(On mobile devices, swipe left to see all of the table columns.). Compare prices for Rocklatan and save up to 80% using Inside Rx. Managed Market Insights & Technology, LLC. Rocklatan (latanoprost/netarsudil ophthalmic) Avoid use in cases of active herpes simplex keratitis. 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 If approved, we will routinely ship medicine to the prescriber's office. 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. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Eligibility requirements for each program may vary. Be sure to contact your doctor if you have any questions. Offer valid up to 12-month qualifying prescriptions. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. This offer is not valid for any person who is 65 years of age or older without commercial insurance. Warnings and Precautions 8.4 Pediatric Use . )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. This reaction did not result in any apparent visual functional changes. Singapore. No other purchase is necessary. 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. This offer is not valid with other offers. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. Most products may be shipped to the patient's home on request. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Five percent of patients discontinued therapy due to red eyes. To order samples beginning 12/1 please visit www.Alconsamples.com. call 844-807-9706 or visit the program website. Accessed on April 18, 2022. Be sure to contact your doctor if you have any questions. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. Six percent of patients discontinued therapy due to conjunctival hyperemia. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). This site is intended for US healthcare professionals only. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, ,":fyt%_4Ui3]gN Ut/eLK0[*&C!W!#;al1[1b=&9.wg-Sj*'nQ TNphH]CkJ>]=||Q7K6`h^calm&`l6$x3Y>Bw@F;:G;HkF2]\}5FEvtD`sZ)G,9>NZ[0$-XWl0 q6~yY Gd8N6*z4g&1_I9m-o-=v9vXk[o+$e(CN@$BBmE\T$ 698 0 obj <>stream Accessed on April 18, 2022. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Receive Glaucomaresearch updates and inspiring stories. Five percent of patients discontinued therapy due to red eyes. Get Help > Request a Representative Restrictions: This offer is valid for eligible residents of the United States only. Rocklatan isn't available in a generic form. Click on a logo to view patient copay details. Form more information phone: 833-735-0037 or 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. We offer a range of programs to make it easier for patients to obtain their medication. Iris pigmentation likely to be permanent. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 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. France Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Valid only for those with private insurance. Proof of purchase may be required. Restrictions apply. ROCKLATAN safely and effectively. Colombia We comply with the HONcode standard for trustworthy health information. JA8x$3--E!`f3m8E! See full prescribing information . Program may not be combined with any third-party rebate, coupon, or offer. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Brazil 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. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. Our hours of availability: Mon-Fri 8AM-5PM CST. Most corneal verticillata resolved upon discontinuation of treatment. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 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. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. 37% of reviewers reported a positive experience, while 53% reported a negative experience. Patient Assistance 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. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Refill Self-Service Requests Unavailable We apologize for the inconvenience. Prescription medications: Simbrinza, Eysuvis, and Inveltys. Looking to reduce costs at the pharmacy counter? The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Visit www.fda.gov/medwatch or call 1-800-FDA-1088. EXISTING EYEFILE USER? Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. However, your healthcare provider may have more information concerning specific programs available in your area. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. Coupon is not insurance. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. over-the-counter drugs and pet prescriptions. Usually reversible upon discontinuation of treatment. Financial and insurance assistance. 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. 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). 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. Research Lower Cost Alternatives What you may experience from one powerful drop of Rocklatan Rocklatan is different. 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. ROCKLATAN safely and effectively. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. 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. -p Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. Please click here for full prescribing information for Rhopressa. 8.1 Pregnancy . PeopleImages/iStock via Getty Images. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). For eligible commercial patients, submit BIN and OCC 08. This offer is void in U.S. territories including, but not limited to, Puerto Rico. 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. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. South Korea Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. 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%). Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Maximum savings limit applies; patient out-of-pocket expense may vary. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. 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. To download the forms, click on "Forms & Resources" and then on "Downloads". You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Over the counter medications, such as Systane and Pataday. 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. This offer may not be redeemed for cash. 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 Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. Offer not valid for patients under 18 years of age. 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 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 recommended dosage is one drop in the affected eye(s) once daily in the evening. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. The dosage of ROCKLATAN should not exceed once daily. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Learn more. 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). This card has no cash value. Please note, patient assistance programs cannot be used in conjunction with these rxless offers. So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. [see Patient Counseling Information (17)]. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. +J Macular edema, including cystoid macular edema, has been reported with latanoprost. Available for Android and iOS devices. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. 3c1Z lBC bak& 8.2 Lactation . Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. 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 and may cause inflammation inside the eye or make existing inflammation worse. Use with caution in patients with a history of herpetic keratitis. Your medicine matters. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. . Void where prohibited by law. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. China Please click here for full prescribing information for ROCKLATAN Solution. No Patient Assistance Programs were found for this medication. Get help over the phone: +1 800-757-9195 Eligibility is based on several factors, including income limits that are . A generic drug is an exact copy of the . Should generally not be used in patients with active intraocular inflammation. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Here are 10 ways to save money on prescription drugs. 8.5 Geriatric Use . For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. 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. Until opened, store at 2C to 8C (36F to 46F). Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. |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 Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. Contact lenses should be removed prior to using Rocklatan. 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. Russia, Asia Pacific Offer valid up to 12-month qualifying prescriptions. Revised: 03/2019 . Argentina Eligible patients pay as little as $30 per prescription fill. JWe=I)a)PRQd PAPs may cover the full cost of medications or provide a discount. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. See 17 for PATIENT COUNSELING INFORMATION . Each program has its own qualifying criteria. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. The recommended dosage is one drop in the affected eye(s) once daily in the evening. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. 90 days for $30 or 30 days for $30. 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.
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