Savings Program Brochure

Most eligible patients pay as little as $5* for a 90-day supply of RESTASIS®

I want to enroll to
get a Savings Card

I have a Savings
Card and want to
activate it

For more information about the My Tears, My Rewards® Program, see Terms and Conditions.


Most eligible patients pay as little as $5* for 3 bottles of RESTASIS MultiDose® or $5* for a 90-day supply of RESTASIS® single-use vials with their Savings Card. Patients can also pay as little as $5* for 1 bottle of RESTASIS MultiDose®, or $5* for a 30-day supply of RESTASIS® single-use vials.

*Up to a $300 savings for a 90-day supply of RESTASIS® single-use vials or up to a $255 savings for a 30-day supply of RESTASIS® single-use vials. Up to a $300 savings for 3 bottles of RESTASIS MultiDose® or up to a $250 savings for 1 bottle of RESTASIS MultiDose®. Patients who are enrolled in 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 and personal healthcare insurance coverage. Please review the My Tears, My Rewards® Program guidelines to learn more.

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

Important Safety Information
Do not use RESTASIS® and
RESTASIS MultiDose® Ophthalmic
Emulsion if you are allergic to any
of the ingredients. Be careful not to
touch the container tip to your eye
or other surfaces, to help avoid eye
injury and contamination.
See more below >

 
We’re looking out for you
Eligible patients may pay as little as $0*

For a limited time only, eligible patients may pay as little as $0 for a 90-day supply of RESTASIS® or RESTASIS MultiDose®. Savings applied automatically when you fill your prescription at the pharmacy using your My Tears, My Rewards® savings card.

Save now

*This limited time offer applies to prescriptions of RESTASIS® or RESTASIS MultiDose® filled between 4/1/2020 and 5/31/2020. This limited time offer and the My Tears, My Rewards® Savings Card are not valid for patients enrolled in Medicare, Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs).

After 5/31/2020, eligible patients may continue to use their My Tears, My Rewards® savings card to pay as little as $5 until the program expires. Other limitations may apply. Please review the My Tears, My Rewards® Program guidelines to learn more.