Eyelash changes are usually reversible upon discontinuation of treatment. To report Suspected Adverse Reactions, contact Aerie Pharmaceuticals, Inc. at 1-855-740-1924 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Rocklatan eye drops: Side effects, cost, storage, and more Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Eligibility is based on several factors, including income limits that are . PDF Patient Assistance Program (PAP) Application - Alcon Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. No other purchase is necessary. . Support | Rocklatan (netarsudil/latanoprost ophthalmic solution) Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Eyelash changes are usually reversible upon discontinuation of treatment. The refill functionality is currently undergoing system maintenance. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, The cost for Rocklatan ophthalmic solution (0.005%-0.02%) is around $357 for a supply of 2.5 milliliters, depending on the pharmacy you visit. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. Five percent of patients discontinued therapy due to red eyes. 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. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. . ROCKLATAN safely and effectively. 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. Colombia This site is intended for US healthcare professionals only. (On mobile devices, swipe left to see all of the table columns.). ROCKLATAN (netarsudil and latanoprost) SELF ADMINISTRATION Indications for Prior Authorization: Indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Patients must meet the following criteria for the indication (s) above: Patient is 18 years of age or older, AND call 844-807-9706 or visit the program website. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. PeopleImages/iStock via Getty Images. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Other common (approximately 20%) adverse reactions were: corneal verticillata, instillation site pain, and conjunctival hemorrhage. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. We comply with the HONcode standard for trustworthy health information. If one dose is missed, treatment should continue with the next dose in the evening. See 17 for PATIENT COUNSELING INFORMATION . Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. The dosage of ROCKLATAN should not exceed once daily. Our hours of availability: Mon-Fri 8AM-5PM CST. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured . Eligible patients pay as little as $30 per prescription fill. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Rocklatan Coupons 2023: Up to 80% Discount - How much does Rocklatan cost? You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Argentina Over the counter medications, such as Systane and Pataday. . View generic Rocklatan availability for more details. Quoted prices are for cash-paying customers and are not valid with insurance plans. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. Restrictions apply. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. Use with caution in patients with a history of herpetic keratitis. Please click here for full prescribing information for Rocklatan. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Six percent of patients discontinued therapy due to conjunctival hyperemia. For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. If approved, we will routinely ship medicine to the prescriber's office. Learn More about Alcon's Glaucoma Product Portfolio The patient must activate the card before use at AlconRxSavings.com or by phone at. Get help over the phone: +1 800-757-9195 Rocklatan side effects and drug details - Inside Rx PDF NDA 208259 Page 5 - Food and Drug Administration The ACI patient assistance program is open to any patient who cannot afford an eye-care medication prescribed by their US-licensed healthcare provider. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. +J It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. Brazil Important: When there is a range of pricing, consumers should normally expect to pay the lower price. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Storage: Protect from light. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. over-the-counter drugs and pet prescriptions. 8.2 Lactation . 8.5 Geriatric Use . 3c1Z lBC bak& Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. Rocklatan is available as a brand name drug only, a generic version is not yet available. Macular edema, including cystoid macular edema, has been reported with latanoprost. Most corneal verticillata resolved upon discontinuation of treatment. 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). Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program . Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. This card has no cash value. ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. INDICATIONS AND USAGE Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Contact lenses should be removed prior to using Rocklatan. Restrictions: This offer is valid for eligible residents of the United States only. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Spain or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Be sure to contact your doctor if you have any questions. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Please click here for full prescribing information for Rhopressa. Restrictions apply. Rocklatan (latanoprost/netarsudil ophthalmic) Available for Android and iOS devices. For patients with commercial insurance, the Alcon Patient Access Program may be able to help lower the cost of their monthly copay. Managed Markets Insight & Technology, LLC. Usually reversible upon discontinuation of treatment. You are encouraged to report negative side effects of prescription drugs to the FDA. Looking to reduce costs at the pharmacy counter? The most common ocular adverse reactions were conjunctival hyperemia (59%), with 5% of patients discontinuing therapy for this reason, instillation site pain (20%), corneal verticillata (15%), and conjunctival hemorrhage (11%). Prescription Assistance | NeedyMeds Accessed on April 18, 2022. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Find Out if the Alcon Medication You Need Is Covered by Your Pharmacy Benefit Program. A generic drug is an exact copy of the . Glaucoma - Open Angle, and Intraocular Hypertension. Should generally not be used in patients with active intraocular inflammation. To be eligible for assistance, you must be a US resident, have limited or no private or public prescription coverage, and meet the following income requirements: For special offers on contact lenses and money-saving coupons on Alcon eye care products, sign up for a MyAlcon account today. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Offer valid up to 12-month qualifying prescriptions. Financial Aid for Glaucoma Medications | BrightFocus Foundation Please re-register using the form here. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. 698 0 obj <>stream If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. Hong Kong For patients with private insurance, the Alcon Patient Access Program may be able to help lower your out-of-pocket cost for these prescription products: For patients with Medicare Part D or Medicare Advantage insurance, Alcon may be able to help with the cost of your Inveltys prescription with use of a $60 coupon. Patient Assistance Programs: What Are They and How Do They Work? - GoodRx The dosage of ROCKLATAN should not exceed once daily. These programs are managed by pharmaceutical companies, nonprofits, and government agencies. Should generally not be used in patients with active intraocular inflammation. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Rocklatan is covered for over 80% of insured patients You can save even more on your prescription with the Rocklatan Savings Card 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription IMPORTANT SAFETY INFORMATION Contraindications None. These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Generic version. