Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. You are encouraged to report negative side effects of prescription drugs to the FDA. 8 USE IN SPECIFIC POPULATIONS . Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. All rights reserved. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Pharmaceutical Manufacturers Address affordability with an automated prescription assistance program Increase new starts of initial scripts Increase prescription volume Easily encourage medication adherence Retail pharmacies This Program is not health insurance. [see Patient Counseling Information (17)]. Offer not valid for patients under 18 years of age. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Your medicine matters. No cash back. Rocklatan is used once daily in the evening. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Support | Rocklatan (netarsudil/latanoprost ophthalmic solution) Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Eligibility is based on several factors, including income limits that are . Avoid use in cases of active herpes simplex keratitis. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Financial Aid for Glaucoma Medications | BrightFocus Foundation %PDF-1.7 % This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Glaucoma treatment | Rocklatan (netarsudil/latanoprost ophthalmic over-the-counter drugs and pet prescriptions. Alcon Payment Assistance Programs | Alcon US The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. This offer is not valid with other offers. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. Over the counter medications, such as Systane and Pataday. Managed Markets Insight & Technology, LLC. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. For eligible commercial patients, submit BIN and OCC 08. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. This reaction did not result in any apparent visual functional changes. Restrictions apply. Please click here for full prescribing information for Rocklatan. Brazil Quoted prices are for cash-paying customers and are not valid with insurance plans. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Maximum savings limit applies; patient out-of-pocket expense may vary. 37% of reviewers reported a positive experience, while 53% reported a negative experience. For Healthcare Professionals | Rhopressa (netarsudil ophthalmic These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. Prescription Assistance | NeedyMeds Mexico Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Thats less than $9 per month for a 90-dayprescription. Form more information phone: 833-735-0037 or Visit www.fda.gov/medwatch or call 1-800-FDA-1088. View generic Rocklatan availability for more details. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. INDICATIONS AND USAGE Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Rocklatan (netarsudil/latanoprost ophthalmic solution) For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Reach for Rocklatan for powerful IOP reduction Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. The patient must activate the card before use at AlconRxSavings.com or by phone at. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Rocklatan User Reviews for Glaucoma, Open Angle - Drugs.com Eligible patients pay as little as $30 per prescription fill. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Get Help > Request a Representative Patient Assistance If you have limited or no prescription insurance coverage or are experiencing financial hardship, Alcon Cares provides medicines at no cost to eligible US patients: Prescription medications: Simbrinza, Eysuvis, and Inveltys. See 17 for PATIENT COUNSELING INFORMATION . Savings and support for Rocklatan | Rocklatan (netarsudil/latanoprost Coupon is not insurance. 33 per month That's less than per month for a 90-day prescription Download the Rocklatan Savings Card and present it to the pharmacist with a prescription. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Void where prohibited by law. Eyelash changes are usually reversible upon discontinuation of treatment. The increased brown color of the eye is usually more noticeable after a few months or years of using Rocklatan (netarsudil / latanoprost) and can be permanent. Glaucoma - Open Angle, and Intraocular Hypertension. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Please click here for full prescribing information for ROCKLATAN Solution. Rocklatan Coupons 2023: Up to 80% Discount - How much does Rocklatan cost? Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Savings | Rhopressa (netarsudil ophthalmic solution) 0.02% Patient Assistance Programs: What Are They and How Do They Work? - GoodRx The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Argentina These programs are managed by pharmaceutical companies, nonprofits, and government agencies. Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx Please click here for full prescribing information for Rocklatan. call 844-807-9706 or visit the program website. Colombia The recommended dosage is one drop in the affected eye(s) once daily in the evening. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. Eyelash changes are usually reversible upon discontinuation of treatment. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. No other purchase is necessary. . Contact lenses can be reinserted 15 minutes following administration of Rocklatan. ROCKLATAN safely and effectively. Five percent of patients discontinued therapy due to red eyes. Rocklatan is available as a brand name drug only, a generic version is not yet available. These are some questions to ask when you talk to your eye doctor about Rocklatan. Many times however, the offers listed on rxless will be less expensive than manufacturer coupons, copay cards, or patient assistance programs - so make sure you compare all options before making a purchase. This page is available in English. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Rocklatan prices starting at $375.30. Peru Please click here for full prescribing information for ROCKLATAN Solution. Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com Hong Kong By using the Alcon Patient Access Program card, you confirm that you understand and agree to comply with the following terms and conditions of this offer. Research Lower Cost Alternatives Uruguay or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Alcon is committed to supporting patient access to medications. Macular edema, including cystoid macular edema, has been reported with latanoprost. Contact lenses should be removed prior to using Rocklatan. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining

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