Bausch + Lomb provides programs that help eligible patients get the medications
they need by offering co-pay assistance for treatment costs*
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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.
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PATIENT SAVINGS
Eligible Commercially Insured Patients | Pay No More Than $35 Co-Pay*
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SPECIAL SAVINGS OFFER on LOTEMAX GEL
Most eligible commercially insured patients PAY NO MORE THAN $35* co-pay for their first prescription and eligible refills, exclusively at Walgreens and other participating independent pharmacies.
Discounted pricing is also available for eligible uninsured patients.*
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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.
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*Terms and conditions 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.
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Medicare Part D Patients | Pay No More Than $60 Co-Pay*
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Most eligible Medicare Part D patients PAY NO MORE THAN $60* on each LOTEMAX GEL prescription.
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HOW TO ACTIVATE YOUR COUPON
- 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.
- REDEEM: Redeem the coupon card at a participating retail pharmacy with prescription and insurance card.
- MAIL: Sign and mail the prewritten letter to health plan. Health care plan address can be found on the Medicare provider card.
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Alternatively, ask your physician for a printed coupon.
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