Bausch + Lomb provides programs that help eligible patients get the
medications
they need by offering copay 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 May
Pay as Little as a $25 Copay*
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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.*
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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, 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.
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Most Eligible Medicare Part D Patients Pay
No More Than $60 Copay*
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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 notify the health plan of your choice to use
coupon program benefits. The address can be found on your Medicare card.
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Alternatively, ask your physician for a printed coupon.
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