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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 Drugs.com discount card which is accepted at most U.S. pharmacies. The cost for Restasis ophthalmic emulsion 0.05% is around $169 for a supply of 30 emulsion, depending on the pharmacy you visit. 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 $169.00 for 30 emulsion
Quantity Per unit Price
5.5 milliliters $89.75 $493.61
30 $5.63 – $8.36 $169.00 – $250.80
60 $8.23 $493.61

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.

Drugs.com Printable Discount Card

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The free Drugs.com 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 (90-day): Mostly commercially insured patients may pay as little as $0 on each of up to 12 prescriptions with savings of up to $250 per fill; for additional information contact customer service at 844-469-8327.

Applies to:Restasis
Number of uses:Per prescription until program expires

Restasis My Tears, My Rewards Program (30-day): Mostly commercially insured patients may pay as little as $30 on each of up to 12 prescriptions with savings of up to $250 per fill; for additional information contact customer service at 844-469-8327.

Applies to:Restasis
Number of uses:Per prescription until program expires
ExpiresJanuary 31, 2018

Restasis Independent Savings Redemption (Mail-Order): If your pharmacy does not accept the savings card you may complete and submit the mail-order form to receive your proper savings; for additional information contact the program at 844-469-8327.

Applies to:Restasis
Number of uses:Per prescription until program expires
ExpiresJanuary 31, 2018

Restasis Multidose Independent Savings Redemption (Mail-Order): If your pharmacy does not accept the savings card you may complete and submit the mail-order form to receive your proper savings; for additional information contact the program at 844-469-8327.

Applies to:Restasis Multidose
Number of uses:Per prescription until program expires
ExpiresJanuary 31, 2018

Restasis Multidose My Tears, My Rewards Program (90-day): Mostly commercially insured patients may pay as little as $0 on each of up to 12 prescriptions with savings of up to $250 per fill; for additional information contact customer service at 844-469-8327.

Applies to:Restasis Multidose
Number of uses:Per prescription until program expires
ExpiresJanuary 31, 2018

Restasis Multidose My Tears, My Rewards Program (30-day): Mostly commercially insured patients may pay as little as $30 on each of up to 12 prescriptions with savings of up to $250 per fill; for additional information contact customer service at 844-469-8327.

Applies to:Restasis Multidose
Number of uses:Per prescription until program expires
ExpiresJanuary 31, 2018

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: Eye and Dermatology Medications

Elligibility requirements:

  1. Must have no prescription coverage for needed medication
  2. At or below 400% of FPL
  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
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