Alrex Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Alrex medication with our help.Get started today
- Secure: Your personal and medical information is safe with us
- Convenient: We manage the whole process and we’re here to assist you
- Ongoing refills: We request your medication refills on your behalf
NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.
An introduction to NiceRx(01:52)
Next steps after qualifying(00:38)
Uploading documents and billing(00:50)
SSN & billing information(00:33)
Medication delivery time(00:41)
How it works
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.
Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.
Your monthly Alrex cost savings if eligible
If you are eligible to receive your Alrex prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.
Am I eligible for Alrex patient assistance?
To be eligible for the Alrex patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Alrex enrollment application individually. The main factors considered are:
- I am a permanent, legal resident of the United States or Puerto Rico
- I am uninsured or my insurance doesn’t cover my medication
- I meet certain income eligibility requirements
How do I apply for the Alrex patient assistance program?
Applying for the Alrex patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Alrex, so please tell us about any medications that you have been prescribed.
If we determine that you may be eligible for Alrex assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Alrex patient assistance program, we will also request your Alrex medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.
Is NiceRx an Alrex coupons provider?
NiceRx does not provide Alrex coupons, discount cards or copay cards. We do not offer printable Alrex manufacturer coupons, Alrex discounts, rebates, Alrex savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Alrex medication with NiceRx.
Can NiceRx help me get Alrex if I have insurance?
NiceRx may be able to help you access Alrex patient assistance if:
- You have a high copay or coinsurance responsibility for Alrex
- Your insurance company will not pay for your Alrex prescription
- You do not have insurance
Complete your enrollment application online to find out more.
How much does Alrex cost without insurance?
Alrex prices without insurance will vary by retailer. As a guide, Alrex ophthalmic suspension 0.2% will typically cost around $290 for 5 milliliters.
How much does Alrex cost with insurance?
Your individual healthcare plan will determine the copay of Alrex with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.
What is Alrex?
Alrex is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Bausch & Lomb Incorporated. Alrex contains loteprednol etabonate ophthalmic suspension a topical anti-inflammatory corticosteroid for ophthalmic use.
It is indicated for the temporary relief of eye inflammation caused by seasonal allergic conjunctivitis, shingles, severe acne, and iritis, as well as to treat pain and inflammation after eye surgery. The Eysuvis brand of Alrex is used to treat dry eye disease.
What doses of Alrex are available?
Alrex is available in an ophthalmic suspension form, in the following doses: 2 mg in 1 mL.
Do not use Alrex while wearing soft contact lenses. The preservative (benzalkonium chloride) in Alrex could permanently stain your lenses. Use the medicine at least 15 minutes before inserting your contact lenses.
Shake the eye drops before each use. If you are using the gel, turn the bottle upside down and shake once to fill the dropper tip with gel. Tilt your head back and pull down your lower eyelid. Hold the dropper above the affected eye and squeeze a drop into your eye. Close your eyes for 1 or 2 minutes.
Do not touch the tip of the eyedropper on your eye. A contaminated dropper could lead to serious vision problems. Alrex is for short-term use. Call your doctor if your symptoms do not improve after 2 days of treatment.
Please read the full drug information and always speak with a healthcare professional for medical advice or about any changes to your dose so they can monitor and evaluate your condition.
Alrex active ingredients
Alrex contains the steroid medicine loteprednol etabonate as the active ingredient.
Alrex side effects
The most common side effects of Alrex in clinical trials include:
- Minor burning when using the eye drops
- Eye pain, blurred vision
- Dry or watery eyes
- Feeling a foreign body sensation
- Sensitivity to light
- Runny nose, sore throat
In rare instances, Alrex can cause more serious adverse effects. These can include:
- Raised intraocular pressure (IOP)
- Worsening redness or itching
- Eye pain or swelling, trouble closing your eye
- Sudden vision changes
- Signs of eye infection
Your doctor will assess the benefits of using Alrex against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Alrex to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Alrex drug interactions
Alrex can interact with other medications. These include:
- Vitamin B12, C, D3
This list is not exhaustive and other prescription drugs may interact with Alrex.
You should not use Alrex if you:
- Are allergic to the active ingredient loteprednol etabonate
- Have had an allergic reaction to any of the other ingredients in Alrex
- Have ocular fungal, or any other eye infections (including herpes simplex)
- Are younger than 18 years old
Talk to your doctor before using Alrex if you:
- Are taking any of the medications that could interact with Alrex
- Have ever had glaucoma, cataracts, or cataract surgery
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
Alrex is the trademark brand name for loteprednol etabonate manufactured by Bausch & Lomb Incorporated. A generic version of loteprednol etabonate is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Alrex savings through NiceRx.
*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.
Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.
**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).
To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.
The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.