PROLENSA (bromfenac ophthalmic solution) 0.07%



                                                  Important Safety Information




Save on Your PROLENSA Prescription




Bausch + Lomb provides programs that help eligible patients get the medications they need by offering co-pay assistance for treatment costs.

Each of these programs has different terms, with a minimum co-pay and a maximum benefit.

                    

COMMERCIALLY INSURED/
ELIGIBLE UNINSURED PATIENTS
  MEDICARE PART D
INSURED PATIENTS

Most eligible commercially insured patients PAY NO MORE THAN $35* co-pay for their first prescription and eligible refills, exclusively at Walgreens and other participating independent pharmacies.

Discounted pricing is also available for eligible uninsured patients.*


Most eligible patients PAY NO MORE THAN $60 on each PROLENSA prescription.

Eligible Medicare patients may save on PROLENSA by following 3 easy steps:

PROLENSA SAVINGS

ACTIVATE:
To activate the print coupon, call
1-855-280-0580.

To activate the download coupon, review
eligibility criteria and answer the questions at
www.bauschaccessprogram.com

Size: 3 mL
Commercially insured: $35
Eligible Uninsured: $60
Eligible fills: 6


*Terms and conditions apply. Please visit www.bauschaccessprogram.com for eligibility criteria and terms and conditions.

ACTIVATE:
To activate the print coupon, call
1-800-706-5160.

To activate the download coupon, agree to the 4 statements at
www.prolensapartdcoupon.com

REDEEM:
Redeem the coupon card at a participating retail pharmacy with your prescription and insurance card.

MAIL:
Sign and mail the prewritten letter to your health plan. Your health care plan address can be found on your Medicare provider card.


†Offer varies at cash-only pharmacies. Please visit www.prolensapartdcoupon.com for eligibility criteria and terms and conditions.



























 

 

 

 

 

 

                    

Alternatively, ask your physician for a printed coupon.

If you have any questions regarding your eligibility or benefits, please call 1-855-280-0580.

 

Alternatively, ask your physician for a printed coupon.

If you have questions related to this program, please call 1-800-706-5160.

                          

Learn more about PROLENSA ››



INDICATION AND USAGE

PROLENSA (bromfenac ophthalmic solution) 0.07% is a nonsteroidal anti-inflammatory drug (NSAID) indicated to treat inflammation and reduce eye pain in patients after cataract surgery.

IMPORTANT SAFETY INFORMATION ABOUT PROLENSA

  • PROLENSA contains sodium sulfite, a substance that may cause allergic reactions, some severe, in certain people. In addition, tell your doctor if you have had an allergic reaction to any other medications.
  • Slow or delayed healing may occur while using non-steroidal anti-inflammatory drugs (NSAIDs) such as PROLENSA.
  • Use of NSAIDs in the eye may result in certain serious eye conditions that can be sight threatening. Tell your doctor immediately about any side effect that you may have.
  • Replace bottle cap after using and do not touch dropper tip to any surface in order to avoid contamination of the bottle.
  • Remove contact lenses prior to using PROLENSA. The preservative in PROLENSA, benzalkonium chloride, may be absorbed by soft contact lenses. Lenses may be reinserted after 10 minutes following administration of PROLENSA.
  • If more than one eye medicine is being used, use the eye medicines at least 5 minutes apart.
  • The most common side effects (seen in 3%-8% of patients) were inflammation of the eye, foreign body sensation, eye pain, light sensitivity, and blurred vision.

Please click here for full Prescribing Information about PROLENSA.

You are encouraged to report side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call
1-800-FDA-1088.

PRA.0022.USA.17