PS Card

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Allergan's Restasis Patient Assistance Program

Allergan's Restasis patient assistance program helps with free or discount Restasis. Get free or discount Restasis by applying for Allergan's Restasis patient assistance program (PAP). Rx help is available to those who meet the Restasis PAP guidelines below. Restasis prescription assistance is sponsored by Allergan to help low-income and uninsured patients get expensive brand-name Restasis either for free or at a large discount. PS Card recommends RX Access for help in the Restasis PAP application process.

Restasis Patient Assistance Program Guidelines

Drug Name: Restasis
Manufacturer: Allergan
Program Name: Allergan
Income Limits (family size of one – family size of two): $21,660 - $29,140; for larger family, contact RX Access for Income Limits
How Dispensed: Dr. Office
Additional Restasis PAP Program Guideline Information:
Patients who have Medicare Part D and are in the donut hole, have a high co-pay with their insurance or cannot afford the medication should still apply. A maximum of 2 products from this manufacturer may be requested in a 6 month period

Applying for Restasis Patient Assistance doesn't have to be a daunting task

Many people are discouraged by the Restasis PAP application process, which requires patients and their doctors to fill out many forms and provide extensive documentation. Partnership For Prescription Assistance (PPARX) is the pharmaceutical industry “clearinghouse” website for all PAP programs, but it doesn’t provide help with Allergan's Restasis application process. You don’t have to navigate this process alone. Our partner company, Rx Access, can help you. Sometimes patients have unusual personal circumstances that do not fit normal eligibility guidelines, which means that the applicant must file a formal appeal to get into the Restasis PAP program. Rx Access prepares all the Restasis application paperwork so you can successfully apply for Allergan's Restasis Prescription Assistance and any other PAP programs you might qualify for—all for a nominal monthly fee that starts only if and when you are accepted into the PAP program. Rx Access makes the process of applying for and receiving the free Restasis you need simple, fast and frustration-free. Check right now with Rx Access and see if you might qualify for Restasis patient assistance.

Save money today with your Restasis Instant Coupon

Because Restasis is a brand-name drug, it can be very expensive. While you're applying for patient assistance, use a free PS Card today–just like an instant coupon–to save money when you buy Restasis at your local pharmacy. Print an instant PS Card now, and use it as a Restasis discount card to get a cheap Restasis price. Use our Price A Prescription tool to find the best discount Restasis local pharmacy pricing.