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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.

 
Eligible patients may pay as little as $25 per 1-month or 3-month prescription fill*

Resource Request

rx-bottle

 
Request samples for your office today

Prior Authorization Support

 
Online tools to help prescribers navigate the PA and medical necessity process

ParX

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