Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. Russia, Asia Pacific ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. 11 DESCRIPTION If one dose is missed, treatment should continue with the next dose in the evening. ROCKLATAN (netarsudil and latanoprost) SELF ADMINISTRATION Indications for Prior Authorization: Indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Patients must meet the following criteria for the indication (s) above: Patient is 18 years of age or older, AND Be sure to contact your doctor if you have any questions. Learn more. This offer is not valid where prohibited, taxed, or otherwise restricted. 33 per month That's less than per month for a 90-day prescription Download the Rocklatan Savings Card and present it to the pharmacist with a prescription. You are encouraged to report negative side effects of prescription drugs to the FDA. Glaucoma Medications (On mobile devices, swipe left to see all of the table columns.) Instillation site erythema, corneal staining, blurred vision, increased lacrimation, erythema of eyelid, and reduced visual acuity were reported in 5-10% of patients. Use with caution in patients with a history of herpetic keratitis. Rocklatan is covered for over 80% of insured patients You can save even more on your prescription with the Rocklatan Savings Card 30-day supply $ 25 per month 90-day supply $ 8 .33 per month That's less than $9 per month for a 90-day prescription IMPORTANT SAFETY INFORMATION Contraindications None. Rocklatan (netarsudil / latanoprost) contains a prostaglandin, which can darken the color of your eyes, eyelids, and eyelashes. Research Lower Cost Alternatives as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Patient Assistance If you have limited or no prescription insurance coverage or are experiencing financial hardship, Alcon Cares provides medicines at no cost to eligible US patients: Prescription medications: Simbrinza, Eysuvis, and Inveltys. For adults with open-angle glaucoma or ocular hypertension, insured patients are covered for Rhopressa.2*. ,":fyt%_4Ui3]gN Ut/eLK0[*&C!W!#;al1[1b=&9.wg-Sj*'nQ TNphH]CkJ>]=||Q7K6`h^calm&`l6$x3Y>Bw@F;:G;HkF2]\}5FEvtD`sZ)G,9>NZ[0$-XWl0 q6~yY Gd8N6*z4g&1_I9m-o-=v9vXk[o+$e(CN@$BBmE\T$ Home [www.azandmeapp.com] Rocklatan is used once daily in the evening. Alcon Cares, Inc. (ACI) is a foundation that offers a patient assistance program to qualified individuals at no charge. ROCKLATAN safely and effectively. Contact lenses can be reinserted 15 minutes following administration of Rocklatan. This offer is good only in the United States of America and Puerto Rico. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. Applies to: Rocklatan Number of uses: Per prescription per calendar year Expires December 31, 2023 Rocklatan Prices and Savings - Inside Rx Five percent of patients discontinued therapy due to red eyes. Restrictions apply. Form more information phone: 833-735-0037 or ROCKLATAN may be used concomitantly with other topical ophthalmic drug products to lower IOP. Accessed on April 18, 2022. Looking to reduce costs at the pharmacy counter? Valid at all major chains including Walgreens, CVS Pharmacy, Rocklatan Prices, Coupons and Patient Assistance Programs The following table lists the phone numbers of pharmaceutical companies to call to inquire about potential glaucoma medication financial assistance. Get help over the phone: +1 800-757-9195 Rocklatan offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. PDF Application for Myabbvie Assist Argentina So, weve made it easy to find covered drugs and costs for all Alcon prescription drugs. Most corneal verticillata resolved upon discontinuation of treatment. Bacterial Keratitis: There have been reports of bacterial keratitis associated with the use of multiple-dose containers of topical ophthalmic products. The most common side effect for Rocklatan in controlled clinical studies were red eyes (59%). Rhopressa (netarsudil ophthalmic solution) 0.02% is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Coupon is not insurance. copay assistance programs, or by persons covered by state-funded or federal-funded programs such as Medicare, Medicaid, or Tricare for purchases of certain medications, even if processed outside the benefit as an uninsured (cash-paying . This offer may not be redeemed for cash. The dosage of ROCKLATAN should not exceed once daily. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. However, your healthcare provider may have more information concerning specific programs available in your area. Insured includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. (On mobile devices, swipe left to see all of the table columns.). Offer not valid for patients under 18 years of age. To order samples beginning 12/1 please visit www.Alconsamples.com. Please click here for full prescribing information for Rocklatan. over-the-counter drugs and pet prescriptions. These are some questions to ask when you talk to your eye doctor about Rocklatan. . Rocklatan is available as a brand name drug only, a generic version is not yet available. a sample from a medical professional. Please click here for full prescribing information for ROCKLATAN Solution. Here are 10 ways to save money on prescription drugs. insured patients are covered for Rhopressa.2* "Insured" includes Commercial, Medicare Part D, Managed Medicaid, Health Exchanges, and