Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. No other purchase is necessary. DOSAGE AND ADMINISTRATION Patient Assistance Programs | Can't Afford Your Medication? Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. A generic drug is an exact copy of the . Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Storage: Protect from light. Offer valid up to 12-month qualifying prescriptions. Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. Pharmacist instructions: Submit the claim to the primary commercial insurance company first, then submit the balance due to CHANGE HEALTHCARE as a Secondary Payer COB with patient responsibility amount and a valid Other Coverage Code (OCC). Hong Kong The increased brown color of the eye is usually more noticeable after a few months or years of using Rocklatan (netarsudil / latanoprost) and can be permanent. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. . 698 0 obj <>stream Financial and insurance assistance. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Accessed on April 18, 2022. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Rocklatan may cause macular edema (swelling of the macula) and should be used with caution in patients without a natural lens, in patients with a torn posterior lens capsule who have an artificial lens implant, or in patients with known risk factors for macular edema. Five percent of patients discontinued therapy due to red eyes. Managed Markets Insight & Technology, LLC. You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. No Patient Assistance Programs were found for this medication. This site is intended for US healthcare professionals only. This offer is not transferable. Generic version. To download the forms, click on "Forms & Resources" and then on "Downloads". Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. See 17 for PATIENT COUNSELING INFORMATION . PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF United Kingdom - English, Americas Please note, patient assistance programs cannot be used in conjunction with these rxless offers. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is supplied sterile in clear low density polyethylene bottles with opaque white polyethylene dropper tips and white polypropylene screw caps. PDF Application for Myabbvie Assist Rocklatan side effects and drug details - Inside Rx
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