LOTEMAX GEL Patient Savings

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

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.

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.

Indication

LOTEMAX GEL (loteprednol etabonate ophthalmic gel) is used to treat inflammation and pain following eye surgery.

Important Safety Information

LOTEMAX GEL should not be used if you have an infection in your eye.
Before using LOTEMAX GEL, turn bottle upside down and shake once to fill the bottle tip. To avoid contamination, do not let dropper touch any surface.
Do not wear contact lenses when using LOTEMAX GEL.
Contact your doctor if pain develops or if redness, itching or inflammation becomes aggravated.
If you use LOTEMAX GEL for longer than 10 days, your doctor may monitor pressure in your eye.
Use of medications such as LOTEMAX GEL may result in cataract formation, or may delay healing after cataract surgery.
The most common side effects in clinical studies were eye inflammation, eye pain and foreign body sensation.

Please click here for full Prescribing Information about LOTEMAX GEL.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088

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