Besivance Prices, Coupons, Copay Cards & Patient Assistance
Besivance (besifloxacin ophthalmic) is a member of the ophthalmic anti-infectives drug class and is commonly used for Conjunctivitis - Bacterial, and Ophthalmic Surgery.
Besivance is available as a brand name drug only, a generic version is not yet available. View generic Besivance availability for more details.
Besivance prices
Ophthalmic Suspension
0.6% Besivance ophthalmic suspension from $232.60 for 5 milliliters
| Quantity | Per unit | Price |
|---|---|---|
| 5 milliliters | $46.52 | $232.60 |
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.
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Besivance Coupons, Copay Cards and Rebates
Besivance offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.
Healthcare providers must register for the Bausch Sample Vault program to request free samples of Besivance; Link is found at the top of the website.
- Applies to:
- Besivance
- Number of uses:
- Per length of 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.
- Applies to:
- Besivance
- Number of uses:
- 6 fills per product per 12 month period
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; for additional information contact the program at 866-693-4880.
- Applies to:
- Besivance
- Number of uses:
- 6 fills per product per 12 month period
Form more information phone: 866-693-4880 or Visit website
Patient Assistance & Copay Programs for Besivance
Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.
Provider: Patient Access Network Foundation (PAN)
Eligibility requirements:- *See Additional Information section below
- Between 400-500% of FPL
- FDA Approved Diagnosis - See Program Website for Details
- Must reside and receive treatment in US
- *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.
- Besivance (besifloxacin) Ophthalmic Suspension/Drops
More information please phone: 866-316-7263 Visit website
Provider: Bausch + Lomb Patient Assistance Program
Eligibility requirements:- Must have no prescription coverage for needed medication
- Based on FPL
- FDA-approved diagnosis
- The patient must be a US citizen or legal resident.
- 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. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Contact program for details.
- Besivance (besifloxacin) Ophthalmic Suspension/Drops
More information please phone: 855-770-0424 Visit website
Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.
See also:
More about Besivance (besifloxacin ophthalmic)
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- Side effects
- Dosage information
- During pregnancy
- FDA approval history
- Drug class: ophthalmic anti-infectives
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- En español