Savings

Eligible patients pay as little as $40 per 30-day or 90-day fill.*

Sample Request

Request samples for your office today.

Prior Authorization Support

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

*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.

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