Savings Program Brochure

Most eligible patients pay as little
as $5* for a 90-day supply of
RESTASIS®

Take advantage of our RESTASIS® Savings Card offer

Remember to tell your pharmacist that you would like to remain on your branded medication and to note it in their pharmacy system for future refills.

Need a Savings Card? Sign up!

Most eligible patients pay as little as $5* for a 90-day supply of RESTASIS®.

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.



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 >

 
We’re looking out for you
Eligible patients may pay as little as $0*

For a limited time only, eligible patients may pay as little as $0 for a 90-day supply of RESTASIS® or RESTASIS MultiDose®. Savings applied automatically when you fill your prescription at the pharmacy using your My Tears, My Rewards® savings card.

Save now

*This limited time offer applies to prescriptions of RESTASIS® or RESTASIS MultiDose® filled between 4/1/2020 and 5/31/2020. This limited time offer and the My Tears, My Rewards® Savings Card are not valid for patients enrolled in Medicare, Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs).

After 5/31/2020, eligible patients may continue to use their My Tears, My Rewards® savings card to pay as little as $5 until the program expires. Other limitations may apply. Please review the My Tears, My Rewards® Program guidelines to learn more.