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Restasis Prices, Coupons and Patient Assistance Programs

A generic version of Restasis is available, see cyclosporine ophthalmic prices.

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

Restasis prices

The cost for Restasis ophthalmic emulsion 0.05% is around $349 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.

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

Ophthalmic Emulsion

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.

Restasis Coupons, Copay Cards and Rebates

Restasis 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.

Restasis (Single-Use Vials) My Tears, My Rewards Savings Card: Eligible patients may pay as little as $0 per 30-day prescription with a savings of $255 per fill; for additional information contact program at 844-469-8327.

Applies to:
Restasis
Number of uses:
Per prescription until program expires
Expires
December 31, 2022

Form more information phone: 844-469-8327 or Visit website

Restasis Multidose My Tears, My Rewards Savings Card: Eligible patients may pay as little as $0 per prescription (1 bottle) with a savings of $250 per fill; for additional information contact program at 844-469-8327.

Applies to:
Restasis Multidose
Number of uses:
Per prescription until program expires
Expires
December 31, 2022

Form more information phone: 844-469-8327 or Visit website

Restasis Multidose Medicare Part D Extra Help Subsidy: Patients who have Medicare Part D coverage may be eligible to apply for the Part D Extra Help Subsidy and once accepted to the program may receive reduced premiums and lower prescription costs; contact the program directly for questions or to sign-up.

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

Form more information phone: 800-772-1213 or Visit website

Restasis (Single-Use Vials) Medicare Part D Extra Help Subsidy: Patients who have Medicare Part D coverage may be eligible to apply for the Part D Extra Help Subsidy and once accepted to the program may receive reduced premiums and lower prescription costs; contact the program directly for questions or to sign-up.

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

Form more information phone: 800-772-1213 or Visit website

Patient Assistance & Copay Programs for Restasis

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: Rx Outreach Medications

Elligibility requirements:
  1. May have insurance
  2. Determined case by case
  3. Not required
  4. The patient must also be residing in the US.
  5. Rx Outreach has expanded the eligibility guidelines beyond 400% FPL to include people affected by COVID-19. Some medications are available for a fee of $20 for up to a 180 day supply. Check the Rx Outreach website for the exact price and most current medication list. Contact Program for Spanish Application(s)/Form(s).
Applicable drugs:
  • Restasis (cyclosporine) Ophthalmic Emulsion

More information please phone: 888-796-1234 Visit Website

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:
  • Restasis (cyclosporine) Ophthalmic Emulsion

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

Provider: myAbbVie Assist for Eye Care

Elligibility requirements:
  1. Must be uninsured or underinsured
  2. At or below 600% of FPL
  3. Not applicable
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis. Contact program for details.
Applicable drugs:
  • Restasis (cyclosporine) Ophthalmic Emulsion

More information please phone: 800-222-6885 Visit Website

Provider: myAbbVie Assist Patient Assistance Program

Elligibility requirements:
  1. Must be uninsured or underinsured
  2. At or below 600% of FPL
  3. Not applicable
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis. Contact program for details.
Applicable drugs:
  • Restasis (cyclosporine) Ophthalmic Emulsion
  • Restasis Multidose (cyclosporine)

More information please phone: 800-222-6885 Visit Website

Provider: myAbbVie Assist Patient Assistance Program

Elligibility requirements:
  1. Must be uninsured or underinsured
  2. At or below 600% of FPL
  3. Not applicable
  4. Must be a US resident and treated by a US licensed healthcare provider
  5. Any patient who requires the medication and are in need should call the company. Eligibility determined on a case-by-case basis. Patients with prescription drug coverage may be eligible on exception basis. Contact program for details.
Applicable drugs:
  • Restasis (cyclosporine) Ophthalmic Emulsion

More information please phone: 800-222-6885 Visit Website