State Medicaid. It is illegal to (or offer to) sell, purchase, trade, reproduce or counterfeit this offer. To qualify for a financial assistance program, you (or the patient you're applying for) must: Be getting treatment for the disease named in the assistance program, and. Five percent of patients discontinued therapy due to red eyes. ROCKLATAN safely and effectively. * Register > Sample Request Request samples for your office today. See full prescribing information . Other common side effects were pain upon instillation of eye drop (20%), small deposits on the outer surface of the eye (corneal verticillata) (15%), and broken blood vessels (11%). Find assistance programs for Alcon prescription and over-the-counter medications (OTC) medications. Patients who are enrolled in a state or federally funded prescription insurance program, such as Medicare or Medicaid, are excluded. %PDF-1.7 % Avoid use in cases of active herpes simplex keratitis. Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. Thats less than $9 per month for a 90-dayprescription. call 844-807-9706 or visit the program website. Rocklatan should be used with caution in patients with a history of herpetic keratitis and not used in patients with active herpes simplex keratitis. Receive Glaucomaresearch updates and inspiring stories. Financial and insurance assistance. The patient must activate the card before use at AlconRxSavings.com or by phone at. If one dose is missed, treatment should continue with the next dose in the evening. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. 8 USE IN SPECIFIC POPULATIONS . Each program has its own qualifying criteria. China Brazil +J Delivering Confidence in Glaucoma Management With its acquisition of Aerie Pharmaceuticals, Alcon has bolstered its presence in the ophthalmic pharmaceutical space including expanding its product portfolio for glaucoma management. Prescription Co-pay Patient Assistance Program | Change Healthcare Contact lenses should be removed prior to using Rocklatan. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Should generally not be used in patients with active intraocular inflammation. BrightFocus is a tax-exempt nonprofit organization under section 501(c)(3) of the Internal Revenue Code of the United States. Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Offer not valid for prescriptions reimbursed under Medicare, a Medicaid drug benefit plan, TRICARE, CHAMPUS or other federal or state health programs. Iris pigmentation likely to be permanent. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Learn about financial aid resources that may be available to help cover the costs of your glaucoma prescription medications. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Pharmaceutical Manufacturers Address affordability with an automated prescription assistance program Increase new starts of initial scripts Increase prescription volume Easily encourage medication adherence Retail pharmacies Our hours of availability: Mon-Fri 8AM-5PM CST. Could Rocklatan. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS. For adults with open-angle glaucoma or ocular hypertension, Thats less than $9 per month for a 90-dayprescription. Use with caution in aphakic patients, pseudophakic patients with a torn posterior lens capsule, or patients with known risk factors for macular edema. Contact lenses should be removed prior to using Rocklatan. This offer is void in U.S. territories including, but not limited to, Puerto Rico. For any questions regarding CHANGE HEALTHCARE online processing, please call the Help Desk at 1-800-433-4893. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Rocklatan side effects and drug details - Inside Rx Alcon Completes Acquisition of Aerie Pharmaceuticals France Offer may not be combined with any savings, discount card, trial or similar offer for the same prescription. United Kingdom - English, Americas prasst). Contact Lenses: Contact lenses should be removed prior to instillation of Rhopressa and may be inserted 15 minutes following its administration. Use with caution in patients with a history of intraocular inflammation (iritis/uveitis). Macular edema, including cystoid macular edema, has been reported with latanoprost. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart. Netarsudil and Latanoprost (Rocklatan) - www.westernhealth.com Ecuador PDF NDA 208259/S-006 Page 3 for ROCKLATAN ROCKLATAN HIGHLIGHTS OF Get Help > Request a Representative If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. 8.1 Pregnancy . Eyelash changes are usually reversible upon discontinuation of treatment. Avoid use in cases of active herpes simplex keratitis. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. PeopleImages/iStock via Getty Images. Eye itching, visual acuity reduced, excessive tearing, eye discomfort upon administration of eye drop, and blurred vision were reported in 5-8% of patients. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. This offer is not transferable. About Rocklatan | Rocklatan (netarsudil/latanoprost ophthalmic We comply with the HONcode standard for trustworthy health information. The dosage of ROCKLATAN should not exceed once daily. JA8x$3--E!