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Besivance Prices, Coupons and Patient Assistance Programs

Besivance is available as a brand name drug only, a generic version is not yet available. See generic Besivance availability.

Besivance (besifloxacin ophthalmic) is a member of the ophthalmic anti-infectives drug class and is commonly used for Conjunctivitis - Bacterial, and Ophthalmic Surgery.

Besivance prices

The cost for Besivance ophthalmic suspension 0.6% is around $222 for a supply of 5 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

This Besivance price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Ophthalmic Suspension

Drugs.com Printable Discount Card

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, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Besivance Coupons, Copay Cards and Rebates

Besivance offers may be in the form of a printable coupon, rebate, savings or copay 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.

Healthcare providers must register to the Bausch Sample Vault program to request free samples of Besivance; for additional information contact the program at 855-770-0191.

Applies to:
Besivance
Number of uses:
Contact the program

Form more information phone: 855-770-0191 or Visit website

Besivance Bausch + Lomb Access Program: Eligible cash-paying and commercially insured/RX not covered patients may pay no more than $70 per prescription; for additional information contact the program at 866-693-4880.

Applies to:
Besivance
Number of uses:
6 fills per product per 12 month period
Expires
December 31, 2022

Form more information phone: 866-693-4880 or Visit website

Besivance Bausch + Lomb Access Program: Eligible commercially insured patients may pay no more than $25 per prescription at Walgreens or another participating pharmacy/$35 at a

Applies to:
Besivance
Number of uses:
6 fills per product per 12 month period
Expires
December 31, 2022

Form more information phone: 866-693-4880 or Visit website

Patient Assistance & Copay Programs for Besivance

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

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. 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. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Besivance (besifloxacin) Ophthalmic Suspension/Drops

More information please phone: 866-316-7263 Visit Website

Provider: Bausch Health Patient Assistance Program

Elligibility requirements:
  1. Must have no prescription coverage for needed medication
  2. Based on FPL
  3. FDA-approved diagnosis
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Hardship appeals for patients residing in Puerto Rico will be reviewed on a case-by-case basis. Call for information on the most recent medications as the list is subject to change.
Applicable drugs:
  • Besivance (besifloxacin) Ophthalmic Suspension/Drops

More information please phone: 833-862-8727 Visit Website