rocklatan patient assistance programrocklatan patient assistance program

PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF This offer is good only in the United States of America and Puerto Rico. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Alcon Completes Acquisition of Aerie Pharmaceuticals To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . 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. 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%). Click on a logo to view patient copay details. This page is available in English. 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. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Peru Should generally not be used in patients with active intraocular inflammation. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Ecuador 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. Our hours of availability: Mon-Fri 8AM-5PM CST. 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 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. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. PDF Application for Myabbvie Assist Learn more. Please call 1-800-222-6885 to request refills. Thats less than $9 per month for a 90-dayprescription. No Patient Assistance Programs were found for this medication. No cash back. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. United Kingdom - English, Americas All rights reserved. Livalo Patient Assistance Maximum savings limit applies; patient out-of-pocket expense may vary. If one dose is missed, treatment should continue with the next dose in the evening. 8.1 Pregnancy . Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Glaucoma - Open Angle, and Intraocular Hypertension. 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 ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. 8 USE IN SPECIFIC POPULATIONS . For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. Get Help > Request a Representative Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. See full prescribing information . This offer is not valid with other offers. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. 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. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. South Korea Iris pigmentation likely to be permanent. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Be sure to contact your doctor if you have any questions. However, your healthcare provider may have more information concerning specific programs available in your area. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Avoid use in cases of active herpes simplex keratitis. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. Your medicine matters. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. 698 0 obj <>stream 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 . Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Five percent of patients discontinued therapy due to red eyes. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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. 37% of reviewers reported a positive experience, while 53% reported a negative experience. Offer not valid for patients under 18 years of age. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! Rocklatan prices starting at $375.30. Rocklatan Prices, Coupons and Patient Assistance Programs For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Financial and insurance assistance. View generic Rocklatan availability for more 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. 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. 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. Please click here for full prescribing information for Rhopressa. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Receive Glaucomaresearch updates and inspiring stories. Iris pigmentation likely to be permanent. Offer not valid for patients under 18 years of age. Accessed on April 18, 2022. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. 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. Rocklatan (netarsudil/latanoprost ophthalmic solution) Europe / Middle East / Africa Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Could Rocklatan. Over the counter medications, such as Systane and Pataday. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Learn more. +J Visit website. Singapore. a sample from a medical professional. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. 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%). 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 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). If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Select below for other countries. Note: This is a drug discount program, not an insurance plan. PDF NDA 208259 Page 5 - Food and Drug Administration Macular edema, including cystoid macular edema, has been reported with latanoprost. Most products may be shipped to the patient's home on request. For patients with commercial insurance, the Alcon Patient Access Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. 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. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Please click here for full prescribing information for Rocklatan. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, You are encouraged to report negative side effects of prescription drugs to the FDA. rocklatan Coupons and Discount Cards - rxless Managed Markets Insight & Technology, LLC. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } NeedyMeds You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. This reaction did not result in any apparent visual functional changes. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. These are some questions to ask when you talk to your eye doctor about Rocklatan. ROCKLATAN safely and effectively. prasst). Restrictions: This offer is valid for eligible residents of the United States only. 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. Over the counter medications, such as Systane and Pataday. 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. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. This site is intended for US healthcare professionals only. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. DOSAGE AND ADMINISTRATION NeedyMeds Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. [see Patient Counseling Information (17)]. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. 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. Copyright 2000 - 2023 BrightFocus Foundation. Void where prohibited by law. The patient must activate the card before use at AlconRxSavings.com or by phone at. Italy Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Macular edema, including cystoid macular edema, has been reported with latanoprost. Research Lower Cost Alternatives 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. Offer valid up to 12-month qualifying prescriptions. Rocklatan Eye Drops: Package Insert - Drugs.com For eligible commercial patients when the product is not covered, submit BIN and OCC 03. The dosage of ROCKLATAN should not exceed once daily. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. 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. 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 side effect for Rocklatan in controlled clinical studies were red eyes (59%). (On mobile devices, swipe left to see all of the table columns.). This offer is void in U.S. territories including, but not limited to, Puerto Rico. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is supplied sterile in clear low density polyethylene bottles with opaque white polyethylene dropper tips and white polypropylene screw caps. 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 is not valid where prohibited, taxed, or otherwise restricted. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. This site is intended for US healthcare professionals only. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Compare prices for Rocklatan and save up to 80% using Inside Rx. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Rocklatan side effects and drug details - Inside Rx Each program has its own qualifying criteria. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. This card has no cash value. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Patient Assistance Programs: What Are They and How Do They Work? - GoodRx Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Avoid use in cases of active herpes simplex keratitis. Patient Assistance Programs | Can't Afford Your Medication? Five percent of patients discontinued therapy due to red eyes. 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. PDF Patient Assistance Program (PAP) Application - Alcon Get help over the phone: +1 800-757-9195 It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. The dosage of ROCKLATAN should not exceed once daily. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. Financial Aid for Glaucoma Medications | BrightFocus Foundation Rocklatan is used once daily in the evening. . 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. Savings | Rhopressa (netarsudil ophthalmic solution) 0.02% 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. See 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. The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. Looking to reduce costs at the pharmacy counter? Please click here for full prescribing information for ROCKLATAN Solution. Learn More about Alcon's Glaucoma Product Portfolio call 844-807-9706 or visit the program website. %PDF-1.7 % Rocklatan (netarsudil/latanoprost ophthalmic solution) Offer valid up to 12-month qualifying prescriptions. Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx To download the forms, click on "Forms & Resources" and then on "Downloads". Available for Android and iOS devices. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We comply with the HONcode standard for trustworthy health information. Rocklatan isn't available in a generic form. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Be sure to contact your doctor if you have any questions. Rocklatan is available as a brand name drug only, a generic version is not yet available. 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 . Revised: 03/2019 . Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Accessed on April 18, 2022. Savings and support for Rocklatan | Rocklatan (netarsudil/latanoprost 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 recommended dosage is one drop in the affected eye(s) once daily in the evening. Maximum savings limit applies; patient out-of-pocket expense may vary. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan Approved for Glaucoma over-the-counter drugs and pet prescriptions. 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. 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