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. Most products may be shipped to the patient's home on request. Be sure to contact your doctor if you have any questions. 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 Offer valid up to 12-month qualifying prescriptions. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. To download the forms, click on "Forms & Resources" and then on "Downloads". 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 Each program has its own qualifying criteria. 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. Your medicine matters. 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. If approved, we will routinely ship medicine to the prescriber's office. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Singapore. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please click here for full prescribing information for ROCKLATAN Solution. This offer is not valid with other offers. Please click here for full prescribing information for Rocklatan. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Macular edema, including cystoid macular edema, has been reported with latanoprost. Europe / Middle East / Africa This offer is void in U.S. territories including, but not limited to, Puerto Rico. 8.2 Lactation . Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. See 17 for PATIENT COUNSELING INFORMATION . See full prescribing information . 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%). It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. 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. Warnings and Precautions Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. Be sure to contact your doctor if you have any questions. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. You are encouraged to report negative side effects of prescription drugs to the FDA. This Program is not health insurance. Restrictions: This offer is valid for eligible residents of the United States only. If one dose is missed, treatment should continue with the next dose in the evening. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . Usually reversible upon discontinuation of treatment. You are encouraged to report negative side effects of prescription drugs to the FDA. Available for Android and iOS devices. Five percent of patients discontinued therapy due to red eyes. Click on a logo to view patient copay details. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Restrictions: This offer is valid for eligible residents of the United States only. %PDF-1.7 % Rocklatan isn't available in a generic form. 8.5 Geriatric Use . This offer may not be redeemed for cash. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. For eligible commercial patients, submit BIN and OCC 08. Remove contact lenses prior to administration and reinsert 15 minutes after administration. 3c1Z lBC bak& 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. What you may experience from one powerful drop of Rocklatan Rocklatan is different. A generic drug is an exact copy of the . 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. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Managed Markets Insight & Technology, LLC. Over the counter medications, such as Systane and Pataday. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. This site is intended for US healthcare professionals only. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. For eligible commercial patients, submit BIN and OCC 08. The dosage of ROCKLATAN should not exceed once daily. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Maximum savings limit applies; patient out-of-pocket expense may vary. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. The refill functionality is currently undergoing system maintenance. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. France Brazil Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Coupon is not insurance. 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, If one dose is missed, treatment should continue with the next dose in the evening. Please re-register using the form here. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). a sample from a medical professional. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Valid only for those with private insurance. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. Research Lower Cost Alternatives See full prescribing information for ROCKLATAN. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. Eyelash changes are usually reversible upon discontinuation of treatment. Eyelash changes are usually reversible upon discontinuation of treatment. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. 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%). Contact lenses can be reinserted 15 minutes following administration of Rocklatan. The patient must activate the card before use at AlconRxSavings.com or by phone at. Get help over the phone: +1 800-757-9195 Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Should generally not be used in patients with active intraocular inflammation. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Learn More about Alcon's Glaucoma Product Portfolio For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. This page is available in English. Learn more. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Offer not valid for patients under 18 years of age. Compare prices for Rocklatan and save up to 80% using Inside Rx. 8.4 Pediatric Use . Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Prescription medications: Simbrinza, Eysuvis, and Inveltys. 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. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. |ouWvaoTWhF%v6*/{W;VQ?Kx5!7 $%=T?2xK~mz cHki/~"a$j3_(O)+fyll7~h3gL"IJuMbOHZiLaJOJ;U&4,*00 MJr-B=V1q%h~b>=z8zBe DOSAGE AND ADMINISTRATION Thats less than $9 per month for a 90-dayprescription. 33 per month That's less than per month for a 90-day prescription Download the Rocklatan Savings Card and present it to the pharmacist with a prescription. 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%). The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. Italy Program may not be combined with any third-party rebate, coupon, or offer. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Storage: Protect from light. Revised: 03/2019 . This offer is good only in the United States of America and Puerto Rico. Here are 10 ways to save money on prescription drugs. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. To order samples beginning 12/1 please visit www.Alconsamples.com. Offer not valid for patients under 18 years of age. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Contact lenses should be removed prior to using Rocklatan. Six percent of patients discontinued therapy due to conjunctival hyperemia. