time you refill your RESTASIS®
  • FREE gifts good toward purchases at Barnes & Noble®, AMC Theatres®, Target®, and CVS®
  • FREE 30-day supply (2 trays—60 vials total) of RESTASIS® after your seventh prescription refill
  • FREE subscription to Your Health In Sight® newsletter

Register for Money Saving Rebates and Rewards

Barnes & Noble is a registered trademark of Barnes & Noble Inc.
AMC Theatres is a registered trademark of AMC Entertainment, Inc.
Target is a registered trademark of Target Brands, Inc.
CVS is a registered trademark of CVS Pharmacy, Inc.

Next: What to Expect With RESTASIS® »

Special Savings and Offers My Tears, My Rewards. Sign Up Now and Start Saving! Current members sign in here.


Two Trays For 30 Days

Get your 30 day prescription from your doctor & pharmacist for 2 trays

When you get your prescription from your doctor & pharmacist, make sure you get 2 trays (60 vials total).

Need More Information?

Get a $20 RESTASIS Rebate

Get a $20 rebate along with a FREE information kit.

Sign Up for a RESTASIS Rebate Coupon

Indication:

RESTASIS® Ophthalmic Emulsion helps increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs.

Important Safety Information:

RESTASIS® Ophthalmic Emulsion should not be used by patients with active eye infections and has not been studied in patients with a history of herpes viral infections of the eye. RESTASIS® should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to use.

The most common side effect is a temporary burning sensation. Other side effects include eye redness, discharge, watery eyes, eye pain, foreign body sensation, itching, stinging, and blurred vision.

Please see product information for RESTASIS® Ophthalmic Emulsion.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Allergan, Inc.

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