ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Financial and insurance assistance. Learn More about Alcon's Glaucoma Product Portfolio Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. 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. 11 DESCRIPTION Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. 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. . About Rocklatan | Rocklatan (netarsudil/latanoprost ophthalmic The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. 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. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. [see Patient Counseling Information (17)]. Thats less than $9 per month for a 90-dayprescription. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Contact lenses should be removed prior to using Rocklatan. Coupon is not insurance. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. This offer may not be redeemed for cash. Argentina Managed Markets Insight & Technology, LLC. The recommended dosage is one drop in the affected eye(s) once daily in the evening. 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 Use with caution in patients with a history of herpetic keratitis. Eyelash changes are usually reversible upon discontinuation of treatment. Five percent of patients discontinued therapy due to red eyes. Chile Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Rocklatan (latanoprost/netarsudil ophthalmic) 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. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. This reaction did not result in any apparent visual functional changes. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. 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. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) We comply with the HONcode standard for trustworthy health information. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Restrictions apply. This offer is not valid with other offers. Storage: Protect from light. If approved, we will routinely ship medicine to the prescriber's office. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. China insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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 . Most corneal verticillata resolved upon discontinuation of treatment. . Rocklatan Eye Drops: Package Insert - Drugs.com Visit www.fda.gov/medwatch or call 1-800-FDA-1088. This offer is not transferable. This site is intended for US healthcare professionals only. %PDF-1.7 % BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. Iris pigmentation likely to be permanent. Please re-register using the form here. Rocklatan (netarsudil/latanoprost ophthalmic solution) If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Please click here for full prescribing information for Rocklatan. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. We recently rebranded to MyAlcon. Rocklatan Approved for Glaucoma Please click here for full prescribing information for ROCKLATAN Solution. However, due to stock shortages and other unknown variables we cannot provide any guarantee. 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. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. 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 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%). 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. 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. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Singapore. Here are 10 ways to save money on prescription drugs. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. 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. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). 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. Should generally not be used in patients with active intraocular inflammation. Contact lenses should be removed prior to using Rocklatan. Mexico 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%). Visit www.fda.gov/medwatch or call 1-800-FDA-1088. PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. Note: This is a drug discount program, not an insurance plan. 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). However, your healthcare provider may have more information concerning specific programs available in your area. Be sure to contact your doctor if you have any questions. Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx If one dose is missed, treatment should continue with the next dose in the evening. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Void where prohibited by law. 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. Avoid use in cases of active herpes simplex keratitis. Rocklatan (netarsudil/latanoprost ophthalmic solution) Patient Assistance Programs | Can't Afford Your Medication? Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? Be sure to contact your doctor if you have any questions. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. 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. Learn more. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. This Program is not health insurance. Click on a logo to view patient copay details. This offer is not valid for any person who is 65 years of age or older without commercial insurance. JA8x$3--E!`f3m8E! Select below for other countries. Europe / Middle East / Africa 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. Restrictions apply. You are encouraged to report negative side effects of prescription drugs to the FDA. PDF Patient Assistance Program (PAP) Application - Alcon Colombia For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. The refill functionality is currently undergoing system maintenance. All rights reserved. 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. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. For patients with commercial insurance, the Alcon Patient Access 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. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } 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 For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Usually reversible upon discontinuation of treatment. What you may experience from one powerful drop of Rocklatan Rocklatan is different. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Visit website. Offer valid up to 12-month qualifying prescriptions. 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 is used once daily in the evening. 8.5 Geriatric Use . Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . You are encouraged to report negative side effects of prescription drugs to the FDA. Until opened, store at 2C to 8C (36F to 46F). Should generally not be used in patients with active intraocular inflammation. Five percent of patients discontinued therapy due to red eyes. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! 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. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. JWe=I)a)PRQd 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 . Patient Assistance Programs: What Are They and How Do They Work? - GoodRx This offer will expire on March 1, 2023. Spain Alcon is committed to supporting patient access to medications. The dosage of ROCKLATAN should not exceed once daily. ROCKLATAN safely and effectively. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. Five percent of patients discontinued therapy due to red eyes. Learn more. For eligible commercial patients, submit BIN and OCC 08. Managed Market Insights & Technology, LLC.
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