For Healthcare Professionals | Rhopressa (netarsudil ophthalmic Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. No other purchase is necessary. Looking to reduce costs at the pharmacy counter? Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Compare prices for Rocklatan and save up to 80% using Inside Rx. PAPs may cover the full cost of medications or provide a discount. Accessed on April 18, 2022. 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. Form more information phone: 833-735-0037 or 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. Please call 1-800-222-6885 to request refills. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } PDF Patient Assistance Program (PAP) Application - Alcon Contact lenses should be removed prior to using Rocklatan. Singapore. The dosage of ROCKLATAN should not exceed once daily. +J Glaucoma - Open Angle, and Intraocular Hypertension. Note: This is a drug discount program, not an insurance plan. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. 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. This offer may not be redeemed for cash. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining 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. Click on a logo to view patient copay details. Offer not valid for patients under 18 years of age. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Be sure to contact your doctor if you have any questions. Macular edema, including cystoid macular edema, has been reported with latanoprost. For eligible commercial patients, submit BIN and OCC 08. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Restrictions: This offer is valid for eligible residents of the United States only. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Avoid use in cases of active herpes simplex keratitis. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . 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 . The recommended dosage is one drop in the affected eye(s) once daily in the evening. 90 days for $30 or 30 days for $30. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. Alcon is committed to supporting patient access to medications. Support | Rocklatan (netarsudil/latanoprost ophthalmic solution) To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Livalo Patient Assistance Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. * Register > Sample Request Request samples for your office today. Learn more. Prescription medications: Simbrinza, Eysuvis, and Inveltys. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan Prices, Coupons and Patient Assistance Programs Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Coupon is not insurance. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. 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 Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 8 USE IN SPECIFIC POPULATIONS . DOSAGE AND ADMINISTRATION 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. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Quoted prices are for cash-paying customers and are not valid with insurance plans. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. This offer is not transferable. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Learn more. Valid only for those with private insurance. This offer is not valid with other offers. 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. 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%). Please click here for full prescribing information for Rocklatan. Rocklatan Eye Drops: Package Insert - Drugs.com 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. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. Savings and support for Rocklatan | Rocklatan (netarsudil/latanoprost Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Usually reversible upon discontinuation of treatment. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx Copyright 2000 - 2023 BrightFocus Foundation. NeedyMeds 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"}. 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. Please re-register using the form here. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Contact lenses should be removed prior to using Rocklatan. over-the-counter drugs and pet prescriptions. 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. Restrictions apply. Managed Markets Insight & Technology, LLC. 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. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. 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). 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. For eligible commercial patients, submit BIN and OCC 08. Usually reversible upon discontinuation of treatment. 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. Be sure to contact your doctor if you have any questions. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. prasst). Revised: 03/2019 . Five percent of patients discontinued therapy due to red eyes. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Rocklatan prices starting at $375.30. You are encouraged to report negative side effects of prescription drugs to the FDA. A generic drug is an exact copy of the . All rights reserved. Here are 10 ways to save money on prescription drugs. 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%). ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Please click here for full prescribing information for ROCKLATAN Solution. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. To order samples beginning 12/1 please visit www.Alconsamples.com. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Alcon Completes Acquisition of Aerie Pharmaceuticals If approved, we will routinely ship medicine to the prescriber's office. Should generally not be used in patients with active intraocular inflammation. Rocklatan isn't available in a generic form. This offer is good only in the United States of America and Puerto Rico. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. 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. 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. Get Help > Request a Representative Restrictions: This offer is valid for eligible residents of the United States only. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Europe / Middle East / Africa [see Patient Counseling Information (17)]. Rocklatan is used once daily in the evening. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Italy 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 Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. However, your healthcare provider may have more information concerning specific programs available in your area. Macular edema, including cystoid macular edema, has been reported with latanoprost. South Korea 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. 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. EXISTING EYEFILE USER? 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). 8.5 Geriatric Use . 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. 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. Accessed on April 18, 2022. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? Eligible patients pay as little as $30 per prescription fill. Maximum savings limit applies; patient out-of-pocket expense may vary. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. This offer is not valid where prohibited, taxed, or otherwise restricted. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. 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. . What you may experience from one powerful drop of Rocklatan Rocklatan is different. Offer not valid for patients under 18 years of age. This card has no cash value. Valid only for those with private insurance. Rocklatan Prices and Savings - Inside Rx Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. 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. 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. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. This offer will expire on March 1, 2023. We comply with the HONcode standard for trustworthy health information. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. 3c1Z lBC bak& 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%). NeedyMeds Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Proof of purchase may be required. Spain 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. Get help over the phone: +1 800-757-9195 Five percent of patients discontinued therapy due to red eyes. Alcon Payment Assistance Programs | Alcon US
