This card has no cash value. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured (cash-paying . Here are 10 ways to save money on prescription drugs. Russia, Asia Pacific To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Accessed on April 18, 2022. Coupon is not insurance. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). Remove contact lenses prior to administration and reinsert 15 minutes after administration. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. See full prescribing information . Avoid use in cases of active herpes simplex keratitis. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. Financial and insurance assistance. 5.2 Eyelash Changes ROCKLATAN contains latanoprost which may gradually change eyelashes and vellus hair in the treated eye; these changes include increased length, thickness, pigmentation, the number of lashes or hairs, and 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. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is supplied sterile in clear low density polyethylene bottles with opaque white polyethylene dropper tips and white polypropylene screw caps. 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. Brazil Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Until opened, store at 2C to 8C (36F to 46F). The recommended dosage is one drop in the affected eye(s) once daily in the evening. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . PeopleImages/iStock via Getty Images. This site is intended for US healthcare professionals only. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. This offer will expire on March 1, 2023. Please click here for full prescribing information for Rocklatan. call 844-807-9706 or visit the program website. Rocklatan is covered for over 80% of insured patients You can save even more on your prescription with the Rocklatan Savings Card 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription IMPORTANT SAFETY INFORMATION Contraindications None. Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). Over the counter medications, such as Systane and Pataday. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Macular edema, including cystoid macular edema, has been reported with latanoprost. PAPs may cover the full cost of medications or provide a discount. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. Available for Android and iOS devices. Contact lenses should be removed prior to using Rocklatan. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. 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. +J (On mobile devices, swipe left to see all of the table columns.). Pay as little as $25 for a 30-day or 90-day prescription 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription Restrictions apply. This site is intended for US healthcare professionals only. Should generally not be used in patients with active intraocular inflammation. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Learn more. 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. %PDF-1.7 % Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Managed Markets Insight & Technology, LLC. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Italy Void where prohibited by law. Form more information phone: 833-735-0037 or 11 DESCRIPTION insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. This offer is good only in the United States of America and Puerto Rico. Alcon is committed to supporting patient access to medications. To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 8 USE IN SPECIFIC POPULATIONS . Prescription assistance can be offered in the way of Patient Assistance Programs (PAPs), which are created by pharmaceutical companies to provide free or discounted medicines to people who are unable to afford them. Glaucoma treatment | Rocklatan (netarsudil/latanoprost ophthalmic Please click here for full prescribing information for Rhopressa. If approved, we will routinely ship medicine to the prescriber's office. Iris pigmentation likely to be permanent. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Six percent of patients discontinued therapy due to conjunctival hyperemia. This reaction did not result in any apparent visual functional changes. This offer is not valid with other offers. Offer valid up to 12-month qualifying prescriptions. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Note: This is a drug discount program, not an insurance plan. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. Thats less than $9 per month for a 90-dayprescription. Alcon Payment Assistance Programs | Alcon US Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com Receive Glaucomaresearch updates and inspiring stories. over-the-counter drugs and pet prescriptions. For eligible commercial patients, submit BIN and OCC 08. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. Savings and support for Rocklatan | Rocklatan (netarsudil/latanoprost Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Accessed on April 18, 2022. This offer is void in U.S. territories including, but not limited to, Puerto Rico. The dosage of ROCKLATAN should not exceed once daily. Rocklatan eye drops: Side effects, cost, storage, and more Visit www.fda.gov/medwatch or call 1-800-FDA-1088. South Korea 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. Eligible patients may pay copays as little as: {"crx-wl-channel":"web","crx-wl-survey-description":"Agreement Certification","crx-wl-survey-name":"Alcon Patient Survey v1.0.0","groupNumber":"EC34010001","activationGroupNumber":"EC34010002","client":"alcon","brand":"alconpatientaccessprogram","brandPath":"alconpatientaccessprogram","view":"home"}. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured . These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Contact lenses should be removed prior to using Rocklatan. PDF Patient Assistance Program (PAP) Application - Alcon 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. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! Patient Assistance Programs | Can't Afford Your Medication? Please click here for full prescribing information for Rocklatan. Learn more. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. For eligible commercial patients, submit BIN and OCC 08. Eligibility requirements for each program may vary. -p Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. This Program is not health insurance. