Savings Program Brochure

Use a Savings Card and pay as
little as $0* for 3 bottles of
RESTASIS MultiDose

Fill a prescription now so you are ready for the new year.

As 2017 draws to a close, your prescription deductible has most likely been met and you are likely paying less out of pocket for your medication. With that in mind, now is a great time to plan ahead and take advantage of
RESTASIS MultiDose savings, before your deductible resets in 2018.

Need a Savings Card? Sign up!

Most commercially insured patients pay $0* for every 3 bottles of
RESTASIS MultiDose or 90-day RESTASIS® single-use vials or pay no more than $30* for 1 bottle of RESTASIS MultiDose or 30-day RESTASIS® single-use vials (up to $250 in savings). Sign up by completing these 2 steps to receive your My Tears, My Rewards® Savings Card and start saving today. By providing this basic information, you will help us confirm your eligibility for the program and deliver your Savings Card, treatment tips, and valuable savings offers!

STEP 1. Check your Savings Card eligibility

Do you purchase your prescription medication through Medicare, Medicaid, or a federal or state prescription drug program?

Yes    No

Sorry, you are not eligible for the My Tears, My Rewards® 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 and Conditions for details.

You are still eligible for the My Tears, My Support Program, which offers free information and counseling to help you throughout your treatment journey.



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 >