Accessed on April 18, 2022. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. 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. This site is intended for US healthcare professionals only. Managed Market Insights & Technology, LLC. 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. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. 8.5 Geriatric Use . The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. 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. Please click here for full prescribing information for ROCKLATAN Solution. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . prasst). 11 DESCRIPTION Most products may be shipped to the patient's home on request. Use with caution in patients with a history of herpetic keratitis. Coupon is not insurance. For patients with private insurance, the Alcon Patient Access Program may be able to help lower your out-of-pocket cost for these prescription products: For patients with Medicare Part D or Medicare Advantage insurance, Alcon may be able to help with the cost of your Inveltys prescription with use of a $60 coupon. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. See full prescribing information for ROCKLATAN. To order samples beginning 12/1 please visit www.Alconsamples.com. This offer is good only in the United States of America and Puerto Rico. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Please click here for full prescribing information for Rocklatan. 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, Offer not valid for patients under 18 years of age. Offer not valid for patients under 18 years of age. Receive Glaucomaresearch updates and inspiring stories. This offer is not transferable. 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. Thats less than $9 per month for a 90-dayprescription. This card has no cash value. 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. Form more information phone: 833-735-0037 or 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. Available for Android and iOS devices. 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. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Eyelash changes are usually reversible upon discontinuation of treatment. Iris pigmentation likely to be permanent. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. over-the-counter drugs and pet prescriptions. You are encouraged to report negative side effects of prescription drugs to the FDA. Five percent of patients discontinued therapy due to red eyes. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. For eligible commercial patients, submit BIN and OCC 08. PAPs may cover the full cost of medications or provide a discount. Hong Kong Here are 10 ways to save money on prescription drugs. Rocklatan (latanoprost/netarsudil ophthalmic) If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Our hours of availability: Mon-Fri 8AM-5PM CST. 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: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. No cash back. Uruguay Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. Please click here for full prescribing information for ROCKLATAN Solution. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Eyelash changes are usually reversible upon discontinuation of treatment. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. 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. EXISTING EYEFILE USER? 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. 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. This offer may not be redeemed for cash. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). The refill functionality is currently undergoing system maintenance. Ecuador Storage: Protect from light. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. These are some questions to ask when you talk to your eye doctor about Rocklatan. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. 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%). France Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Over the counter medications, such as Systane and Pataday. 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 should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. 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. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Avoid use in cases of active herpes simplex keratitis. Refill Self-Service Requests Unavailable We apologize for the inconvenience. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Spain 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 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). Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. 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. Restrictions apply. Accessed on April 18, 2022. Coupon is not insurance. Could Rocklatan. Alcon is committed to supporting patient access to medications. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Argentina Please re-register using the form here. Void where prohibited by law. Usually reversible upon discontinuation of treatment. * Register > Sample Request Request samples for your office today. call 844-807-9706 or visit the program website. 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. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. 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. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. 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. See 17 for PATIENT COUNSELING INFORMATION . 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. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. 8.2 Lactation . 37% of reviewers reported a positive experience, while 53% reported a negative experience. Each program has its own qualifying criteria. 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 . Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. 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. Contact lenses should be removed prior to using Rocklatan. |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 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%). Usually reversible upon discontinuation of treatment. JWe=I)a)PRQd insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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. This site is intended for US healthcare professionals only. Remove contact lenses prior to administration and reinsert 15 minutes after administration. . 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"}. 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. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. This offer is not valid for any person who is 65 years of age or older without commercial insurance. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. This page is available in English. Proof of purchase may be required. 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. We recently rebranded to MyAlcon. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. 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. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. 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. Macular edema, including cystoid macular edema, has been reported with latanoprost. 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%). Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. ROCKLATAN safely and effectively. 3c1Z lBC bak& What you may experience from one powerful drop of Rocklatan Rocklatan is different. 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. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. 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. The dosage of ROCKLATAN should not exceed once daily. JA8x$3--E!`f3m8E! ,":fyt%_4Ui3]gN Ut/eLK0[*&C!W!#;al1[1b=&9.wg-Sj*'nQ TNphH]CkJ>]=||Q7K6`h^calm&`l6$x3Y>Bw@F;:G;HkF2]\}5FEvtD`sZ)G,9>NZ[0$-XWl0 q6~yY Gd8N6*z4g&1_I9m-o-=v9vXk[o+$e(CN@$BBmE\T$ Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Be sure to contact your doctor if you have any questions. 698 0 obj <>stream Please click here for full prescribing information for Rocklatan. Get Help > Request a Representative Remove contact lenses prior to administration and reinsert 15 minutes after administration. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Colombia Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. Prescription medications: Simbrinza, Eysuvis, and Inveltys. Rocklatan isn't available in a generic form. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Learn more. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. Learn More about Alcon's Glaucoma Product Portfolio 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. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. This offer may not be redeemed for cash. This offer is not transferable. 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 . If one dose is missed, treatment should continue with the next dose in the evening. 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. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. The dosage of ROCKLATAN should not exceed once daily. So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Avoid use in cases of active herpes simplex keratitis. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. 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. Click on a logo to view patient copay details. Most corneal verticillata resolved upon discontinuation of treatment. Copyright 2000 - 2023 BrightFocus Foundation. 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. 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 is used once daily in the evening. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } All rights reserved. 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%). This offer is not valid with other offers. 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. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Should generally not be used in patients with active intraocular inflammation. You are encouraged to report negative side effects of prescription drugs to the FDA. You are encouraged to report negative side effects of prescription drugs to the FDA. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. Should generally not be used in patients with active intraocular inflammation. South Korea Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please call 1-800-222-6885 to request refills. If approved, we will routinely ship medicine to the prescriber's office. This offer will expire on March 1, 2023. Singapore. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Contact lenses should be removed prior to using Rocklatan. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Chile 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. For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. Managed Markets Insight & Technology, LLC. Eligible patients pay as little as $30 per prescription fill. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! 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. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 8.4 Pediatric Use . 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 valid up to 12-month qualifying prescriptions. a sample from a medical professional. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Macular edema, including cystoid macular edema, has been reported with latanoprost. [see Patient Counseling Information (17)]. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) China Thats less than $9 per month for a 90-dayprescription. If one dose is missed, treatment should continue with the next dose in the evening. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. 90 days for $30 or 30 days for $30.
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