Bausch + Lomb provides programs that help eligible patients get the medications
they need by offering copay assistance for treatment costs*

If your doctor writes your prescription for LOTEMAX GEL, make sure the pharmacist does not

switch you to a generic substitute. There is NO generic formulation for LOTEMAX GEL.

PATIENT SAVINGS

Eligible Commercially Insured Patients May Pay as Little as a $25 Copay*

SPECIAL SAVINGS OFFER on LOTEMAX GEL


Eligible commercially insured patients may PAY AS LITTLE AS A $25* copay for their first prescription and eligible refills, exclusively at Walgreens and other participating independent pharmacies.


Discounted pricing is also available for eligible uninsured patients.*

HOW TO ACTIVATE YOUR COUPON


To activate the print coupon, call 1-866-693-4880.

To activate the web coupon, review eligibility criteria and answer the questions at www.bauschaccessprogram.com.

*Terms, conditions and limitations apply. Please see www.bauschaccessprogram.com and www.lotemaxgelpartdcoupon.com
for eligibility criteria and terms and conditions.

Alternatively, ask your physician for a printed coupon.

If you have any questions regarding the program, please call 1-866-693-4880.

Most Eligible Medicare Part D Patients Pay No More Than $60 Copay*

Most eligible Medicare Part D patients PAY NO MORE THAN $60* on each LOTEMAX GEL prescription.

HOW TO ACTIVATE YOUR COUPON

  1. ACTIVATE: To activate the print coupon, call 1-866-685-9605. Web coupon is automatically activated once you agree to statements on www.lotemaxgelpartdcoupon.com to download coupon.
  2. REDEEM: Redeem the coupon card at a participating retail pharmacy with prescription and insurance card.
  3. MAIL: Sign and mail the prewritten letter to notify the health plan of your choice to use coupon program benefits. The address can be found on your Medicare card.

Alternatively, ask your physician for a printed coupon.


If you have questions related to this program, please call 1-866-685-9605.

*Terms, conditions and limitations apply.
Please see www.bauschaccessprogram.com and www.lotemaxgelpartdcoupon.com for eligibility criteria and terms and conditions.