rocklatan patient assistance programrocklatan patient assistance program

DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. . Use with caution in patients with a history of herpetic keratitis. Each program has its own qualifying criteria. If one dose is missed, treatment should continue with the next dose in the evening. Should generally not be used in patients with active intraocular inflammation. The dosage of ROCKLATAN should not exceed once daily. Compare prices for Rocklatan and save up to 80% using Inside Rx. Five percent of patients discontinued therapy due to red eyes. So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. Please click here for full prescribing information for Rocklatan. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. Please click here for full prescribing information for Rocklatan. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Pharmaceutical Manufacturers Address affordability with an automated prescription assistance program Increase new starts of initial scripts Increase prescription volume Easily encourage medication adherence Retail pharmacies Rocklatan prices starting at $375.30. Glaucoma - Open Angle, and Intraocular Hypertension. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You are encouraged to report negative side effects of prescription drugs to the FDA. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Be sure to contact your doctor if you have any questions. This offer is not valid where prohibited, taxed, or otherwise restricted. Learn More about Alcon's Glaucoma Product Portfolio Contact lenses should be removed prior to using Rocklatan. Could Rocklatan. Ecuador Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Generic version. Note: This is a drug discount program, not an insurance plan. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. -p Usually reversible upon discontinuation of treatment. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Hong Kong Research Lower Cost Alternatives To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Be sure to contact your doctor if you have any questions. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. All rights reserved. Accessed on April 18, 2022. To download the forms, click on "Forms & Resources" and then on "Downloads". These are some questions to ask when you talk to your eye doctor about Rocklatan. JWe=I)a)PRQd By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. This offer may not be redeemed for cash. You are encouraged to report negative side effects of prescription drugs to the FDA. Rocklatan isn't available in a generic form. Five percent of patients discontinued therapy due to red eyes. To be eligible for assistance, you must be a US resident, have limited or no private or public prescription coverage, and meet the following income requirements: For special offers on contact lenses and money-saving coupons on Alcon eye care products, sign up for a MyAlcon account today. Managed Markets Insight & Technology, LLC. This reaction did not result in any apparent visual functional changes. 37% of reviewers reported a positive experience, while 53% reported a negative experience. Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. We offer a range of programs to make it easier for patients to obtain their medication. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Eyelash changes are usually reversible upon discontinuation of treatment. Prescription assistance can be offered in the way of Patient Assistance Programs (PAPs), which are created by pharmaceutical companies to provide free or discounted medicines to people who are unable to afford them. over-the-counter drugs and pet prescriptions. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. Usually reversible upon discontinuation of treatment. Valid at all major chains including Walgreens, CVS Pharmacy, 8 USE IN SPECIFIC POPULATIONS . Receive Glaucomaresearch updates and inspiring stories. The patient must activate the card before use at AlconRxSavings.com or by phone at. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. INDICATIONS AND USAGE Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. This offer is not valid for any person who is 65 years of age or older without commercial insurance. 3c1Z lBC bak& No Patient Assistance Programs were found for this medication. This offer is not transferable. EXISTING EYEFILE USER? Thats less than $9 per month for a 90-dayprescription. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. Please click here for full prescribing information for ROCKLATAN Solution. Quoted prices are for cash-paying customers and are not valid with insurance plans. The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Learn more. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Until opened, store at 2C to 8C (36F to 46F). Eyelash changes are usually reversible upon discontinuation of treatment. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Coupon is not insurance. Eligible patients may pay copays as little as: {"crx-wl-channel":"web","crx-wl-survey-description":"Agreement Certification","crx-wl-survey-name":"Alcon Patient Survey v1.0.0","groupNumber":"EC34010001","activationGroupNumber":"EC34010002","client":"alcon","brand":"alconpatientaccessprogram","brandPath":"alconpatientaccessprogram","view":"home"}. PeopleImages/iStock via Getty Images. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Avoid use in cases of active herpes simplex keratitis. Rocklatan is available as a brand name drug only, a generic version is not yet available. Macular edema, including cystoid macular edema, has been reported with latanoprost. Managed Markets Insight & Technology, LLC. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Please click here for full prescribing information for Rocklatan. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Offer valid up to 12-month qualifying prescriptions. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. a sample from a medical professional. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. DOSAGE AND ADMINISTRATION The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. Coupon is not insurance. ROCKLATAN safely and effectively. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Thats less than $9 per month for a 90-dayprescription. Prescription medications: Simbrinza, Eysuvis, and Inveltys. 11 DESCRIPTION Macular edema, including cystoid macular edema, has been reported with latanoprost. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining South Korea Warnings and Precautions Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Please re-register using the form here. Restrictions: This offer is valid for eligible residents of the United States only. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Eligibility requirements for each program may vary. Offer not valid for patients under 18 years of age. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. If approved, we will routinely ship medicine to the prescriber's office. Peru Maximum savings limit applies; patient out-of-pocket expense may vary. No cash back. The increased brown color of the eye is usually more noticeable after a few months or years of using Rocklatan (netarsudil / latanoprost) and can be permanent. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Most corneal verticillata resolved upon discontinuation of treatment. 5.2 Eyelash Changes ROCKLATAN contains latanoprost which may gradually change eyelashes and vellus hair in the treated eye; these changes include increased length, thickness, pigmentation, the number of lashes or hairs, and Please click here for full prescribing information for Rhopressa. Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. No other purchase is necessary. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Many times however, the offers listed on rxless will be less expensive than manufacturer coupons, copay cards, or patient assistance programs - so make sure you compare all options before making a purchase. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Our hours of availability: Mon-Fri 8AM-5PM CST. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Eyelash changes are usually reversible upon discontinuation of treatment. . Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Contact lenses should be removed prior to using Rocklatan. Contact lenses should be removed prior to using Rocklatan. Argentina Brazil Use with caution in patients with a history of herpetic keratitis. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Rocklatan (netarsudil/latanoprost ophthalmic solution) For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Reach for Rocklatan for powerful IOP reduction Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Spain To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Rocklatan is covered for over 80% of insured patients You can save even more on your prescription with the Rocklatan Savings Card 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription IMPORTANT SAFETY INFORMATION Contraindications None. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Offer not valid for patients under 18 years of age. Avoid use in cases of active herpes simplex keratitis. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. No other purchase is necessary. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. %PDF-1.7 % Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. China For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. This offer may not be redeemed for cash. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Valid only for those with private insurance. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). (On mobile devices, swipe left to see all of the table columns.). Iris pigmentation likely to be permanent. This offer is good only in the United States of America and Puerto Rico. However, your healthcare provider may have more information concerning specific programs available in your area. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. 698 0 obj <>stream Financial Aid for Glaucoma Medications Fact Sheet Published on: August 24, 2021 Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Europe / Middle East / Africa Restrictions apply. Offer valid up to 12-month qualifying prescriptions. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. If you have limited or no prescription insurance coverage or are experiencing financial hardship, Alcon Cares provides medicines at no cost to eligible US patients: Prescription medications: Simbrinza, Eysuvis, and Inveltys. ROCKLATAN (netarsudil and latanoprost) SELF ADMINISTRATION Indications for Prior Authorization: Indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Patients must meet the following criteria for the indication (s) above: Patient is 18 years of age or older, AND By using the Alcon Patient Access Program card, you confirm that you understand and agree to comply with the following terms and conditions of this offer. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). Over the counter medications, such as Systane and Pataday. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Important: When there is a range of pricing, consumers should normally expect to pay the lower price.