Restasis Multidose Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Restasis Multidose 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 Restasis Multidose cost savings if eligible
If you are eligible for the Restasis Multidose patient assistance program you can receive your medication for free. Our monthly service fee of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Restasis Multidose through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Restasis Multidose patient assistance program?
You could receive your Restasis Multidose without paying the full retail price if you meet the eligibility criteria for assistance. The eligibility requirements are set by the pharmaceutical companies that are providing assistance programs. At NiceRx, we review each application individually, although the main factors considered by most programs 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 Restasis Multidose patient assistance?
We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may also be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Restasis Multidose.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Restasis Multidose patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request your Restasis Multidose medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Restasis Multidose coupon provider?
At NiceRx, we help eligible individuals access the Restasis Multidose patient assistance program. This means that we are not a Restasis Multidose coupon, a Restasis Multidose discount card, or a Restasis Multidose copay card provider. We do not offer any medication trial offers, or free Restasis Multidose samples.
Can NiceRx help me get Restasis Multidose cheaper if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Restasis Multidose medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please fill in our enrollment application to find out more.
How much does Restasis Multidose cost without insurance?
Restasis Multidose costs without insurance will vary depending on how much you buy and the retailer you buy it from. As a guide, Restasis Multidose ophthalmic emulsion 0.05% will typically cost around $350 for 30 emulsion. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
How much does Restasis Multidose cost with insurance?
The copay of Restasis Multidose will vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
What is Restasis Multidose?
Restasis Multidose is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Allergan Inc. Restasis is a preservative-free topical immunomodulator indicated for a certain type of chronic dry eye disease to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. An increase in own tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal plugs.
What doses of Restasis Multidose are available?
Restasis Multidose is available as a cyclosporine ophthalmic emulsion formulation, in the following doses: 0.5mg/mL
Use Restasis Multidose about every 12 hours. Remove contact lenses first. Wait at least 15 minutes before re-inserting contact lenses or using artificial tears. Restasis eye drops should appear white in color. To avoid the potential for eye injury and contamination, be careful not to touch the vial tip to your eye or other surfaces. Each single-use bottle is for one use only (in both eyes). Throw the bottle away after one use, even if there is still medicine left inside. Store at room temperature.
Please read the prescribing information and always speak with a healthcare professional about any changes to your dose so they can monitor and evaluate your condition.
Restasis Multidose active ingredients
Restasis Multidose contains cyclosporine as the active ingredient.
Restasis Multidose side effects
The most common side effects of Restasis Multidose in clinical trials include:
- Burning, pain, itching
- Redness of the white part of your eyes or inside of your eyelids
In rare instances, Restasis Multidose can cause more serious side effects. These can include:
- Blurred vision
- Eye irritation
- Halos around lights
- Watery eye
Your doctor will assess the benefits of using Restasis Multidose against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Restasis Multidose to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.
Restasis Multidose drug interactions
Restasis Multidose can interact with other medications. These include:
- Betaxolol, carteolol, levobunolol, timolol ophthalmic
- Dexamethasone, prednisolone, triamcinolone ophthalmic
This list is not exhaustive and other prescription drugs may interact with Restasis Multidose.
Restasis Multidose contraindications
You should not use Restasis Multidose if you:
- Are allergic to the active ingredient cyclosporine
- Have had an allergic reaction to any of the other ingredients in Restasis Multidose
- Are pregnant or are planning to become pregnant
Talk to your doctor about your medical condition before using Restasis Multidose if you:
- Are taking any of the medications that could interact with Restasis Multidose
- Are breastfeeding or are planning to breastfeed – It is unknown if this drug passes into breast milk
Restasis Multidose generic
Restasis Multidose is the trademark brand name for cyclosporine manufactured by Allergan Inc. A generic version of cyclosporine is available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Restasis Multidose 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.