Eye Doctor With Patient

Frequently Asked Questions

RESTASIS® and RESTASIS MultiDose® Savings and Support Information

Are there any savings programs available for RESTASIS® and
RESTASIS MultiDose®?

By enrolling in the My Tears, My Rewards® Program, eligible patients can save instantly
on every RESTASIS® and RESTASIS MultiDose® prescription. Enroll now to get a
My Tears, My Rewards® Savings Card.

What is the My Tears, My Rewards® Program?

The My Tears, My Rewards® Program is a savings, counseling, and support program offered to eligible patients free of charge.

How do I get a My Tears, My Rewards® Savings Card?

Simply click here to get a Savings Card instantly. You can also have a Savings Card sent via text message, or you may be able to get one from your eye doctor.

How do I activate the My Tears, My Rewards® Savings Card?

If you printed a Savings Card from this website, it is already activated.

If you received a Savings Card from your doctor, you can activate it now by going to restasis.com/activate. If you are having issues activating online, call the RESTASIS® Patient Support Center at 1-844-4MY-TEARS (1-844-469-8327) and select option 2.

How do I use the My Tears, My Rewards® Savings Card to start saving?

1.
Make sure your Savings Card is activated. If you printed a Savings Card from this website, it is already activated and you can start using it instantly. If you received your Savings Card from your doctor, you'll need to activate it here or call 1-844-4MY-TEARS
(1-844-469-8327) and select option 1.
2.
Go to your pharmacy and present your Savings Card along with your RESTASIS® or RESTASIS MultiDose® prescription to your pharmacist . If your mail-order pharmacy
or pharmacy does not accept your Savings Card, get a claim form here. Print and complete
the form, attach your receipt, and send both to the address on the form. In 3 to 6 weeks your check will arrive in the mail.

How do I know whether I am signed up for the My Tears, My Rewards® Program?

If you received a Savings Card that prints directly from this website, you're signed up and ready to save! If you received a Savings Card from your doctor, follow the instructions on the Savings Card to activate it. Once your activation is confirmed, you're signed up and ready to save!

I tried to activate the My Tears, My Rewards® Savings Card and it would
not take my card number. What is wrong?

Call 1-844-4MY-TEARS (1-844-469-8327), select option 2, and be sure to give your
11-digit ID number.

The My Tears, My Rewards® Savings Card did not work at the pharmacy.
What should I do?

First, if it is a Savings Card you received from your doctor, make sure it’s activated. Activate it here or call 1-844-4MY-TEARS (1-844-469-8327) and select option 2. Remember, if you printed the Savings Card directly from this website, it's already activated. If you're sure your Savings Card has been activated and it still did not work, call the RESTASIS® and RESTASIS MultiDose® Patient Support Center at 1-844-4MY-TEARS (1-844-469-8327), select option 2,
and we will be happy to help.

I am not on federal or state insurance, but accidently hit the wrong button. How do
I reset the My Tears, My Rewards® Savings Card?

You can enroll instantly for a Savings Card or call the RESTASIS® and RESTASIS MultiDose® Patient Support Center at 1-844-4MY-TEARS (1-844-469-8327) and select option 0.

I lost my My Tears, My Rewards® Savings Card. What should I do?

There are 2 easy ways for you to get a replacement My Tears, My Rewards® Savings Card:

1.
Go to the enroll page on restasis.com and fill in your information. You can either receive your new card instantly on the website, or get it through a text message. If you got it instantly, you can print it or save it to your electronic device and continue saving on every RESTASIS® or RESTASIS MultiDose® prescription.
2.
You can call our toll-free customer support line 1-844-4MY-TEARS (1-844-469-8327) and
select option 0. One of our representatives will make sure that you get a replacement
My Tears, My Rewards® Savings Card.

Why should I ask my eye doctor about a 90-day prescription of RESTASIS MultiDose® and use a My Tears, My Rewards® savings card?

Most eligible patients pay as little as $5* for 3 bottles of RESTASIS MultiDose® with their Savings Card. Learn more.

What is the RESTASIS® and RESTASIS MultiDose® Patient Support Center?

The RESTASIS® and RESTASIS MultiDose® Patient Support Center is a toll-free customer service support line, 1-844-4MY-TEARS (1-844-469-8327), with trained nurses who can answer your questions about RESTASIS® and RESTASIS MultiDose® treatment and the My Tears, My Rewards® Program. Support is available in 190 languages.

Why am I not eligible for the My Tears, My Rewards® Program 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.


*Up to a $300 savings for 3 bottles of RESTASIS MultiDose® or a 90-day supply of RESTASIS® single-use vials. Up to a $200 savings for 1 bottle of RESTASIS MultiDose® or a 30-day supply of RESTASIS® single-use vials. Patients 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 MultiDose® and 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 >

 

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. RESTASIS® and RESTASIS MultiDose® should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to use of RESTASIS® and RESTASIS MultiDose® and may be reinserted after 15 minutes.

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.

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.

Click here for full Product Information for RESTASIS® and RESTASIS MultiDose®.

Dr. Shamie is an actual RESTASIS® patient and is compensated for appearing on this website.