Prolensa Prices, Coupons, Copay Cards & Patient Assistance

Prolensa Bausch + Lomb Access Program

Eligible commercially insured patients may pay as little as $25 per prescription.

Applies to:

Prolensa

Number of uses:

6 fills per product per 12 month period

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

Prolensa Bausch + Lomb Access Program

Eligible cash-paying and commercially insured/RX not covered patients may pay no more than $70 per prescription.

Applies to:

Prolensa

Number of uses:

6 fills per product per 12 month period

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

Prolensa Part D Coupon Program

Eligible patients on Medicare Part D or qualified Medicare Advantage plan may pay as little as $80 per each prescription even if the patient uses the card for more than one prescription.

Applies to:

Prolensa

Number of uses:

Per prescription until program expires

Form more information phone: 800-795-1091 or Visit website

Provider: Bausch + Lomb Patient Assistance Program

1. Must have no prescription coverage for needed medication
2. Based on FPL
3. FDA-approved diagnosis
4. The patient must be a US citizen or legal resident.
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. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Contact program for details.

• Prolensa (bromfenac sodium) Ophthalmic Solution/Drops

More information please phone: 855-770-0424 Visit website