Restasis

Savings

*This offer is not valid for patients enrolled in Medicare, Medicaid, or other state or federal healthcare programs. Maximum savings limit applies; patient out-of-pocket expense may vary. See full Program Terms, Conditions, and Eligibility Criteria on card.

 
Most eligible patients pay as little as $5* for 1 or 3 bottles of RESTASIS MultiDose® or pay as little as $35* for 30 or 90 day supply of RESTASIS

Prior Authorization Support

 
Free online tools to help prescribers navigate and streamline the PA and medical necessity process

ParX

Patient Assistance Programs

 
The Allergan Patient Assistance Programs provide certain products to patients in the United States who are unable to afford the cost of their medication and who meet other eligibility requirements.

Source: Managed Markets Insight and Technology, LLCTM, a trademark of MMIT, Database as of July 2017. Data subject to change.
Data are not a guarantee of coverage, or partial or full payment, by any payers listed. Actual benefits determined by respective plan administrators. Insurer plans, coverage criteria, and formularies are subject to change without notice. Check each patient's coverage with applicable insurer. Allergan does not endorse any individual plans. Formulary coverage does not imply efficacy or safety.

Contact Allergan Medical Information toll-free at 1-800-678-1605.