Eligible Patients Can Pay as Little as $0*†‡
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*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.
†Members with 90-day prescriptions pay $0 per year ($69.23 co-pay cost and up to $90 Savings Card discount). Alternatively, members with 30-day prescriptions pay $186.24 per year ($35.52 co-pay cost and $20 Savings Card discount). Numbers based on averages per refill. There are maximum discounts allowed over a 12-month period: $360 for 90-day prescriptions and $240 for 30-day prescriptions.
‡Average co-pays from Symphony Health Solutions, October 2014 through September 2015.
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 >