`f3m8E! For patients with commercial insurance, the Alcon Patient Access See 17 for PATIENT COUNSELING INFORMATION . Rocklatan (netarsudil / latanoprost): Uses, Side Effects & Dosage - GoodRx Increased pigmentation of the iris, periorbital tissue (eyelid), and eyelashes can occur. This offer will expire on March 1, 2023. Glaucoma - Open Angle, and Intraocular Hypertension. However, due to stock shortages and other unknown variables we cannot provide any guarantee. Eligible commercially insured patients may pay as little as $25 per 30-day, 60-day, or 90-day supply. Filter by condition Rocklatan rating summary 4.5/10 average rating 19 ratings from 21 user reviews. PDF Patient Assistance Program (PAP) Application - Alcon 8.2 Lactation . Rocklatan (netarsudil/latanoprost ophthalmic solution) For the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension Reach for Rocklatan for powerful IOP reduction Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Please click here for full prescribing information for ROCKLATAN Solution. Patient assistance programs are put in place to allow those who qualify to receive brand-name medication based on FPL income guidelines. Europe / Middle East / Africa Phone: 1-800-222-6885 Fax: 1-866-898-1473 Upon review of a completed application, we will notify the patient and the prescriber about eligibility. Rocklatan Eye Drops: Package Insert - Drugs.com If you have eye surgery, eye trauma or infection, or develop any eye reactions, immediately consult with your physician about continuing treatment with Rocklatan. This card has no cash value. DOSAGE AND ADMINISTRATION The recommended dosage is one drop in the affected eye (s) once daily in the evening. 37% of reviewers reported a positive experience, while 53% reported a negative experience. The most common ocular adverse reaction observed in controlled clinical studies with Rhopressa dosed once daily was conjunctival hyperemia, reported in 53% of patients. Patient pay amount may vary dependent upon commercial insurance coverage for ROCKLATAN or RHOPRESSA. 8.4 Pediatric Use . Storage: Protect from light. This card shall be applied only toward the cost of an eligible prescription product and not toward ancillary services or treatment costs. Rocklatan Alcon Patient Access Program Card: Eligible commercially insured patients may pay as little as $30per prescription with a maximum savings of $2000 per calendar year; for additional information contact the program at 833-735-0037. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. This is a copay assistance program: Provided by: Patient Access Network Foundation: TEL: 866-316-7263 FAX: 866-316-7261: Languages Spoken: English, Spanish, Others By Translation Service. It works by increasing the flow of fluids out of the eye, which helps lower pressure in the eye. Rocklatan isn't available in a generic form. This reaction did not result in any apparent visual functional changes. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% is supplied sterile in clear low density polyethylene bottles with opaque white polyethylene dropper tips and white polypropylene screw caps. Click on a logo to view patient copay details. @Q :)lfytk&3&#rD'NIPuU>gHrU1k*glrQ'`7u@ RAOfc } This offer may not be redeemed for cash. Please re-register using the form here. You are encouraged to report negative side effects of prescription drugs to the FDA. Eyelash changes are usually reversible upon discontinuation of treatment. Patients with federal or state prescription coverage, such as Medicare or Medicaid, are not eligible. Five percent of patients discontinued therapy due to red eyes. Please click here for full prescribing information for Rhopressa. Program managed by ConnectiveRx on behalf of Aerie Pharmaceuticals, Inc. Aerie Pharmaceuticals, Inc. reserves the right to rescind, revoke or amend this offer without notice at any time. PAPs may cover the full cost of medications or provide a discount. )y$p+i_v{p=nVsnmvVg({t_wh#\1;0Z?3ic(. Chile Rocklatan (netarsudil/latanoprost ophthalmic solution) The increased brown color of the eye is usually more noticeable after a few months or years of using Rocklatan (netarsudil / latanoprost) and can be permanent. We offer a range of programs to make it easier for patients to obtain their medication. Restrictions: This offer is valid for eligible residents of the United States only. Italy Alcon is committed to supporting patient access to medications. Over the counter medications, such as Systane and Pataday. By using this offer, you are certifying that you meet the eligibility criteria and will comply with the terms and conditions described in the Restrictions section below. Copyright 2000 - 2023 BrightFocus Foundation. Color changes may increase as long as Rocklatan is administered, and eye color changes are likely to be permanent. Peru Here are 10 ways to save money on prescription drugs, epinephrine ophthalmic, latanoprost ophthalmic, pilocarpine ophthalmic, timolol ophthalmic, brimonidine ophthalmic, Lumigan, Combigan. Program may not be combined with any third-party rebate, coupon, or offer. No other purchase is necessary. These forms may be used to initiate an appeal on a patient's behalf or request an enrolled patient's next product shipment. Bacterial keratitis has been reported with multiple-dose containers of topical ophthalmic products inadvertently contaminated by patients. Managed Markets Insight & Technology, LLC. Avoid allowing the tip of the bottle to touch the eye to avoid bacterial eye infection which has been reported with the use of multiple-dose containers of topical ophthalmic products. All rights reserved. See full prescribing information for ROCKLATAN. Livalo Patient Assistance No cash back. Learn more. ROCKLATAN (netarsudil and latanoprost ophthalmic solution) . hXYkH+8!