Eye Doctor With Patient

Frequently Asked Questions

RESTASIS® Insurance and Cost Information

What kind of insurance covers a dry eye exam?

Check with your insurance plan. You may have both vision insurance and medical insurance.  Vision insurance pays only for routine visual exams. Medical insurance pays for exams that check  for eye diseases including Chronic Dry Eye disease.

Some eye doctors accept both vision insurance and medical insurance, depending on the reason for your visit. To get screened for a type of Chronic Dry Eye disease, don’t wait for your annual vision exam—because screening for a disease is more likely to be covered by your medical insurance.

When you schedule your Chronic Dry Eye disease screening, make sure the office staff schedules  you for a medical appointment and not your annual vision exam.

Is RESTASIS® covered by health insurance?

RESTASIS® is covered by most insurance plans. Formulary status, insurance plan coverage, and out-of-pocket cost will vary depending on your individual plan.

How much does RESTASIS® cost?

The cost of RESTASIS® varies depending on the pharmacy you use and your insurance plan coverage; however, RESTASIS® is covered by most insurance plans. If you are concerned about the cost of RESTASIS®, additional savings and support are also available.

Why am I not eligible for rebate and savings programs if I am on Medicare, Medicaid, or a similar federal or state healthcare program?

According to state and federal laws, patients covered by Medicare, Medicaid, or a similar federal  or state healthcare program are not eligible for savings programs. This includes Medicare patients  who are in the donut hole.


Go to next page: RESTASIS® Savings and Support Information

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.
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