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Coupon is not insurance. as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. You are encouraged to report negative side effects of prescription drugs to the FDA. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Glaucoma treatment | Rocklatan (netarsudil/latanoprost ophthalmic Prescription Co-pay Patient Assistance Program | Change Healthcare Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Please click here for full prescribing information for ROCKLATAN Solution. Proof of purchase may be required. PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF 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, Patients with questions about the ROCKLATAN or RHOPRESSA Savings offer should call 1-844-807-9706. Here are 10 ways to save money on prescription drugs. |ouWvaoTWhF%v6*/{W;VQ?Kx5!7 $%=T?2xK~mz cHki/~"a$j3_(O)+fyll7~h3gL"IJuMbOHZiLaJOJ;U&4,*00 MJr-B=V1q%h~b>=z8zBe The new product, called Rocklatan, is indicated for once-daily dosing in open-angle glaucoma patients and ocular hypertensives. Accessed on April 18, 2022. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. * Register > Sample Request Request samples for your office today. Form more information phone: 833-735-0037 or By using the Alcon Patient Access Program card, you confirm that you understand and agree to comply with the following terms and conditions of this offer. For eligible commercial patients, submit BIN and OCC 08. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Most products may be shipped to the patient's home on request. Pay as little as $25 for a 30-day or 90-day prescription 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription Restrictions apply. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining JWe=I)a)PRQd Valid only for those with private insurance. Many times however, the offers listed on rxless will be less expensive than manufacturer coupons, copay cards, or patient assistance programs - so make sure you compare all options before making a purchase. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Program may not be combined with any third-party rebate, coupon, or offer. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). 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. We recently rebranded to MyAlcon. Prescription medications: Simbrinza, Eysuvis, and Inveltys. 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. What you may experience from one powerful drop of Rocklatan Rocklatan is different. Eligibility requirements for each program may vary. Click on a logo to view patient copay details. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Patient Assistance Programs | Can't Afford Your Medication? Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. 37% of reviewers reported a positive experience, while 53% reported a negative experience. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. Managed Market Insights & Technology, LLC. 11 DESCRIPTION rocklatan Coupons and Discount Cards - rxless This offer is void in U.S. territories including, but not limited to, Puerto Rico. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. This offer is not valid for any person who is 65 years of age or older without commercial insurance. Offer not valid for patients under 18 years of age. Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). Alcon Completes Acquisition of Aerie Pharmaceuticals To find a PAP that you may qualify for: Click on Brand Name Drugs or Generic Name . Receive Glaucomaresearch updates and inspiring stories. -p Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. If one dose is missed, treatment should continue with the next dose in the evening. Void where prohibited by law. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk 1-800-433-4893. Offer not valid for patients under 18 years of age. 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). Please note, patient assistance programs cannot be used in conjunction with these rxless offers. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. Be sure to contact your doctor if you have any questions. Italy Contact lenses can be reinserted 15 minutes following administration of Rocklatan. Learn more. This site is intended for US healthcare professionals only. %PDF-1.7 % Europe / Middle East / Africa This Program is not health insurance. Singapore. Visit website. The recommended dosage is one drop in the affected eye(s) once daily in the evening. a sample from a medical professional. No other purchase is necessary. However, your healthcare provider may have more information concerning specific programs available in your area. The recommended dosage is one drop in the affected eye(s) once daily in the evening. See full prescribing information . One key advantage, Aerie explained in a press release, is the complementary nature of the two agents. To order samples beginning 12/1 please visit www.Alconsamples.com. To download the forms, click on "Forms & Resources" and then on "Downloads". Contact lenses should be removed prior to using Rocklatan. Rocklatan Approved for Glaucoma Please click here for full prescribing information for Rocklatan. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Avoid use in cases of active herpes simplex keratitis. PDF Application for Myabbvie Assist Thats less than $9 per month for a 90-dayprescription. Would a once-daily prescription eye medication like Rocklatan, What is my eye pressure goal or target IOP? France All rights reserved. Offer valid up to 12-month qualifying prescriptions. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. For patients with commercial insurance, the Alcon Patient Access BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. Support Page For Rocklatan Back Rocklatan Website Prescribing Information Click on an icon below for additional resources that can be found for this drug. Iris pigmentation likely to be permanent. Coupon is not insurance. Copyright 2000 - 2023 BrightFocus Foundation. Financial Aid for Glaucoma Medications Fact Sheet Published on: August 24, 2021 Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). See full prescribing information for ROCKLATAN. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Rocklatan has an average rating of 4.5 out of 10 from a total of 19 reviews for the treatment of Glaucoma, Open Angle. ROCKLATAN safely and effectively. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Chile Avoid use in cases of active herpes simplex keratitis. hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! The recommended dosage is one drop in the affected eye(s) once daily in the evening. This offer is not valid where prohibited, taxed, or otherwise restricted. Each program has its own qualifying criteria. This offer may not be redeemed for cash. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com prasst). Macular edema, including cystoid macular edema, has been reported with latanoprost. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx Visit www.fda.gov/medwatch or call 1-800-FDA-1088. PAPs may cover the full cost of medications or provide a discount. Peru Restrictions: This offer is valid for eligible residents of the United States only. Mexico You are encouraged to report negative side effects of prescription drugs to the FDA. About Rocklatan | Rocklatan (netarsudil/latanoprost ophthalmic The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Refill Self-Service Requests Unavailable We apologize for the inconvenience. Valid at all major chains including Walgreens, CVS Pharmacy, This reaction did not result in any apparent visual functional changes. Patient Instructions: In order to redeem this offer you must have a valid prescription for ROCKLATAN or RHOPRESSA. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. The following table lists organizations and phone numbers that provide financial aid or discounts for prescription medications. For Healthcare Professionals | Rhopressa (netarsudil ophthalmic copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured (cash-paying .