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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
Instructions For Use
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing Information, including Boxed Warning
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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
Instructions For Use
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Instructions For Use
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
Full Prescribing InformationImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing Information, including Boxed WarningImportant Safety Information
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
Full Prescribing InformationImportant Safety Information
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.