This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Thats less than $9 per month for a 90-dayprescription. Maximum savings limit applies; patient out-of-pocket expense may vary. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. 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 contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. 8.1 Pregnancy . Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Uruguay Be sure to contact your doctor if you have any questions. Europe / Middle East / Africa Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). |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 Learn more. Accessed on April 18, 2022. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. [see Patient Counseling Information (17)]. Your medicine matters. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Prescription medications: Simbrinza, Eysuvis, and Inveltys. Each program has its own qualifying criteria. This card has no cash value. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. 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. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. 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. 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. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Please click here for full prescribing information for Rocklatan. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. 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. Rocklatan prices starting at $375.30. Visit website. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Singapore. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Managed Markets Insight & Technology, LLC. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. Remove contact lenses prior to administration and reinsert 15 minutes after administration. 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 . 8.2 Lactation . For eligible commercial patients when the product is not covered, submit BIN and OCC 03. 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. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. 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. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. (On mobile devices, swipe left to see all of the table columns.). Proof of purchase may be required. . For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. Managed Market Insights & Technology, LLC. Over the counter medications, such as Systane and Pataday. 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. Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. ROCKLATAN safely and effectively. Coupon is not insurance. Download the Rhopressa Savings Card and instruct patients to present it to the pharmacist with their prescription. 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%). Could Rocklatan. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. EXISTING EYEFILE USER? 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. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. If one dose is missed, treatment should continue with the next dose in the evening. 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. Please re-register using the form here. 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. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . 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. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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 The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Get help over the phone: +1 800-757-9195 Until opened, store at 2C to 8C (36F to 46F). 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. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Eligible patients pay as little as $30 per prescription fill. Be sure to contact your doctor if you have any questions. Ecuador Visit www.fda.gov/medwatch or call 1-800-FDA-1088. . Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, Eligibility requirements for each program may vary. Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Russia, Asia Pacific The most common ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Coupon is not insurance. To order samples beginning 12/1 please visit www.Alconsamples.com. Should generally not be used in patients with active intraocular inflammation. 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). Brazil Offer valid up to 12-month qualifying prescriptions. 37% of reviewers reported a positive experience, while 53% reported a negative experience. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Restrictions apply. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) 698 0 obj <>stream Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. Argentina prasst). This offer is not valid with other offers. We offer a range of programs to make it easier for patients to obtain their medication. 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. Chile Over the counter medications, such as Systane and Pataday. Refill Self-Service Requests Unavailable We apologize for the inconvenience. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. 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. Europe / Middle East / Africa 8 USE IN SPECIFIC POPULATIONS . Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. This offer will expire on March 1, 2023. 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. Macular edema, including cystoid macular edema, has been reported with latanoprost. If one dose is missed, treatment should continue with the next dose in the evening. 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. The dosage of ROCKLATAN should not exceed once daily. Be sure to contact your doctor if you have any questions. 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. 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. a sample from a medical professional. Spain 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. Please click here for full prescribing information for ROCKLATAN Solution. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. View generic Rocklatan availability for more details. 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. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Five percent of patients discontinued therapy due to red eyes. What you may experience from one powerful drop of Rocklatan Rocklatan is different. Contact lenses should be removed prior to using Rocklatan. Macular edema, including cystoid macular edema, has been reported with latanoprost. This offer is not valid where prohibited, taxed, or otherwise restricted. If approved, we will routinely ship medicine to the prescriber's office. 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. 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. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. 8.5 Geriatric Use . No cash back. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. 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. This Program is not health insurance. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. We comply with the HONcode standard for trustworthy health information. 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%). 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. Most products may be shipped to the patient's home on request. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. You are encouraged to report negative side effects of prescription drugs to the FDA. 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. Eyelash changes are usually reversible upon discontinuation of treatment. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Restrictions: This offer is valid for eligible residents of the United States only. +J This offer is not valid for any person who is 65 years of age or older without commercial insurance. The dosage of ROCKLATAN should not exceed once daily. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. The recommended dosage is one drop in the affected eye(s) once daily in the evening. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. 90 days for $30 or 30 days for $30. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 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. 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. Learn more. Financial and insurance assistance. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Get Help > Request a Representative Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Warnings and Precautions If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. 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. Usually reversible upon discontinuation of treatment. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . 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. 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). See full prescribing information . Offer valid up to 12-month qualifying prescriptions. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Program may not be combined with any third-party rebate, coupon, or offer. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. over-the-counter drugs and pet prescriptions. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. Iris pigmentation likely to be permanent. 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. Accessed on April 18, 2022. 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. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Storage: Protect from light. Valid at all major chains including Walgreens, CVS Pharmacy, 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. We recently rebranded to MyAlcon. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Offer not valid for patients under 18 years of age. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. 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. Here are 10 ways to save money on prescription drugs. 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. Valid only for those with private insurance. Rocklatan isn't available in a generic form. Void where prohibited by law. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Rocklatan (latanoprost/netarsudil ophthalmic) 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%). All rights reserved. Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Peru Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process.

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