*Maximum savings limit applies; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare program. See Program Terms, Conditions, and Eligibility Criteria by clicking below.

Eligible patients may pay as little as $15 for a 30‑ or 90‑day fill

Resource Request


Request samples for your office today

Prior Authorization Support

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


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