Sign Up for the My Tears, My Rewards® Savings Card!
Eligible patients who enroll in the My Tears, My Rewards® Program may pay as little as $0 (up to a $90 savings*) on every refill with 90-day prescriptions or save up to $20* on every refill with 30-day prescriptions. For more information, see Terms and Conditions.
Sign up by completing these 2 steps to receive your My Tears, My Rewards® Savings Card and start saving today. By providing this basic information you will help us confirm your eligibility for the program and deliver your Savings Card, treatment tips, and valuable savings offers!
STEP 1. Check Your Savings Card Eligibility
Do you purchase your prescription medication through Medicare, Medicaid, or a federal or state prescription drug program?Yes No
Sorry, you are not eligible for the My Tears, My Rewards® Savings Card. Patients whose prescriptions are covered by Medicare, Medicaid, or a similar federal or state prescription drug program are not eligible for savings programs. Please see Terms and Conditions for details.
You are still eligible for the My Tears, My Support™ Program, which offers free information and counseling to help you throughout your treatment journey.
*Members whose prescriptions will be paid for in part or in whole by Medicare, Medicaid, or any similar federal or state healthcare program, are not eligible for savings or rebates according to federal and state law.
The actual savings on your out-of-pocket costs for RESTASIS® will vary according to refill quantity, personal healthcare
insurance coverage, and adherence to FDA dosing guidelines. Please review the My Tears, My Rewards® Program guidelines to learn more.
Ophthalmic Emulsion) 0.05% 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
Do not use RESTASIS® Ophthalmic Emulsion if you are allergic to any of the ingredients. To help avoid eye injury and contamination, do not touch the vial tip to your eye or other surfaces. See more below >