Skip to main content

STEP 1

CHECK YOUR SAVINGS CARD ELIGIBILITY

Do you live in the United States, including Puerto Rico?
error icon PLEASE INDICATE "YES" OR "NO"
Are you enrolled in Medicare, Medicaid, or another federal, state, or government-funded healthcare program?
error icon PLEASE INDICATE "YES" OR "NO"
Do you certify that you understand and agree to comply with the Terms, Conditions, and Eligibility Criteria listed at the bottom of this page?
error icon PLEASE INDICATE "YES" OR "NO"
error icon Based on the information you provided, you are not eligible to participate in this program.

Sorry, you are not eligible for the RESTASIS® 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, Conditions and Eligiblity for details.

DISCOVER SUPPORT AND SAVINGS

Sign up for the RESTASIS® Savings Program in order to receive information about RESTASIS® and AbbVie products and services.

STEP 2

ENTER YOUR CONTACT INFORMATION

*Required information

Privacy Notice:

AbbVie may collect your personal data through your online and offline interactions with us, including your contact, geolocation, and health-related data. We may also collect your online usage data automatically through cookies and similar technologies. + Expand for more information

RESTASIS® SAVINGS CARD


CONTACT US

For answers to questions about RESTASIS® and the RESTASIS® Savings Program, call the toll-free customer service support line 1-844-469-8327

For answers to questions about RESTASIS® and the RESTASIS® Savings Program, call the toll-free customer service support line 1-844-469-8327.

RESTASIS Program Terms and Conditions

1. This offer is valid only for patients 16 years of age or older and is good for use only with a valid prescription for RESTASIS® (cyclosporine ophthalmic emulsion) or RESTASIS MultiDose® at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, most eligible patients may pay as little as $0 per 30-day supply for each of up to twelve (12) prescription fills OR per 60-day supply for each of up to six (6) prescription fills OR per 90-day supply for each of up to four (4) prescription fills. Check with your pharmacist for your copay discount. Maximum savings limits apply; patient out-of-pocket expense will vary. 3. This card is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. 4. AbbVie reserves the right to rescind, revoke, or amend this offer without notice. 5. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 6. Void where prohibited by law, taxed, or restricted. 7. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 8. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription. 9. This offer is not health insurance. 10. Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the copay assistance program is $1,200.00 per calendar year. The actual application and use of the benefit available under the copay assistance program may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs. 11. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. 12. To learn about AbbVie’s privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy.

For questions about this program, please call 1-844-469-8327.
© 2024 AbbVie. All rights reserved.
All trademarks are the property of their respective owners.
CLA-US-230241