Bausch + Lomb provides programs that help eligible patients get the medications
they need by offering co-pay 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 | Pay No More Than $35 Co-Pay*

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.*

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 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.

Medicare Part D Patients | Pay No More Than $60 Co-Pay*

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 health plan. Health care plan address can be found on the Medicare provider card.

Alternatively, ask your physician for a printed coupon.


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

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