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. Russia, Asia Pacific Alcon is committed to supporting patient access to medications. This offer is not valid for any person who is 65 years of age or older without commercial insurance. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. PAPs may cover the full cost of medications or provide a discount. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. call 844-807-9706 or visit the program website. 8.1 Pregnancy . Thats less than $9 per month for a 90-dayprescription. Form more information phone: 833-735-0037 or Accessed on April 18, 2022. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, Void where prohibited by law. Visit website. Offer valid up to 12-month qualifying prescriptions. Until opened, store at 2C to 8C (36F to 46F). 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. Five percent of patients discontinued therapy due to red eyes. View generic Rocklatan availability for more details. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Iris pigmentation likely to be permanent. Accessed on April 18, 2022. 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. 8 USE IN SPECIFIC POPULATIONS . Please call 1-800-222-6885 to request refills. All rights reserved. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Note: This is a drug discount program, not an insurance plan. No other purchase is necessary. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Looking to reduce costs at the pharmacy counter? Glaucoma - Open Angle, and Intraocular Hypertension. Our hours of availability: Mon-Fri 8AM-5PM CST. Hong Kong Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Rocklatan is used once daily in the evening. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured (cash-paying . 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 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. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. ROCKLATAN safely and effectively. Learn more. Phone: 1-800-222-6885 Fax: 1-866-898-1473 Upon review of a completed application, we will notify the patient and the prescriber about eligibility. For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocularhypertension, 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. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Rocklatan prices starting at $375.30. You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Iris pigmentation likely to be permanent. * Register > Sample Request Request samples for your office today. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. This site is intended for US healthcare professionals only. Receive Glaucomaresearch updates and inspiring stories. . or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. This is a copay assistance program: Provided by: Patient Access Network Foundation: TEL: 866-316-7263 FAX: 866-316-7261: Languages Spoken: English, Spanish, Others By Translation Service. 90 days for $30 or 30 days for $30. Refill Self-Service Requests Unavailable We apologize for the inconvenience. Contact lenses should be removed prior to using Rocklatan. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. Five percent of patients discontinued therapy due to red eyes. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. This offer is not transferable. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. JWe=I)a)PRQd Rocklatan is available as a brand name drug only, a generic version is not yet available. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. South Korea 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. Spain Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Avoid use in cases of active herpes simplex keratitis. This offer will expire on March 1, 2023. Pay as little as $25 for a 30-day or 90-day prescription 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 Restrictions apply. Europe / Middle East / Africa For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. prasst). These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. Get Help > Request a Representative Use with caution in patients with a history of herpetic keratitis. 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. This offer will expire on March 1, 2023. Uruguay Contact lenses can be reinserted 15 minutes following administration of Rocklatan. The recommended dosage is one drop in the affected eye(s) once daily in the evening. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. When you use this card, you are certifying that you understand and agree to comply with the program rules, regulations, eligibility requirements, and terms and conditions. is a member of the ophthalmic glaucoma agents drug class and is commonly used for 11 DESCRIPTION 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. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Chile Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. Generic version. Should generally not be used in patients with active intraocular inflammation. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. ,":fyt%_4Ui3]gN Ut/eLK0[*&C!W!#;al1[1b=&9.wg-Sj*'nQ TNphH]CkJ>]=||Q7K6`h^calm&`l6$x3Y>Bw@F;:G;HkF2]\}5FEvtD`sZ)G,9>NZ[0$-XWl0 q6~yY Gd8N6*z4g&1_I9m-o-=v9vXk[o+$e(CN@$BBmE\T$ This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Eligible patients pay as little as $30 per prescription fill. Proof of purchase may be required. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Contact lenses should be removed prior to using Rocklatan. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Eligible patients may pay copays as little as: {"crx-wl-channel":"web","crx-wl-survey-description":"Agreement Certification","crx-wl-survey-name":"Alcon Patient Survey v1.0.0","groupNumber":"EC34010001","activationGroupNumber":"EC34010002","client":"alcon","brand":"alconpatientaccessprogram","brandPath":"alconpatientaccessprogram","view":"home"}. We comply with the HONcode standard for trustworthy health information. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. Copyright 2000 - 2023 BrightFocus Foundation. This reaction did not result in any apparent visual functional changes. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. over-the-counter drugs and pet prescriptions. Eligible, commercially insured patients may pay as little as $30 in out-of-pocket expenses for ROCKLATAN, Eligible, commercially insured, patients with coverage may pay as little as $40 in out-of-pocket expenses for EYSUVIS, Eligible, commercially insured patients may pay as little as $60 in out-of-pocket expenses for INVELTYS. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. No other purchase is necessary. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured . 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. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Eyelash changes are usually reversible upon discontinuation of treatment.
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