Should generally not be used in patients with active intraocular inflammation. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. The most common ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. Glaucoma treatment | Rocklatan (netarsudil/latanoprost ophthalmic as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. However, your healthcare provider may have more information concerning specific programs available in your area. Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com Mexico 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. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. Restrictions apply. Chile Accessed on April 18, 2022. Usually reversible upon discontinuation of treatment. Accessed on April 18, 2022. 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. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. This card has no cash value. Prescription medications: Simbrinza, Eysuvis, and Inveltys. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. 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. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. rocklatan Coupons and Discount Cards - rxless PDF Patient Assistance Program (PAP) Application - Alcon Coupon is not insurance. Please note, patient assistance programs cannot be used in conjunction with these rxless offers. France Five percent of patients discontinued therapy due to red eyes. a sample from a medical professional. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Receive Glaucomaresearch updates and inspiring stories. 698 0 obj
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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. Get help over the phone: +1 800-757-9195 * Register > Sample Request Request samples for your office today. Remove contact lenses prior to administration and reinsert 15 minutes after administration. This site is intended for US healthcare professionals only. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. 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). Uruguay Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. This offer will expire on March 1, 2023. Rocklatan User Reviews for Glaucoma, Open Angle - Drugs.com call 844-807-9706 or visit the program website. This offer may not be redeemed for cash. This reaction did not result in any apparent visual functional changes. Avoid use in cases of active herpes simplex keratitis. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? 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 any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. 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%). You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Rocklatan (latanoprost/netarsudil ophthalmic) For Healthcare Professionals | Rhopressa (netarsudil ophthalmic Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Proof of purchase may be required. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. Prescription Assistance | NeedyMeds However, due to stock shortages and other unknown variables we cannot provide any guarantee. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. For eligible commercial patients, submit BIN and OCC 08. Singapore. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Ecuador PAPs may cover the full cost of medications or provide a discount. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Please click here for full prescribing information for ROCKLATAN Solution. The patient must activate the card before use at AlconRxSavings.com or by phone at. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. Managed Markets Insight & Technology, LLC. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. To qualify for a financial assistance program, you (or the patient you're applying for) must: Be getting treatment for the disease named in the assistance program, and. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. 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. Hong Kong Get Help > Request a Representative BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. See 17 for PATIENT COUNSELING INFORMATION . Alcon Completes Acquisition of Aerie Pharmaceuticals Russia, Asia Pacific The recommended dosage is one drop in the affected eye(s) once daily in the evening. 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. Void where prohibited by law. We offer a range of programs to make it easier for patients to obtain their medication. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. 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 This offer is good only in the United States of America and Puerto Rico. Research Lower Cost Alternatives Please click here for full prescribing information for Rocklatan. Your medicine matters. 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. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 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. This offer will expire on March 1, 2023. Eligible patients pay as little as $30 per prescription fill. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Rocklatan (netarsudil/latanoprost ophthalmic solution) Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. 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. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx 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.
JA8x$3--E!`f3m8E! Home [www.azandmeapp.com] We recently rebranded to MyAlcon. 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%). Colombia Program may not be combined with any third-party rebate, coupon, or offer. Spain Italy Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. United Kingdom - English, Americas . 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. Managed Markets Insight & Technology, LLC. 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. Iris pigmentation likely to be permanent. . Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. 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. Livalo Patient Assistance This page is available in English. ROCKLATAN safely and effectively. Patient Assistance Programs | Can't Afford Your Medication? prasst). 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. PeopleImages/iStock via Getty Images. Contact lenses should be removed prior to using Rocklatan. This offer is void in U.S. territories including, but not limited to, Puerto Rico. This site is intended for US healthcare professionals only. Alcon is committed to supporting patient access to medications. Europe / Middle East / Africa Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. 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. Please click here for full prescribing information for ROCKLATAN Solution. Thats less than $9 per month for a 90-dayprescription. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Compare prices for Rocklatan and save up to 80% using Inside Rx. Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Financial Aid for Glaucoma Medications | BrightFocus Foundation Five percent of patients discontinued therapy due to red eyes. 8.1 Pregnancy . If one dose is missed, treatment should continue with the next dose in the evening. Offer not valid for patients under 18 years of age. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. 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. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. 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. 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 may be used concomitantly with other topical ophthalmic drug products to lower IOP. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Alcon Payment Assistance Programs | Alcon US Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. You are encouraged to report negative side effects of prescription drugs to the FDA. Argentina If one dose is missed, treatment should continue with the next dose in the evening. Restrictions: This offer is valid for eligible residents of the United States only. This offer is not valid with other offers. Quoted prices are for cash-paying customers and are not valid with insurance plans. For patients with commercial insurance, the Alcon Patient Access If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. No cash back. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Maximum savings limit applies; patient out-of-pocket expense may vary. 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%). This site is intended for US healthcare professionals only. 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. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan Approved for Glaucoma Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Please click here for full prescribing information for Rocklatan. Revised: 03/2019 . ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . Refill Self-Service Requests Unavailable We apologize for the inconvenience. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. 3c1Z lBC bak& 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. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. You are encouraged to report negative side effects of prescription drugs to the FDA. Restrictions: This offer is valid for eligible residents of the United States only. To order samples beginning 12/1 please visit www.Alconsamples.com. 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. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . 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. LINZESS Programs, Support & Resources | AbbVie Access ROCKLATAN safely and effectively. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. View generic Rocklatan availability for more details. Please re-register using the form here. 90 days for $30 or 30 days for $30. Usually reversible upon discontinuation of treatment. 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. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan is used once daily in the evening. All rights reserved. Offer valid up to 12-month qualifying prescriptions. 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"}. NeedyMeds Restrictions apply. 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. 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. 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. DOSAGE AND ADMINISTRATION 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. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 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. South Korea Important: When there is a range of pricing, consumers should normally expect to pay the lower price. A generic drug is an exact copy of the . Be sure to contact your doctor if you have any questions. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 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, insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Learn more. China Valid at all major chains including Walgreens, CVS Pharmacy, About Rocklatan | Rocklatan (netarsudil/latanoprost ophthalmic Our hours of availability: Mon-Fri 8AM-5PM CST. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Could Rocklatan. Visit website. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Over the counter medications, such as Systane and Pataday. The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. You are encouraged to report negative side effects of prescription drugs to the FDA. NeedyMeds Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. 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. Note: This is a drug discount program, not an insurance plan. Use with caution in patients with a history of herpetic keratitis. Please call 1-800-222-6885 to request refills. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. This offer may not be redeemed for cash. 8.4 Pediatric Use . These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. +J Thats less than $9 per month for a 90-dayprescription. 8.5 Geriatric Use . The cost for Rocklatan ophthalmic solution (0.005%-0.02%) is around $357 for a supply of 2.5 milliliters, depending on the pharmacy you visit. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. Rocklatan is available as a brand name drug only, a generic version is not yet available. 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