Savings Program Brochure

Most Eligible Patients Pay as Little as $5* (save up to $300)

ENROLL

I want to enroll to
get a Savings Card

ACTIVATE

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 $35* 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 $35* for a 30-day supply of RESTASIS® single-use vials.

*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 >