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Be sure to contact your doctor if you have any questions. Visit website. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. Rocklatan Coupons 2023: Up to 80% Discount - How much does Rocklatan cost? Copyright 2000 - 2023 BrightFocus Foundation. Over the counter medications, such as Systane and Pataday. To order samples beginning 12/1 please visit www.Alconsamples.com. Could Rocklatan. NeedyMeds Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Savings | Rhopressa (netarsudil ophthalmic solution) 0.02% Our hours of availability: Mon-Fri 8AM-5PM CST. No other purchase is necessary. United Kingdom - English, Americas ,":fyt%_4Ui3]gN Ut/eLK0[*&C!W!#;al1[1b=&9.wg-Sj*'nQ TNphH]CkJ>]=||Q7K6`h^calm&`l6$x3Y>Bw@F;:G;HkF2]\}5FEvtD`sZ)G,9>NZ[0$-XWl0 q6~yY Gd8N6*z4g&1_I9m-o-=v9vXk[o+$e(CN@$BBmE\T$ Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. This is a copay assistance program: Provided by: Patient Access Network Foundation: TEL: 866-316-7263 FAX: 866-316-7261: Languages Spoken: English, Spanish, Others By Translation Service. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Five percent of patients discontinued therapy due to red eyes. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 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. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Avoid use in cases of active herpes simplex keratitis. No other purchase is necessary. 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. All rights reserved. Coupon is not insurance. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. The patient must activate the card before use at AlconRxSavings.com or by phone at. This offer may not be redeemed for cash. 90 days for $30 or 30 days for $30. Be sure to contact your doctor if you have any questions. Financial Aid for Glaucoma Medications Fact Sheet Published on: August 24, 2021 Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. 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. Warnings and Precautions Eligible, commercially insured patients may pay as little as $30 in out-of-pocket expenses for ROCKLATAN, Eligible, commercially insured, patients with coverage may pay as little as $40 in out-of-pocket expenses for EYSUVIS, Eligible, commercially insured patients may pay as little as $60 in out-of-pocket expenses for INVELTYS. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. No cash back. 37% of reviewers reported a positive experience, while 53% reported a negative experience. Managed Markets Insight & Technology, LLC. Prescription medications: Simbrinza, Eysuvis, and Inveltys. 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 Hong Kong Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Be sure to contact your doctor if you have any questions. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. Spain Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. 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. Rocklatan (netarsudil/latanoprost ophthalmic solution) Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). This offer will expire on March 1, 2023. Rocklatan (netarsudil/latanoprost ophthalmic solution) or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Ecuador France Generic version. Select below for other countries. The most common ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. 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. Valid only for those with private insurance. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Rocklatan is used once daily in the evening. This offer is not transferable. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Restrictions apply. ROCKLATAN (netarsudil and latanoprost) SELF ADMINISTRATION Indications for Prior Authorization: Indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Patients must meet the following criteria for the indication (s) above: Patient is 18 years of age or older, AND Contact lenses should be removed prior to using Rocklatan. 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. Usually reversible upon discontinuation of treatment. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. The cost for Rocklatan ophthalmic solution (0.005%-0.02%) is around $357 for a supply of 2.5 milliliters, depending on the pharmacy you visit. Rocklatan is available as a brand name drug only, a generic version is not yet available. Alcon Completes Acquisition of Aerie Pharmaceuticals The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Should generally not be used in patients with active intraocular inflammation. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. You are encouraged to report negative side effects of prescription drugs to the FDA. See full prescribing information for ROCKLATAN. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Your medicine matters. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. You are encouraged to report negative side effects of prescription drugs to the FDA. 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. For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocularhypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. The refill functionality is currently undergoing system maintenance. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Use with caution in patients with a history of herpetic keratitis. Compare prices for Rocklatan and save up to 80% using Inside Rx. Livalo Patient Assistance Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. This page is available in English. Argentina Learn More about Alcon's Glaucoma Product Portfolio Managed Market Insights & Technology, LLC. Valid at all major chains including Walgreens, CVS Pharmacy, Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. This offer may not be redeemed for cash. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Each program has its own qualifying criteria. Colombia This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, Rocklatan Approved for Glaucoma Offer not valid for patients under 18 years of age. We comply with the HONcode standard for trustworthy health information. Rocklatan side effects and drug details - Inside Rx Storage: Protect from light. This site is intended for US healthcare professionals only.