`]fAAN|l c,:bdxH&2 1bsf1! EXISTING EYEFILE USER? Colombia Savings | Rhopressa (netarsudil ophthalmic solution) 0.02% These containers had been inadvertently contaminated by patients who, in most cases, had a concurrent corneal disease or a disruption of the ocular epithelial surface. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care benefit program, (ii) where patient is not using insurance coverage at all, or (iii) where the patients insurance plan reimburses for the entire cost of the drug. Prescription medications: Simbrinza, Eysuvis, and Inveltys. Remove contact lenses prior to administration and reinsert 15 minutes after administration. Learn about Rocklatan including its uses, possible side effects, interactions, images, warnings and similar drugs. Offer valid up to 12-month qualifying prescriptions. Support | Rocklatan (netarsudil/latanoprost ophthalmic solution) No Patient Assistance Programs were found for this medication. is a member of the ophthalmic glaucoma agents drug class and is commonly used for Rocklatan prices starting at $375.30. You can have your prescription delivered right to your door with no hassle and at a cost that you can afford. Managed Market Insights & Technology, LLC. You must be 18 years of age or older to redeem this offer for yourself or as a caregiver. Alcon reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice. Rocklatan (latanoprost/netarsudil ophthalmic) Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. rocklatan Coupons and Discount Cards - rxless Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. Valid only for those with private insurance. Rocklatan User Reviews for Glaucoma, Open Angle - Drugs.com Eligible patients pay as little as $30 per prescription fill. Gradual change to eyelashes may include increased length, thickness, number, and misdirected growth of lashes. or call 1-800-678-6704 Eligible products include: Click on a logo to view patient copay details. Rocklatan eye drops: Side effects, cost, storage, and more Please click here for full prescribing information for Rocklatan. Thats less than $9 per month for a 90-dayprescription. Rx Assist allows for digital transformation to help maximize prescription volume, adherence, loyalty, and return. Accessed on April 18, 2022. Eligibility is based on several factors, including income limits that are . Refill Self-Service Requests Unavailable We apologize for the inconvenience. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. Eye pruritus, visual acuity reduced, increased lacrimation, instillation site discomfort, and blurred vision were reported in 5-8% of patients. Rocklatan is a prescription medication for people with high eye pressure (known as intraocular pressure or IOP) in people with open-angle glaucoma (OAG) or ocular hypertension (OHT). This offer is void in U.S. territories including, but not limited to, Puerto Rico. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. Rocklatan contains latanoprost, which may cause darkening of the eye color, darkening of the eyelid and eyelashes, and increased growth and thickness of eyelashes. Be sure to contact your doctor if you have any questions. A generic drug is an exact copy of the . Macular edema, including cystoid macular edema, has been reported with latanoprost. Accessed on April 18, 2022. For eligible commercial patients when the product is not covered, submit BIN and OCC 03. If you have limited or no prescription insurance coverage or are experiencing financial hardship, Alcon Cares provides medicines at no cost to eligible US patients: Prescription medications: Simbrinza, Eysuvis, and Inveltys. Order Online > Prior Authorization Support Online tools to help prescribers navigate the PA and medical necessity process. Generic version. This offer is not transferable. For adults with open-angle glaucoma or ocular hypertension, Rocklatan has been acquired by Alcon, the Global Leader in Eye Care. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Contact lenses should be removed prior to using Rocklatan. NeedyMeds Void where prohibited by law. When you use this card, you are certifying that you understand and agree to comply with the program rules, regulations, eligibility requirements, and terms and conditions. 5.2 Eyelash Changes ROCKLATAN contains latanoprost which may gradually change eyelashes and vellus hair in the treated eye; these changes include increased length, thickness, pigmentation, the number of lashes or hairs, and Rocklatan should be used with caution and may cause inflammation inside the eye or make existing inflammation worse. By using this offer, the patient certifies that he or she will comply with any terms of his or her health insurance contract requiring notification to his or her payor of the existence and/or value of this offer. If approved, we will routinely ship medicine to the prescriber's office. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Warnings and Precautions Note: This is a drug discount program, not an insurance plan. Rocklatan eye drops contain two ingredients that work together to help lower intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles.