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%). If one dose is missed, treatment should continue with the next dose in the evening. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Eligibility is based on several factors, including income limits that are . Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). -p The recommended dosage is one drop in the affected eye(s) once daily in the evening. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. +J JWe=I)a)PRQd Macular edema, including cystoid macular edema, has been reported with latanoprost. Warnings and Precautions No other purchase is necessary. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. See full prescribing information . |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 What you may experience from one powerful drop of Rocklatan Rocklatan is different. Offer not valid for patients under 18 years of age. Maximum savings limit applies; patient out-of-pocket expense may vary. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. Your medicine matters. 8 USE IN SPECIFIC POPULATIONS . South Korea ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 698 0 obj <>stream 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 . ,":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$ See 17 for PATIENT COUNSELING INFORMATION . )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Eligibility requirements for each program may vary. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Generic version. Select below for other countries. Coupon is not insurance. 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. 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). 90 days for $30 or 30 days for $30. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. 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. Usually reversible upon discontinuation of treatment. 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. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. 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. Europe / Middle East / Africa Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining This offer is good only in the United States of America and Puerto Rico. Coupon is not insurance. Contact lenses should be removed prior to using Rocklatan. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Argentina Should generally not be used in patients with active intraocular inflammation. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. . This offer is void in U.S. territories including, but not limited to, Puerto Rico. This offer is not transferable. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. Valid at all major chains including Walgreens, CVS Pharmacy, Remove contact lenses prior to administration and reinsert 15 minutes after administration. 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. For eligible commercial patients, submit BIN and OCC 08. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). The patient must activate the card before use at AlconRxSavings.com or by phone at. 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 will expire on March 1, 2023. This offer will expire on March 1, 2023. 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. Click on a logo to view patient copay details. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. We offer a range of programs to make it easier for patients to obtain their medication. This Program is not health insurance. Avoid use in cases of active herpes simplex keratitis. The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } The refill functionality is currently undergoing system maintenance. Over the counter medications, such as Systane and Pataday. Rocklatan isn't available in a generic form. Rocklatan is available as a brand name drug only, a generic version is not yet available. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. call 844-807-9706 or visit the program website. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. 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. Colombia Use with caution in patients with a history of herpetic keratitis. 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. Be sure to contact your doctor if you have any questions. Over the counter medications, such as Systane and Pataday. Restrictions: This offer is valid for eligible residents of the United States only. prasst). Could Rocklatan. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. This offer is not valid where prohibited, taxed, or otherwise restricted. Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, Void where prohibited by law. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Thats less than $9 per month for a 90-dayprescription. To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Rocklatan (latanoprost/netarsudil ophthalmic) 37% of reviewers reported a positive experience, while 53% reported a negative experience. 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 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. 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%). . Thats less than $9 per month for a 90-dayprescription. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. You are encouraged to report negative side effects of prescription drugs to the FDA. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. For eligible commercial patients, submit BIN and OCC 08. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. A generic drug is an exact copy of the . Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. 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, Russia, Asia Pacific Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. over-the-counter drugs and pet prescriptions. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Learn More about Alcon's Glaucoma Product Portfolio Five percent of patients discontinued therapy due to red eyes. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Accessed on April 18, 2022. Please click here for full prescribing information for ROCKLATAN Solution. 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. 8.2 Lactation . France Valid only for those with private insurance. Eyelash changes are usually reversible upon discontinuation of treatment. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. United Kingdom - English, Americas Spain Rocklatan is used once daily in the evening. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. Peru Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. 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. Offer valid up to 12-month qualifying prescriptions. For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. Financial and insurance assistance. Five percent of patients discontinued therapy due to red eyes. The dosage of ROCKLATAN should not exceed once daily. 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. 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. Eligible patients pay as little as $30 per prescription fill. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 is a member of the ophthalmic glaucoma agents drug class and is commonly used for Contact lenses should be removed prior to using Rocklatan. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. 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. Most corneal verticillata resolved upon discontinuation of treatment. 3c1Z lBC bak& Use with caution in patients with a history of herpetic keratitis. Proof of purchase may be required. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. We recently rebranded to MyAlcon. This card has no cash value. This site is intended for US healthcare professionals only. 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. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Hong Kong This reaction did not result in any apparent visual functional changes. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. ROCKLATAN safely and effectively. Managed Markets Insight & Technology, LLC. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The corneal verticillata seen in Rhopressa- treated patients were first noted at 4 weeks of daily dosing. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Restrictions apply. Alcon is committed to supporting patient access to medications. Copyright 2000 - 2023 BrightFocus Foundation. Singapore. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 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. 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). Netarsudil works by restoring aqueous outflow through the trabecular meshwork, while latanoprost increases outflow . Quoted prices are for cash-paying customers and are not valid with insurance plans. 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 with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Valid only for those with private insurance. * Register > Sample Request Request samples for your office today. Offer valid up to 12-month qualifying prescriptions. Avoid use in cases of active herpes simplex keratitis. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Important: When there is a range of pricing, consumers should normally expect to pay the lower price. DOSAGE AND ADMINISTRATION 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. Void where prohibited by law. 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. Visit website. This site is intended for US healthcare professionals only. You are encouraged to report negative side effects of prescription drugs to the FDA.
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rocklatan patient assistance program