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Restasis Prices, Coupons and Patient Assistance Programs

Restasis (cyclosporine ophthalmic) is a member of the ophthalmic anti-inflammatory agents drug class and is commonly used for Keratoconjunctivitis Sicca.

Restasis Prices

This Restasis price guide is based on using the discount card which is accepted at most U.S. pharmacies. Prices are for cash paying customers only and are not valid with insurance plans.

Restasis is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Restasis availability.

Ophthalmic Emulsion

0.05% Restasis ophthalmic emulsion
from $165.48 for 30 emulsion
Quantity Per unit Price
30 $5.52 – $7.12 $165.48 – $213.53
60 $7.00 $419.81

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Printable Discount Card

Print Now

The free Discount Card can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Please note: This is a drug discount program, not an insurance plan.

Manufacturer Coupons and Rebates

Restasis offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Restasis My Tears, My Rewards Program: Save up to $90 on up to 12 prescriptions, may also receive additional savings; for additional information contact customer service at 866-572-5931.

Applies to:Restasis
Number of uses:Per prescription until program expires
ExpiresJanuary 15, 2016

Patient Assistance Programs for Restasis

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: Allergan Patient Assistance Program

Elligibility requirements:

  1. Must have no prescription coverage for needed medication
  2. At or below 200% of FPL, adjusted for household size
  3. Not specified
  4. The patient must also be a US citizen being treated by a US doctor.
  5. Proof of income is needed annually

Applicable drugs:

  • Restasis (cyclosporine) Emulsion; Ophthalmic

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:

  1. Must have insurance
  2. At or below 500% of FPL
  3. Medically appropriate condition/diagnosis
  4. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.

Applicable drugs:

  • Restasis (cyclosporine)