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.

Select brand to access Patient Assistance Programs.

AlloDerm
The Reimbursement Hotline is staffed by a third-party team of credentialed professional medical coders who are ready to assist with your reimbursement needs including:
  - Coding Education
  - Coverage and Payment Assistance
  - Prior Authorization and Appeals Assistance

Email:
Phone: 888.543.3656 / Fax: 877.499.2986
Monday to Friday: 8:30 AM – 6:00 PM ET
(Closed on major observed holidays)
Alphagan
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.
Bystolic
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.
Canasa
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.
Combigan
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.
Dalvance
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.
Delzicol
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.
ESTRACE
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.
Fetzima
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.
Liletta
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.
Linzess
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.
LUMIGAN
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.
Namzaric
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.
Ozurdex
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.
PYLERA
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.
Rapaflo
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.
Restasis
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.
REVOLVE
The Reimbursement Hotline is staffed by a third-party team of credentialed professional medical coders who are ready to assist with your reimbursement needs including:
  - Coding Education
  - Coverage and Payment Assistance
  - Prior Authorization and Appeals Assistance

Email:
Phone: 888.543.3656 / Fax: 877.499.2986
Monday to Friday: 8:30 AM – 6:00 PM ET
(Closed on major observed holidays)
Rhofade
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.
Saphris
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.
Savella
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.
Strattice
The Reimbursement Hotline is staffed by a third-party team of credentialed professional medical coders who are ready to assist with your reimbursement needs including:
  - Coding Education
  - Coverage and Payment Assistance
  - Prior Authorization and Appeals Assistance

Email:
Phone: 888.543.3656 / Fax: 877.499.2986
Monday to Friday: 8:30 AM – 6:00 PM ET
(Closed on major observed holidays)
Viberzi
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.
Viibryd
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.
Vraylar
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.
Zenpep
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.

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