rocklatan patient assistance program
Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. We comply with the HONcode standard for trustworthy health information. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. 8.2 Lactation . Be sure to contact your doctor if you have any questions. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Thats less than $9 per month for a 90-dayprescription. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. 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"}. Five percent of patients discontinued therapy due to red eyes. 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 (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. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Eyelash changes are usually reversible upon discontinuation of treatment. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . 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. Avoid use in cases of active herpes simplex keratitis. Learn more. Financial and insurance assistance. 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. Eligible patients pay as little as $30 per prescription fill. Offer valid up to 12-month qualifying prescriptions. . See full prescribing information . Until opened, store at 2C to 8C (36F to 46F). The dosage of ROCKLATAN should not exceed once daily. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). 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. Spain Offer not valid for patients under 18 years of age. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Quoted prices are for cash-paying customers and are not valid with insurance plans. Please click here for full prescribing information for Rocklatan. ROCKLATAN safely and effectively. Be sure to contact your doctor if you have any questions. Offer valid up to 12-month qualifying prescriptions. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Valid only for those with private insurance. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. The patient must activate the card before use at AlconRxSavings.com or by phone at. France 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. Please call 1-800-222-6885 to request refills. Your medicine matters. 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 3c1Z lBC bak& Please click here for full prescribing information for ROCKLATAN Solution. JA8x$3--E!`f3m8E! This offer will expire on March 1, 2023. If one dose is missed, treatment should continue with the next dose in the evening. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Maximum savings limit applies; patient out-of-pocket expense may vary. Iris pigmentation likely to be permanent. Please click here for full prescribing information for Rocklatan. Visit website. Each program has its own qualifying criteria. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. 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 . or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Learn more. This offer is not valid where prohibited, taxed, or otherwise restricted. 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. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. . Restrictions: This offer is valid for eligible residents of the United States only. 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. +J Hong Kong Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Argentina Receive Glaucomaresearch updates and inspiring stories. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Macular edema, including cystoid macular edema, has been reported with latanoprost. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. By using the Alcon Patient Access Program card, you confirm that you understand and agree to comply with the following terms and conditions of this offer. Most products may be shipped to the patient's home on request. 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 available as a brand name drug only, a generic version is not yet available. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Peru ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. This offer is void in U.S. territories including, but not limited to, Puerto Rico. 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. Storage: Protect from light. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. View generic Rocklatan availability for more details. Learn More about Alcon's Glaucoma Product Portfolio Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 8 USE IN SPECIFIC POPULATIONS . This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Proof of purchase may be required. 8.5 Geriatric Use . This reaction did not result in any apparent visual functional changes. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. If one dose is missed, treatment should continue with the next dose in the evening. You are encouraged to report negative side effects of prescription drugs to the FDA. ,":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@$BBmE\T$ Avoid use in cases of active herpes simplex keratitis. 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%). Remove contact lenses prior to administration and reinsert 15 minutes after administration. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. Warnings and Precautions 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. If approved, we will routinely ship medicine to the prescriber's office. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. 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. Eligibility is based on several factors, including income limits that are . If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. The recommended dosage is one drop in the affected eye(s) once daily in the evening. . For eligible commercial patients, submit BIN and OCC 08. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. South Korea 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. [see Patient Counseling Information (17)]. Over the counter medications, such as Systane and Pataday. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Europe / Middle East / Africa Please click here for full prescribing information for Rhopressa. Compare prices for Rocklatan and save up to 80% using Inside Rx. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 90 days for $30 or 30 days for $30. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. This Program is not health insurance. Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide. 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, Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. 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. To download the forms, click on "Forms & Resources" and then on "Downloads". Usually reversible upon discontinuation of treatment. You are encouraged to report negative side effects of prescription drugs to the FDA. Void where prohibited by law. 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. Valid at all major chains including Walgreens, CVS Pharmacy, 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%). (On mobile devices, swipe left to see all of the table columns.). Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. This offer is not valid for any person who is 65 years of age or older without commercial insurance. 11 DESCRIPTION Europe / Middle East / Africa This card has no cash value. Macular edema, including cystoid macular edema, has been reported with latanoprost. Ecuador Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! See full prescribing information for ROCKLATAN. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. This offer is not valid with other offers. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. 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 following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. No cash back. Could Rocklatan. 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. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. This offer is good only in the United States of America and Puerto Rico. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Eyelash changes are usually reversible upon discontinuation of treatment. Uruguay Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. However, due to stock shortages and other unknown variables we cannot provide any guarantee. 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. Valid only for those with private insurance. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Iris pigmentation likely to be permanent. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. The refill functionality is currently undergoing system maintenance. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Contact lenses should be removed prior to using Rocklatan. This site is intended for US healthcare professionals only. 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. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. This site is intended for US healthcare professionals only. Contact lenses should be removed prior to using Rocklatan. Accessed on April 18, 2022. Our hours of availability: Mon-Fri 8AM-5PM CST. We offer a range of programs to make it easier for patients to obtain their medication. This offer is not transferable. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. 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. 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 What you may experience from one powerful drop of Rocklatan Rocklatan is different. Program may not be combined with any third-party rebate, coupon, or offer. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. United Kingdom - English, Americas 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. 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. This offer is not transferable. 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. Rocklatan (latanoprost/netarsudil ophthalmic) Usually reversible upon discontinuation of treatment. 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). Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. 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%). For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. Patient assistance programs (PAPs) help people with no health insurance and those who are underinsured afford medications. is a member of the ophthalmic glaucoma agents drug class and is commonly used for 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. This offer is void in U.S. territories including, but not limited to, Puerto Rico. Get Help > Request a Representative Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Generic version. Contact lenses should be removed prior to using Rocklatan. 8.1 Pregnancy . insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Form more information phone: 833-735-0037 or Managed Markets Insight & Technology, LLC. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. over-the-counter drugs and pet prescriptions. Restrictions apply. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. a sample from a medical professional. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Over the counter medications, such as Systane and Pataday. Managed Markets Insight & Technology, LLC. Restrictions: This offer is valid for eligible residents of the United States only. Revised: 03/2019 . Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. This offer will expire on March 1, 2023. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. -p Be sure to contact your doctor if you have any questions. |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 Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. EXISTING EYEFILE USER? ROCKLATAN safely and effectively. 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. * Register > Sample Request Request samples for your office today. Rocklatan prices starting at $375.30. No other purchase is necessary. No Patient Assistance Programs were found for this medication. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. China Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Glaucoma - Open Angle, and Intraocular Hypertension. 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.
